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Home My WebLink AboutPermit Electrical 2007-8-27 1. ZON ~ INITIALS . N{""\. ... DATE ~ "1.-'1 /(J-' ." SOURCE ft\,PS1Y6 &/Z7(: 7 "'...' . ,.' .... '. '4/" ." 3. ,:COiIPLETE FEE SCHEDULE BELOW ~ J;,,,~:..:~:~,s.:.__:,<.~...,',-;,,i:'~',"~ ,-, .".),..,' ~W'._ ','v';_~;-"t_.';" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION ( City Job Number COVVl 7..00 '7 - 01 03 Date s-:;., 0 ~ 'LOC4TION'OFINSTALL4..TION: 1('" .,.""..... . F'" 5+- LEGAL DESCRIPTION: (70Z 3'32~' JOB DESCRIPTION: '.' ~"";".~'~';: ....".";:\.;,.,f..~'" _','~._',,' ." A.' New Residential ~SjIlgleorMulti-Falnily pe.;~welli;lg unit b 0 ~O<-{ Service In'cIude~ .. ..... .,.. "".. IIIJ'() {- II/VI.: (<-7 tI!..{Y/f- 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 Permits ,are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. CONTRACTO/J.1NSTALLAT.IQN.oNLY' Electrical Contractor ~~.J~ fJld;:; ~ Address ! ~ {) K I A/ Ct c.. ~ f) vv. JIlt L- ~ I - ( City t- U7 ~ Phone -1~ ~Uil3 ~, ",,'_'_;',' . .~,' 'l," RSer~ices or Feed,ers-: Installation, Altefadolls or,ReI~cati~it:.. ,97C;- 5 70 200 Amps or less / $ yoo 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 A'M'E~ i'li&~~mk\W requires you.t~$375.00 fo\l&v:Ii'&m6t~ted by the Oregoll Ul:lit'f $ 50.00 Notification Center. Those rules arg ooll~ ~~m1VJ; ~i9a tl)~ ce(lt~J.~tt~~te: the tel~pho~e n~:Ji8f\h~twtmim;4N@tdioat'on 200 ~tlTl.s1..&00-332-2344). $ 50.00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100.00 ~',.~~ , ? ".,-.-, r..:", r'.... 7C:> Supervisor License Number Expiration Date Itr /1'.)-" /J I Constr. Contf. Number / 1)- ?~Z- r: 1- "-0'0 Expiration Date Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above. D. '.. Bnlllch Owners Name 5' tA.. VV\ VV\- C:: v'L- S 5zo6 (r" S7- :g?t3 Phone 9/L( - :>g?;J New ~te~ation or Extension Pd One Circuit ,.' . Each Additional Circuit or with ~ Service or Feeder Permit (k ftP $ 43.00 If. $ joo rZ- --rI~ J:> +~~ Address E. ' l\1iscellan~oll~ (Servic~/feeder nothlclllded) ":Each Installation, City Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 Tbe installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~~~I~:~MIT SHALL EX~~VJH~~ ~()~., 'r 2- 111 ITI../f)Ql71=n UNDER THIS pmM~TelS1N(}ifge b jb COMMENCED OR IS ABANDO~&<ibAiRistrative Fee 8'~: ANY 180 DAY PERIOD. 5 Yo Tecliotogy Fee ~ (, Inspection Request: 726-3769 TOTAL (00 - Shared Drive(T:)/Building Fonns/Electrical Penrut Application 8-06.doc Owners Signature: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5206 F ST ASSESSOR'S PARCEL NO.: 1702332400204 Springfield PROJECT DESCRIPTION: Family Room Addition Owner: SUMMERS THEODORE B & CRYSTAL M Address: 5206 F ST SPRINGFIELD OR 97478 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01031 ISSUED: 08/07/2007 APPLIED: 07/12/2007 EXPIRES: 02/2712008 VALUE: $ 24,720.00 TYPE OF WORK: Family Room TYPE OF USE: Addition Residential Phone Number: 541-914-3893 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor RA ROBERTS INVESTMENTS INC BOB FISHER ELECTRIC INC DOUG HAXBY PLUMBING COMPANY License 122431 96275 140768 Expiration Date 04/1 0/2008 01/25/2008 03/01/2008 Phone 541-461-0045 541-689- 7973 541-995-4725 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 R-3 VN 1 12.00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 240 Path 1 n/a I DEVELOPMENT INFORMA TION , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 6.25 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm seweA~' Oregon law requlreslelU to Special Instto'WcSWVUles ~~&~~,idWlOregd$'tiWlity Notification Center. Those rules are set forth Notes: In OAR 952-001-0010 through OAR 952-001- 0090 You may obtain copieS of the rules by calilng the center. (Note: the tel~~ho~e number for the Oregon Utility Notification Center Is 1-800-332-2344). REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Curb and Gutter NOT!ClE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pae:e 1 of 3 Status Issued CITY OF SPRINGFIJ!.,LD Building/Combination Permit PERMIT NO: COM2007-01031 ISSUED: 08/07/2007 APPLIED: 07/12/2007 EXPIRES: 02/27/2008 VALUE: $ 24,720.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' Dwelline:s Type of Construction V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 240.00 Value Date Calculated Description Total Value of Project $24,720.00 $24,720.00 07/12/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $160.77 7/12/07 1200700000000000909 + 10% Administrative Fee $30.93 8/7/07 2200700000000001256 + 5% Technology Fee $14.87 8/7/07 2200700000000001256 + 8% State Surcharge $23.79 8/7/07 2200700000000001256 Building Permit $247.34 8/7/07 2200700000000001256 Fire SF Fee - Residential $12.00 8/7/07 2200700000000001256 SDC Sanitary/Storm Admin $4.72 8/7/07 2200700000000001256 Storm Drainage Impervious Area $94.46 8/7/07 2200700000000001256 Storm Sewer - 1st 50 Feet $50.00 8/7/07 2200700000000001256 + 10% Administrative Fee $8.20 8/27/07 2200700000000001352 + 5% Technology Fee $4.10 8/27/07 2200700000000001352 + 8% State Surcharge $6.56 8/27/07 2200700000000001352 Add, Alter, Extend Circ Ea Add $12.00 8/27/07 2200700000000001352 Perm Serv/Fdr 200 amps or less $70.00 8/27/07 2200700000000001352 Total Amount Paid $739.74 I Plan Reviews I Initial Review 07/13/2007 07/13/2007 APP NJM Plannine: Review 07/13/2007 08/01/2007 APP TAJ No Planning issues. Public Works Review 07/13/2007 07/13/2007 APP MS Structural Review 07/13/2007 08/01/2007 IO LLH Forwarded to the Building Department for review Structural Review 08/01/2007 08/07/2007 APP LLH Plans reviewed by Shawn Eatson 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. ~eouiredJnSDections I Footing: After trenches are excavated. Pae:e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01031 ISSUED: 08/07/2007 APPLIED: 07/12/2007 EXPIRES: 02/27/2008 VALUE: $ 24,720.00 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Storm Sewer Line: Prior to filling trench. 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, 1 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 Pae:e 3 of 3 225 Fifth Street Spri~field,' Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01031 COM2007-0 1 031 COM2007-01031 COM2007-0 I 031 COM2007-01031 Payments: Type of Payment Cash Change Job/Journal Number COM2007-01031 COM2007-01031 COM2007 -01031 COM2007-01031 COM2007-01031 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 2200700000000001352 Date: 08/27/2007 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 BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: 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 BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of 1 2:49:55PM Amount Due 70.00 12.00 4.10 6.56 8.20 $100.86 Amount Paid $101.00 ($0.14) $100.86 , Amount Due 70.00 12.00 4.10 6.56 8.20 $100.86 Amount Paid $101.00 ($0.14) $100.86 8/27/2007