HomeMy WebLinkAboutPermit Electrical 2007-8-7
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Owners Name MMt ~ ~M:. il\JAJ1;L Service or Feeder Permit
Address Z,24D-~1 ''PJO~~~ b~~_.aS(Se~i~~{fe~~e;rnotinclUded)-EaCh Installation
City~(i)vi f\~.erA INMmdiHOJfl~2fhoserul~.~n $ 55.00
~ ~J" InOAR~10through ~iRlhhting $S5.00
OWNER INST A'LLA nON 0090. You may obtain copies ! es ~7R 'd t' I $ 28 00
callln the center. (Note: th ~e if/] eSI en la .
The in,stallation is being made OM~i\1av(!)~on UtilitY-~/Commercial $ 50.00
IS not Intended for sale, lease or rent. Center 18 1-800.aaatftB44~lectric Permit Inspection Fee is $50.00 + Surcharges
Own." Signature f\ 4. ... S~'f~9t.~VE:. ~tJ rn
. C\..~ 8% State Surcharge ?ldJ
\ \ ~..... Nonn~ministrative Fee r I .UJ '\
~,,~~ \ ~ THIS~PE~~~At1.EXPIRE1FTHEWORK ~"~
Inspection Request: 726-3769 \.J..JV ~~UTtWtPA\ZED UNDER THIS P~~~~TC~SD NOT ~ ~ Lo _I n
~~. ~ ~ ~:~:~::~_.w~ "="App""';o. 7-07 d"
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 .
ELECTRICAL PERMIT APr~CATION
City Job Number Q,r _ \(f\ \J)
I'~t~
LEG~SR"~SCRIPTI01't . .'
_'_ \ 1 \ )~'\-L\~~ O~.:\CJ?J
JOB DESCRIPTIO~: aDD ~ ~ CL..
Permits are non-t~ansf~able and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Co.l'lTP...ACTOR INSTAI1,ATI&1 ()1\lLY
2.
Electrical Contractor J6J- (l i-ht-;f::..1..(0~
Address ~ D ~f)f... dOl
Ci~OJ\.~~ Phon. f!1l-/AJdp
Supervisor License Number SII;)b
Expiration Date J 0/ I J 07
Constr. Contr. Number .::J - 4 D e-.
Expiration Date
1 / I / (5cf
v
3.
~\
ZON
INITIALS
DATE -0\
SOURCE ( m~~
Dol'. ~m .D1
COMPLETE FEE SCHEDULE BELOW
A. New Residential-cSingleor Multi-Family per dweJJingunit.
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
$117.00
$ 21.00
$55.00
n
....
Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70.00 4.7{).QO
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 40~ Amps
401 Amps to 600 Amps
Over 600Amps or 1000 Volts see "B" above.
D. Branch Circuits
$ 55.00
$ 76.00
$110.00
$ 48.00
$ 4,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2240 EL BONITA PL
ASSESSOR'S PARCEL NO.: 1703244202703
Springfield
PROJECT DESCRIPTION: Bathroom addition in existing garage
I CONTRACTOR INFORMATION I
Contractor License
OWNER
RG SMITH
RG SMITH ELECTRICAL CONTRACTING 116699
OWNER
OWNER
Owner: KRISTIN WALL
Address: 2240 EL BONITA PL
SPRINGFIELD OR 97477
Contractor Type
General
Designer
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
'..!.UILDING INFORMATION I
R-3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01076
ISSUED: 07/19/2007
APPLIED: 07/19/2007
EXPIRES: 02/06/2008
VALUE: . $ 11,124.00
TYPE OF WORK: Bathroom
TYPE OF USE: Alteration
Residential
VB
Phone Number: 541-968-9555
Expiration Date Phone
541-998-6466
12/31/2007 541--754-0880
Electric
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:'
nent Path
n/a
I DEVELOPMENT INFORMATION.
Pa2e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes: Addition adds no impervious surface and fixtures drain to septic. No SDC charges.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01076
ISSUED: 07/19/2007
APPLIED: 07/19/2007
EXPIRES: 02/06/2008
VALUE: $ 11,124.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DweJlinl!s
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
108.00
Value
Date Calculated
Description
Total Value of Project
$11,124.00
$11,124.00
07/19/2007
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $34.18 7/19/07 1200700000000000944
+ 5% Technology Fee $17.Q9 7/19/07 1200700000000000944
+ 8% State Surcharge $27.34 7/19/07 1200700000000000944
Add, Alter, Extend Circ $48.00 7/19/07 1200700000000000944
Add, Alter, Extend Circ Ea Add $12.00 7/19/07 1200700000000000944
Building Permit $135.80 7/19/07 1200700000000000944
Dryer Vent $7.00 7/19/07 1200700000000000944
Fixture $96.00 7/19/07 1200700000000000944
Gas Outlets 1-4 $5.00 7/19/07 1200700000000000944
Minimum/Adjustment Mechanical $31.00 7/19/07 1200700000000000944
Plan Review Residential $88.27 7/19/07 1200700000000000943
Vent Fan $7.00 7/19/07 1200700000000000944
+ 10% Administrative Fee $7.00 8/7/07 2200700000000001248
+ 10% Administrative Fee $7.00 8/7/07 2200700000000001254
+ 5% Technology Fee $3.50 8/7/07 2200700000000001248
+ 5% Technology Fee $3.50 8/7/07 2200700000000001254
+ 8% State Surcharge $5.60 8/7/07 2200700000000001248
+ 8% State Surcharge $5.60 8/7/07 2200700000000001254
Perm Serv/Fdr 200 amps or less $70.00 8/7/07 2200700000000001248
Perm Serv/Fdr 200 amps or less $70.00 8/7/07 2200700000000001254
Refund - + 10% Administrative $-7.00 8/7/07 2200700000000001249
Refund - + 5% Technology Fee $-3.50 8/7/07 2200700000000001249
Refund - + 8% State Surcharge $-5.60 8/7/07 2200700000000001249
Refund - Perm Serv/Fdr 200 amp $-70.00 8/7/07 2200700000000001249
Total Amount Paid $594.78
I Plan Reviews I
Planninl! Review 07/19/2007 07/19/2007 APP TAJ No Planning issues.
Public Works Review 07/19/2007 07/19/2007 APP TSS Addition adds no impervious
surface, fixtures drain to septic. No
SDC charges.
Structural Review 07/19/2007 07/19/2007 APP DLM Approved as noted on plans
Pal!e 2 of 3
r--
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01076
ISSUED: 07/19/2007
APPLIED: 07/19/2007
EXPIRES: 02/06/2008
VALUE: $ 11,124.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
I Reouired InsDections I
Foundation: After forms are erected but 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.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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
Pa2e 3 of 3
225 F~fth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01076
COM2007-01076
COM2007-01076
COM2007-01076
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JUNCTION CITY ELECTRIC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001254
Date: 08/07/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
1060
By Mail
Payment Total:
Page I of I
12:04:23PM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
8/7 /2007