HomeMy WebLinkAboutPermit Electrical 2007-1-3
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAlifliRMIT APPUCATION
City Job Number LcP - 001591
1. LOCATION OF INSTALLATION:
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2.
CONTRACTOR INSTALLATION ONLY
SG-~
Electrical Contractor
Address
City
/
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/
Phone
Supervisor
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S;gna'me of Supe",;,;ng Electridan .~
OwnersName 4~ d-~
Address bqj;/J C. if
City c:;i{',,;2; f1 6 Phone i2-h 6020
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended r sale, lease or rent.
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Inspection Request: 726-3769
3.
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COMPLETE FEE SCHEDULE BELOIV
Date
A. New Residential- Shigle or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder N crne IE:
B. serviclttJ6Ife~mwlT ~~ration, Alterations or R~location:
AUTHOR l EXPIRE IF THE WORK
200 AmfJQwlf(ff~ .IZED UNDER THIS PF8~Pp-.f~ _
201 AmA~~~lJ(r~M~P OR IS ABANnONEV7j?t98 NO I
401 Amps to 6&PAQ4't PERIOD. $12r.6b
601 Amps to 1000 Amps $163.00
Over 1000.~mps!Volts $375.00
Reconnect Only $ 50.00
$50.00
C. TemporarvS. (jrfic~s ol\.E~eders,..."., .,'" 'U' U
. ....." .... . . 'i::J ~~ 'H..,' l' l...,; . U It'.:;,;;:, y..j t \J
. ! fo!I.?~.~Ules adopt~d by tha Oregon Utility
Installahon~!<(I~r;afi(j(j)iQrffi:Wnmtli}lhose rules are set icrti
200 Amps ,?Y1~R 952-001-001 0 throuQ1lmA~ ~!=\?_()(\i
201 Ampstg~~~~J may obtain copieS<Djf.~t\e rlJlA~h
401 Amp~ t~ 6o<fMrn~the center. (Note: t$l.t~)tla1~phonp."
. ,'1umberforthe Or.~on urn N t.t. .
Over 600 Anips or I OOt:l V.Dl,ts see' <!...b"Ove! J y 0 I Icatlon
. . Getl.er IS 1- .00~~3?-2344)
D.Bra~ch ()f.~!llts . . .,
New Alteration or Extension Per Panell
One Circuit .
... ..,..... . "w'
Each Additional Circuit or with
Service or Feeder Permit
<J) &
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6
$ 43.00 ......./.
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$ 3.00 /-')-
E. l\1iscell~!leOUS (Service/feeder not included) -Each Installation
Pump or ~g~~j9n $ 50.00
Sign/Outline Lighting. $ 50.00
Limited EI?--er'gy/Residential . $ 25.00
Limited Energy/Commercial $ 45.00
Minimum ElectriC-Permit Inspection Fee is $45.00 + Surcharges
4. SU.Br.Or.~()F ABOVE ." . . ,". .' Sr. oV
4.(P~
.5. .m
d),~O
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8% Stat~ S!!rcharge .
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 8-06.doc
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00899
ISSUED: 08/18/2006
APPLIED: 07/18/2006
EXPIRES: 07/03/2007
VALUE: $ 35,244.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6940 C ST
ASSESSOR'S PARCEL NO.: 1702353200202
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: SCOTT & RACHAEL ALLEN
Address: 6940 C ST
SPRINGFIELD OR 97478
Phone Number: 541-726-6020
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
08699
Expiration Date Phone
12/18/2006
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: 1
Height of Structure 15.50
Type of Heat: orced Air Electric
Water Type:
Range Type:
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
356
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
22.00
10.00
. .i 'Ulies yoU to
..", .",dV Id~
I PUBLIC IMPROVEMENTS:i\'\ ' t:'~\~~'~d~"pted by the Oregon ~~I~I~~t
. ~ .?W '.. _ t"" _ n~~r. Those rules are S .
Not,hcaSMewal~ rrype:O th ough OAR 952-POJ, 5'
. (:\t;2-001-0u1 r. ~urg~\)~
In OARDOWnSROy"6~Wc1W'in~9Ples ott1-tij "rl~GQ.tter
0090. You ma (Note: the telepho~e
calling the cen6:~gon Utility Notification
number for the. 1 800-332-2344).
Center IS -
Street Improvements:
Fullv Improved
Storm Se'lYM'iif-i'!t>le: Yes
Special In~iM~tlMf:-'
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes:
~t9f*t @r.;~~~em'm~ ~fflf~ t:aEf{~WFfq~)(Ntlf7 /24/06 CJS
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pae:e 1 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00899
ISSUED: 08/18/2006
APPLIED: 07/18/2006
EXPIRES: 07/03/2007
VALUE: $ 35,244.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
DweIliDl!S
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$99.00
Square Footage
or Bid Amount
356.00
Value
Date Calculated
Description
Total Value of Project
$35,244.00
$35,244.00
07/18/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $187.69 7/18/06 1200600000000001080
~Mechanical Issuance Fee~ $10.00 8/18/06 1200600000000001286
+ 10% Administrative Fee $39.66 8/18/06 1200600000000001286
+ 8% State Surcharge $30.30 8/18/06 1200600000000001286
Building Permit $288.75 8/18/06 1200600000000001286
Fire SF Fee - Residential $17.80 8/18/06 1200600000000001286
Miscellaneous Mechanical $45.00 8/18/06 1200600000000001286
Plan Review Minor - Planning $112.00 8/18/06 1200600000000001286
SDC Sanitary/Storm Admin $8.96 8/18/06 1200600000000001286
Storm Drainage Impervious Area $179.22 8/18/06 1200600000000001286
Storm Sewer - 1st 50 Feet $45.00 8/18/06 1200600000000001286
+ 10% Administrative Fee $5.80 1/3/07 2200700000000000013
+ 5% Technology Fee $2.90 1/3/07 2200700000000000013
+ 8% State Surcharge $4.64 1/3/07 2200700000000000013
Add, Alter, Extend Circ $43.00 1/3/07 2200700000000000013
Add, Alter, Extend Circ Ea Add $15.00 1/3/07 2200700000000000013
Total Amount Paid $1,035.72
I Plan Reviews I
Initial Review 07/19/2006 07/19/2006 APP LLH
Plannine Review 07/19/2006 08/03/2006 APP TAJ
Public Works Review 07/19/2006 07/24/2006 APP CJS Storm drainage piped to curb face
(weep hole) 07/24/06 CJS
Public Works Review 08/18/2006 08/18/2006 APP JLP Met w/David B & owner at counter.
Corrected sq ft. & SDC fees.JLP
Structural Review 07/19/2006 08/17/2006 APP 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.
Paee 2 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00899
ISSUED: 08/18/2006
APPLIED: 07/18/2006
EXPIRES: 07/03/2007
VALUE: $ 35,244.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insoections 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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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 the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
tim" dU"M};/1
.".' if -
O~r or Contractors Signature
/-"]'-67
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C;~ ')f Springfield Official Receipt
IL Aopment Services Department
Public Works Department
Job/Journal Number
COM2006-00899
COM2006-00899
COM2006-00899
COM2006-00899
COM2006-00899
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000000013
Date: 01/03/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOTT H. ALLEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
1759
In Person
Payment Total:
nJm
Page I of I
2:58:56PM
Amount Due
43.00
15.00
2.90
4.64
5.80
$71.34
Amount Paid
$71.34
$71.34
l/3/2007