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Home My WebLink AboutPermit Electrical 2007-8-29 ZON L;c:e- INITIALS ~ "-^-- DATE ~"""SJ-O'" SOURCE .~_~. Date 9>" - ~t? -' 0 7 CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COtN\ ZOO, - 00 b I ~ AI I t:lme~: ~~OA1'~Vf)EMW~liji. YQ~Qs folloW rules adopted'by the Oregon-Ut'Iityu-----' Notification qfmt.tUatTJ1P,~~~r~ttarJhon I.. CAR 952-Q1!,Q01 0 t!lJp.ugh-OAR 952:00'1. $ 55.00 0090. You mj Jdb'ftIlrt~~~s of the rules by <,~lIng the ~,~ tffi)Pffilephone $ 76.00 number for 1ft, ~OO6miltty1~40tification $110.00 Cen~J86M~,Q~~-~olts see "B" above. r---- -- . - - - --------------'------- -~._---- D. l Branch Circuits . _ ,'__ _ ___.___.~__ _._._m.__ _ __.___.____~_.~.__ _ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 1. : LOCATION OF INSTALLATION: /!-l'2. ;F~ LEG}L7~3Z~JL( oz '00 JOB DESCRIPTION: iJ/J-C-(l,ttlU ~ J'lf 5' r~41 '- , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. -------- --_._--_.._~ --- .._-"-- 2. ICONTRAt:l uR INSTALLATION ONLY I - -.- ----------oT---- ./----r-. J Electrical Contractor (!;(/(/ ! t.. II r 1,0 Address ;( (j _ ~(j-V ~ t t' City (J t~ S'u/fCr Phone cr9'r-1.....?7C;'- Supervisor License Number Expiration Date Constr. Contr. Number t, t( rt q' 0 -- , Expiration Date /( -- I ct - o?7 s;gna~:~~:tj~: ., \..." I v'-./'--" - Owners Name 1; 0 tJ . W If I\(! Address 5l(( WillkAe;~ City Pc'- ~1V'e- Phone 'J ry - 51 '- ~ OWNER INST ALLA nON . . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. I COMPLETE FEE SCHEDULE BELOW .. - --, .J A. New Residential- Single or Multi-Family per dwelling unit. _ J 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 ,--.--'..---- --._--- - B. I Services or Feeders -Installation, Alterations or Relocation: : , L..______ __ ..._________,________,___ __ __ , . , ____, _~____....J 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 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 - .., -. -- I $ 48.00 $ 4.00 E'l~iSCcl~~~;US (S;~i~e!!;~~er ~;;~;~~~~~dt_ia~~~~~~~al;~ti~~- ,; Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential. / $ 28.00 Limited Energy/Commercial $ 50.00 Mi.n:mUmEl~:I~';i'-'"''''ctiiU,;~rha...'' 5--0 ~~~~~~~~.. 1\,\\S-Pt:RM\1~~:OI ~~\iIDntUn% e~B"NOONEO . p.. ~~~~\ " coM ".01\ Op..'{ PER\OO. p..'fdT~ Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc Zy 'L :> Z~ b/r;!- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit . PERMIT NO: COM2007-00673 ISSUED: 06/05/2007 APPLIED: 05/10/2007 EXPIRES: 02/28/2008 VALUE: $ 50,000.00 SITE ADDRESS: 1122 5TH ST ASSESSOR'S PARCEL NO.: 1703263402900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Single family residence - fire restoration Owner: DON WARD Address: 541 WILLAMETTE ST 214 EUGENE OR 97401 .. 'res yoU to I CONTRACT~1BM!)N'~egon Ut\\i\Y 1\\ 'I;.'~opteo D'I "'~\es are set 'oM Contractor to"~W ~;on center. lll@~\\Jgh OA.\ti;j~~n Date OWNER Notifies ~2.o01-001othrO \es otthe rules ., v ALLEY ELECTRIC CO, ~ 'IOU may obtete: the te\e.~~a~'wOl0 CENTRA FLO ~~~\'\n'g \he cen\er6 $ UU\\\V No\,i'\1t}\~/2009 RONS HEATING AND AIR awift~\WB\e 2-2,344). 05/04/2008 WEST COAST PLUMBING ONTRfii~ 168880 03/03/2008 BUILDING INFORMATION I Contractor Type General Electrical Low Voltage 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: R-3 U VB 19.40 8.00 10.40 54.00 6.50 Phone Number: 541-954-5169 Phone 503-838-0447 541-343-6829 541-926-5300 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 16.90 _ . _ . - \f 1"'': ~O~\<. I PUBLIC IMPROV 4~VJiiM5~~\\ S"'~\..\. ~"~PER~\" \S ~U, ~~;OR\ZEtl'~~i'OONEO fOR CQW\W\EMCti)oQ,~t6m:WDrains : ~M'l180 DF\'l P 2 Total: Handicapped: Compact: Notes: Fire Damage. No new imp area. Adding one bath. SDC fees reflect additional DFU's only. JLP APP 5/29/2007 Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00673 ISSUED: 06/05/2007 APPLIED: 05110/2007 EXPIRES: 02/28/2008 VALUE: $ 50,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 50,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $50,000.00 $50,000.00 05/10/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $240.92 5/10/07 1200700000000000557 -Mechanical Issuance Fee- $10.00 6/5/07 2200700000000000904 + 10% Administrative Fee $47.17 6/5/07 2200700000000000904 + 5% Technology Fee $29.18 6/5/07 2200700000000000904 + 8% State Surcharge $37.73 6/5/07 2200700000000000904 Building Permit $370.65 6/5/07 2200700000000000904 Dryer Vent $6.00 6/5/07 2200700000000000904 Fixture $56.00 6/5/07 2200700000000000904 Minimum/Adjustment Mechanical $27.00 6/5/07 2200700000000000904 Plan Review Minor - Planning $112.00 6/5/07 2200700000000000904 Sanitary Sewer - Improvement $118.74 6/5/07 2200700000000000904 Sanitary Sewer - Reimbursement $156.16 6/5/07 2200700000000000904 SDC Sanitary/Storm Admin $13.75 6/5/07 2200700000000000904 Vent Fan $12.00 6/5/07 2200700000000000904 + 10% Administrative Fee $5.00 6/12/07 1200700000000000756 + 5% Technology Fee $2.50 6/12/07 1200700000000000756 + 8% State Surcharge $4.00 6/12/07 1200700000000000756 Temp Power 200 amps or less $50.00 6/12/07 1200700000000000756 + 10% Administrative Fee $16.60 8/17/07 1200700000000001059 + 5% Technology Fee $8.30 8/17/07 1200700000000001059 + 8% State Surcharge $13.28 8/17/07 1200700000000001059 Low Voltage - Residential $28.00 8/17/07 1200700000000001059 Residence Wiring 1000 Sq Ft $117.00 8/17/07 1200700000000001059 Residence Wiring Ea Addtl 500 $21.00 8/17/07 1200700000000001059 + 10% Administrative Fee $5.00 8/28/07 1200700000000001112 + 5% Technology Fee $2.50 8/28/07 1200700000000001112 + 8% State Surcharge $4.00 8/28/07 1200700000000001112 Low Voltage - Residential $50.00 8/28/07 1200700000000001112 Total Amount Paid $1,564.48 I Plan Reviews I Initial Review Planninl! Review 05/14/2007 05/14/2007 05/14/2007 06/01/2007 APP LLH APP T AJ 2 street trees are required unless they are already in. Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00673 ISSUED: 06/05/2007 APPLIED: 05/10/2007 EXPIRES: 02/28/2008 VALUE: $ 50,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review Structural Review 05/14/2007 OS/29/2007 APP JLP Fire Damage. No new imp area. Adding one bath. No plat maps pulled. SDC fees reflect additional DFU's only. JLP APP 5/29/2007 05/14/2007 05/14/2007 APP RJB To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. ~ill be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. UeouiredJnsnections I 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. WallInsulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00673 ISSUED: 06/0512007 APPLIED: 05/10/2007 EXPIRES: 02/28/2008 VALUE: $ 50,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Pa!!:e 4 of 4 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00673 COM2007-00673 COM2007-00673 COM2007-00673 Payments: Type of Payment Check cReceintl RECEIPT #: Description Low Voltage - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRYCE OLSEN City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001112 Date: 08/28/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4023 In Person Payment Total: Page 1 of 1 1 :38:35PM Amount Due 50.00 2.50 4.00 5,00 $61.50 Amount Paid $61.50 $61.50 8/28/2007