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Home My WebLink AboutPermit Electrical 2007-2-6 Date 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COM 2 00 ~ - 0 {'II 7 9 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only _ I t[~ I j ~ I (~~; , , ... ..... ...... ~'IW1 r11 HMI i ~;R1,Ltm~~~WlfffKeders o V " , ~j -::-j ! 1, t11/ [fi, U N Lthiia1~tarF. ~1i~ Welocation '~~jl~II'!il , l: IJlJ_~{ i&d){lMQA~D FOR \I~" fill i)!\Y PE~~DAmps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel ArTEN13~QmfJon IrtW r~9Uires Y?U}~ ,.. . follu h \ ':~fl.j(~m~~f'thtHi}brfWitlP lj,'~!ly ) ~_I (Np!;{iC{1,~1 "SdrWbte\~rF~la~K:M~;;" :'i'.~ Sit ';~Iif""" $ 3.00 ] b \(- L l. ~ C' ,'" ~ O.c~i;', :~:5i. I.;"JH)O!O ttm.~gh OAf~ ~52-001 d-A- y cd c-f"-( ~ '~ ~ ~ itlW ~luded) -Each Installation I (I ~mnQ tOil cent te: th. tel , Phone ,/St> ..-/2 ~drnb'er~'Pi@"~p",Ut~ny N;'itI11(;atlon $ 50.00 ~i11eOO~-2344) $ 50.00 Limited Energy/Residentia1 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. LOCATION OF INSTALLATION: ~-. b ~~ ;-t A~ d cJ\( 13 fL LEGAL DESCRIPTION: 170> '2 t(L(! OO{ea JOB DESCRIPTION: >f.A v1 I' I Z- C-( rc..~ () I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr. Contr, Number Expiration Date Signature of Supervising Electrician City ~~ 7bS-:::;-- S () F(\ Owners Name Address OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OT1~ .4-L/~ /J -- / 1C/4./!/. r;p Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELO"' A. . New Residential- Single or Multi-Family per dwelling unit. 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. Services or Feeders- Installation, Alterations or Relocation: I bS $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 $ 43.00 4. SUBTOTAL OFABOVE 7' 7$z 9'po L1 ~r 7-( 8% State Surcharge 10% Administrative Fee 5% Technology Fee IZ! TOTAL Shared Drive(T:)/Building Forms/Electrical Permit 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: COM2005-01779 ISSUED: 03120/2006 APPLIED: 12/28/2005 EXPIRES: 08/06/2007 VALUE: $ 110,880.00 SITE ADDRESS: 2655 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703244100100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence Overlay Dist: Floodplain Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ON"oregon law requnes you..,~~ ATfENT! . db the Oregon UtI' Y J~"J:r 'i\,IQ~ adopt~ y 0 I \Alt.e :I~ ~/:lt fnrtl I PUBLIC IMPROVEME.cat\on center'1~~~OU9h OAR 952-001 Street Improvements: in OAR 9~~~31~NUm copies of the rules ~' AC Mat 0090. You m~y-gg~GIn' . thete\ephOne Storm Sewer Available: No ca\\\~_Qm{t4\Rl~\"ty NotifiCation Special Instruction: mbeffOftheoregon -"'344). nu mer is 1-800-332 &; Notes: UGB - provide authorization from Lane County for septic approval, addfi1~nal bedroom and bath. Called owner 1212912005 CAS Owner: KIM RUTLEDGE Address: 2655 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 37.00 5.00 105.00 0.00 Phone Number: 541-736-1269 I CONTRACTOR INFORMATION I License 08699 Expiration Date 12/18/2006 Phone 616-455-2223 BUILDING INFORMATION I VN # of Stories: 2 Lot Size: Height of Structure: 26.00 Sq Ft 1st Floor: Type of Heat: Wall Heat Sq Ft 2nd Floor: WateNl)'PtCE: Electric S~f.tllll~Ttft: Rang~;!;rcPtOERM\1 SHAOO~lWdRE ISqlw:d'lH.~ Carport EnergyrliMl\: NOEff~\S PERclhtl d&tllw Sprin~W"kJQB1lJtiP U ~ P~f\NOONfEPP8R Load: P.OMM~y\~n (\~ I. A DEVELOPM tR)~ 560 560 REQUIRED PARKING Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 08/06/2007 VALUE: $ 110,880.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellin2s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 1,120.00 Va.lue Date Calculated Description Total Value of Project $110,880.00 $110,880.00 03/20/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $240.92 12/28/05 1200500000000001865 -Mechanical Issuance Fee- $10.00 3/20/06 1200600000000000319 + 10% Administrative Fee $71.64 3/20/06 1200600000000000319 + 8% State Surcharge $57.31 3/20/06 1200600000000000319 Building Permit $601.40 3/20/06 1200600000000000319 Dryer Vent $6.00 3/20/06 1200600000000000319 Fixture $70.00 3/20/06 1200600000000000319 Minimum/Adjustment Mechanical $33.00 3/20/06 1200600000000000319 Plan Review Minor - Planning $85.00 3/20/06 1200600000000000319 Plan Review Residential $149.99 3/20/06 1200600000000000319 Plan ReviewIResidential Hourly $45.00 3/20/06 1200600000000000319 SDC Sanitary/Storm Admin $9.16 3/20/06 1200600000000000319 Storm Drainage Impervious Area $183.14 3/20/06 1200600000000000319 Vent Fan $6.00 3/20/06 1200600000000000319 + 10% Administrative Fee $9.90 2/6/07 1200700000000000120 + 5% Technology Fee $4.95 2/6/07 1200700000000000120 + 8% State Surcharge $7.92 2/6/07 1200700000000000120 Add, Alter, Extend Circ Ea Add $36.00 2/6/07 1200700000000000120 Perm Serv/Fdr 200 amps or less $63.00 2/6/07 1200700000000000120 Total Amount Paid $1,690.33 I Plan Reviews I Initial Review Plan nine Review 12/29/2005 12/29/2005 12/29/2005 APP SKG WE Property is in 100 year Floodplain. Must get Floodplain Overlay approval before issuing building permit. I called today and left a message on the Rutledge's voicemail 1/03/06 Paee 2 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 08/06/2007 VALUE: $ 110,880.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review 03/16/2006 03/16/2006 APP TAJ See SHR2006-00001 for Floodplain approval. The elevation of the lowest floor must be I' above the BFE. A FEMA Elevation Certificah is required documenting this prior to occupancy. Approval from Lane County received today 1/17/06 CASCalled owner to notify requirement for authorization from Lane County for septic approval, only able to leave message 12/29/2005 CAS Public Works Review 12/29/2005 01/17/2006 APP CAS Structural Review Structural Review 12/29/2005 03/20/2006 02/07/2006 03/20/2006 OK APP RJB RJB revisions approved 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. l..ReouireCUnsnections 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Masonry: Wall 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. Rough Plumbing: , Prior to cover 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. Storm Sewer Line: Prior to filling trench. 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 Paee 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2005-01779 ISSUED: 03120/2006 APPLIED: 12/28/2005 EXPIRES: 08/06/2007 VALUE: $ 110,880.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 d ring construction. ... Owner or ~~n~!!:!:I ~, r~r{J7 Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541:726-3759 Phone c." Qf Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2005-01779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000120 Date: 02/06/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By TERRY RUTLEDGE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2129 In Person Payment Total: Page 1 of 1 10:57:30AM Amount Due 63.00 36,00 4.95 7.92 9.90 $121. 77 Amount Paid $121.77 $121. 77 2/6/2007