HomeMy WebLinkAboutPermit Electrical 2007-4-16
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541).726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
8~1JI1 2807 --- PcO/Z 0
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1.' 'Lo'cATION'OF.'INSTALLATION,' ,",," \
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57'7 "C7J~kY"1~ (,UI!N '
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City r;:v<>"~e- Phone'f S.~\)\
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Supervisor Lice~~Nu~eli'0"'~(~t~
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EXPiratio~l\~~:l <(\: ,ll r:/),\.:j,,<0J. Installation, Alteration or Relocation
~'\ x-~\J..-l <(~\'-'- 200 Amps or)ess
Constr. Contr ,,~~ \P- V) 'S" Z. 7 " to 20 I Amps to 400 Amps
~'" '\ 401 Amps to 600 Amps ;
Expiration Date ~ ' .:,'^<:,C,<,,<,J_
Over 600.Amps W", 1000;'l0Its see "B" above,
~........ r-1' ~\;..r- .--<"-, -;;it:!(2'~""""f ... ~;'.. .~'.- '1:. . - ...._--""....,... r- - -
Sig-;/1atu supe\d' 'bZ:lec 'ian ~ D. \_~,~a'rich,~irc~its~ ',;'Nlt=>.. :':,,1". \~'> ./,': ;
_; \:I',--_::,";~.+-;.~~,1l':Z._,~_~_---.....~.__ '-_,-,,,:"-~.._._-
_ ...f(:'\ -.G """V .""'" ("'~
, J' 'O?' NewAIteration,or.'Exteiisio~er Panel
.. \ ....t): ,,\ ~ .,....'\v....- r,"" "'...!V'. g:..~ I A .., --
_ ~ . "_'~ ,,,,Sv ";:.0'One;Gircuil''<-' ~e'" ~..*,f' $43.00 ~?,"Vo..J
0("'1, f:\' ,..'1"( '" ...\,.,"
. y." d ~'/" .::',,' _'Eacb,'Adilitional Circuit1or. with 2-- '=:.
(7 0\Q~,,,:~\O<-"'t:rl"" Se~;~e\Q}'F~ea~'PP~nriit" $ 3.00 ,00
Owners Name / ,-'r~<j::-\f ..t}O/~<\'?>~.;;)~~.:f~~~~____~_.,~.~,_ 'J'<~->'-'1-__~_----'-' ..-' __ .. _~... R_,
Add~~ ' ;<' ...;, :\0 r ,;,\':E:-',.,l\1i~c~lla~o;;s(S~rvi~'e/feed;r':n~t jll~hide!h'-E~.c.h i~stallation ~\
~:- ~~'"I~. :'';J' J ':\ ,.;..' ...... - _--..I...~ ~--'...i__""""'.. -- ~--->--_...
.j , . ~.\, \~\.fd
City ~ Phone J ~... (}Pump or irrigation $ 50,00
;\'" Sign/Outline Lighting $'50.00
OWNER INST ALLA nON Limited EnergylResidential $ 25,00
The installation is being made on property I own which Limited Energy/Commercial $ 45,00
is not intended for sale, lease or rent.. , Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
. .~,-.;,~.;..-:-.:;,~-..,;>-, '...'~ ""IOl-.' ....-:~~};-'~~~'_:. '~~~~.~:
4. "SUBTOTALOFABOVE: ", .,," .
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City Job Number
LEGAL DESCRIPTION:
n O~ ~4- 13 OOICC
JOB DESCRIPTION:
'"&A"'t'&~~ ~01>J;"1
Permits are non-transferable and expire if workis
not started within 180 days ofissuance or if work is
Suspended for 180 days.
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2. . C,ONTRAqOJPNSTAI.MW)N.,Ol'fI:Y '.
l,._ .._.._._.~_,.._ ,_.-""'.~~,~....,.....;..~_._,,_.."""-~__ _-..._.......l
Electrical Contractor f ac... c..c. ~l~...L..: to..
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Address
PDt S-O'P,c? I
,
Owners Signature:
Inspection Request: 726-3769
Y.i('f~'" "~':t'. .... ' , .... >;-N"~..-4 .~.. ....,..'" ,,,,,"'," ,. -~.,- - < ", .,~ ...... ,.<~.. '''i''''r'-'~'' ~"'Y"':"'" i"'''- . .... '.
3. CCOJJfPiETE,F)>ESC-REDt~BELOW',,~ :',,;1";,;_0';: ",:
__.,'_~._. __...ll.;.A'~.~,".._.-...--~~,~-'-"~' '_~ l
f:"'-'.~~' ~._-4~...t::-:.....-,.-"O'~-..:"'7""'t'.:; -,r-":~~ --.. '"':. ..-::-:~~~ ',,~,..."_'
A. , New'Residentiarl Single or Multi-Family per 'd;"elling~unit.' ..
.....;..;,_~.......:.~.__::::-~ '.""".il::~, ,> _,. ..:... _ ,."- "--;:;;~'...".:;'::h;;'. _..':..; 4.'.....;. ". ,.~.:J:.i~' _....;""."'._ -~.' _..._".....~
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
:-r-""'--~"~':~"--"~~ ..... --~--'-__._',~ ~.- ~",:-,.....,-, 'or"'" -"""'::"~"<"
R. 'l' Se~;!ce~:?r ~eed~rs,:-)n~laii~tio~; Alterations or~~loca.ii~~:' . '
_, . ____.."""-_. ~. ........ ........... ......_... ..~_....<:r..a....'__.o..::.-.I... .. _,._ _.......
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
.Over 1000 AmpsNolts
Reconnect Only
$ 63,00
$ 75.00
$125,00
$163,00
$375,00
$ 50,00
e--~.l...-.""~' --..-- '.~'-' r'~~"~", .1" .......,...7-,..~. '-'~_.-- '-' ~. .'-~ ~.~
.C. (.T~rD.porarY'$e'fvjce~,or Fe~ers ../".:1:<:.:':' -.. .,~~:~: ...,: ; .. :.J
..___ ._ u' _"_..~---".....o-- ._~.. _~_>.;> ...... -..-.........-..- '-- ...-.-....-. --~.
$ 50.00
$ 69.00
$100,00
8% State Surcharge
10% Administrative Fee
5% Technology Fee
~.ao
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'2- ,4:-S
TOTAL ((;>0.'2..1
Shared Drive(T:)/Building FonnsJElectrical Pennit'Application 8..o6.doc
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. CITY OF SPRINGFIEL~
Building/Combination Permit
PERMIT NO: COM2007-00130
ISSUED: 04/06/2007
APPLIED: 01/25/2007
EXPIRES: 10/06/2007
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 577 EDGEMONT WAY
ASSESSOR'S PARCEL NO.: 1703341300700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Remodel bath
Owner: STEVE IRVIN
Address: 577 EDGEMONT WAY
SPRINGFIELD OR 97477
Phone Number: 541-988-9679
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
ContractDr
STONEWOOD CONSTRUCTION INC
WIZARD ELECTRIC LLC
R J PLUMBING INC
,,~*- I BUILDING INFORMATION I
~" ~'\
# of Units: '\~<v ~~
Primary Occupancy Group: ~ ~ ~'?3 <c..\:>~
Secondary Occupancy Grouf<~ q,<V~.<S>
Primary Construction Ty~..;>>S ~~
Secondary Constructi~'Tw: ~<::s
# of Bedroo,,!s: '" S~ ~<<: -{Si
..~. ~~, ,-$ ,S
_...'v ,Q.~- f~~ ,,~' \~<::>.
~'" ~'<.. ~"'- ~ q,<.9'
,\~~,\~~~<v~<:.J \:>~
Frontyard~li!ti~~!\'Q\:>
Side I Setback~
Side 2 Setback:
Rearyard Setback:'
Solar Setbacks:
License
120103
152766
158500
Expiration Date
02/04/2008
09/05/2008
01/30/2008
Phone
54 I -485-6638
541-484-5200
541-521-1389
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path: ,
Sprinkled Building:'.' )~
,,-J
,_':) ^ .. ~ t""\
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
80
n/a
Street Improvements:
Storm Sewer Available:
Special Instruction:
I DEVELOPM",,, 1"H'.ORMA'fION I
,Y . 0 <:>~ ~(' ;\,)' ~'Q ""\
" ,S ~-s< 0' ~{D ~O ~~.
,OverJay.DlSt;S' ~\ ,It,<::i d~'
";-l'\, ,..."" .\.......J ." ..?,' .~".J
.j' #.Street Trees Rqd:" , o<<!~
. . J ,. 'C':' ',- '{\"-' <::-..",
J'- ,<>OPaved@rive:Rq~? "" ,'. t;\.
'\ 'v ,,~'" AI. 'J ..."':1 ,~'''l (;,,'1
,!:> ' ,r'" ,.,~,% of:LotiCoverage: rr.:J
<V' ,..... (j-- .,'OJ ...,J> ~~ ..,....
..<' <:J~, _(';, 6-0' '. 0<:0 ::-,<l:iv
~ ..:'J.\ ,'.0' _}S'" ..\. .Ib' ~~ . .,'
~,_ " .. ~ _L' -u _.... _..
,0 ~,vl'PNBLIC IMPROV'EMENTS I
-'0011' , ,;' ,. ',-
,-- . .1.... ~
.~ n.~' ,~r.""...... ~f(;
" ~J ~ .'iI (J'lJ'
CJ vN,,:--
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(:o.V
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Curb and Gutter
Notes: No new impervious area. Only adding DFU.JLP 2/26/07
Page I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixtu re
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement'
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount Paid
.
. CITY OF SPRlrlj\.Jt<IELD
Building/Combination Permit
PERMIT NO: COM2007-00130
ISSUED: 04/06/2007
APPLIED: 01/25/2007
EXPIRES: 10/06/2007
VALUE: $ 25,000.00
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
25,000.00
Value
Date Calculated
Total Value of Project
, $25,000.00
$25,000.00
01/25/2007
FpP~, tIilIJ
Amount Paid
Date Paid
Receipt Number
$ I 45.86
$10.00
$36.44
$18.22
$29.15
$43.00
$6,00
$224.40
$42.00
$45.00
$59.37
$78.08
$6.87
$4.00
1/25/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
1200700000000000075
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
2200700000000000492
$748.39
I Plan Reviews I
Initial Review 01/26/2007 01/29/2007 APP LLH
Plan nine Review 01/29/2007 03/1412007 APP TAJ No Planning issues
Public Works Review 01/29/2007 01/29/2007 WI JLP Rcvd 1/29/2007---Waiting in order
PW rcvd for rvw.JLP
Puhlic Works Review 02/26/2007 02/2612007 APP JLP No new impervious area. Only
, adding DFU.JLP 2/26/07
Structural Review 01/29/2007 03/16/2007 APP RWC
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 fDllowing
work day.
IRpnl'~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Paee 2 of3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00130
ISSUED: 04/06/2007
APPLIED: 0112512007
EXPIRES: 10/06/2007
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 1.726.3676 Fax
541.726.3769 Inspection Line
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Shower Pan. Prior to covering and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench aud including required testing.
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
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 th ermit card is located at th;;ront Ojthe property, and the approved set of plans will remain on the site at all
timeSdU;~Z)~( Jpn/ '1- ~-o7
c...n".tJo Do.
Paee 3 of 3
CITY OF S.GFIELD SYSTEMS DEVELOPMEN.RKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00130
NAME OR COMPANY: Steve Irvin
LOCATION: 577 Ed~emont Way
TAX LOT NUMBER: 1703341300700
DEVELOPMENT TYPE: SINGLE F AMlL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF):
,I STORM DRAINAGE
DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 0.00 I $0.336 I = I $0.00 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S,F, I x I DISCOUNT RATE! I
I 0.00 I $0.336 I I 50% I = I
ITEM I TOTAL - STORM DRAINAGE SDC $0.00 ~
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DISCOUNT
$0,00
$0.00
11070
~I
2 SANITARY SEWER - CITY,
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
2
'I ~D
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~
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RAIDS 1 ,000
ASSESSED V AWE
$5,29. '
$5.29
$5,19 '
$5,12
$4,98
$4.80
$4.63
',$4,40,
',' $4.07':"
$3.67.
$3.22
$2.73 '
$2.25
$1,80
" $1,59
$1.45
$1.25
$1,09
$0.92,
$0,72
$0.48 '
$0.28 '
$0.09 ,
$0.05
I~s LAND ELGlBLE FOR ANNEXATION CREDIT!
(Enter 1 for Yes, 2 for N~)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT!
(Enter 1 for Yos, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
SO.OO x S5.29
~,
.,1.
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE 11000 CREDIT RATE
$0,00 x $5.29 -
TOTAL MWMC CREDIT
=
1979
SO,OO
SO,OO
2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.~"",...,~, .,
lit, -
,
.. . ~. -
C.ilI. of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
COM2007-00 130
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000492
Date: 04/06/2007
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
STONEWOOD
CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 082229 In Person
Payment Total:
Page I of I
9:06:55AM
Amount Due
78.08
59.37
6.87
224.40
42,00
4.00
45.00
10.00
43,00
6,00
18,22
29,15
36.44
$602.53
Amount Paid
$602.53
$6U2.53
4/6/2007