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Home My WebLink AboutPermit Electrical 2004-11-19 .' 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~~o~1z" ELEL1.KICAL PERMIT APPliCATION . ... o~/. t.-~/ ~,,;? -0 . / ' f r~ (0 0.: "0 City Job Number C.O/Nt'ZOoL\, - 00 b 7 b Date 11- /,/- Ci4 "?o ~ 0\9<5' :r~:b ~~ "-',;. "0 /~ '''''8'''' ";:;:,,:;,":--c';o~ -: "":~~'~~~T,\~~i'ft:~","'1~',;~,.','t!:'<:":'" <:"':"j';'"i"t:";;'>"'{'X'~;::tfF~~':f' 1. LQCATIOlY,OBlNSTALLA;llvNw "~ -,.,~i~;,\~;;...;...~'ii,E,~"<,.",;~~..t:;:ij"!~::;:::::,>,';'j,L__ ;-.i.:_', ";:_",~~,",\,,,,~~~,;,.-._::::.J1,-,<!;ji;,{~'~_; ,22..<1 q 8i'JUJ/'L tcL/Jr:?/ LEGAL DESCRIPTION \ 70'3 'ZS-I L \0(0 a JOB DESCRIPTION JJ L./ 1'1-7 /j:X , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 3. 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 $50.00 , ;>,', ,-, ..... .c-':~:_;;;;F:'1f;;\;:~/;C:;t':-77:~7:.-''''"., -'/:~~:::'':,;.,: 2. ,.cc.~rv-!lJfJf!Ji!JlJflYjSJi;;/,~ B. Electrical Contractor ~(\-t( f"Y\(l Y'\ (\-t Ctr\L, 200 Amps or less r, ' ..-:- I ; l ne. 20 I Amps to 400 Amps Address L1L\ \ ~) \ I L~ Y \'\ t\ C \.,~ ',,-_(\' ~ 401 Amps to 600 Amps . Ii, Jll (". 601 Amps to 1000 Amps City! \llf'iC___-Dex'\ i...l "Phone C\Ctl~:J- (\ <(lOver 1000 Amps/Volts ,J Reconnect Only Expiration Date (')(\'D' ~ e- X , 1l.)_..I IC) - \ - c)\ ~ \~\C1\l Supervisor License Number Constr, Contr. Number Expiration Date I,' _ ,<' J_I",O' \i ......1 L~ Signature of Supervising Electrician -",., ,:.-' ,/" , / / />. /,:.....E ( / ) c' (/?I"Z:;~ ~ Owners Name ~A..h ~ Address Z L.. Ll c., City ~:Yr~ L.~~ l ~ 0../ 13 0 -'I. '-"\. \ <.::: [, i/ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $ 63.00 $ 75,00 $125.00 $163,00 $375.00 $ 50,00 c. '" 'I: 1~~~~fiWt~~,~~~.~,M,~,f6rTIWRicfilt6n\11 T j S NO f Zb~:An\lt$i~f:~~ O~ I~ ~BANDONEO FOf$ 50.00 2m ~~ jPtP4b'6 R~~uu. $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above, .;:~':~;'7~:"~~.v:-~Y:rri~~::'::: '''--',: '-T D.tBclnch'drcui New Alteration or Extension Per Panel One Circuit ! $ 43.00 4 '3- Each Additional Circuit or with Service or Feeder Permit if $ 3.00 I l. '~':,;".,;,~_":"'ii__~:"t,.,.....,';-.':~' .. '^. ..' . .. . . _ . ~.? E. ~1lNt~~~~~6Wfr;~~f~~IT~~~r6G),t~~~~~.I~~IlatiOn j,~Trfl ~ rHl~6filoPted by the OreCJOalJ$i~OO i~ltrA~eJ~~P~~Rg. Those rules arA sAtS,89tAo 6t&tle<]R&gwReQQJhMlProu9h OAR 952$OO1QO Liffiil~~~e~~gJ1HtJfb&~pjes of the rulSS4l5~O I 9 tneccente~jNofjj tQ.Ez t Y ~ >D?~:~~~9:i:ni!~~~;~s.rcharg~ 4. .~~~.1~t!!'~~r~,:fi~~~. ...~,~ >- ) 7% State Surcharge 3 S '>-- 10% Administrative Fee 5 ')<=> TOTAL b't 3) _~SPRI~GF'I;g.L.D.. '. iii.......".. '.".'.' ~_.. '. : ._ ,.__ __. '. ,____' u, .._'.~_ ,: , ; Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00676 ISSUED: 07/19/2004 APPLIED: 06/09/2004 EXPIRES: 05/18/2005 VALUE: $ 44,352.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2249 BONNIE LN ASSESSOR'S PARCEL NO.: 1703251210100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Office/Bedroom/Bath addition Owner: WILSON DAVID L & JOHNNA A Address: 2249 BONNIE LANE SPRINGFIELD OR 97477 Phone Number: 541-747-8093 Contractor Type General Electrical Mechanical Plumbing I CQ~TRACTOR INFORMATION I Oc~UUI;.o[:: Contractor THIS PERMIT SHALL ~8ense Expiration Date DUANE A KNIGHTS AUTHORIZED UN 1~~E IF THE W~mkO/2005 BATEMAN ELECTRI<C1J~'fflViENCED OR~~R ~~Il(ERMIT IS f9811/2008 MARSHALLS INC ANY 180 DAY PER A5Js1t9{))ONED FDA 12/23/2005 SHAD CHASAN SURRETT IOD,158295 01/14/2006 I BUILDING INFORMATION I Phone 541-726-2960 541-995-4757 541-747-7445 541-741-3553 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 16.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 480 R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: ,14.00 # Street Trees Rqd: 30,00 ~Ud: 29.00 to~otttb1~s a~o ~n 'aw reqU;rei7y~U to . _~ c.",!. ~.~~Ih. Oregon Utm~. ~IWw'I!J~til'~es are set forth IIgy OOta . 9 OAR 952-Q,01_ calling the In copIes 0ti#J8'fB'~"Yp'e: nu b center. (Note. th Oy m er for the Ore on '.. e m!WD'spmgs/Drains: Storm Sewer shall go to exist~ter is t_J100-3Uflllty Notification 32-2344). Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pae:e 1 of 3 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: COM2004-00676 ISSUED: 07/19/2004 APPLIED: 06/09/2004 EXPIRES: 05/18/2005 VALUE: $ 44,352.00 I Valuation Descriotion I Dwelline:s V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 480.00 Value Date Calculated Description Type of Construction Total Value of Project $44,352.00 $44,352.00 06/09/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $221.91 6/9/04 1200400000000000875 -Mechanical Issuance Fee~ $10.00 7/19/04 1200400000000001100 + 10% Administrative Fee $48.74 7/19/04 1200400000000001100 + 7% State Surcharge $34.12 7/19/04 1200400000000001100 Building Permit $341.40 7/19/04 1200400000000001100 Fixture $56.00 7/19/04 1200400000000001100 Minimum/Adjustment Mechanical $24,00 7/19/04 1200400000000001100 Not Covered Mechanical $15.00 7/19/04 1200400000000001100 Plan Review - Planning $71.00 7/19/04 1200400000000001100 Sanitary Sewer - Improvement $103.26 7/19/04 1200400000000001100 Sanitary Sewer - Reimbursement $135.84 7/19/04 1200400000000001100 SDC Sanitary/Storm Admin $20,57 7/19/04 1200400000000001100 Storm Drainage Impervious Area $172.26 7/19/04 1200400000000001100 Storm Sewer - 1st 50 Feet $45.00 7/19/04 1200400000000001100 Vent Fan $6.00 7/19/04 1200400000000001100 + 10% Administrative Fee $5,50 ( 11/18/04 2200400000000001428 + 7% State Surcharge $3.85 11/18/04 2200400000000001428 Add, Alter, Extend Circ $43,00 11/18/04 2200400000000001428 Add, Alter, Extend Circ Ea Add $12.00 11/18/04 2200400000000001428 Total Amount Paid $1,369.45 I Plan Reviews I Initial Review 06/1012004 06/11/2004 APP LLH Plan nine: Review 06/11/2004 06/15/2004 APP EMM Public Works Review 06/11/2004 06/14/2004 APP MS 6/14/2004 - Storm drainage shall be directed to existing, - MAS Structural Review 06/11/2004 06/16/2004 WE DLM Waiting for infirmation on method of overhang roof cover support from contractor, 6/16/2004 dim Structural Review 06/25/2004 07/13/2004 APP DLM Received Truss drawing 6/25/2004.dlm See documents for plan review comments. Pae:e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00676 ISSUED: 07/19/2004 APPLIED: 06/09/2004 EXPIRES: 05/18/2005 VALUE: $ 44,352.00 225 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 inspection 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. LReouired 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. Framing Inspection: Prior to cover and after all rough in inspections have been approyed, 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. Underfloor Drain: Prior to cover or placement of concrete. 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 mechanicaLwork is complete, 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 Pae:e 3 of 3 225 Fifth Street Spri~grreld, Oregon 97477 541-726-3759 Phone Job/Journal Number ~OM2004-00676 ' COM2004-00676 COM2004-00676 I COM2004-00676 RECEIPT #: -'~ty of Springfield Official Receipt jevelopment Services Department Public Works Department , ' 2200400000000001428 Date: 11/18/2004 Description, 'Add~ Alter, ExtendCirc , Add, Alter, Exten'dCirc Ea Add' , + 7% State Surcharge + 10% Administrative Fee Payments: ' Type of Payment Paid By Check DUANE KNIGHTS I 11/18/2004 Item Total: Check Number Authorization Received By Batch Number Number. How Received djb 5516 In Person Payment Total: Page 1 of 1 2:46:35PM Amount Due 43.00 12.00 3.85 5.50 $64.35 Amount Paid $64.35 $64.35