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Home My WebLink AboutPermit Electrical 2007-10-16 Date ZON L..-LYL. INITIALS N VV\ DATE\I.':\..- \:-1 - (1-, SOURCE~~ /O-/{,-07 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number t' C;:WfA. c::..OC> 7-- O/.J Z- z. Expiration Date-~Odl IT . ? Qn c; Installation, Alteration or Relocation _ ", 11e:FF+On. C't"l8Un law re.oo\r~~}({)")l $ 55.00 IJ ~ Qf9iftl;v rules adopted by the trieg~inJlni l~ Constr. Contr. Number I /NOtincAti.o.n nA'3t.e.Uhose ru~~lat\f!Hjto/O'tw Amps $ 76.00 i~ O,.6\R 952-001-0010 through'lOAMB2talff.Q Amps $110.00 Expiration Date Ib e (, Q,OSW:> You may obtain copies L\f thArf',I.II",.. hu 1000 V It "B" b c IIing the center. (Note' thCN1etIO'u\rmn~or 0 s see a ove. Signature of Supervising Electrici mber for the Oregon U~ 13 1 _Center is 1-800-332-~)Alteration or Extension Per Panel ( - , AV1M One Circuit tf$! $ 48.00 / - ,/ J Each Additional Circuit or with t'J ~ l / Service or Feeder Permit ! $ 4.00 Owners Name 'TQ..'i'~!\ 6\.-ti. t -? ~ . 1-1 Address ;'itv'\.P C(zr.s l{,+"'- ~ E. City ;> f>pb Phone 91 f - L/, ~ , Pump or irrigation $ 55.00 NonCE: Sign/Outline Lighting $ 55.00 OWNER INSTALLATION THIS PERMIT SHALL EXP'fltntF~~idential $ 28.00 !he in.stallation is being made on ,WJJiW~~i\!IilER THIS~Mlt'r8!N6fmmercial $ 50.00 IS not mtended for sale, lease or r~i:rMMENCED OR IS MJAfWJmv . Permit Inspection Fee is $50.00 + Surcharges ANY 180 DAY PERIOD. 4. 0'6 bOOD Tb" Y70 /OJ- ,78 1. Lf 2. ( ~. '-t-jIlt1. LEGAL DESCRIPTION: )70ZSZL{~ S1~ ~lJ(.c '-of. ~ U ob'OO JOB DESCRIPTION: jt-DD-;X- u;;>.\J I J/ /? t:'1ZVL('.p C' ~~ / - IJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor If -! {; L6<: / tZt c Address ~ 0, ~ t.-( (357 /. City J.:;lV(. y~ -e.- / Phone ? DC.? - Z 797 Supervisor License Number Lj f5f5fo$ Owners Signature: Inspection Request: 726-3769 3. A. 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. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 70 C. Ib 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc 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: COM2007-01522 ISSUED: 10/11/2007 APPLIED: 10/09/2007 EXPIRES: 04/1612008 VALUE: $ 23,560.00 SITE ADDRESS: 421 S 47TH ST ASSESSOR'S PARCEL NO.: 1702324306900 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Garage conversion Owner: TRENT MILLER Address: 421 S 47TH ST SPRINGFIELD OR 97478 Phone Number: 541-988-4949 I CONTRACTOR INFORMATION. Contractor Type General Electrical Plumbing Contractor KEITH LEESMAN A-I ELECTRIC RILEY PLUMBING & CONSTRUCTlON'';''-.-069050 I BUILDING INFORMATION I License 72082 Expiration Date 04/04/2009 03/14/2008 Phone 541-995-6157 541-606-2797 998-8092 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB A.#'~f:~,~ries: Lot Size: l' .-1'0' ''"'f N. S ICiiH~lit om~Yifr q Ft 1st Floor: .Notiifie~8ft;F1e1fjbPte~~/aWW1#Jblldat Sq Ft 2nd Floor: In O.w;a~'tYP'e1ter. Th Y the Ore S You tiJI Ft Basement: 0090R~i$-t)0;OthO. serUleSI~on lJtl.1l6J1 Ft Garage/Carport CalfJi,1lff.~{J7;/(tDbtain 0 rO~gln@A JJt' fotih Ft Other: nUJ1).5'f~&f:BtBl.diM.OPles Ofm ~-oOt1kcupant Load: ~ ' ~h~ '\~2uJ Ote~ ~"'"feoJ rule" f:J" DEVELOP~IJ$' t mr - none .w. catio,. REQUIRED PARKING R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " -..._~><. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 28.00 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fullv Impnfff1T'CEa TM~ PE · Downspouts/Drains: ~gJ:E~11[ ~i~57E~liJ~~~: ANY 180 DAY PERIOD. OMED FOR Sidewalk Type: Curbside 5' Curb and Gutter Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01522 ISSUED: 10/11/2007 APPLIED: 10/09/2007 EXPIRES: 04/16/2008 VALUE: $ 23,560.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction Garal!e Conver. Garal!e $ Per Sq Ft or multiplier $76.00 Square Footage or Bid Amount 310.00 Value Date Calculated Total Value of Project $23,560.00 $23,560.00 10/09/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $155.19 10/9/07 2200700000000001560 -Mechanical Issuance Fee- $20.00 10/11/07 2200700000000001575 + 10% Administrative Fee $33.68 10/11/07 2200700000000001575 + 5% Technology Fee $22.64 10/11/07 2200700000000001575 + 8% State Surcharge $26.94 10/11/07 2200700000000001575 Building Permit $238.76 10/11/07 2200700000000001575 Fixture $48.00 10/11/07 2200700000000001575 Minimum/Adjustment Mechanical $43.00 10/11/07 2200700000000001575 Plan Review Minor - Planning $116.00 10/11/07 2200700000000001575 Sanitary Sewer - Improvement $122.42 10/11/07 2200700000000001575 Sanitary Sewer - Reimbursement $161.00 10/11/07 2200700000000001575 SDC Sanitary/Storm Admin $14.17 10/11/07 2200700000000001575 Vent Fan $7.00 10/11/07 2200700000000001575 + 10% Administrative Fee $8.60 10/16/07 2200700000000001594 + 5% Technology Fee $4.30 10/16/07 2200700000000001594 + 8% State Surcharge $6.88 10/16/07 2200700000000001594 Add, Alter, Extend Cire Ea Add $16.00 10/16/07 2200700000000001594 Perm Serv/Fdr 200 amps or less $70.00 10/16/07 2200700000000001594 Total Amount Paid $1,114.58 I Plan Reviews , Planninl! Review 10/09/2007 10/09/2007 APP TAJ Public Works Review 10/09/2007 10/09/2007 APP LKW Existing roof, no new surfaces, 3 fixtures added to garage conversion shell Structural Review 10/09/2007 10/0912007 APP DLM Approved as noted on the plans. 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. Pal!e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01522 ISSUED: 10/11/2007 APPLIED: 10/09/2007 EXPIRES: 04/16/2008 VALUE: $ 23,560.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I 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. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Rough Electric: Prior to Cover Final Electric: When all electrical 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 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01522 COM2007-01522 COM2007-0 1522 COM2007-01522 COM2007-01522 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000001594 Date: 10/16/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Al ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 015602 In Person Payment Total: Page 1 of 1 11 :47:S9AM Amount Due 70.00 16.00 4.30 6.88 8.60 $105.78 Amount Paid $105.78 $105.78 10/16/2007