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Home My WebLink AboutPermit Electrical 2004-11-29 1. r3ZL(, 33 LEGAL DESCRIPTION / t ,r. J/CJ~ -:??J3f()~/; () 1) c.. -.- ..:....- . JOB DESCRIPTION fr))D ~ C \ Ilt.",,--: t-s: 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. Electrical Contractor Address / .' / 7e' Supervisor License Number" / / / Constr. Contr. Number E ' . D / XplratlOn ate S. !fS.' El .. 19naturl upervlsmg ectnclan City Expiration Date Owners Name _--rAM 1; S 0 Address ~ ("7;;t ;::::; <:;J. City ~pel ~ P;-; €UJ Phone tltRb~ OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. :-s= If) -1tCY1-t ~ Inspection Request: 726-3769 r- " 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 19.00 $50.00 B. 200 Amps or less >.,." 201 Amps to 400 Amps $ 75.00 A"uHR.ew:~~@aimfaw requires you to $125.00 foIlCMOiIl1AlMpS\~_the Oregon Utility $163.00 Notffi~n<fafl)IA~s~~e rules are set TOnts375.00 In OAIil~OO~10 through OAli ~o<::-uu 1$50.00 G090. obtain copies of the rUles bY - number for the regen I I Y 0 I lcatlOn Inst@Ju';'~"'1,i&l1e6O:OHlla€JMtW~on 200 Amps or less - 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 V oIts see "B" above. D. $ 63.00 $ 50.00 $ 69.00 $100.00 . J New Alteration or Extension Per Panel One Circuit , Each Additional Circuit or with Service or Feeder Permit t $ 43.00 $ 3.00 4?~ 3.09 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 ~ ;Limited rEpergy/Residential . $ 25.00 T'rliJife~.~nerw/cRo~rci\lJpIRE I~ -h- $.. 45.00 HI0 I"tKlVI11 ~ iP,LL tl\ r I t WUR MinWWP1.{IBff~tc'"JUW8~Pis~f~fS>~~<<ffr~'1'4 .0 urcharges 4. I{~ 5ZZ lfGO 5" 3 Sl.. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Pennit Application I-03,doc -~ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1324 33RD ST ASSESSOR'S PARCEL NO.: 1702303405600 PROJECT DESCRIPTION: Enclose carport CITY OF SP.K11~GFIELn - Building/Combination Permit PERMIT NO: COM2004-01384 ISSUED: 11/29/2004 APPLIED: 11/09/2004 EXPIRES: 06/0112005 VALUE: $ 4,320.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Owner: LARGE JAMES D Address: 2572 E ST SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor OWNER OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone Number: 541-521-0681 I CONTRACTOR INFORMATION I ATT\:.N'IUN: ure~on law requires you to follow ruIeked~ted ~ft'~])~ity Phone Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- ~~ }.:fihW OmalflI,.;UlJit:.:> u~ ti,e ....!"", t; BUILDING IN~t\~"'enter. (Note: the telephone # f S . number for the oregOn~ili~ Notification o tones: . ~~ ~~ Height of Structure Center IS 1-800- "F I'st~loor: Type of Heat: Wall Heat Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport 'Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' AC Mat Yes Sidewalk Type: N(Qlr~CE:- Downspouts/Drains: Curb and Gutter THIS PERMIT SHALL EXPIHE IFTHEWOHK AUTHORIZED UNDER THIS PERM~T \S NOT COMMENCED OR IS ABANDONED FOR M;~'; ~ ~9 blA'l' t-'t,KIUU. Valuation Descri tion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review, Planninl! Review Public Works Review Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01384 ISSUED: 11/29/2004 APPLIED: 11/09/2004 EXPIRES: 06/0112005 VALUE: $ 4,320.00 $1.00 4,320.00 Total Value of Project $4,320.00 $4,320.00 11/09/2004 ~ Amount Paid Date Paid Receipt Number $44.46 11/9/04 1200400000000001591 $6.84 11/29/04 1200400000000001661 $4.79 11/29/04 1200400000000001661 $68.40 11/29/04 1200400000000001661 $4.60 12/1/04 1200400000000001677 $3.22 12/1/04 1200400000000001677 $43.00 12/1/04 1200400000000001677 $3.00 12/1/04 1200400000000001677 11/10/2004 11/10/2004 11/10/2004 11/10/2004 $178.31 I Plan Reviews I 11/10/2004 APP SKG 11/16/2004 APP TAJ 11/16/2004 APP CAS 11/24/2004 APP DLM No Planning review required. No SDC fee's See documents for plan review comments. 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. ~eo1Jire~nsnections I Footing: After trenches are excavated. 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. Foundation: After forms are erected but prior to concrete placement. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 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: COM2004-01384 ISSUED: 11/29/2004 APPLIED: 11/09/2004 EXPIRES: 06/01/2005 VALUE: $ 4,320.00 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. r-<a~o~ ~er or Contractors Sign6lre Paee 3 of3 r d ~cJ I ,-0'1 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii...~ /~ of Springfield Official Receipt l'tvelopment Services Department Public Works Department RECEIPT #: 1200400000000001677 Date: 12/01/2004 10:08:32AM Job/Journal Number COM2004-01384 COM2004-0 1384 COM2004-0 1384 COM2004-0 1384 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard , Paid By JAMES LARGE Received By djb Item Total: Check Number Authorization Batch Number Number How Received 025979 In Person Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 12/1/2004 Page 1 of 1