HomeMy WebLinkAboutPermit Electrical 2010-5-21
EleCtrical Permit Application
225 Fifth Street. Springfield, OR 97477+PH(541)726-3753'FAX(541)726-3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
City:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(l).
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Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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Residential, per unit, service include-d:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$134.00 $
$ 25.00 $
$ 32.00 $
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00
$
$
$
$
$
$
201 to 400 amps (2)
40 I to 600 amps (2)
601 to 1,000 amps (2)
Over 1,000 amps or volts (2)
Reconnect only (2)
$ 95.00
$158.00
$205.00
$469.00
$ 63.00
Temporary services or feeders: installation. alteration, relocation
200 amps or less (2)
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
20 I to 400 amps (2)
40 I to 600 amps (2)
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
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$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigationcirc1e (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I)
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
(e) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ 63.00
$ 63.00
$
$
$
$ 63.00
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00552
ISSUED: 05/11/2010
APPLIED: 04/30/2010
EXPIRES: 11/21/2010
VALUE: $ 9,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 345 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271310300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Detached deck and deck rooffor 7000 Ibs hot tub, electrcial connection by owner
Owner: DWAYNE AND JULIE HAMMOND
Address: 345 SCOTTS GLEN
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
I CONTRACTOR INFORMATION ~
Con tractor License
BEEGLES CONSTRUCTION LLC 185687
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LYNNSELECTRIC """~'=f""""' ."..' 102316
BUILDING.INFORMATION I
Expiration Date
02/27/2011
10/14/2011
Phone
503-267-1043
541-726-7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
VB
n/a
I DEVELOPMENTlNFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:'
Handicapped:
Compact:
Street Improvements:
'IOU to
\ leC\uiles \Jti\it'I
I PUBLIC IMPROVEMENT~I:J-I\IO~" d~nted '0'1 t'neu\e~-ale se~ t~o'_
~es 8 .. "(hOse I f>,R 9'5..-
,,!;i~' LU; toIlo'" 'do>68mef..\',De'hlOUgh 0 "'e luleS '0'1
, . '.. .~,..~ - o\itlc OtT. ,.ou"lU \ ieS 01 t.. hOlle
~ Otr.Reil~9&tpeb\'lll\,~fe: the te\e~ cation
(io9o. '(OU tnD, nter." \No tili\Y ~o\\ \
callIng \tie ;e Ole~.2.344).
""tnD8f :n\et \& ,
Storm Sewer Available:
Special Instruc!fdilTlCE' ':0:1:, ; .,'
1'I-1IS PERMIT SHALL EXPIRE IF Tf1tWOR~
Notes: AUTHORIZED UNDER THIS PERMIT IS NO.
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00552
ISSUED: 05/1112010
APPLIED: 04/30/2010
EXPIRES: 11/21/2010
VALUE: $ 9,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V alu:-t~on Description ~
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
9,000.00
Value
Date Calculated
Description
Total Value of Project
$9,000.00
$9,000.00
05/05/2010
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Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid'
Date Paid
Receipt Number
$82.06
$15.15
$6.31
$126.25
$7.03
$30.61
$110.07 ',;,'
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$7.32, ..:;
$3.05 ':,'
$55.00CCT
$6.00"" '
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4/30/1 0
5/11110
5/11110
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5/21110
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2201000000000000449
2201000000000000481
2201000000000000481
2201000000000000481
2201000000000000481
2201000000000000481
2201000000000000481
2201000000000000553
2201000000000000553
2201000000000000553
2201000000000000553
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Total Amount Paid $448.85
I Plan Reviews ~
Initial Review 05/05/2010 05/0512010 OK CJC
,
Public Works Review 05/05/2010 05/~5/2010 API' LKW Storm water to existing system
Structural Review 05/05/2010 05/05/2010 .WE RWC owner is installing a 7000lb hot tu b.
-, waitting for engineering
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" Left message with Richard Beegle at
(1-503-267-1043)
Plannine;: Review 05/05/2010 05/07/2010 APP DDK No Planning Issues.
Structural Review 05/10/2010 05/10/2010 APP RWC c
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, irisp~ctions requested after 7:00 a.m. will be made the following
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Status
Issued
",
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00552
ISSUED: 05/11/2010
APPLIED: 04/30/2010
EXPIRES: 11/21/2010
VALUE: $ 9,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insoections .~
Footing: After trenches are excavated. >,l.~~d, \)J:,/~.l.':: , i
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Framing Inspection: Prior to cover and aft~r.~I~'rotigh'iiIinspections have been approved.
Roof Sheathing
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Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
,the Ordinances of the City of Springfield and the Laws of the State,of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that 'only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000553
Date: OS/21/2010
8:50:50AM
Job/Journal Number
COM20 1 0-00552
COM20 1 0-00552
COM2010-00552
COM20 I 0-00552
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge ' ,.' .
+ 5% Technology Fee
.' .
Amount Due
55.00
6.00
7.32
3.05
$71.37
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Payments:
Type of Payment
CreditCard
Paid By
LYNN'S ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 21240 Phone
Payment Total:
Amount Paid
$71.3 7
$71.37
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5/21/2010