HomeMy WebLinkAboutPermit Electrical 2007-5-25
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (O&Al\'ZOO'1-- 00 5" 8 b
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
1 j .:.:' , Reconnect Only
(II ~vll
.....>{""'~ C/I\}. ,
/ / I ,1Q1/~ <! _II;:;, lh..,
Supervisor License Number f b G..-t; '8il' .,' "'s (./O'J/.CY(,T.e~Rorary Services or Feeders
<....4.. '" c\;-. Jtea 1- ~ 1f t~:'11
/ !IJ}oACtn 9,:);3 cr~ter 'J' "} fI, 'f;'IIS.,
/ 0 I ot-U(,d';(":;', --001_00 . I ttt9ml)a'tfon~r;}l.te,rat1l(jo.tl6 Relocation
I ,//'~ ':"IQ 1 U 11 '; I' '~'UOf) (j.. '
fl' l!Jf) fh Y Obf& '. Z~WJjs' or kM ,dit, $ 50.00
/] b j'lJi'tQ~ f;}rt;28t)re~ ;~,~@p~ps~(fl~~#~/pb;' $ 69.00
1 / /00 "Ie O"sg"\{~OO,It~~~ttfJr8)Cfl'1;,1n9s' $100.00
E . . D /1 ' On I; -'Tr~ fe' J '!1:'i
xprratJon ate ! -, ~ -, ,6~l!iflyJrvfJ~rt}~06 Volts see "B" above.
Signature of Supervising Electrician D. Br1i~1;! tHreiffl~!)
1f~t :i! lJi~jl./?t, ~:: ~::;tion or Extension Per Panel I $ 43.00
1..rj//~;:~'-/?(!I//~ Each Additional Circuit or with /
Owners Name "J?rA~ /t!!J{~~! f: IIi!i Service or Feeder Permit
Address { 4 7 ~ It 6K~~~ }/~J (/..I/~:)/I/(Et! Miscellaneous (Service/feeder not included) -Each Installation
City (~;:+>(~~ Phone ~ q~7/~J}$'~vh(;;:(I~?;I1I1mH~{.(ibt)l~ation $ 50.00
f(;!/s~~ililJrJe Lighting $ 50.00
'jh
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
1. LOCATION OF INSTALLATION
U~~",,~Jl- (
LEGAL DESCRIPTION
\7D1: Z$'"31 1 (f,oo
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3.
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JOB DESCRIPTION
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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.
CONTr~CTOR INSTALLATION ONL1T
Electrical Contractor
Ev~(v Lh\A Qec1 r; c"
I I
b5W-l DI\lIS/O~ ~Ve-
Address 7MB 1.72
City tlJjPf\ e.
ba 7 ~qog
Phone
Expiration Date
Constr. Contr. Number
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date
COll-IPLETE FEE SCHEDULE BELOH'
A, New Residential- Single or Multi-Family per dwelling 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:
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 3.00
1("7
.3
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4, Sf J13 TO TAL OFABOVE t(~
8% State Surcharge :Y b8
10% Administrative Fee Y'60
5~ TBn F€e i 2-:;0
TO't<\.L 56 5~
Shared Dnve(T.)/Buildmo fonl1siElectnca Penl11t Apphcatlon 1-06 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00586
ISSUED: 05/11/2007
APPLIED: 04/20/2007
EXPIRES: 11/2412007
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS~ 1479 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: 1703253311600
Springfield
TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion to Bedroom
Owner: CLEMENTS BRADLEY & SHERYL A
Address: 1479 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-342-5151
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
M,D, CONSTRUCTION
EVERYDA Y ELECTRICAL SERVICE
License
153658
136371
Expiration Date
12/06/2008
08/12/2007
Phone
541-342-5151
541-607-6908
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
~ A1li"~1'I>>.eat: Wall Heat Sq Ft 2nd Floor:
V OlloWflber "fW~ra Sq Ft Basement:
/ Otif;C1/fl8~'i!t~Pt 'gon laW ra Sq Ft Garage/Carport
n O~~~lg9BIIlfi%ir ed by the <7pWfDs Yo Sq Ft Other:
0090. Y~P~~QfllJl}i11~sa rlJl Or~Dbn U ~~cupant Load:
....._1'1. U 1h~l 1Q,,,\ le~ - filiI).
~~ftO -,.!ftN . ~~~1~;et fOrt
IU~~' (~e: the' the rlJ~--oo'
Overla)nD~s.&~on Utility telephO/1 S I
# Street Trees 'Rq{p,2..23 NOtifiCClti ·
Paved Drive Rqd: '44), On
NO % of Lot Coverage:
rkl(~rICG:
. I t:1 f.,.J.I"~ C""
4VrNdP~l~IMPROVEMENTSI
O()Il1.. ~t~~ -'ff{j tJ.2~.LL fXp Sidewalk Type:
4Nr -/I/O!/) rvDER. ~/ff I
'110 () . OlliS tHIS p 'f rHt Downspouts/Drains:
Ill" PeR 484//J. '(!lMlt WOR/(
~o{), VOIVED f:: NOr
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 3
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
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
Public Works Review
Structural Review
Structural Review
"""'~CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00586
ISSUED: 05/11/2007
APPLIED: 04/20/2007
EXPIRES: 11/24/2007
VALUE: $ 12,500.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
12,500,00
Value
Date Calculated
Total Value of Project
~
$12,500,00
$12,500,00
04/20/2007
Amount Paid Date Paid Receipt Number
$85,02 4/20/07 2200700000000000564
$13.08 5/11/07 2200700000000000725
$6.54 5/11/07 2200700000000000725
$10,46 5/11/07 2200700000000000725
$130,80 5/11/07 2200700000000000725
$4,60 5/24/07 2200700000000000829
$2,30 5/24/07 2200700000000000829
$3,68 5/24/07 2200700000000000829
$43,00 5/24/07 2200700000000000829
$3,00 5/24/07 2200700000000000829
Pal!e 2 of 3
Existing square footage - no fire fee
No Planning Issues
Rcvd 4/23/2007---Waiting in order
PW rcvd for rvw,JLP WI 4/23/07
No new DFU's or impervious area =
No new SDC fees, JLP APP 4/24/07
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
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.
04/23/2007
04/23/2007
04/23/2007
$302,48
I Plan Reviews I
04/23/2007 APP LLH
04/26/2007 APP TAJ
04/23/2007 WI JLP
04/24/2007 APP JLP
05/08/2007 APP LLH
04/27/2007 10 LLH
04/24/2007
04/27/2007
04/23/2007
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00586
ISSUED: 05/11/2007
APPLIED: 04/20/2007
EXPIRES: 11/24/2007
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reauired Insoections I
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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00586
COM2007 -00586
COM2007 -00586
COM2007-00586
COM2007-00586
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
C:- . of Springfield Official Receipt
L .:Iopment Services Department
Public Works Department
2200700000000000829
Date: OS/24/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MD CONSTRUCTION INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
4560
In Person
Payment Total:
Page ] of]
10:46:54AM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56,58
Amount Paid
$56.58
$56,58
5/24/2007