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Home My WebLink AboutPermit Electrical 2007-6-11 (2) " ~~ L,1)?~ . INITIALS NYVf DATE (" -I j - try SOURCE (VI ~ ZON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICA}j PERMIT APPliCATION . City Job Numbereo /Y1 2. cIJ1 r (j Q r;, 0 's "'1."!":<"7'",N'"l;fM~:~"''':~~l;,',~'~;i.'N,,:,-'''''''",='r':~::;::;:',,I..<c''''-'Y~~''''t;::;J~~ 1. ~lkqSirJQIYJJ.!5~$![~!:i\~QN)1T:(l~i~;~:i ; 1.(73 75/; ;;'d)~1 ~ Y"!rl''' (- LEGAL DESCRIPTION: I-J 0 ~~ y ~3 0 1/ J. &, JOB DESCRIPTION: d~ /'/6diZ- ,l)d'c/;.,4 ~ ; Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. /;- /1- ~ cJ-v(' Date l':.l"'J.,_,.~~,...r .-"'~~'''(.X''{''''''':"l>''';~''~'''~.\~''I'':;"",,:.<t(<';'''''\.'''''I'' <>'~~,"""~.ff'\",,~,,"'.I-",':1"t",~,<, . ,. . . ,-' 3. 'I;COMPLETE;FEE'SCHEDULEBELOWi':o';:r1::;;i,t,~.,.!!'it:~,>'~~ ~'W~:;:-":<~t'~",,"~;~~~~,~~l:"~.ol..~.....~b'!.i,:"; -.' "~~;.'!~"':':l.::"'\ A. t?N~;ttlf~~;11~si~~~j6}~Wf~a:j;~f':{I~;~r6~jU~~1 ~ ,",~,"~q,-~-, ;,,~ ' '.,~c::..;:";""-..t;.;ti~~""';"~'f.:l.l:>>....':""',,,,....;~;"_t:'~.,:c.~.o:.a:O.~~)"'...':":'-: Service Included, 1000 sq. ft. or less Each additional 500 sq. ft. or , , portion thereof Each Manufact'd Home or Modular Dwelling SeIVice or Feeder $106.00 $ 19.00 $50.00 FtCM7:1ilCt"'6R'1iNSTAirxTION.tJmY~ B. ~~si;~~~fJ~;?f~Ih'~~il~tffih<~lt~:~1i'ifg-:if~~f~~~mA~~,~J 2. tt~"^..~ti..i~f~.~,'?.Jrr~;9'''';':1:l>i'd~t~!;.\),,",, ~'r"',.<\'4';:>:"~:"~,,~~ ~~",'-'.'<j'.";<I:v,::,;,'!l.'~i\Y'~~';~:-~~.;;!;:~;;:;:,....t...y.K'",'""'" ~';:~4i1"'i';';*..~,....~w.u..;...t.' :~',~: Electrical Contracto~ k S f.:;;;'~t?..u; ,"lh1f.:p;., 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address 0.0 3~ ..).f''Y?:7 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City J:-~ 1/,4!ht.L Phone brt/ ...(;..;34 ' Over 1000 AmpsNollS $375.00 ~ Reconnect Only $ 50.00 . SupeIVisor License Number 3'/97 S' Expiration Date I () -(- 0 7 Constr. Contr. Number iI 0 P- n , Expiration Date l;;;t- 3 0-0 9 Signature of SupeIVising Electrician V" #t./' L ) Owners Name ~ L.#? M #7V Address /'/7? '7J/Q/J?A4'1..? ,j,r- City ~} Phone 571'-,).J"Zi() OW1l1E~m&:r:~I,;,~J,~Q.Nv requires you to TIi~linst!illlmoril iheiiig In~&~oncprop'erty [jti*'1'which ' NS1jjofin\:i,nMdfforlsaleTlease;Q1C~~J.are set forth in OAR 952-001-0010 through OAR 952-001- (0wners,SloMture'bt . , f h '-" "-""'''''J '" am copies 0 t e rules by .. callina the r.AntAr fl\lntp' tho tala~h,:,"":, number for the Oregon Utility Notification Center is 1800-332 2344). Inspection Request: 726-3769 Co.M 2007 - e>d:.O 3 fir."'~"~"-l'~-""~'-""""''''''''''''''''",t1J''''''''''~~'' ~. -~-'~-E C .. T~ ",n'. '"";H' > "~'S'JA~q.~j'~N-.(!)."'J:F'I,. 'd~','iY'JI.(')'{'f'i~,:;;:: (,,'r%i:,S:-"~;,_' .,(. ~'k I.-;;."l.\~ ;~'''',' , . ':~~g2:.:!J!K~~~Jt!~~~~~;;n~.S~)~lS:i:~': 1P~,,,~)t~~: f.i,.'T~;~"wJ~E.:&l.i:.':~: Installati~n, Alteration or Relocation 200 Amps or less $ 50.00 201 Am~\'li~<Gt~ps $ 69.?O 401 Ampt~MO~tifl\~fT SHALl: EVPIj:l~ IF$lloO.doiORK Over ~2.0 A\mPri~12l{fb,~J1ts~K~3 'a~o'Ve.'l.M~T.IS NOT, . D. it'Bfiw~\;;It-}CUi,t"S.f.'R,,'rt' ">if1,*:\\~'c;;,G.;:~'\'tW~1l~l\Yi'\!OIf'::;.t:t::,"j;'.I~:t: ~~'~ifG'wrM1:i"t\),n~'Llo.;.t\~tL..r;Z!...:::,~~""""".c. ,~." -'. New Altel'.~~ipnl'1TJElj!'~iisiQn'ii(,)[Panel ~ I? lIV One Circuit I $ 43.00 7.5 . Each Additional Circuit or with , I $ 3.00. /~ . 0 oJ SeIVice or Feeder Permit -; ~t:"~iit:#4:;'~.~'t~..'Oq~~$it1,,~~,.-~~~:;t1it~<'t:';-~:,:,~";~,~'rf('1,".'y''tl E. ~~'m=1~t~~c~/~~l?2!.~lii~~,ilr:i~A1h.1~~!:!.I!,a!i~JiJ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 , Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 0 v f:~;''':'''':J"!1'~~:.'~''V'::W-:'~'!T::.;...''t',,:>r,~r:.;~'~'~'-.;;;,')!:~,'''''l-'1.\':', r-.5 4. ,iSUBTOTAEOEABOVE." '''I'ft'';'.<!",rII,~''-q O. .' , (;:<;.;~;~iU; ,.:~,;, ;',~"'CYS' ~~,~""",:: ,;,;""",,} t..:;(,~.,;,./l.f""....t~.i,,;... 8% State Surcharge' :;:> - 7 :5 10% Administrative Fee "-I . 4' CJ 5% Technology Fee -':> . S () 0t7, (;5 TOTAL Shared Driv~T:)/Building Forms/Electrical Pennit Application 8-06.doc 2i5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00603 COM2007-00603 COM2007-00603 COM2007-00603 COM2007-00603 Payments: Type of Payment Check cReceintl . RECEIPT #: ~ IIIL.,'! <.iiIrl of Springfield Official Receipt _elopment Services Department Public Works Department 2200700000000000941 Date: 06/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KS & CONSULT ANT, INC. Item Total: l,:heck Number Authorization Received By Batch Number Number lIow Received njm 5420 In Person Payment Total: Page 1 of 1 9:38: 13AM Amount Due 43.00 12.00 2.75 4'.40 5.50 $67.65 Amount Paid $67.65 $67.65 6/11/2007 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00603 ISSUED: 05/09/2007 APPLIED: 04/2512007 EXPIRES: 12/08/2007 VALUE: $ 54,590.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1473 DIAMOND ST ASSESSOR'S PARCEL NO.: I703342301l26 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Additon to existing single family residence Owner: LAURA LITTLEJOHN Address: 1473 DIAMOND ST SPRINGFIELD OR 97477 Phone Number: 541- Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I Contractor License GRA VELlNE ANDERSON CONSTRUCTION 45238 KS ELECTRIC 70889 DOUGS PLUMBING INC 110163 BUILDING INFORMATION I Expiration Date 01/31/2009 12/30/2008 11/24/2007 Phone 541-579-2500 541-686-6236 541-688-3385 # of Units: # of Stories: ' 2 Lot Size: Primary Occupancy Group: R-3 Height' of Structure: 34.00 Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: 530 Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport # of Bedrooms: 3 Energy Path: Path I Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 0.00 Overlay Dist: Total: # Street Trees Rqd=NOT/CE' Handicapped: Paved Drive Rqd: TH' Compact: % of Lot Coverage: IS PERMIT SHAlL EXP ~~THDR/ZEO UNDFR nJl!RL'~.T~E WORK I PUBLIC IMPROVEME~:is'ivB'C'V(;tO OR IS ABM~DDNED' ~D'''R I'IU I , 0 DAV PFQI"n Sidewalk: Type: DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: storm tied to existing system. JLP Pa~e I of3 I Plan Reviews I 04/26/2007 04/26/2007 APP NJM 04/26/2007 04/30/2007 APP TAJ No Planning issues. 04/26/2007 04/26/2007 WI JLP Rcvd 4/26/2007---Waiting in order PW rcvd for rvw.JLP WI 4/26/07 04/27/2007 04/27/2007 APP JLP No new impervious area. SDC fees reOect new DFU's. JLP APP 4/27/07 04/27/2007 04/27/2007 10 LLH Forwarded to the Building Department for structural review under contract with the City of Springfield Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' Description Tvpe of Construction V Wood Frame Dwellines Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Miscellaneous Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Sewer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Plan nine Review Public Works Review Public Works Review Structural Review . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00603 ISSUED: 05/09/2007 APPLIED: 04/25/2007 EXPIRES: 12/08/2007 VALUE: $ 54,590.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount , 530.00 $54,590.00 $54,590.00 04/25/2007 Value Date Calculated Total Value of Project Fpp< PiilIJ Amount Paid Date Paid Receipt Number 2200700000000000585 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 1200700000000000546 2200700000000000941 2200700000000000941 2200700000000000941 2200700000000000941 2200700000000000941 $253.60 $10.00 $54.87 $26.11 $41.77 $390.15 $26.50 $42.00 $30.00 $9.00 $138.53 $182.19 $16.04 $45.00 $6.00 $5.50 $2.75 $4.40 $43.00 $12.00 4/25/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 5/9/07 6/1II07 6/11/07 6/11/07 6/1II07 6/11107 $1,339.41 Paee 2 of3 . . CITY VI' ~r.Kll'\jt.FIELD . Building/Combination Permit PERMIT NO: COM2007-00603 ISSUED: 05/09/2007 APPLIED: 04/25/2007 EXPIRES: 12/08/2007 VALUE:. $ 54,590.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 04/27/2007 05/08/2007 APP 'LLH Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield 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. ' Rem;iU'etl Tn~,ne~tionsJ 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. Walllnsulation: 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 huilding is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work 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 herehy 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 descrihed 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 Paee 3 of3