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Home My WebLink AboutPermit Electrical 2007-3-26 ZON L D'2.- INITIALS "-J rv\ DA TE g - l..,(o .; d"7. SOURCE ('VVS 22~ FIFTH STREET. SPRINGFIELD,OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number (C M. z.oo6 - 0 D Y Y-' 1. LOC4TION OF INSTALLATION: 3 8-igc~<~~{c:..i~: LEGAL DESCRIPTION: IBO'LOb (( JOBADESfjTION: ~ b Db '00 c. ( v c.....\. ..: 13 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTORINSTXEfATIONONLY 2. Electrical Contractor Address City Phone Expiration Date '{1~ ,~ 0'>1 Supervisor License Number Constr, Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~ \ L~, f le, "-lIt!ff4-,/j Address '3 ~ "& g (h I ~~e >>' (' , City '- (() r '1\Nl Held Phone 7-3 ~-s H 1- -v cJ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent (ow~.ners~~ ~/'~-~-~~ ~ Inspection Request: 726-3769 3~Z(O -0'7- Date 3. C01\/IPLETE FEE SCHEDULE BELOW A. - Single or Multi-Falllily per dwellingullit. Service Included 1000 sq. ft, or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50.00 B. .:~: $ 63 00 ..,~ :~ .,' "', of,) '., . '$7~:~OO' eS " ~U.?,OO,'.ln",~ ,-:.~ ".,:: '" ~...,. , " .~I:Q3::00 .J.,I ,:' ,': .'$~'7~.OO .. '$50.00 200 Anj'p,sOJ;le~s ,J . lei">" ' 20 1 AD;lP,~t? _40P:Atnps . '( 40 1 Aillp~o to, 6QOAinps " .' - .'; -'j;''''}' _,' ' I _ .: _ .rf4 ,-~',.i ':, I ".\.11':' 601 Am~~t()'JOOO Ap1ps,: t". 0"" Over uJoo Amps:tV6i~s" :...~ n'~';':'-" Reconnect QnlY.:.:v\' -:1 ,.,' c. Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to,400.tPs , $ ~Ol.NO~K ~~,;~~~~~~ '~~vSH~LL ~:.~~i~~~~,~f\,,~.~' D. B,. ra.l.l,c",h,.,6@".~. ~~ts . n.......{)~E, . MMP' .. New A1ter~~~nY8~~~i~i.\R~Ql1anel / One Circui~N $ 43.00 Each Additional Circuit or with Service or Feeder Permit s- L/1 /~ $ 3,00 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges <<)"8 C/f:>'1 51:10 Z10 7/7'1 4. 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T: )/Building Forms/Electrical Pennit Application 8-06.doc Status Issued 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: cOM2006-00487 ISSUED: 06/02/2006 APPLIED: 04/25/2006 EXPIRES: 09/26/2007 VALUE: $ 59,301.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 3888 CHEROKEE DR ASSESSOR'S PARCEL NO.: 1802061106900 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Residential addition. Owner: MICHAEL JOHNSGARD Address: 3888 CHEROKEE DR SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 11.00 17.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-736-3777 I CONTRACTOR INFORMATION I License Expiration Date Phone s ,IT 1 8~~~i.~u\1e '..,,*.P/18f2010 , \ \.\\ O"o~o'(\, \ ~~.;,;~,....~ h~O \'("'v .....,_J...~ \ ".'-' ~ b'! .1 oj {e S...ll . 1-\',', c;.,'l \\~ c.~o?1e 'o...e ~u\eS a 952-00' ,\_,~, n}IC"'_ _~or. ,n J ..""h o~R ,_c: \ , ~:~~cJjiNG_ \,~~FoRm'A7loN:~s o\.\'r~;~~f\e ',' o/1.'f\ ':j..J1-' rn3.'1 0 :"0-''', .'otte'. 'tn~ \e,v'~\r.~\\on \n C<<,of'Slohes: ce~\~f. \N ljt\\\\'J ~O~,\ Cot Size: OQ'Re"\'g~~t;.Jf.Si'r,\!..cjU'~~C\\ """I'lsil:!)!'/.})'Sq Ft 1st Floor: r.(1. . .~."~' ,:1$ ...1"\>':' ',"1''"li''''' T. Y.ne,oi~eat:' ""5 '\, _()UW'll Heat Sq Ft 2nd Floor: ,e' ,\\\101 "all' 'Water Tfpefn . Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nfa Occupant Load: 620 I DEVELOPMENT INFORMATION I \NOR\\ 01\C~:. II E'j..?\~t \f ,\-\E \5 ~O,REQUlRED PARKING ~V~~ilFl'~\\ S\-\I\ ,\-\\S ?E~W\\\ Total: i~\ieet m~qjt!DER Mmo~ED fOR Handicapped: Pfl.~ e~:OR \S M~ Compact: o/'OlJ\lA~ ~\.'lt~~=t R \ 0 D . M.N ~ &0 Dt\ I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Fully Improved Yes Curbside 5' Curb and Gutter Notes: Storm drainage piped into existing to curb face 5/2/06 CAS Paee 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00487 ISSUED: 06/02/2006 APPLIED: 04/25/2006 EXPIRES: 09/26/2007 VALUE: $ 59,301.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellin2s V Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 599.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $59,301.00 $59,301.00 04/25/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $266.27 4/25/06 2200600000000000512 -Mechanical Issuance Fee- $10.00 612/06 2200600000000000719 + 10% Administrative Fee $54.17 6/2/06 2200600000000000719 + 8% State Surcharge $40.85 6/2/06 2200600000000000719 Building Permit $409.65 6/2/06 2200600000000000719 Fire SF Fee - Residential $31.00 6/2/06 2200600000000000719 Fixture $56.00 6/2/06 2200600000000000719 Gas Fireplace $15.00 6/2/06 2200600000000000719 Gas Outlets 1-4 $4.00 6/2/06 2200600000000000719 Minimum/Adjustment Mechanical $20.00 6/2/06 2200600000000000719 Plan Review Minor - Planning $112.00 6/2/06 2200600000000000719 Sanitary Sewer - Improvement $190.70 6/2/06 2200600000000000719 Sanitary Sewer - Reimbursement $250.70 612/06 2200600000000000719 SDC Sanitary/Storm Admin $33.91 6/2/06 2200600000000000719 Storm Drainage Impervious Area $236.77 6/2/06 2200600000000000719 Vent Fan $6.00 6/2/06 2200600000000000719 + 10% Administrative Fee $5.80 3/26/07 2200700000000000415 + 5% Technology Fee $2.90 3/26/07 2200700000000000415 + 8% State Surcharge $4.64 3/26/07 2200700000000000415 Add, Alter, Extend Circ $43.00 3126/07 2200700000000000415 Add, Alter, Extend Circ Ea Add $15.00 3126/07 2200700000000000415 Total Amount Paid $1,808.36 I Plan Reviews I Initial Review 04/26/2006 05/0112006 APP LLH Plannin2 Review 05/0112006 05/17/2006 APP TAJ Public Works Review 05/0112006 05/02/2006 APP CAS Storm drainage piped into existing to curb face 512/2006 Cas Structural Review 05/0112006 OS/23/2006 WE RWC Structural Review 05/30/2006 05/30/2006 OK RWC Paee 2 of 4 Status Issued CITY OF SPRINGFIELD' , Building/Combination Permit PERMIT NO: cOM2006-00487 ISSUED: 06/02/2006 APPLIED: 04/25/2006 EXPIRES: 09/26/2007 VALUE: $ 59,301.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 3 of 4 Status Issued 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: cOM2006-00487 ISSUED: 06/02/2006 APPLIED: 04/25/2006 EXPIRES: 09/26/2007 VALUE: $ 59,301.00 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 t;~ J,r?t,-01- "-/ /' ~.,../ /7' L----'"' Owner -6f Contractors Signature Paee 4 of 4 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone c;' qf Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2006-00487 COM2006-00487 COM2006-00487 COM2006-00487 COM2006-00487 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000415 Date: 03/26/2007 Description Add, Alter, Extend Circ I Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL JOHNSGARD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3866 In Person Payment Total: Page 1 of 1 2:02:17PM Amount Due 43.00 15,00 2.90 4.64 5.80 $71.34 Amount Paid $71.34 $71.34 3/26/2007