HomeMy WebLinkAboutPermit Electrical 2006-2-15
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i25 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL PERMIT APPLICATIOJV
City Job Number CCaMZOOf"- Olb( -, Date
B.
~ cd'" la:::, 'S\ c?c'Tn <- 200 Amp, o'l"~ i\\'i. ~ ~1
~ I c. . 20Lt~~W~~. ~
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\'\ '&~~it.~\l~\) \~~ ~t&f}\f)00 Amps
Phone ,~n :\~Gf\~Ct.\)~~rl~AmpsNolts
I\"r-..~~ 1\1\~&t'efihect Only
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LEGAL DESCRIPTION
17D325""3J
D 7260
JOB DESCRIPTION
A-dJ. zoo,4,AAI SR-JL
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 d \lS
Citye CiC'\ <2X, f
J
Supervisor License Number ;<5020
\0.\, OJ
Expiration Date
Constr. Contr. Number
;:;0.. \ 55 c-,
Expiration Date
1- \ - n Iv)
o -rAwte)
Address J Lt 0 b
City St> ;;:""'b Phone
OWNER INST ALLA TION
The install.ation is being made on property I own which
is not intended for sale, lease or rent,
Owners Signature:
Inspection Request: 726-3769
.~~
~~ &lb
3,
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
:-t!~l~!~r~imL;
$ 63.00
$ 75.00
$125,00
$163,00
$375.00
$ 50,00
bJ
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
O;::r,~8g,.~~g~,,~~,;;?00 Volts see "B" above,
D. .:,1~2.I.!~,~~<~rSU:~~f:
New Alteration or Extension Per pa~~b'O'100\\\\\'l
One Circuit \ ~ ~e~,p'o.O(\ $ 4:}iJf~'(\
Each Additional Circuit",orcwitlf \'(\e V' s 'O.~e S~?_(J(J\
Service or Feeder~~@h(~eo 'O~ (\\W _ ,,~$j3,~gs '0"1
E. ";~ii.Jtl~~;~~~(S~~~&~1j~~~~~~ri~i~1~~~tiItK'~~E~j
..._..,.\o\\~'\l;;\\O~~~66\ -C}~\~\{\"EP~\e;:,\~e..\~6\\V:}(<.."..,..,..- "",.".",,"..,
Pump 0t,i:r.n~ati~TlJ ,,-...,0 < ~ _ \ \\~\\'l $ !90~0
, '.(l~~.' ~"\ (('Pl ~e\. \' _?~3'"
SlgnJO~Ime Llghtmg e (je(\ O~e(~P ^fl.,?>'2. -$ 50.00
f'\\'i~\J' n ,-" k\e . 'Q\Jv .
Limited EFler@0./.;R0esi1e{ljicN\ ~ \'0 \- S 25.00
L. . . E IR,ne ''\.\10
lmJtea nerg~{.\v0m~.cla $ 45.00
,
Minimum Electric Permit Inspection Fee is $45,00.7" Su;r'charges
$ 50.00
$ 69,00
$100.00
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4'~~~~~::.~i~=~~;~;~lii;;;:,~.;{~,t!:i~J6B.\~.~~ .
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50'(
670
71{ )j
7% State Surcharge
\0% Admmistrative fee
TOTAL
Shared Drive(T:)fBuiiding FormstElecoical Permit Aopiication i -03,QOC
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: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/16/2005
EXPIRES: 08/07/2006
VALUE: $ 29,376.00
. SITE ADDRESS: 1406 CARTER LN
ASSESSOR'S PARCEL NO.: 1703253309200
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: JAMES GALLOWAY
Address: 1406 CARTER LN
SPRINGFIELD OR 97477
Phone Number: 541-746-0124
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor License
JOSEPH J cAfJDTlCE: 77941
REYNOLDS ~"hmMIT 17252
HOMECOM~~~...
tJuM . - - ~ hliH~
, ANY 1 I1Y PFA ~D FOS NOT
# of'StYQPs: R 1
Height of 14.00
Type of Heat: 'orced Air Electric
Water Type:
Range Type:
Energy Path:
Sprinkled
Expiration Date
11/13/2006
02108/2007
06/25/2007
Phone
541-344-7331
541-343-7297
541-345-2838
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor: 306
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
Path 1
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
, Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
10.00 Overlay Dist:
5.00 # Street Trees
.ATTENTlOl\r.av~~ Drive Rqd:
44.00tlow rut %CJfcEOtrQmr~~' 42.70
Notificatio es adopted by the 0 Ires You to
:_ ~ , n Cento~ 'rL .'. reOon I/ti/;'j
o09;~JiuBi~0-IfMF~9~5w:et fo~th
, . '~y UUlal ' . .. ~52-0D.l
l?J~J1ltkl1a tho.. Wnt n COPies of the rut -s ftewalk Type:
~rrU(rlOmprove ~ er. (Note- th es by
er fOi\1~ Oregon Utili e tete/?hone Downspouts/Drains
Center IS 1-800-3 ty NOfff1cation
32-2344).
Storm drainage piped to curb face 11/17/2005 CAS
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction:
Curbside 5'
Curb and Gutter
Notes:
1 of 3
CITY OF SPRINGFIELD.
Building/Combination Permit
... I
Status: Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/16/2005
EXPIRES: 08/07/2006
VALUE: $ 29,376.00
I Valuation Description I
Description
Dwellin2s
Type of Construction
V Wood Frame
$ Per SQ Ft
or multiplier
$96.00
Square Footage
or Bid Amount
306.00
Value
Date Calculated
Total Value of Project
$29,376.00
$29,376.00
11/16/2005
l Fees Paid j
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $164.87 11/16/05 1200500000000001729
+ 10% Administrative Fee $25.37 12/23/05 1200500000000001857
+ 7% State Surcharge $17.76 12/23/05 1200500000000001857
Building Permit $253.65 12/23/05 1200500000000001857
Plan Review Minor - Planning $85.00 12/23/05 1200500000000001857
SDC Sanitary/Storm Admin $7.53 12/23/05 1200500000000001857
Storm Drainage Impervious Area $150.53 12/23/05 1200500000000001857
+ 10% Administrative Fee $7.60 2/3/06 1200600000000000110
+ 8% State Surcharge $6.08 2/3/06 1200600000000000110
Add, Alter, Extend Circ $43.00 2/3/06 1200600000000000110
Add, Alter, Extend Circ Ea Add $33.00 2/3/06 1200600000000000110
+ 10% Administrative Fee $6.30 2/10/06 1200600000000000151
+ 8% State Surcharge $5.04 2/10/06 1200600000000000151
Perm Serv/Fdr 200 amps or less $63.00 2/10/06 1200600000000000151
Total Amount $868.73
I Plan Reviews I
Initial Review 11/16/2005 11/16/2005 APP LLH
Plannin2 Review 11/16/2005 11/29/2005 APP TAJ
Public Works Review 11/16/2005 11/17/2005 APP CAS Storm drainage piped into existing
to curb face 11/17/2005 CAS
Structural Review 11/16/2005 12/21/2005 APP RJB
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.
I Reouired Insoections .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
2 of 3
Status:
Issued
CITYOFSPRINGfilELD'
Building/Combination Permit
PERMIT NO: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/1612005
EXPIRES: 08/07/2006
VALUE: $ 29,376.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
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, 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 wiD 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
SpringfiNd, Oregon 97477
541-726-3759 Phone
.J~-;"
Wir.
rity of Springfield Official Receipt
;velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01617
COM2005-01617
COM2005-01617
Payments:
Type of Payment
CreditCard
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2/10/2006
RECEIPT #:
1200600000000000151
Date: 02110/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Perm ServlFdr 200 amps or less
Paid By
ELLEN REYNOLDS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 015032 In Person
Payment Total:
I of I
3:30:49PM
Amount Due
5,04
6.30
63.00
$74.34
Amount Paid
$74.34
$74.34