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Home My WebLink AboutPermit Electrical 2004-12-1 ",,\ . ' ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726~368%,<'O.,..,. ELEc..a1<ICAL PERMIT APPLICATION ';0"'0: ~ "- . . . 0 V Q, <$>/ "0' \9 .. CIty Job Number Lot-'VIZOC>4. ~ 0 J 'J I ~ Date I Z - 0 (-\ -<; ~I'<s> . ,%.0"'0 '-'0 ~ (\l<!' )"<9(> 1. 3. . ' S'-~5 Ca<;cc.k ~~-c..... LEGAL DESCRIPTION I f? 0 lO 2'2.. 2. 06 700 Service Included JOB DESCRIPTION X~<; ~) ~ ~ '" !1$~ I1rch...!frooo sq. ft. or less '2 ..~ (\ \ I ,,\ ~ A Each additional 500 sq. ft. or ...J~~C\'('C.\,)\~ ~\l \D.. )~r VJ~ ~ ~J.. portion thereof In!tfIllfti~i,N{j~P..ft1Jll:? ~iM\:I~lto~N ED FOR 200\~pl~Plg~y PERIOD. $ 50.00 201 Amps to 400 Amps $ 69.00 I 401 Amps to 600 Amps $100.00 ~ / O/t; Over 600 Amps or 1 000 Volts see "B" above. SingElec~'a D. . ~ . /' _________New ~te~ation or Extension Per Panel / . '" . One CIrcUlt ' I $ 43.00 ~ /' ~. % Each Additional Circuit or with ~ /. //"'. Service or Feeder Permit r::2 $ 3.00 Owners Name ---'.dyP U<- { ~ /OL,?/7 .. . l-ff 57 8"' C/y> LA- ~e 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 .<:?I\S1"'c!- z::.(ccLQ ~-V\L Address ~ 4, D (0 c:::, EtA.V'e V If e jJ City ~i"()5e()1' Phone q I <)'"c(Yf3 4 Supervisor License Number C; () (gO,) Expiration Date / ~/ 0 1 Constr. Contr. Number I )fjA~1 Address City S ?i~ \\ Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or re!1t. Owners Signature: I.sp'cli.. R'q."': 726_37~~ ~ Each Manufact'd Home or Modular Dwelling Service or Feeder B. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect,an ly i'iJ II.>> b H...:F::: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Lf5.<f2 &.& E. Pump or irrigation $ 50.00 sign/ou~ifu1Ei.%h~~: Oregon law requi !~rd~ ~u LimiteJ~Q~M!~~ted by me tirt: on. IlK,... . . ~q!ifica~w.n Cente~ ThO.:lt:lluies-~e s~ fot.... LImIt :n' O~ff~5~~,r_1)01 0 through OAA~~.OC1- Minimum I800r1~r~~ttmP~i\!~tft.QJ\S-~e9tlPl2es one 4. atiOR '--( 9 7tr? 'i?O 57 '7:> 7% State Surcha~smter is 1-800-332-2344). 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsIElectrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01319 ISSUED: 11/23/2004 APPLIED: 10/25/2004 EXPIRES: 05/30/2005 VALUE: $ 26,171.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 538 CASCADE DR ASSESSOR'S PARCEL NO.: 1802022206900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Carport and 2nd floor addition Owner: STEVE KLOPP Address: 538 CASCADE DR SPRINGFIELD OR 97478 Phone Number: 541-915-1223 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor ROGERS CONSULTING & CONST INC SUNSET ELECTRIC INC OWNER License 52638 158859 Expiration Date 11/12/2005 02/27/2006 Phone 541-915-1223 541-915-4883 VN N6~~lf:l:pING INFORMATION I THIS PWfsTo~~LL EXPIRE IF THE W~RI\ ot Size: AUTHOH~git ~"W~t~H4IS PERMIT IS NOt;'q Ft 1st Floor: COMMrn~DfQfo:~tS ABANDONED FOR Sq Ft 2nd Floor: ANY 18W:O~r{ltY~~110D. Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 15.10 Total: Handicapped: Compact: 20.00 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ATTENTION: ~~6~U1resyouto Fully Improved follow rules a~~ted by the O~ Utill\y Curbside 5' Yes N t'fi t'on Ce ~R&DJlgfl\\l~e set IdfIrb and Gutter St d.. . d t b f 0 I lea I r. IrlU orm ram age pIpe 0 cur ace in OAR 952-001..Q010 through OAR 952-001- 0090. You may obtain copies or the tutea by calling the centet (Note: the telephone number for the Oregon Utility NotifiCaIiOft Center 181-800-382..2344). Notes: Pal!:e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01319 ISSUED: 11/23/2004 APPLIED: 10/25/2004 EXPIRES: 05/30/2005 VALUE: $ 26,171.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Carport Dwellin2S Type of Construction Carport V Wood Frame $ Per Sq Ft or multiplier $16.60 $92.40 Square Footage or Bid Amount 352.00 220.00 Value Date Calculated Total Value of Project $5,843.20 $20,328.00 $26,171.20 10/25/2004 10/25/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $153.47 10/25/04 1200400000000001508 -Mechanical Issuance Fee- $10.00 11/23/04 1200400000000001648 + 10% Administrative Fee $32.61 11/23/04 1200400000000001648 + 7% State Surcharge $22.83 11/23/04 1200400000000001648 Building Permit $236.10 11/23/04 1200400000000001648 Not Covered Mechanical $45.00 11/23/04 1200400000000001648 Plan Review Minor - Planning $59.00 11/23/04 1200400000000001648 Plan Review/Residential Hourly $67.50 11/23/04 1200400000000001648 SDC Sanitary/Storm Admin $9.56 11/23/04 1200400000000001648 Storm Drainage Impervious Area $191.22 11/23/04 1200400000000001648 Storm Sewer - 1st 50 Feet $45.00 11/23/04 1200400000000001648 + 10% Administrative Fee $8.40 11/30/04 1200400000000001670 + 7% State Surcharge $5.88 11/30/04 1200400000000001670 Fixture $84.00 11/30/04 1200400000000001670 + 10% Administrative Fee $4.90 12/1/04 1200400000000001675 + 7% State Surcharge $3.43 12/1/04 1200400000000001675 Add, Alter, Extend Circ $43.00 12/1/04 1200400000000001675 Add, Alter, Extend Circ Ea Add $6.00 12/1/04 1200400000000001675 Total Amount Paid $1,027.90 Initial Review Plannin2 Review Public Works Review Structural Review I Plan Reviews I 10/27/2004 10/27/2004 APP SKG 10/27/2004 11/04/2004 APP TAJ 10/27/2004 10/28/2004 APP CAS Storm drainage piped to curb face 10/27/2004 11/17/2004 WE RJB Plans have been checked and all infomation is in system. Requesting information on how new rafters for carport are attched to existing house, called on 11/18/04. Plans are on hold. 11/23/2004 11/23/2004 APP DLM Structural Review Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01319 ISSUED: 11/23/2004 APPLIED: 10/25/2004 EXPIRES: 05/30/2005 VALUE: $ 26,171.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request aD 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 Insnections I Post and Be'am: 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. 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. 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 Pal!e 3 of 3 2.25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01319 COM2004-0 13 19 COM2004-01319 COM2004-0 13 19 Payments: Type of Payment , CreditCard 12/1/2004 RECEIPT #: 1200400000000001675 Description Add, Alter, f:xtend Circ, Add, Alter, Extend Circ ,Ea Add + .7% State Surcharge + 10% Administrative Fee Paid By ROBERT ROGERS Check Number Received By ,Batch Number djb " Page 1 of 1 ,. '+y of Springfield Official Receipt _ ~velopment Services Department Public Works Department Date: 12/01/2004 8:23:06AM Item Total: Authorization Number How Received Amount Due " 43.00 6.00 3.43 4.90 $57.33 Amount Paid 627302 In Person Payment Total: $57.33 $57.33 )