HomeMy WebLinkAboutPermit Electrical 2006-11-16
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X: (541)726-3689
ELECTRIC#, PER1l'IIT APPLICATION ,
CityJObNumb<t.:.Co ~ (lOR l, Date 11-/5-2C5CJ~
Signature of Supervising Electrician
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Address 663' I:fIXrnmoJJ 1 E. :Mi~~~i;;~';;~:(~~~~~~~~;s~~~1~~i~;iidiC'E~~lil;fcil;~~J;;q
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. LEGAL DESCRlPT10N /
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JOB DESCRIPTIQN _
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Permits .re non-tr.nsfer.ble .nd expire if work is
not st.rted within 180 d.ys of issuance or if work is
Suspended for 180 days.
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Electrical Contractor ~,,(\n \0':::' El,cctn<:...
I '
Address d 11S 1.0 ;:::l 0C\ A \J e
City el~<?r,p Phone .~ :'I;;)q l
Supervisor License Number ;<SOllJ S
Expiration Date
\0.\.01
;::)Q- \~c:,G
Constr. Contr. Number
Expiration Date
i-I-nl,-,
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwell ing Service or
Feeder
$106.00
$ 19.00
$50.00
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B. ,"fs~rvic~,:c~;:~~i1~~~i~fuibfiiinrAitrriti.ti"ii'1~~R~fu8ttcii~~~
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200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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Inst.lIation, Alteration or Reloeation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
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. " ranCfit'\:;.lrCU!_~,,, ,:":.'.(...-:B\'~~I~':l:.=c-,~i~::,~~....,:,I.9.f,,' ,~;-.,.; ~'~'~.':<;"lt;:o,"':_::;;!I'l1!~::'i.~.-f~;::";~
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$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit /
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
y;3
.5
$ 3.00
225 Fifth Street
Sbringfi~ld, Oregon 97477
541-726-3759 Phone
eif_
Ci~ Springfield Official Receipt
D.pment Services Department
Public Works Department
Job/Journal Number
COM2006.00817
COM2006-00817
COM2006.00817
COM2006.00817
COM2006-00817
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001593
Date: 11/16/2006
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALLEN
REYNOLDS/REYNOLDS
ELECTNJM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 079880 Phone
Payment Total:
Pa~e I of 1
7:43:39AM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
11116/2006
.ITY OF ~t'Kll~L"'lJ<.LD
Building/Combination Permit
PERMIT NO: COM2006..00817
ISSUED: 08/24/2006
APPLIED: 06/29/2006
EXPIRES: 04/19/2007
VALUE: $ 27,126.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 553 EDGEMONT WAY
ASSESSOR'S PARCEL NO.: 1703341300500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: CORKY BROWN
Address: 553 EDGEMONT WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
CRAIG LATHAM
REYNOLDS ELECTRIC
OWNER
OWNER
License
88504
17252
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: I
Height of Structure 13.00
Type of Heat: orced Air Electric
Water Type:
Range Type:
Energy Path: Path 1
Sprinkled Building: n/a
R-3
VN
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
7.90
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
13.00
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Fullv Improved
hi -r':,\I, _ .
Storm Sewer AvaIlable: ',' 0,> Yes' '.'
Special Iifs'iructio~:~"3 ::;U::rJt2d ,.,;:. G 'r-on Utili'}
I~olification C:Cllt~'r. TiC'. "I'r:' pre set fe"
Notes: in OAR 952-C:JH':J1C' "_'11911 CA'1 ~:':;2-0n:
0080. You may o',t,lin cc"ir.s of the rule::; :.;;
calling the cen;:;'. (~I~':): th:: ~Clc1pho"e
number for the Orego" UtilitY Notification
Cente.is 1 ,'. ' 'n'>.n"':.).
Phone Number: 541-968-3220
Expiration Date
01/25/2007
02108/2007
Phone
541.343.5661
54 I -343-7297
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
274
Hillside
REQUIRED PARKING
Total:
Handicapped:
Compact:
28.10
Sidewalk Type:
Curbside 5'
NOT,~~wnspoutslDrains: Curb andRKtter
~~:oE~~~6 ~~~~~ ~~~~~~~~{I~~OT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I uf3
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
Description
Tvpe of Construction
Dwellines
V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee. Residential
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
6=ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00817
ISSUED: 08/24/2006
APPLIED: 06/29/2006
EXPIRES: 04/19/2007
VALUE: $ 27,126.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99.00
Square Footage
or Bid Amount
274.00
Value
Date Calculated
Total Value of Project
$27,126.00
$27,126.00
06/29/2006
J(pp< V"W
Amount Paid
Date Paid
Receipt Number
1200600000000000997
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001193
2200600000000001593
2200600000000001593
2200600000000001593
2200600000000001593
2200600000000001593
$157.27
$10.00
$34.57
$26.56
$241.95
$13.70
$45.00
$112.00
$3.97
$79.46
$45.00
$4.60
$2.30
$3.68
$43.00
$3.00
6/29/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
8/24/06
11/16/06
11116/06
II /16/06
II /16/06
11116/06
$826.06
I Plan Reviews I
Initial Review 06/30/2006 06/30/2006 APP LLH
Plan nine: Review 06/30/2006 07120/2006 APP TAJ
Public Works Review 06/30/2006 07/17/2006 APP SB SDCs for impervious surface added.
LDAP not required.
Structural Review 06/30/2006 08/04/2006 OK RJB
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.
I I?~r'~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Footing: After trenches are excavated.
Paee 2 of3
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2006-00817
ISSUED: 08/24/2006
APPLIED: 06/29/2006
EXPIRES: 04/19/2007
VALUE: $ 27,126.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sbeathing 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.
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
Electric Service: Approval required prior to utility company energizing service.
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
Paee 3 of3