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Home My WebLink AboutPermit Electrical 2007-3-22 LorL NfY) 3. .-:n. :-D1 r;~1!~ 1IIi:~, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCAlp'}!.RMIT APPliCATION City Job Number U)Jyll-<!f7) 7 --CXYJJ6ate 3~J5 -0'7 7:J9J-~::j:;;;;~ 3. r~0:,,~.~Ej>!~~~1>LS.~H~lV9;!!~~\>'.~~ . I 'Electrical Contractor G -e "7)..--d ..c'l-f rl 201 Amps to 400 Amps Address __?CJS</ lM"da....J gJr Rd o1,ct01Ampst0600Amps,~,~" . N 6~M't'i"J1M~l<t9lt)(1nP1E IF 1HE vv~.'~; Phone 7</ f ~259tm\S P~W I~QQt.'j1!'R'('?\~3 PERM\1,;) "u' AUTHORtic~n\MI &hS ABANDONED FUli Supemsor License Number 3 ts <( s ;~~~ ,~;~. o.~. ~ " " ices or ~eeijers , LEGAL DESCRIPTION /O(};), (J;;) c)/ 0/700 JOB DESCRIPTION ~ mOrYl {j ddcluf>, 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. ree:~~~~QRJiNST~;!!O~}~:v~fj City J1~ {c1 . Expiration Date /0 -I -07 87/45 //-/o~ ell Constr. Contr. Number Expiration Date Signature of Supemsing Electrician , \ --Ad~ Owners Name ;2u tU ~ Z~/! Address , /~ 93 l7i/Z.S<jIA (Ot....- City dpLI~ Phone '/26 c:3tJ;J.J 'U OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ r.: . ~:" ( ~:~ .",' .: A kN'~IIJ'R"'}I.I'~~lilt",r:I~S.~11 "1".IIr.!!I.IM"lti"~IE' ,'11'1"1" ,'.~I~,lll' {I.._ . ,-e~ t;!1~~":, I~ ~ mg__?.l,llr~M~ : ,a!!!I~Y~p'er, ~e IDg UOlt 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 W",II',.,"~.UL;FII.I:Wdlllll,1 Il,.lii\IIt"'I'""I_.IIIIJi..flIIIIIWII!'1 IIIII'!R" 1"~lil~II... . er:vlces-orl ee ers - os a atlon:,"A. teratlons or: e ocatlon: .., . ~_.... ~ .. _. I. . ~ I", 0, . I .._ ,. _ .. I _...... 200 Amps or less' $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ., ,,'h ..j.'~':":'''~', .: ::. ' Installation, Alteration or RelocatIon 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 "vu ~- 40 I Amps to 600 A'1lPs ~... _" -'" '.' .. .'. ." $100.00 ,t" . lI...",~\JIII'-". ",nrp,QOn U~I~'1 ,..,\ \ t:.,':Over 60.o_AITIP's.or\1000.v<>ltS see," ~i ye. \O\lowml~i~~;j~~~ - 11:1 '. " I' .\ot\\icatgi'N, ~w~AI;~r1ltioft)Jpg\~nsion Per~jj~rN1IS \ Afl. ....(.--_. . Opltl:> u' ." ./ /? f\ 0 ,qn~\<r,jr~uit'ota\~.c... the te\ep\1O - _ $ 43.007'..s )U90. ~ ~~fMe<!!1i<1nal Ci/mir\6r\llil~40til\CallUI \ Cil\lIrSemce or Feeder,1!eiinittl , Y " $ 3.00 U..,,rnrl\I!;;~. " . ,n",').34'./. '0 ~. ., ..,h'lt- ")\,.1.' ~! i._lillI, LI~HlilH~'.. . E. 1~~,~.~~I,la_~~~ll!.~(~r:v~c~r.f~~~~r. D4?t 1D,~luit~((,) :,~alr.li~n~tall~!,~~n Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges , . 4. ~!.liB.1;O~~:~:':"$.B~ 7% State Surcharge 10% Administrative Fee JI' 65 35 TOTAL --</ s _ ()V d;Jr 3.00 --<; . So Shared Drive(T:)lBuilding FormslElectrical Permit Application I.03.doc . "ira...'........ '. 1It'+_C\"'~""'""""'-''', " -"~, :..,- ." ' '. ", '. __.,... .......v~. ,....' I of Springfield Official Receipt evelopment Services Department Public Works Department 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Nnmber COM2007-00077 COM2007-00077 COM2007-00077 COM2007-00077 COM2007-00077 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000351 Date: 03/15/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GARY G MILLER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 038571 In Person Payment Total: Page I of I 2:42:24PM Amount Due 43.00 2.00 2,25 3,60 4,50 $55.35 Amount Paid $55.35 $55.35 3/15/2007 . . CITY OF SPRIl'I'-'J<1J<..LD Building/Combination Permit PERMIT NO: COM2007-00077 ISSUED: 03/0112007 APPLIED: 01117/2007 EXPIRES: 09/0112007 VALUE: $ 21,630.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541'726-3769 Inspection Line , SITE ADDRESS: 7293 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802022101700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Adition to existing sfr Owner: SMITH RONALD T & JUDY C Address: 7293 FORSYTHIA ST SPRINGFIELD OR 97478 Phone Number: 541-726-3921 I CONTRACTOR INFORMATION' Contractor Type Ge~eral Electrical Mechanical Plumbing Contractor OWNER G MILLER ENTERPRISES INC OWNER OWNER License Expiration Date Phone VB NOTICE: 87145 11/10/2008 541-741-2596 THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PFRMIT IS NnT BUILDING INFORMA'r,roN1tR IS ABANDONED FOR ANY 1 tlU UA'.( PERIOD. # of Stories: Lot Size: Height of Structure: 32.00 Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy A~~h.::i'!110N:Oreg~ath;.J~J I eS,q,FM)\her: (Q Sprin~15Mv~i!~il'J:j; adopteiY/.1lY the 19~~~P-.II(Il~~~: 210 # of Units: Pri,mary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: '._.....-."...,-u.... ._..\'.... . "V\>O lUlU"'"' l;,A..... ........L ."" I DEVELOPMErv l"j~J'_ORMA 1;ION, ',rough OAR 952-00 " -... - ., REOUIRED PARKING .)090. You may obtain caples of the fU,e'S , Overlay t!>JM:"c; th<<l center. (Note: the telept<itlm # Street,~m~~~q~k the Ol>?l\lon Utility Notif\l:!tl./ic!.icapped: Paved Drive Rqd:""",r i~ '.PnO-:13;1-2344). Compact: % of Lot Coverage: ' I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: Pa~e I ofJ . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541'-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction DweIIines V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 80/0 State Surcharge Building Permit Fire SF Fee - Residential Miscellaneous Mechanical Storm Sewer - 1st 50 Feet + !O% Administrative Fee + 5% Technology Fee + 8% State Surcbarge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Initial Review Plan nine: Review Public Works Review 01118/2007 01118/2007 01118/2007 Public Works Review 02/16/2007 , Structural Review 01118/2007 I Valuation Descriotion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 210.00 . CITY OF SPRII"R..<mLD Building/Combination Permit PERMIT NO: COM2007-00077 ISSUED: 03/0112007 APPLIED: 01/17/2007 EXPIRES: 09/0112007 VALUE: $ 21,630.00 Value Date Calculated Total Value of Project FpP~ ~ Amount Paid Date Paid $21,630.00 $21,630.00 01117/2007 $130.65 $10.00 $30.15 $14.55 $23.28 $201.00 $10.50 $45.00 $45.00 $4.50 $2.25 $3.60 $43.00 $2.00 1117/07 3/1/07 3/1107 3/1107 3/1/07 3/1107 3/1107 3/1107 3/1107 3/15/07 3/15/07 3/15/07 3/15/07 3/15/07 Receipt Number 1200700000000000036 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000351 2200700000000000351 2200700000000000351 2200700000000000351 2200700000000000351 No Planning issues. Waiting in order PW rcvd for rvw.JLP No change In DFU's / Impervious area / SDC's.JLP2I16/07 Plans reviewd by Shawn Eaton 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. $565.48 I Plan Reviews I 01118/2007 APP NJM APP 01119/2007 WI JLP 02/16/2007 APP JLP 01124/2007 APP LLH Paee 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00077 ISSUED: 03/0112007 APPLIED: 01117/2007 EXPIRES: 09/0112007 VALUE: $ 2],630.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54IC726-3769 Inspection Line Reauired I nsnection\,J Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Storm Sewer Line: Prior to filling trench. 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 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