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Home My WebLink AboutPermit Electrical 2007-11-19 :..:- t..t , _CX'_ INITIALS N ~ DATE l \ - \ S -,,-, SOURCE '("'r\.. '0S \ n---", ZON 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL ~RMIT APPLICATION City Job Number (. jJrYI ~ 7 - /) lS'77 1. LOCATION OF INST...4LL4.TION: ; .:./,"7~-l ('c\... i,v\ c\ lJ t,-~ (- L \.. - , "__. .i-- ) I , LEGAL DESCRIPTION: 110 L~ 'd'1 ~3 0 JOB DESCRIPTION: f'://Z-V) ,SRLVL (.L ;' h ~ /Yl offe Xj Permits.are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. J 1 Ct) CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor ~ p~ ~ Address ! ~ D K'!f/c, l ~ {) v\.~ - I j ( City ~ U7 ~ Phone -1~ 87 ZJ23 live- Supervisor License Number .., 97C;- 5 Expiration Date /@- 10-- /J 7 Constr. Contr. Number /1)- '3..s-Z- c Expiration Date 1- f.- 0 '73 Signature of Supervising Electrician ~~+JjPAh City E I. C/;( !t""t ~- Y" (::'v' I J '7.5 17 1;, v i.^-.c,- v.-___c ~< -rt-~'w....,i:' {l v>'!-- ~1'i..--" S V I , ~\ Ct -\:,' t! I cI. Phone -j- ~.; , -7'1 .-127 i I I Owners Name AI ICe Address OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: "' , c;., I . " ' Cl-J,-~~~Q__ c-:vL i'~~(~--_\...\\.. v j / Inspection Request: 726-3769 Date / //J(J/ 67 I 3. . CO~MPLETE FEE SCHEDCJLE BELOI,t7 A. New Residenti~l- Single or Multi-Family per dweIHng unit. 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 $106.00 $ 19.00 $50.00 B. > Services or Feeders - Installation, Alterations or Relocation: r--r~''''~ ;'.-!~> (~(:- : '(\11 tr:P {.; (/ r>.,4 0 '.,. 200 A~ps or less 'ffC., :,1$ ;e;.;ooy 201 Aqips ti.1"40(J, Am.;gs ~. $j~A~ ~ h 40 I A In~," ;6.0-'" 3. ~ 'js' . U It< t15 'fiX ~~r~~) ,~li'ti'tR'i i'f't:'~~,.: 601 Amp~~t,qni{Oe:-~'!IW':>.;r. ::. :?'$l:(ja,,~ I Over lOlj)'Ojmio.pj;N6ltil(~ '., ;. ; ;)-$~;'OO'I Reconnect Only Center is 1-8i.J()-0J~-~044)$ 50.00 I C. Temporary Services or Feeders ~! (p..,.... i:. Installa t~rfr~r~f,~~~s1~n9C1~9!1 200AmI1~tn~~~~RiZFD U !, $50.00 I . ~ 201Am~{tRflP!P;.Apl~, U I $69.00,.-.:1 401 Am~;~~6'oQLAmps/ ,':,: 1 ;~,.. ,,'\''. L.o U I H$1dcl:tJo 'K1H rOiJ U))) t-'ti'lii.JU. Over 600 Amps or 1000 Volts see "B" above. D. Branch New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.02., <t.u~ $ .-3-:00 -it '-/ 'J. I J' "~.1 ; E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyIResidentia1 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE \oJ .~jJ.f'~ I ,J ~';:. \ IJ J~.>O ~ o. !3t) ~ -r,t::::'" \ t.. :'.) . ;-.'7 TOTAL . d, l sy .C\~ 11... q,1 ::r Shared Dnve(T:)/sd ldmg FOIms/Electncal Pennit Application 8-06.doc 8% State Surcharge 10% Administrative Fee 5% Technology Fee Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1457 TAMARACK ST ASSESSOR'S PARCEL NO.: 1703273303100 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01577 ISSUED: 11/1312007 APPLIED: 10/22/2007 EXPIRES: 05/13/2008 VALUE: $ 50,000.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Interiorlexterior remodel Owner: EICKMEYER ALICE JUNE Address: 3852 COUNTY FARM RD EUGENE OR 97408 TYPE OF USE: Remodel I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor STUART JORDAN BARONTI BOB FISHER ELECTRIC INC FRANK ROMERO License 68497 96275 40892 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 3 1 14.00 Electric Electric Electric Path 1 nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential . Phone Number: 541-741-7424 Expiration Date 04/24/2008 0112512008 12/2012007 Phone 541-255-0694 541-689-7973 541-935-3263 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPR()\VEMElN:F~~Oregon law requires YOU.l,a .. - . t d by the Oregon UtIlity lOIlUVV I un,;:, op e h Street Improvements: Notification Center. S'1~05ltl~re set fort Storm Sewer Available: In OAR 952-o01-001Q1 ~rought9.hR ~52-o01. v. btal~ c~S~~% ott{fflIY6tes by Special Instruction: 0090. IOU may 0 (N te' the telephone calling the center. o. . . . ...............n for the Oregon Utility Notification Notes: No new surfaces, only adding 3 fixtures to exixsting 1Jlfilff('t'l'fl!ree t . 1 000-332-2344). NOTICE: n er IS -g THIS PERMIT SHAl AUTHORIZED UNDE~ ~~~~RE IF THE WORK COMMENCED OR IS AB PERMIT IS NOT ANY 180 DAY PERIOD. ANDONED FOR Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01577 ISSUED: 11/13/2007 APPLIED: 10/22/2007 EXPIRES: 05/13/2008 VALUE: $ 50,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 50,000.00 Value Date Calculated Total Value of Project $50,000.00 $50,000.00 10/22/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $265.42 10/22/07 1200700000000001326 -Mech Iss 2+ Appliances- $40.00 11/13/07 3200700000000000747 + 10% Administrative Fee $58.63 11/13/07 3200700000000000747 + 5% Technology Fee $29.32 11/13/07 3200700000000000747 + 8% State Surcharge $46.91 11/13/07 3200700000000000747 Building Permit $408.34 11/13/07 3200700000000000747 Dryer Vent $7.00 11/13/07 3200700000000000747 Fixture $128.00 11/13/07 3200700000000000747 Minimuml Adjustment Mechanical $29.00 11/13/07 3200700000000000747 Sanitary Sewer - Improvement $183.64 11/13/07 3200700000000000747 Sanitary Sewer - Reimbursement $241.50 11113/07 3200700000000000747 SDC Sanitary/Storm Admin $21.26 11/13/07 3200700000000000747 Vent Fan $14.00 11113/07 3200700000000000747 + 10% Administrative Fee $12.60 11/19/07 2200700000000001719 + 5% Technology Fee $6.30 11/19/07 2200700000000001719 + 8% State Surcharge $10.08 11/19/07 2200700000000001719 Add, Alter, Extend Circ Ea Add $56.00 11/19/07 2200700000000001719 Perm Serv/Fdr 200 amps or less $70.00 11/19/07 2200700000000001719 Total Amount Paid $1,628.00 Initial Review 10/2512007 Public Works Review 10/25/2007 Planninl! Review 10/2512007 Structural Review 10/2512007 I Plan Reviews I 10/2512007 APP LLH 10/26/2007 APP LKW No new surfaces, only adding 3 fixtures 10/29/2007 APP T AJ No Planning issues. 11/0712007 APP DLM See documents for Plan areview comments Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01577 ISSUED: 11/13/2007 APPLIED: 10/22/2007 EXPIRES: 05/13/2008 VALUE: $ 50,000.00 225 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 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. Reouired Insoections , Footing: After trenches are excavated. Post and Beam: Prior to tloor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor 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. 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. I fJJA;'n g(~~ Own~r- or Co;;ractors Signature 11/;7/CT7 Date / I Pa2;e 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 COM2007-01577 COM2007-01577 COM2007-01577 COM2007-01577 COM2007-01577 Payments: Type of Payment Check cReceint 1 RECEIPT #: 2200700000000001719 Date: 11/19/2007 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 ALICE J. EICKMEYER Item Total: Check Number Authorization Received By Batch Number Number How Received 5058 In Person Payment Total: nJm Page I of I 10:48:35AM Amount Due 70.00 56.00 6.30 10.08 12.60 $154.98 Amount Paid $154.98 $154.98 11/19/2007 BCD - CQntractor/Individual License Holder Search . . . Page 1 of 1 ~~:J4: ~~; ; <>~'t ^ ,,~, ~tffi~nt,""::{$~?~~'l~;'~?'~"""{'h,^~ - , ., ,~,t'),'<i~"~<;.r~, ,:~.'k ;!i,~\~.'~; Departlnent of ConSUlner & Business Services .,.O,REC~N.gou "'~';;lIf\1ll:1l)""". ,~, ~'"'' Bu1'\in.9: Codes Dl'''n'l'C'l'Oll "'lI~;{.~Wi<l:.-~~l'J;.{J~>~'M~",,",,,-<<-,,~"ili*&J.;~&5" I;~~ <0" ~ 0 r:..,:!::..~.. ~ :,: ~.,~..,<<;@ ~.;:~"',~v1'f~," ~ ~':~~ ~ri?:~'~~ ~ '" ~~"*" r$Wt}~~0;S"o\i>-*\,~;.'Y " ""'U"M;:M,~:Rili1;~!,.l-<4L'" i${]?t~z*%~",,7.,,> *"_-,,, ",1i'k MWW:1Itd'll]' "ifL'S:-:~ i ~>h," ,}('t1"*4 . W4~~::%1l'i~ f,;";(A'f,{fi^'~k"4~ x;;:wJ%:%h"1~ A ",J:. ~f MW~ilXilli~~~NNN.W.- ~ ^,N '\.,~~v, Search BCD Departments Divisions Other BCD Search Results of your search Displaying 1 - 1 (1 total) Prey I Next Your query for: License no: 3~75S ROBERT D FISHER. EUGENE, OR 97404 County: LANE Employer: BOB FISHER ELECTRIC INC CE required (CR + CC): 24 Of the total CE required, you must have at least: 8 CC Currently you have CC: 0 ,CR: 0 Total CE: 0 License/Registration No: 3975S Type: S-General Supervising Electrician Status: Active Expiration Date: 10/01/2010 CC = Code Change CR = Code Related CE = Continuing Education Displaying 1 - 1 (1 total) Prev I Next Total Records Returned: 1 Go Back to Ouerv my I ic_sea rch .sea rch. get_na me_resu Its Text Onlv I State Directorv I Aaencies A-Z I About Oreoon.oov I Oreaon.aov I Site MaD I File Formats I OAR I ORS I Privacy Policv I Web Site Feedback v http://www4.cbs.state.or.us/ex/aIVrnylicsearch/index.cfin ?fuseaction=search.get_ name_results " 11/19/2007