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HomeMy WebLinkAboutPermit Electrical 2006-7-12 J 225 FIFTH STREET. SPRINGFIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C OvV\ Z-Oc:::> b -- Dc.:> l./ b l{ JOB DESCRIPTION 1000 sq. ft. or less A I ("? __I I J ~ ~ I Eac~..add. .i.t. io~aI)O"p,j~.\fi. or ~6. > C l r lA.-\. ~ \" -1-c> 0 J.... C7'-' portIOn thereof'" ~ \ '. Permits are non-transferable a~d expire if work J~' r Each ManUfact:~~~Q~\e\bf\\\ not started within 180 days of issuance or if work is Modul\l;r;[)~elll.tlg: Se!iYjMcb\- Suspended for 180 days. . Feeqer\(i' \ C; ,','\;' \\JI'c'::1 \)~ , 1...", _ _. r \1" \.i ,\,; :. .. r"\fW"':;>Y' .... \c>i1hD\"\e., . ........ .' '.. ...... . .... . .'. B. ?\Settt~~!i.~~~ee()~r~:: IR;J)1jlllatlOn, .~ltera. ...tlOns or ....Relocat.. IOn: . !~.\O\'J"\ \'0'.\,'\C3U " \\ \j " , "i ..\\ '.:i., \.)\.\\\I.'j [,CEC1f(1(. , ", __ ~O;,z\(rl1p~ 9,r,J~Mi\). $ 63.00 c 1" l\\~ ('O,3-:>t . 'I' ,'c)' .'( '\:SO'H~,mps to 400 Amps $ 75.00 iI\....' ,--. " ."\\.\;j\ L/v. Cj 7Y7ff\ 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 I. LOCATIONOF INSTALLATION /57b LAvlll.4 5\ LEGAL DESCRIPTION 170') ?-7L{( Oll ~()o 2. CONTRACTORINSTALLATIONONLY Electrical Contractor fA,STS/DE BOSCAG6 Address j~;).)3 City SiP ~{,D Phone 7lJ (, I Y99 Supervisor License Number Y7J7s Expiration Date ID~f- 07 Expiration Date 1/7770 I()-OY- 07 Constr. Contr. Number Signature of Supervising Electrician ~ ~M .---'. k ../' / Owners Name . \' ~ _' Address / S 7 b <;;..~,cl) City S-fA s ,1\ by ui-vv'rl ~ r Phone '~::1. ~ ~I 'I OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date 'f 1 /) I.2tJdfl -4-' C"l , - , COMPLETE FEE SCHEDULE BELOW 3. A. ." New Residential-Sjngleorl\:lulti~Family per dwelling unit. Service Included $106.00 $ 19.00 $50.00 c. " Installation, Alteration or Relocation 200 A. mps or less ',. ,e "n-lf \"'lC\~~ 50.00 \r';:, \' ~\('~ l ,. ..fQt.~I;J1PS _to _48q)A~~{J) I\~ ~P\lS\ \S . '$ 69.00 \~UJOJ-~W..'\'NS\t{)~O. O.AIWS\\-\\.S.c 1'1\- ,,>'n r\\R $100.00 \ 'r\1"; \". .., ~n t\N\Jt r l\.,\,\(\,'.n..u . \ \@\lAr....". (K).....~ W.m.... p. S.,...0..f..\Q.... o.......~.. W.........D.....I..f.S............s.....e..... e........'..'.B..'....'...a.. b....o........v... e........... '-\u \\,{).\ .... fe" \;)n"'........i.../............i. 'n;.\ ~vrotdhJ eitc~ jt~\yX?r.//...m. .............. ........ \.J \..J ell", ,":---:".:..\: h-~ _. - [:,:. ".' , New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit c; ft.' $ 43.00 > $ 3.00 E. Miscellaneous (Se n'i celfeedcrn otinclu ded)-Ea chili sta lIa tion Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ?-- .'Il. ,. ?V /O~ 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T)/Building FonnslElectrical Permit Application I-06,doc CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/20/2006 EXPIRES: 01105/2007 VALUE: $ 10,296.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1576 LAURA ST ASSESSOR'S PARCEL NO.: 1703274104300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: Address: PETE STASNEY 1576 LAURA ST SPRINGFIELD OR 97477 Phone Number: 541-953-3514 Contractor Type General Electrical . es \IOU to _ l~,.. rPOu\f , I CON'~IU.~~O-R I~~~~~i~iQN~~~:S~~\~~~th "1 _~,::rll(j\. I."~ - . hOAR 952-001- , .~, Q..tl!lrnuQ Contractor ," ,'~2-00,-001 ,'dce~~~ 01 tr~~Pll'.atl~n Date MOIR CONSTRUCTIONn\,,- J. \0U mav obta\~f~?p.: tile te\eph02!~4/2009 EASTSIDE ELECTRIC INCrd'"lQ the center.l~?1~Qti\it\f Notif1Cl'DV-01tf2007 BUlLDlN6JINF.ORMA 1iLe~1332-2344). V"" .-- # of Stories: 1 Height of Structure ' 17.00 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-343-4396 541-915-9828 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 104 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Path 1 n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 8.00 I, I DEVELOPMENT INFORMA TION I 1 \fi"" li:. REQUIREDOP~RKING IMO \pl\;.. PIRF IF 1Ht \j\J nl' Overlay Dist: ,. IS PERMIl SHAll EX 'T~N~\(.t\11 IS N01 # Street Trees Rqd:HU1uORIIED UNDER 1HIS jilWtliliP'ped: . /\ n B/\NDnNH ,,)[1 Paved Dnve Rqd: ~ MENCED OR IS A 1'\ Qomp ct: % of Lot Coverage:,OM D/\\.' PERIOD. ANY"\80 1'\1 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm drainage piped into existing 4/25/2006 CAS Pa\?:e 1 of 3 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/20/2006 EXPIRES: 01105/2007 VALUE: $ 10,296.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellin\?:s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $99.00 ' Square Footage or Bid Amount 104.00 Value Date Calculated Description Total Value of Project $10,296.00 $10,296.00 04/20/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $74.88 4/20/06 1200600000000000507 + 10% Administrative Fee $12.04 6/5/06 1200600000000000794 + 8% State Surcharge $9.22 6/5/06 1200600000000000794 Building Permit $115.20 6/5/06 1200600000000000794 Fire SF Fee - Residential $5.20 6/5/06 1200600000000000794 SDC Sanitary/Storm Admin $1.09 6/5/06 1200600000000000794 Storm Drainage Impervious Area $21.80 ' 6/5/06 1200600000000000794 + 10% Administrative Fee $5.20 7/5/06 1200600000000001015 + 8% State Surcharge $4.16 7/5/06 1200600000000001015 Add, Alter, Extend Circ $43.00 7/5/06 1200600000000001015 Add, Alter, Extend Circ Ea Add $9.00 7/5/06 1200600000000001015 + 10% Administrative Fee $0.90 7/12/06 2200600000000000962 + 8% State Surcharge $0.72 7/12/06 2200600000000000962 Add, Alter, Extend Circ Ea Add $9.00 7/12/06 2200600000000000962 Total Amount Paid $311.41 I Plan Reviews I Initial Review 04/21/2006 04/21/2006 APP LLH Plannin\?: Review 04/21/2006 04/27/2006 APP TAJ No Planning issues. Public Works Review 04/21/2006 04/25/2006 APP CAS Storm drainage piped into existing 4/25/2006 CAS Structural Review 04/21/2006 OS/23/2006 OK RWC To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. UeouiredJnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Pa\?:e 2 of 3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/20/2006 EXPIRES: 01/05/2007 VALUE: $ 10,296.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa\?:e 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone ( of Springfield Official Receipt h..v-elopment Services Department Public Works Department Job/Journal Number COM2006-00464 COM2006-00464 COM2006-00464 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000000962 Date: 07/12/2006 Description Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ROGER KING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 03594B In Person Payment Total: Page I of 1 10:44:37AM Amount Due 9.00 0.72 0.90 $10.62 Amount Paid $10.62 $10.62 7/12/2006 ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO""'" z-O 0- Go ' 0 0 LIb c..( Date 1. LOCATION OF INSTALLATION 3. LA WLA- ~ t- I S7b A.New Residential-Single or Multi-Family per dweHing unit. Service Included LEGAL DESCRIPTION \ -,0 -:J Z7t( ( ~ If 3-00 $106.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION (:vJJ 4 c( ..-c-t,,-:' J-S Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 Feeder ,.cC'C \JOLl to _ ,~",' ,- (:-l(, \ i 1 ,~,::) j B.s~r,'.~'~c~.~'~;.'~'e~~Q:.i:'~1 fR~~im110~"Alt, era tions () r Rei (Jc~tio n: , >',- "l ,\,k ""YPSP.ljQ\~\ --::, q\\~'~, (.. .J 1 cAS/SID c CLtC,1((/C 200.A~~0or.'I;S;~~\ o;,\~9:~~~~I:'~ -20'j 'Am. s t<y tlOQJ'MllpJ th ~ r f:,oSCAG-c IN \,'> i\f (,,-1\'0\ - . i\ ete\ep\\onp . :'" ~ . ,40 Amp~,tc\\6.Q11G\mp's N t,~'catinn , tIe Cb, l\ l\~\W 0 ", J 60.l\\,?!p@r<mJrobcr m44) Phone -7lf 1- / LfCJ 'i nun'b8\(,~~~~too(J.~Bs7V~ ts . Reconnect Only CONTRACTOR INSTALLATION ONLY 2. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor Address 3't; 15'3 SVJ f[D City Supervisor License Number Y 7 .2 7 S Expiration Date /0.-1- J. 007 Constr. Contr. Number } I 7 7 '7 (;) Expiration Date } 0 ..... 0 J ~ 0 7 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 D. NOTIC~:" '. .' N.~~.~ter\~tjoi!l 0~~4~P~g~I~~ Panel I '\ HIS pt'K!\1i i ~'l~'! ~tf IKE" I, ,t " . $ 43.00 , , L ",\ ,e 71rc-fI'(> r)j:PPIT 'e:; (\inT i\UTHOR1ZEL~,MI,d~}~B~1tI~~al~<r:irf8~ o~~~~tll ' , '3 \ ,- COMrv~ENCFL;S~,lq~_~~Fe6ded:l'f!rmitFr $ 3.00 ~+A('^-(..~ "',) " ~fq\ ". L ~ ~ ~'\-- 'E.'~li;~~iI~neOU~(~er~ice/feeder not included) -Each Installation Phone 5S-1 -:?~ I V Signature of Supervising E1ectlician ~ ~f'1 l(J ( Owners Name P e- k 1~7b SV~i\ Address $ 50.00 $ 50.00 $ 25.00 $ 45.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residentia1 Limited Energy/Commercial City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 52 'fIb ~z.c> b ( 7!:- 4. ST-IBTOTAL OFABOVE Owners Signature: 8% State Surcharge 10% Administrative Fee TOTAL Inspection Request: 726-3769 Shared Drive(T:)/Building Fonl1s/Electrical Pennit Application I-06.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/20/2006 EXPIRES: 01/05/2007 VALUE: $ 10,296.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1576 LAURA ST ASSESSOR'S PARCEL NO.: 1703274104300 Springfield TYPE OF WORK: Single Family Residence Contractor MOIR CONSTRUCTION EASTSIDE ELECTRIC INC , ~....,,.,TYPE OF USE: Addition Addition to existing single family residence: ~n law requires you to , d.' J':'Y the 0 ~, --'_ regon l)ti/itl' ",~,::,'~u;:;;fUl8saret;;.:"'tf'"':fol.!. . , 'u, L lhrounh OA rliuU6 lJ'Uumber. C.d~,~'I' :Y obtain cOpie;js R 952-001_ tlur. ,'0, '::~,~en~er. (Note: ih~ft~~:~~~es by C'~-~ :"'" V{",gon Uti/it" N t'F"v~IO I CONTRACTOR''fN.plORM~.1l,l,0Ny,~~.'/catlon License Expiration Date 41570 02/14/2009 117770 10/04/2007 Residential PROJECT DESCRIPTION: Owner: Address: PETE STASNEY 1576 LAURA ST SPRINGFIELD OR 97477 541-953-3514 Contractor Type General Electrical Phone 541-343-4396 541-915-9828 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 17.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Oth~r: n/a Occupant Load: 104 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 8.00 I DEVELOPMENT INFORMATION I OS '. . 1\t~: tP\RE \f I\-\E \J'J ~~QUlRED PARKING ~ \\\\0 -. e\-\J:\ll t \\A\I \S NOt , OVerla~Ili(~N\\I v R -'(\-\\S pt.R\~\ Total: . # Stt~fi~~~~J{l@:\JNO\ J:\13J:\NDONED fOR Handicappe~: Pave~r~~<<t~'lq9.:.D OR \ Compact: .. % 0tUQ,'f/c!6B"era\?:e: PER\OD. <{ ~N'{"\ U V1'\\ . I PUBLIC IMPROV'EMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm drainage piped into existing 4/25/2006 CAS Pa\?:e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Dwellin\?:s V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Planninf!: Review Public Works Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/2012006 EXPIRES: 01/05/2007 VALUE: $ 10,296.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 104.00 04/20/2006 Value Date Calculated Total Value of Project $10,296.00 $10,296.00 ~ Amount Paid Date Paid Receipt Number $74.88 4/20/06 1200600000000000507 $12.04 6/5/06 1200600000000000794 $9.22 6/5/06 1200600000000000794 $115.20 6/5/06 1200600000000000794 $5.20 6/5/06 1200600000000000794 $1.09 6/5/06 1200600000000000794 $21.80 6/5/06 1200600000000000794 $5.20 7/5/06 1200600000000001015 $4.16 7/5/06 1200600000000001015 $43.00 7/5/06 1200600000000001015 $9.00 7/5/06 1200600000000001015 $300.79 I Plan Reviews I 04/21/2006 04/21/2006 04/21/2006 04/21/2006 04/27/2006 04/25/2006 LLH TAJ CAS No Planning issues. Storm drainage piped into existing 4/25/2006 CAS APP APP APP 04/21/2006 OS/23/2006 RWC OK To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. L..BeouiredJnsnections I 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. Pa\?:e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2006-00464 ISSUED: 06/05/2006 APPLIED: 04/20/2006 EXPIRES: 01/05/2007 VALUE: $ 10,296.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa\?:e 3 of 3 225 Fifth Street . - Springfield, Qregon 97477 541-726-3759 Phone ~ , of Springfield Official Receipt l..,-,velopment Services Department Public Works Department Job/Journal Number COM2006-00464 COM2006-00464 COM2006-00464 COM2006-00464 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200600000000001015 Date: 07/05/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ROGER KING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 01571B In Person Payment Total: Page 1 of 1 1I:18:05AM Amount Due 43.00 9.00 4.16 5.20 $61.36 Amount Paid $61.36 $61.36 7/5/2006