HomeMy WebLinkAboutPermit Building 2006-11-7
-~
Status
Issued
225 FIfth Street, Spllngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2725 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO' 1703254401900
Sprmgfield
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO
ISSUED.
APPLIED.
EXPIRES:
VALUE.
COM2006-01292
11/07/2006
10/10/2006
OS/22/2007
$ 2,000.00
TYPE OF WORK Smgle FamIly ResIdence
TYPE OF USE RepaIr
PROJECT DESCRIPTION Upgrade to 200 amp servIce & 8 CIrcuIts - Dryrot repaIr
Owner JACK ANDERSON
Address 915 SHERWOOD PL
EUGENE OR 97401
ResIdentIal
Phone Number 541-484-6201
I, CONTRACTOR INFORMATION I
Contractor Type
Gener ..I
ElectrIcal
Mechamcal
Plumbmg
Contractor
OWNER
CHRISTENSON ELECTRIC INC
OWNER
OWNER
BUILDING INFORMATION I
# of Umts
PrImary Occupaucy Group
Secondary Occupancy Group
PrImary ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
# of StorIes'
HeIght of Structnre
Type of Heat
Water Type
Range Type
Energy Path
SprInkled BUIld 109
VN
License
Expiration Date Phone
458
05/01/2007 541-688-6121
nla
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occnpant Load
I DEVELOPMENTlNFORMATlON I
Frontyard Setback
Side 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
ATTEN1IU!\l Urb~UIII<.lV\l P~LK:''-Mr.~QYEMENTS I
'~II~." les adopted by tt._ - -~" ,
Street Impl ovellWlJW' ru Th e rules are set fa.
~fl{;~tIOn Center. os 00
Storm Sewer. 1>.'fie952-001-0010 through OAR 952- 1
SpeCIallnstrullft y. may obtain caples of the rules b
0090 au enter (Note the telephone
Notes n~~~;r~~~t~e Oregon Utility NotificatIOn
CentElflS 1-800-332-2344)
Paee I of3
REQUIRED PARKING
Total
HandIcapped
Compact
SIdewalk Type
rmn~~tsmrams
r~~~~ERMIT SHAll EXPIRE IF THE WORK
COMME~~~~ ~~DER THIS PERMIT IS NOT
ANY 180 DAY PER:~;BANDONED FOR
-iiC~~
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
DescriptIOn
Tvpe of ConstructIOn
Fee DeSCrIptIOn
+ 10% AdmmlstratIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fd. 200 amps or less
+ 10% AdmlmstratIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Orc Ea Add
+ 10% Admmlstratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
BUlldmg PermIt
-Mechamcal1ssuance Fee-
+ 10% AdmlmstratIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend CIrC Ea Add
Fixture
Mlmmum/AdJustment Mechamcal
Total Amount PaId
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01292
ISSUED. 11/07/2006
APPLIED. 10/10/2006
EXPIRES' OS/22/2007
VALUE $ 2,000.00
I v aluatlO~ Des~rlOtlOn I
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Value
Date Calculated
Total Value of Project
FpP~. ~
Amount PaId
Date PaId
Receipt Number
$630
$315
$504
$63 00
$240
$120
$192
$24 00
$450
$225
$360
$45 00
$10 00
$11 90
$595
$952
$1800
$56 00
$45 00
10/10/06
10/10/06
10/1 0/06
10/10/06
11 /7/06
11/7/06
11/7/06
11 /7/06
11/13/06
11/13/06
11/13/06
11 /13/06
3/2/07
3/2/07
3/2/07
3/2/07
3/2/07
3/2/07
3/2/07
1200600000000001509
1200600000000001509
1200600000000001509
1200600000000001509
3200600000000000571
3200600000000000571
3200600000000000571
3200600000000000571
1200600000000001643
1200600000000001643
1200600000000001643
1200600000000001643
2200700000000000287
2200700000000000287
2200700000000000287
2200700000000000287
2200700000000000287
2200700000000000287
2200700000000000287
$318 73
I Plan ReViews I
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
I pP'l'I'rPrlJr<,npft~
ElectrIC Service Approval reqUIred prIor to utIlIty company energlZmg servIce
Rough ElectrIC PrIor to Cover
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO. COM2006-01292
ISSUED: 11/07/2006
APPLIED: 10/10/2006
EXPIRES: OS/22/2007
VALUE: $ 2,000.00
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Fmal ElectrIc When all electrIcal work IS complete
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved
Fmal BuIldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg.s complete
Rongh Plnmbmg Pnor to cover and mclndmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
FloO! InsulatIOn Pnor to deckmg
Wall InsulatIOn Pnor to cover
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance With
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permissIOn of the Community Services DIVIsIOn, BuIldmg Safety
I further certify that only contractors and employees who are m comphance With ORS 701 005 will be used on th,s project I
further agree to ensure that all reqUIred IIIspectlOns are requested at the proper lime, that each address IS readable from the
str,'et, that the permit carolS located at the front of the property, and tbe approved set of plans wIll remam on the site at all
\
lIm~~;;;nS:{2 ~
ot or 't:ontra~r~g';a~
~- :2-
Df
Date
Paee 3 of3
~TJ?, 0'1
,SP~I~~~: _,'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 : -' fY1;r::, ~
ELECTRICAL Pji,RJWIT#,PH,fATION ,_~_ _ v.....J
c,ty Job Number ( "A 0'/ ci L1 ~ Date ~<sl L/6 l
,
I c90JI~OF(y011tffiiliav3
LEGAL DESCRIPTION ("\ ~ I
II) (), =?A544 D\ ~LJl.--/
JOB DESCRIPTION i ~
k~ are~~fer!ble ~~~ ~ork IS
not started wlthm 180 days oflSsnance or If work IS
Suspended for 180 days
COMPLETE FEE SCHEDULE BELOW
A : New ReMdentIal- Smgle OJ MllltJ-F.lflUJ,y per dwellIng umt
Service Included
1000 sq f\ or less
Each additIOnal 500 sq It or
portIOn thereof
Each Manufact'd Home or
Modular Dwelhng ServIce or
Feeder
$10600
$ 1900
$5000
2 L ~~NTR.4CTOR ~~!:~LA!~O~ Ol\l"~Y _ B l ~:':Vlce~o~Feede,:, =-I_~stallat~o-",-~I_~eratl~n-,_~ R~locat~~~ __
EIectncal Contractor C, h I'll':> 1.P-(/~lfYl flu ntL-l 200 Amps or less $ 63 00
201 Amps to 400 Amps $ 75 00
Address .!J{)D oj, P"ne..l"o ~V-L 401 Amps to 600 Amps $12500
, , 601 Amps to 1000 Amps $16300
CIty lf1j~~ Phone (1JC6Y'G,I:r1 Over 1000 AmpsNoIts $37500
- -- J Reconnect Only $ 50 00
Supemsor LIcense Number l..J 01 q ~
If) f 0 I InstallatIOn, AlteratIOn or RelocatIOn
IAT~UI\J 200 Amps or less $ 50 00
Constr Contr Number fol1nlA~l.IIgS:l Vlt:!l~' "c.Vv rtl1201lJ!im1lSJu tilO Amps $ 69 00
N Iflcatton cendtOf'hCrU by the QmQ\11!pUIl061l;9 Amps $100 00
er hOse rU/~: "'r"", ,
'-i'UI0 thro h yer tlU9~l'iOr 1000 Volts see "B" above
v ugn ~~a?d\Qr----- __u _____
o v: ay obtam COpIes ot-the rut!f$t~---- _ _
b center (Note thel'i6~'O~~on or ExtenSIOn Per Panel
__ e~f{)rthe Oregoo UtrlltYl'lIl5t1illc!1l\ $ 43 00
!L ' . ~ '-'en r IS l-BOO-332-23.iif4fA'al!iHf,ln'll CIrCUIt or wIth I _ I d ClJ
Service or Feeder Penmt ~ $ 3 00 iD .
o ers Namh t\
Address 1..\.1 ~- N2x-~ \,l.E. EM~s~~Ih.;eOU~-(Ser~I~_~f,:"d~;~ot '."c1Ud;d)--Ea_ch~n~t~I~~~~
City -f 1 r:' . one Ag4 .1.JflD I Pump or 1m gallon $ 50 00
SIgn/WfJ'I"lt~lDg $ 50 00
OWNER INSTA ATION Llmlt'1'1!li!f~ 'eSldentlal $ 25 00
L1mlll'lJIrn'aRIZE J;,~A1LL EXPIRE IF THf:St\9oHi\
MlDlmum ~1JM'M{lrR i,jWJ.{tlbJF:llfJl~lWlt ~~l1'fges
4 f-sviMtYrnm em OR IS ABANDONED FOR
L~__ ~lH6D--__ _____
ExpIratIon Date
The InstallatIOn IS bemg made on property 1 own whIch
15 not mtended for sale, lease or rent
Owners SIgnature
J
ro.,..... R...~ ".,'" ~~-'\
~ ~~J0
C lTe~~p~a';-se~~e~~r Fe~de;s-~
8% State Surcharge
10% AdmmlStral1ve Fee
TOTAL
Shared Dnve(T )/Buildmg FonnslElectncal Penmt Application I 06 doc
225 FIfth Street
.
Spnngfield, Oregon 97477
541-726-3759 Phone
~jJj
(' '-, of Sprmgfield OfficIal ReceIpt
~ elopment ServIces Department
PublIc Works Department
Job/Journal Number
COM2006-0] 292
COM2006-0]292
COM2006-0 ]292
COM2006-0]292
COM2006-0 1292
COM2006-01292
COM2006-0 1292
Payments
Type of Payment
Cred.tCard
cRecemtl
RECEIPT #.
2200700000000000287
Date: 03/02/2007
DescriptIOn
Fixture
Mmllnum/AdJustment Mechamcal
-Mechamcallssuance Fee-
Add, Alter, Extend CIIC Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmmlStrat.ve Fee
PaId By
JACK ANDERSON
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
lIh 08505] In Person
Payment Total
Page I of]
103630AM
Amount Due
5600
4500
1000
1800
595
952
]] 90
$15637
Amount Paid
$]5637
$15637
3/2/2007