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Home My WebLink AboutPermit Electrical 2006-9-19 (2) ~~ L..:Dt2, ~~ md-f~'n~ 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~~Of.o' o~<--l 1. LOCAhoN OF!NSTALLATION ,':<i,,;'tJ/, .~.' _.)oJ ;1'&, ~__""."..;:"-""'-'.." ,....:.......:~~.j.;..:J:"_.~.:.-;....- ... 'l~~3 0~,; ~ LEGAL DESCRIPTION I, tJ3 '];2- 41 05'1 (57) JOB DESCRIPTION ('6w.P1ff IJJI (( /nJ6 &r R-ettdJEt- {WO) PTltJtJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ..' . .'~ ~'"! _',';.:~,:.t\.o' ~:"_, """,:..- . .. .." ..;,~ :t. ,-<:~~,,- ;,1;." " :-< ': ',.r.'-,..":"~",,-:. . ;;CONTR..4CTOR INSTALLATION ONLY, 2. '." :.; '.~~,.:"",,-.'>l...:~~ .... _,...,-~~,T:~. ;,.<:~'.'.il~ .::...,-,.~..'.",t'.~,i....;,...1~2,,";.;. Electrical Contractor S/PU E',vj E!Le(:(72.lC- Address !re) 15~'/. bb:3> City flew;:; /If #,11 726-061<[ Phone Supervisor License Number Uti; If ~S' Expiration Date cx-of Constr. Contr. Number. qSt.J 7 L Expiration Date II-Z'3 --Ob Signature of Supervising Electrician ~<-~ Owners Name RCl"liPllLC) CiAAL050 Address 2 '1)3>'3 ~ ,Hfr.li-IM .IW. City $-lAAftfW Phone :')\::S-1S23 OWNER INSTALLATION The installation is being made on propeny [ own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726~3769 ZON INITIALS DATE SOURCE Date q-/1-ob ;.",~.. ,'.~.' '. .,. ....~.-......~;; .,.'~"', ""~,,"""',!;:-V',, "'"<":' "~'l'-',...' '''':.~'-'. -~.... .~.. .,..~" ',I"" "',;t 3. :;COMPLETE FEESCHED.tJLEBELOW';:i;;:;;;::;.;',tj'[}},':'t,,;.,:i "'~';,":.:" ,U':o'!' ."",~~', """~;~~,,~';.,.,,,.,;~ .;!...._%o.....;:;:.~~{ <..;..-,,,,',-,;-,u.;;', \,:~,~,,::,~'N..~~:.'\.;,,:~,_r.!::'G~lt "'<:' ~,,""..';.\r'l'- ~",\.~. "'~,iP''''''''~,,,~,,,:''',''''''-'''''''~'~-'':''''i', .~,. :~, ...:' .... ".'......l-..: .:;<-'{;,.'-,';-~':i~";~",~~1:':;I'" A. ,New Re~idenii~l :':Single ~rMuiii-Familyp~r;d~'eliing-~~ii;':;;~' _~~.~ ;.. " '':'''~'''_~''"". ~ ....J1.', '.._..' ....,..~1;"'~~..... .,,",,,.~J~..c:.-~~_ .., ",!-....:_-.;:,.: ",.~,'~'1'.......,,~'~ Service Included I /0 I 8.2- 1000 sq. ft. or less S 1 06.00 kJ Each additional 500 sq. ft. or '?-, oC) portion ~TeP:ENTIUI\l;UreIlOIl ~W r~uire$~lX) 57:.-- Each M!Rllg~.g.l'M,~gppted by the Oregon Utility ModuI'llAYUQfitA2rs~a!~f' Those rules are set fortI" Feedefn OAR 91:l20001.0010 """'''!;:''' n6Qtfi.9.2l'OO1 .",,:;,.Q;Q~.:;t~~~; O!01J~ll'}!<!),J?!,~!of.~.,ryle!lJ)}i"''j!:';"~ B. '~~.:~r~n~ttf~f~t\~~~~I1lW:r5~~~~~:io.~i~~ 200 Amps or lessCenter is 1-8~~3.00 " 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps S125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts S375.00 Reconnect Only $ 50.00 t::~:_:'/':_'i:t'iW'!'~f:""~~f:'?:.::.:z:~,::"'fl"~'i>:'='~;*1;<F~~~t!,*"""'!:1~'!L-~r~&a:"~'W'~""v:""'~~ c. aT c-mporarv.. Serylces or."F eeders:~').~~~~'~~~A::.~''5?,;S~ ,1%:'~~~W:~.o?i;i- a...to:,:,.....,'..,' .': ",,"h ',"",.';#--.:.s.i:..;:.a~;,3;.~~"':"':'~""~,~ ......... ,-<' -""f:.(:.:,:;.~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps . 40 I Amps to 600 Amps $ 50.00 S 69.00 $100.00 ~v'Wmrtr?<~;~~?,~~~~J.~~;;~::;~~'~'i....,,,;:,",.1:!D'ff;"1'!'""..n: D. i!lfAIs-tp~~Mi~;irt~li~Eir~~l;~o~~~,:f<"J;I1Y2'l~ Ne';\&WlDWfl't'l5 5N~~"~fSWHMIT IS~~6 ~:~~Jmltt~M'illnR.ft b~A/l!INlJul~W FCfR . Se;:e@'~1/i:\MIA't>BmltIOD. $ 3.00 t\~';-' ,~-'t"'::'P'~'~f\:'''''.t:.~ f '-~"."c:'(~"~.~~..'t.~,. ..;;.'~.........---.,.- ;"::j."...,..~.;...~;~;:o'.~" E. 'Miscellaiteous(Service/feeder Ilot iticludedj ":Each I,istallatioi{ .;;......"_..',;.A..!..~~u:;...~'-."'~.;".":J ,.....,;,:,i' ...:w,;, ._\~ ,..::.:..i~.i-:.'_' .."l-:".:L ~,.-.!d.-.,.;.._~,~~...~:",,<....;.J' Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges t~ .:- I< ~ 1 ''''?'<7:.,,~~~t-1~';.~r:;r.:ir-.~~~~;, 'Y1.,~~.'~~;:~~:~~~~~~ \~-',~':J; 4. ;;SUBTOTAL.oFABOVE;,.:;,,;.,/":':!;~.!";T:"';, /03 ~ ~."">' .",,.,,.. .,,<t,."~;.,,"..,.' ,'""'''!.",, .i\.~'~>"'''''.d''''''' """.........>.....,.. .........:;;,.~_;<;:.;r,-;;t;__. J/. Y. ..AI.:>..-, ...'-....,.,..... '.~. '....'."., 8% State Surcharge 10% Administrative Fee 50 T~AL I~.ot-/ ;(1' ~'O '6./ S d-oo.J-/..q Shared Drive(T:)/Building Fonns/Electtical Permit Application 1-06.doc ~~~ . a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00824 ISSUED: 08/02/2006 APPLIED: 07/03/2006 EXPIRES: 03/18/2007 VALUE: $ 159,328.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line SITE ADDRESS: 2833 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224105700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Bedroom and garage addition and rebuild existing structure above the floor. Residential Contractor Type General Electrical Mechanical Plumbing Contractor OWNER STEVEN GEISLER COMFORT FLOW WILLAMETTE VALLEY PLUMBING law ~~..'" ,....w l: A"nEN r IUN.VI I:IQ'l'lIlJllthe 'Ot"lron U'A~3-9523 follow rut. adopted by ~1eS are set tortt Notltlcatlon cent~~..:.~~..." nAA 952-001 In OAt'll:I:JC--' -_!'- -.. - 01 the NIP D) I CONTRACTOR INIi@RM~lFl0J"Bi obtain copl~~ calling ul. Jenter. (Note. NotIftOatIOn nunlmleftsethe qrrp~~~~ Phone Center Is 1-800-sg~. . 95472 11/23/2006 541-726-0618 460 06/27/2007 541-726-0100 17040 I 06/05/2008 541.344-0411 Owner: Address: RICHARD CARUSO 2833 GAME FARM RD SPRINGFIELD OR 97477 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VN # of Stories: 1 Height of Structure 21.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building: n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 448 576 I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sola r Setbacks: 27.00 16.00 37.00 17.00 22.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING NOTICE: THIS PERMIT SHALL M~~~~ IF WE WORK AUTHORIZED UNDERdm~fcf:AtllT IS NOl COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Partiallv Improved Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: Storm to existing storm system. Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction DweUines Estimate Garaee V Wood Frame Estimate Garaee Fee Description Piau Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 8% State Surcharge Appliance Vent Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fixtu re Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Penalty Fee - BWOP Building Plan Review Minor - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid Initial Review 07/05/2006 . a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00824 ISSUED: 08/02/2006 APPLIED: 07/03/2006 EXPIRES: 03/18/2007 VALUE: $ 159,328.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $1.00 $26.00 Sq uare Footage or Bid Amount 448.00 100,000.00 576.00 Value Date Calculated $44,352.00 $100,000.00 $14,976.00 $159,328.00 07/03/2006 08/0112006 07/03/2006 Total Value of Project J(PP~i P'1~ Amount Paid $388.80 $10.00 $182.15 $80.77 $6.00 $760.65 $6.00 $9.00 $51.20 $140.00 $12.00 $15.00 $4.00 $760.65 $112.00 $105.62 $178.11 $234.24 $47.81 $543.87 $45.00 $12.00 $16.30 $8.15 $13,04 $106.00 $57.00 $3,905.36 Date Paid Receipt Number 1200600000000001008 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 1200600000000001185 2200600000000001310 2200600000000001310 2200600000000001310 2200600000000001310 2200600000000001310 7/3/06 812106 812106 8/2106 8/2106 8/2106 8/2/06 8/2/06 8/2/06 8/2/06 8/2/06 812106 812106 812106 812106 812/06 812106 812106 812/06 812106 812106 812106 9/19/06 9119/06 9/19/06 9/19/06 9/19/06 07/05/2006 I Plan Reviews I APP LLH Pa2e 2 of 4 a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00824 ISSUED: 08/02/2006 APPLIED: 07/03/2006 EXPIRES: 03/18/2007 VALUE: $ 159,328.00 _ap,nl.NGFJ& ili . ~ 10M.. &.'. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Review Comments 08/01/2006 DLM 10 Plannine Review Public Works Review 07/05/2006 07/05/2006 APP TAJ WE JLP 07/20/2006 Public Works Review 07/18/2006 07/18/2006 APP JLP Structural Review 07/05/2006 APP DLM 08/0l/2006 Met with owner 7/31/06. Requiring engineer analysis of existing foundation for house rebuild. Otherwise, have enough info to complete review. 8/1/06 dim Waiting for list of existing fixtures from homeowner. Left msg on maching today 7/17/06 JLP Storm & Sanitary to existing systems. Called owner, left message. Sent request for additional information regarding foundation drawings for shop and roof support at L.R. of dwelling. 7/25/06 dim See documents for Plan review comments. 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. RpolIv-prl1n"'neetions I Footing: After trenches are excavated. Foundation: After forms are erected bnt 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Undernoor Drain: Prior to cover or placement of concrete. Undernoor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Storm Sewer Line: Prior to filling trench. Undernoor Mechanical. Prior to insulation or decking and including required testing. Undernoor Gas: After line is installed and required testing and capped if nnt attached to an appliance. Paee 3 of 4 ~ii:&iiiI . &:ITYVt< ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2006-00824 ISSUED: 08/02/2006 APPLIED: 07/03/2006 EXPIRES: 03/18/2007 VALUE: $ 159,328.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rongh Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00824 COM2006-00824 COM2006-00824 COM2006-00824 COM2006-00824 Payments: Type of Poyment Check cRcccinll RECEIPT #: .-~ ~... ~ Ci_Springfield Official Receipt D pment Services Department Public Works Department 2200600000000001310 Date: 09/19/2006 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 10% Administrative Fee + 8% State Surcharge + 5% Technology Fee Paid By STEVENS ELECTRIC Item Total: Lheck Number Authorization Received By Batch Number Number How Received ddk 2051 In Person Payment Total: Page 1 of I 9:20:28AM Amount Due 106.00 57.00 16.30 13.04 8.15 $200.49 Amount Paid $200.49 $200.49 9/19/2006