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Home My WebLink AboutPermit Electrical 2007-8-23 SPRINCFIELD ~ L\YZ- INITlALS N \"-"\. DATE. r; -Qt.+'-07 SOURCE mpspe.. ZON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COlA-'\"-OC> 7 - c> (z.. ~ 7 , ""~~,,,,_,\Y:':'A" . ~ '?:;t:.tA""",,-, .". -',"\ n... ,-'''', -"':F ',"m _0 ""-1>"""-~~~~- B. Service~~L ~eede!~;~!~~;~~8tio~;Alterati~ris or Rdocation: 0" ,,0 \)\~~'1 f' 200 Amps or lesseo.\}\' ~O'(\ \O(\~ $ 70.00 201 A~J>,,~~~Qf>'~\0"~\~~\" $ 83.00 Address -B.13~ ~M1/.ANrG 'ST. ~O\~~~~b~~~ ~\}\0tOvi $138.00 ~~O~$.~~~~~,,<<,e 1;~O~~ fi $180.00 City Ev6GN~ Phone 6gf_3a4~~~~\~~~~~~~~n!\~e~~\<\\ct,r- $413.00 ~O~ ~ce.\~f~\f~o\~~~~'l ~ik""" $ 55.00 ~O O~~ ~o~ ~e;ce'(\\~e~Q'(\ ~?;.~u Supervisor License Number '1879 S \~~~,,~~~~'tll\,~~,e~~~,F'eeders. , I. fp01 .-CI.'O'il' ~\et Expiration Date / D I 01 If) 7 1\~\'rnstMtion, Alteration or Relocation . "1'I9SDQ. 200 Amps or less Constr.Contr.Number ....s:2D -L/R;;l (!... 201 Amps to 400 Amps 401 Amps to 600 Amps Expiration Date -LL/ z...l4n 7 Signature 0 p,erViSi~g ~rician J;:L12~~ ~ /J Service 9\~der Permit $ 4.00 Owners Name rn h nr:;L. L- ~~ \!'\":l ~'\ ., - - ',' Address ::/ "'."... 2.3 ~ st= 5' ~f\~ f ~ lMsll.cet~eous (Service/feeder not included) ,-Each Installation ~ . 't.~\'\' ?~~,\\\ fc~~' .. .. . .-- k. , City Y k::-(') P~~\t~:~~~~~~~\~ ~~~ or irrigation $ 55.00 ~~ ?t~w. ~~~~~~~~~ Sign/Outline Lighting $ 55.00 OWNER INSTALLATION,\\\S \\r:J~\t€ x.~ ~v.. '\ ~~. Limited EnergylResidential $ 28.00 !he in.stallation is being made ~~1~~~~~~~~ Limited Energy/Commercial $ 50.00 IS not Intended for sale, lease or ~. '\?:>~ ~ Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ~~'l 4. SUBTOTAL OF-ABOVE ~, 1. :c1.0CAfhONOFINSTALUTION:....'t:i'. . . .c,,-.j.{., >~._::-.,.~__':;'; - - - ',L._'~;._,_ - . - - , ~ <.2,& <,-. C/;:;:..o. ~ . LEGAL DESCRIPTION: 1 70 Z. '3 {~ I 01)CD JOB DESCRIPTION: ~~?-~ ;?:;o<T)nJ6 '?12L2:tJ _<~~ Permits are non-transferable and expire if work is not started within ]80 days of issuance or if work is Suspended for ]80 days. 2. 'Co"l!!~CT?! ~~!A!:~!ION ONL: Electrical Contractor {!tJA/~~1I F~~ U~ Owners Signature: Inspection Request: 726-3769 Date '~/2- 3.10-; . 3. 'COMPLETE FE'fJSCHEDfTLE BELOW , -J - ::::. , 'v,,_,,<.:.;!-,~:'": "~' ,':f'..,..:~ .i.d~.\L:"'- - " - f , . . ..~__,.," 'r' .,.~v...' W "."", .,,~...'n^,_.,;_;~~ _",,,<,,_..:,,,,"_,~, '_''''~'' "'-_'~':"__"_,> ~".~" - "','CO'" '::"-: ~.- '^.~_""""""'''~''' r..~..~^._,'""' ,-,< - ,,~: \'::::-" - '.,- -":-~Y~C'" . .. A. L~~e~' Res!~e_".,~~r~~i".~le_.?~r~..~~'!!t~-~ll.".1i!~p~~..~w~lIing ~~it.' , 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 7n-('rO :'> $ 55.00 $ 76.00 $110.00 o.ver?~O Amps or 1000 Volts see "B",above. D. i Branch Circuits _. ,_ '. -",. ,; ~","_''''' .........,,;,.>; "" '" ,,~,,~,.C,:,';<;'...,~,._ "_~~.,~._--'".~__.~':"..-,.>>...~,~',~"...:"~~,,,....,",."".y,,..,;-"-.~.^" "..,..;.V...'.h.... New Alteration or Extension Per Panel - One Circuit Each Additional Circuit or with $ 48.00 ~,...,..... ~ .:. 7n_tJ[>. r ~~o '7 :Jro ~{,IO 8% State Surcharge 10% Administrati ve Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 7-07.doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/23/2008 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 300 33RD ST ASSESSOR'S PARCEL NO.: 1702313103500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Interior remodel Owner: LESLIE & B BELL Address: 868 6TH ST SPRINGFIELD OR 97477 Phone Number: 541-543-1043 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Electric Water Type: Electric Range Type: Electric Energy Path: nent Path Spri~&~ Building: n/a \l'I~~~~lmNFORMATION I 01e~o~ \.I\\W~\J' \O~. ~ed ~l e 11J.\eS ~ 90"- $~" Frontyard Setback: Jt..~~~u\e9 e.d~~1. \"O~olJ.C)" Qf'~;~\f)~ Side 1 Setback: \o\\o~ \.\O~ce'O ..oO'\O\"co~\es~~~~{\~qd: Side 2 Setback: ~O~\\\c~ 9~'l.J:)O'\ o~\e.\~ ~o\e'. ~~,,~~e Rqd: Rearyard Setback: \~ Op,.~ '(OU t(\9.~~\e1. ~ O~ U\\X~'Z~fitL.'pt Coverage: Solar Setbacks: ()090\\~C) \"e \"e 01e~OO.'3'32 ,..~\\ . 'nt \_ ,\-u ~Utt\g~' ce~\e\' I PUBLIC IMPROVEMENTS I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: ",.." # of Bedrooms: . 1 R-3 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB 3 REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: NO~A~Wfrf~l'\:::EXPtRE tF THE WORK ~~~~RIZED UND,ESR A1r~~ci~~~ciTF~:OT . COMMENCED OR ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/23/2008 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 35,000.00 Value Date Calculated Description Total Value of Project $35,000.00 $35,000.00 08/21/2007 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $42.37 8/21/07 2200700000000001329 + 5% Technology Fee $21.19 8/21/07 2200700000000001329 + 8% State Surcharge $33.90 8/21/07 2200700000000001329 Building Permit $311. 74 8/21/07 2200700000000001329 Fixture $112.00 8/21/07 2200700000000001329 Plan Review Residential $202.63 8/21/07 2200700000000001329 Sanitary Sewer - Improvement $244.85 8/21/07 2200700000000001329 Sanitary Sewer - Reimbursement $322.00 8/21/07 2200700000000001329 SDC Sanitary/Storm Admin $28.34 8/21/07 2200700000000001329 + 10% Administrative Fee $7.00 8/23/07 1200700000000001077 + 5% Technology Fee $3.50 8/23/07 1200700000000001077 + 8% State Surcharge $5.60 8/23/07 ]200700000000001077 Perm Serv/Fdr 200 amps or less $70.00 8/23/07 1200700000000001077 Total Amount Paid $1,405.12 I Plan Reviews I Plannin2 Review 08/21/2007 08/21/2007 APP TAJ No Planning issues. Public Works Review 08/21/2007 08/21/2007 APP EW Sanitary fixtures calculated for SDC's Structural Review 08/21/2007 08/21/2007 APP DLM See documents for plan review comments 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. l.ReouireCUnsnections I 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. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/23/2008 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 22~ Fifth-Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01237 COM2007-01237 COM2007 -0 I 237 COM2007-01237 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001077 Date: 08/23/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CONRlCH ELECTRIC LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2847 In Person Payment Total: Page I of I 11:07:l1AM Amount Due 70.00 3.50 5.60 7.00 $86.] 0 Amount Paid $86. I 0 $86.] 0 8/23/2007