HomeMy WebLinkAboutPermit Electrical 2007-4-30
'c;~'b~,11r,
~,-Q?
B'~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATI{}li
IID~ p- ~l
. .
LEGAL DE~CRIPTION ( ~ /' U-~
l7C)..s3S/~ \""/~,---
JOB DESqIPTION A ~ ~ r ...~ r
W I l~ /'rP i.) tit '4J7V
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
~
Address II O$'
$PI~
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A;E~--~;r~~-~-------------------~
RECEIPT" :jj:: , ,-, 'Z. '
RECEIVED BY: .b q
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
~~OOS'- ~O~ZK
City ~ob Number
3. COMPLETE FEE. SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
E.
5. ~UBTOTAL OF ABOVE
~% State Surcharge
~ Administrative Fee
TOTAL 5% ~tt fi:€"
Items
Cost
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders youto
Electrical Contractorr~~.1\.rN\ (D~'ll>t4T~~;'~~fJliT~,
,Q J"""") I' o\utw-t}l'8e a "1"ho~ ru\es are set '
Address y...O. 6..d 1.0), ':\' tA (L APMf1 :;l~?ti~mMf~1~i;.. ,~OAA952.oo'\$ 50.00
m5!'CO'h~ ~H' mmerutesb$ 60.00
Ci ty PhoneSiI1'f7101.<!/ r-:^ Otf~YllI>>~a'fbC~@~t~mft&~rhl\nJ $100.00
~ U\I (':;~~0 clMter.t(<NQ.~~'! ~'fication $130.00
Supervisor License Number ::5 J ) -/-$ C nnv~v~lh0~~~UtU\r! I $300.00
. " Ou~be'R'~~onnt:q ~Yt32~2344). $ 40.00
Expiration Date l "C) 0 ~ . ~-
l C. Temporary Services or Feeders
Constr Contr. Number ',((') ~Vv/ Installation, Alteration or Relocation
Expiration Date I ~ I 0 ~ 200 amps or less $ 40.00
I 201 amps to 400 amps $ 55.00
. sing Electrician NOTICE: Over 401 to 600 amps $ 80.00
THIS PERMl'fesH~tttt ~)@)rR(Nf TRiltCWtlHlts see "B" above
-Y^-~"I\-r AUTHt1FIZ~PaY~19FJlIill~ffRMIT IS NOT
LA. Y::;V/l.), COMMENCED OR IS ABANDONED FOR
~ 7 J ~tl S ~~ A~O lJAV"PEflt(9~ation or Extension Per Panel
r ~1 One Cireui t $ 35.00
Phone jL/ J "'{ (/J .f. Each Add it i onal
t , '-" Cireui t or wi th Service
OYNER INSTALLATION or Feeder Permit
~.~~.
$ 15.00
$ 40.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-/O~,;
~i~_JUl:>V'
~ ~ja-
T'JO~
Status
use initials
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00928
ISSUED: 03/01/2007
APPLIED: 07/19/2005
EXPIRES: 09/08/2007
VALUE: $ 116,972.00
SITE ADDRESS: 1105 E ST
ASSESSOR'S PARCEL NO.: 1703351406400
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: CHARLES DY AS
Address: 1105 E ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor License Expg~Wttte
OWNER 8699 0(\~\'('1~<<'s)\tX "
W AL TER J CANNON 7630~ \'a-~ '( O'(~4}~~ lj,f.)'\
OWNER , ,,!"'(0?Ot- b'l~~\\es ~Q g~~,..~ ~
BUILDING I~~QR~AI~~i~~O~'(o~~~~' \~e n'(\O{\~ ~
~\ '(~\.ol!. e'('Ja..... ~Q,\~ t, n\ta~ \~e,: ~'?J.\\O
# fSt"'r~~~ ..n{\O ~~(), '~~O"""f~~e'A\Gt\~~
o "W". e.\~;'('JJJ' :0\0-"\ .l.N.0\..".... 'f"""
Height~~~~ ....0-'i 0 ~.Jm- ~~'V. ~tflt)Or:
Type o~~~ ~O""~~Gea~o f',~112nd Floor:
Water Ty~O' '~\:(\9J\~ ~\~R~~,9.("\ Sq Ft Basement:
Range Type: C~\i. ':00'(\0 EleCtric Sq Ft Garage/Carport
Energy Path: {\u,f(\ , Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
- "
I DEVELOPMENT INFORMATION' ' ~~~t. ~~~~;
j..\'\'\\ ~~~~$\'P"ARKIN G
Overlay Dist: ~"\\C't:.:\ s\\~\.\, t:\\\\SfJt~t\) ta~
# Street Trees R<t6. \'t.,\\\-1\\ 'S~\)t.'\\ ~~'Wcapped:
Paved Drive Rqd:\\\\S C),\\\1t.\) ('\? \S ~~ Compact:
% of Lot Coverage:t>-\\\\\ x.~c,t.~~tnr,\\\C)\),
f'Q~~ (\~i \'t:
\J ,'!(\V
I PUBLIC IMPROVEMENTSf'\ \
Contractor Type
General
Electrical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
24.00
5.60
0.00
Phone Number: 541-741-3634
Phone
541-747-6638
541-747-0959
R-3
824
338
VN
700
2
Sidewalk Type:
Fullv Improved
Yes
Curbside 5'
Curb and Gutter
Downspouts/Drains:
Notes: Storm drainage piped to curb face 7/21/2005 CAS
Pa2e 1 of 4
Status
use initials
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00928
ISSUED: 03/0112007
APPLIED: 07/19/2005
EXPIRES: 09/0812007
VALUE: $ 116,972.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Deck/Balconv
Dwellin!!:s
Gara!!:e
Deck
V Wood Frame
Gara!!:e
$ Per Sq Ft
or multiplier
$17.00
$96.00
$25.00
Square Footage
or Bid Amount
80.00
1,172.00
124.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$1,360.00
$112,512.00
$3,100.00
$116,972.00
07/28/2005
07/28/2005
07/28/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $431.05 7/19/05 1200500000000001028
~Mechanical Issuance Fee~ $10.00 8/2/05 1200500000000001129
+ 10% Administrative Fee $83.89 8/2/05 1200500000000001129
+ 7% State Surcharge $58.72 8/2/05 1200500000000001129
Appliance Not Listed $18.00 8/2/05 1200500000000001129
Building Permit $620.90 8/2/05 1200500000000001129
Dryer Vent $6.00 8/2/05 1200500000000001129
Exhaust Hoods $9.00 8/2/05 1200500000000001129
Fixture $84.00 8/2/05 1200500000000001129
Furnace - up to 100,000 btu $12.00 8/2/05 1200500000000001129
Gas Outlets 1-4 $4.00 8/2/05 1200500000000001129
Plan Review Minor - Planning $85.00 8/2/05 1200500000000001129
Sanitary Sewer - Improvement $38.14 8/2/05 1200500000000001129
Sanitary Sewer - Reimbursement $50.14 8/2/05 1200500000000001129
SDC Sanitary/Storm Admin $8.27 8/2/05 1200500000000001129
Storm Drainage Impervious Area $77.20 8/2/05 1200500000000001129
Storm Sewer - 1st 50 Feet $45.00 8/2/05 1200500000000001129
Storm Sewer Each Addtll00' $28.00 8/2/05 1200500000000001129
Vent Fan $12.00 8/2/05 1200500000000001129
+ 10% Administrative Fee $83.89 3/1/07 2200700000000000279
+ 5% Technology Fee $41.95 3/1/07 2200700000000000279
Renew Building Permit $620.90 3/1/07 2200700000000000279
Renew Mechanical Permit $61.00 3/1/07 2200700000000000279
Renew Plumbing Permit $157.00 3/1/07 2200700000000000279
+ 10% Administrative Fee $10.60 4/30/07 2200700000000000612
+ 5% Technology Fee $5.30 4/30/07 2200700000000000612
+ 8% State Surcharge $8.48 4/30/07 2200700000000000612
Residence Wiring 1000 Sq Ft $106.00 4/30/07 2200700000000000612
Total Amount Paid $2,776.43
Pa!!:e 2 of 4
CITY OF SPRINGFIELD
Status
use initials
Building/Combination Permit
PERMIT NO: COM2005-00928
ISSUED: 03/01/2007
APPLIED: 07/19/2005
EXPIRES: 09/08/2007
VALUE: $ 116,972.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl:! Review
Public Works Review
07/20/2005
07/21/2005
07/21/2005
I Plan Reviews I
07/21/2005 APP
08/01/2005 APP
07/21/2005 APP
LLH
TAJ
CAS
Storm drainage piped into existing
to curb face; SDC credits for
relocation of fixtures and demo
7/21/2005 CAS
Approved as noted on plans
Structural Review
07/21/2005
07/26/2005 APP
JB
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, inspections requested after 7:00 a.m. will be made the following
work day.
~eouirecUnsnections I
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Storm Sewer Line: Prior to filling trench.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Pal:!e 3 of 4
CITY OF SPRINGFIELD'
Status
use initials
Building/Combination Permit
PERMIT NO: COM2005-00928
ISSUED: 03/0112007
APPLIED: 07/19/2005
EXPIRES: 09/08/2007
VALUE: $ 116,972.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I 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
Pa2e 4 of 4
225 Fifth' Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00928
COM2005-00928
COM2005-00928
COM2005-00928
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CHARLES DY AS
Citv of Springfield Official Receipt
I lopment Services Department
Public Works Department
2200700000000000612
Date: 04/30/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1862
In Person
Payment Total:
Page 1 of 1
10:01:27AM
Amount Due
106.00
5.30
8.48
10.60
$130.38
Amount Paid
$130.38
$130.38
4/30/2007