Loading...
HomeMy WebLinkAboutPermit Electrical 2007-5-25 ZON ~ INITIALS _ W DATE C;.7.f,).a-l SOURCE ~ ./ 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 147 '7 3. Z(~J JOB DESCRIPTION E:-K rl-:N i:) Z c.... { r CAA.. '\ k 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