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Home My WebLink AboutPermit Electrical 2007-8-2 2. B. Electrical Contractor Qn(\.\~v.t-e.tF\eC::tYic.. Ill~200 Amps or less ~ Q 4 201 Amps to 400 Amps Address ~. r }(Jt... \ Cl DD 401 Amps to 600 Amps 601 Amps to 1000 Amps City f~e rt- \ De.- q 1#hone ~I tJ 1l Over 1000 AmpsN olts Reconnect Only Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential $ 25.00 The installation is beinf made on p~~eSb I ~l~ . tLimited Energy/Commercial $ 45.00 i, not int,nd,d fo, Ale, ~~~il .~dn by the or:J;~~,~I:~;=:~:~~ti:;::~~'::~'~~i+ Smh"g" Owners Signatur~~~~~atron Ce~t: Tho~uru~e~.: 9S:~~i8iM!~fAi9yE~;ri;-!;;i "-ii<. ' b CJ ~0~~R~~2~~; ~Lgt~~n(t;t~~~:\~:pr~~~ls~:e s:~c::~:-~._--~~-'-~~P_" .._---~. 6 ~ Z- calling to8 CElli "I. ,,.'" "". . & 7 u number for the Oregon Utility NotlficatlOfl'l1o Administrative]ee . l'-C!'\ter ,'s 1-800-332-2344). 5 ~ T~ ~ ~u l37 Inspection Request: 726-3"RW' TOTAL 1> 7 - '. Supervisor License Number "2,o~~ S 0\ \01 \0 Expiration Date Constr. Contr. Number 110 4 \[1- -=t Expiration Date Dto I ()q \ "WD 1 Signature of Supervising Electrician 4#7~ Owners Name' I~,d S '((u.~~~" Address Jl2c..f. 'S+ ~ t City S~~~ Phone 7'1(- 2b4 ( SP~INC"'leLO Uo_ : . '1 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b3 C. Installation; Alteration or Relocation ~~~~'\ 200 Amps or less "\~) "'~~ 201 Amps to 400 Amps ~~ ~~ft~ 401 Amps to 600 Amps \, ~~ ~ ~~~~~o.OO 9~er 6.0_0_A~.}npS ~I 1.~~~~ i~~e. ..: D. Branch ~"'., ..,~\.1 t!. r' N;:-A1\\~~~~~~~~~~~;-' . .- One Circ~t ~'\~ ~~\] ~ ~ $ 43.00 Each, Addlt~~~,*~~~With "7 ServIce or Fe~~e~lt ~ $ 3.00 "..<.~.. ~cn..,'C"+'~cm" .'.'C'- ", ,.c.."......"...." . E. :)~isc~Haneou~ (Service/feed~r llot'iJlclud~d) -Each Illst~I1ation '~"'";, "', ~ ..;,':.;.;= ;.;....<..,~-_~-_"""",.,;.".,"",.. ~ ,~,':'.;,..~:..i.';.:< ,',: ':::.;;iii..: <;;0:...,.,',._:..", '.i-.4;;<' ""~ ...... '.:":;'.~:<,",'.:~- ..' .< ...:",.;' b '3/~ Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00892 ISSUED: 06/2912007 APPLIED: 06/18/2007 EXPIRES: 01/31/2008 VALUE: $ 71,070.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1124 1ST ST ASSESSOR'S PARCEL NO.: 1703263302700 Springfield TYPE OF WORK: Single Family Residence PROJECT. DESCRIPTION: Bedrooms and bath addition. TYPE OF USE: Addition Residential Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law requires YOUUt'~itYO I ~_.._,'" "'" thA Onmon I I PUBLIC IMPROVEME_;tio~c;~t;r:- Those rules Me ::J:~~ In OAR 95%RR~o.QtQ thr~~gh 0 rules b Fully Improved 0090 You may 8B\SiilQffiples of the ~etback 5' Yes catiing tlli\n18~'htgm1Rn~~ ~el~~~tlfnd Gutter number for the Oregon UtlfllJ 0 I Center is 1-80().332-2344). , Stormwater to tie into eXiSti~ gutter. ~~~i~E~Mrr ~~~~~ ~~R~J~~rr\~~~~ ~~~~~~Z~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. Owner: KLUSMAN THOMAS E & CHERYL Address: 1124 1ST ST SPRINGFIELD OR 97477 I~ONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License WADE MADE CONSTRUCTION SERVICES 188718 CAMP CREEK ELECTRIC LLC 164877 OWNER OWNER I ~UILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: 1 Height of Structure: 14.50 Type of Heat: orced Air Electric Water Type: Range Type: Energy Path: Path 1 Sprinkled Building: nla VB I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 8.60 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of3 Phone Number: 541-741-2641 Expiration Date 02/02/2009 06/09/2009 Phone 541-343-0108 541-746-1471 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 690 REQUIRED PARKING .,.. TotiiIf- ,:,.' . Handicapped: Compact: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame DweIlin~s Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Initial, Review Plannin2 Review Public Works Review 06/19/2007 06/19/2007 06/19/2007 Structural Review 06/19/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00892 ISSUED: 06/29/2007 APPLIED: 06/18/2007 EXPIRES: 01/31/2008 VALUE: $ 71,070.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 690.00 Value Date Calculated Total Value of Project $71,070.00 $71,070.00 06/18/2007 ~ Amount Paid Date Paid Receipt Number $296.69 $10.00 $59.20 $33.47 $44.60 $456.45 $34.50 $56.00 $39.00 $112.00 $118.74 $156.16 $26.83 $261.78 $6.00 $6.90 $3.45 $5.52 $6.00 $63.00 6/18/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 8/3/07 8/3/07 8/3/07 8/3/07 8/3/07 2200700000000000976 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000845 1200700000000000996 1200700000000000996 1200700000000000996 1200700000000000996 1200700000000000996 $1,796.29 I Plan Reviews I 06/19/2007 06/26/2007 06/20/2007 APP LLH APP TAJ APP BRC Stormwater to tie into existing gutter. BC 06/22/2007 APP RJB 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. Pa~e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2007-00892 ISSUED: 06/29/2007 APPLIED: 06/18/2007 EXPIRES: 01/31/2008 VALUE: $ 71,070.00 225 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 ofany 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 Pa2e 3 of 3 225 Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00892 COM2007-00892 COM2007-00892 COM2007-00892 COM2007-00892 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000000996 Date: 08/03/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAMP CREEK ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 063395 In Person Payment Total: Page 1 of I 11 :02:33AM Amount Due 63.00 6.00 3.45 5.52 6.90 $84.87 Amount Paid $84.87 $84.87 8/3/2007