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Home My WebLink AboutPermit Electrical 2005-12-15 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAA ELECTRICAL PERMIT APPLICATION City Job Number et:;M '2...DOS-CXC)S (\ , 'Y _".r cl -" -...u ~; '>- ,~~, t '" - ~ ~~-, <4 _~""0'", ........,.' If'~!~::: ~~"'~ ^~ '\l~~J'<-"'.~~K~ ,~~",j~,.e0 [LOCATION OF,UJSTALl:41 IONv.f; 3 ,~COMPLEIE FEE SCHEDUEE,BELOw4~,j:{'7$.'d':;':~""0~i ~ ""' ~1A'^~j-:!f\;:_' ,-:..'- ~ ,h~ P .-.<.-"~ ." I"'-""ii.r>~)' w~ ~- _ 01"- \ ~"""'<:"~ }<"''''~\N..; >'L~~ "">~/,"~_f~'4..... ~_""'-.,.r;j1~,"", :JJ,..,l:3 L2." 4 )T~ Il!/U ,4-L fJLlllfJ ; 'P." ", ~,<g"<,,:_,, 'r"$:<~'" 7~,~~'",,1'1 "',~"'ff'~"'.~-~ LEGAL DESCRIPTION l"l 6~ '"Z- S Adc. 0 l ~A .:;~!""l}:sl~~nt!a!i~~~g~~!!C~'\~t'il;f~ITIII~p~~J.\e;~~~~;:~~lt~~~~'J R..~5 I/)" AJHfJL L/" C1SC- Service Included R~ .r1U1}~ -t fYI f i'L!<. I~- W5rR-ll SII6cz- 1000 sq Ii or less Each addltlOnal 500 sq ft or portion thereof $10600 JOB DESCRIPTION $ 1900 Permits are non-transferable dnd expire If work IS Each Manufact'd Home or not started ,"lthIn 180 days of Issuance or .fwork IS Modular Dwellmg ServIce 01 Suspended for 180 days Feeder w~1\;. .;: -'''; ">~ > ,,,,:I <<<;"~"'rEt.1"^ J;::~>f' ,.,~,~",,,, ~ -" (' "" _ re~; j.,- ':'>J3'~ -~i"""J~", r"';}{i1::~-SY"t.."'41 1 "%v",,,,~r:f' ~''7'''-10J! \,'" ":.'it~$1);? "CONIRACTOR INSIALLAIION,ONLY.i B,,~~rvlceS orTeeders'" Install.ltlOn,,"lteritlOns orRi'IOcatlOll ,~l 2 ~),(J,;::"~'"ri.2rJ,'1"~e~ri:'"'fj":L.,..;:!\"lj~~~:c""~,"".-;r~",*>>1}.t,,,~~ S::,~\) ~,\;:,.,.It,""'" ~""'~ -""~~Z;A"!tl.;>l.-;-_",,,,~';;;<;k..,..1f'4U:^"''<('''',,,'''lfw1.:;;'{..~Ml)~t::'L''it :'::'''~ Electncal Contractor Rt1-ttL/--V lli /:~"\~ ~ \~~ Amps or less I $ 63 00 ~ 3 , ,..&~~~ !\) <$0"'1' Amps to 400 Amps $ 75 00 Address 9:0D ~Ut,lf.rJ<... ~~", ~~ 40lAmpst0600Amps $12500 - ~\.- \' ~ A(.' SV:< ~X-~ &~ 601 Amp,to 1000 Amps $16300 Clty G-i&t-.vr-> ~~~~~~~ W'1:;f{zfID Over 1000 AmpsNolts $37500 \\\) S 'X"<; 1!Y-';/5" ~\:)v Reconnect Only $ 50 00 "\~ ~~\J~ ~\;~ ~ 'X~ SupervlSor Llcense Number~~';::,~~ 'IO~~6'L - :lno7 J 16ofAJ3 J - 14 - d.-oOb $50 00 t.;"''' I\''-l?"\:<<':: 1iiA~' r- \1:""-, ~r' C f",Temporan Servlceli or ~ -><I ~~ ~,-",~-,..",," ,"t".:",~ '1-".if Con~tr Contr Number J " } ,\0 InstallatIOn, Alteration or,Relocabon e'" ~ 0'1>\\" t0 200 Amps or less 0:->" o~ :<..\,0(:1 ," dOQ: ~e ~, 201 Amps 10 400 A"lps' ,e - ,0_0\7, $ 69 00 <\ \V X-e -0: ~....)v ) 401 Ampsto,6.o0 Amps'" ,,'0 ,w,'" \J $10000 O,~~ Av' \~ Or' ," \ \p,v ",c.,e '~ ~e _<\'0 ..,.,\<;>ver 600 Amps or I OOO~olts see"B" above \ \ \ ~,; ~\)ov ~< "," ,>-~~r-;M'-:'i4~"'l f'1"1.-r.J:..,I",!r"'h~Cf,~ y~~"^&,,,>>?~ ~~ .-(.-(X:..'tD.~iRrdnch ClrCl1lts.t.tJ:P~A!~V;;!,\~~v(-lJr i0,\"tdb~~~~0 'J1ilt%!t4,~~j t\.. \ '\ \.0\4.A<::}6' ~\:;1-"'.h C>i.)jk;:""~ ~-'.v ~~~~. ~ '.;JJe~ ^",*"Z:" ",~"'g:,\{jii.~.l1 f' \O~ (\ "', n.\'\' ,",~e .......\ \ " ~o\\ ~New AlteratIOn orllE"\.tenslOn Per Panel \ ~\G ~"'/....'- ^,\ v- :<. " r- v~ r 'i.....J '00\\ ~One ClfcUlte~\e ?r:,o n?j~ $ 43 00 ^ O\.Ea6~Addlbonal:-Clrc~lIt6r with \" n.,' '-' 'X\U 'N $ 0 ~(S:J Service or Feeder-PermIt 3 0 c?>.\" ef... \..... ^-\.'?} - ~{-\..~~ .f)~"t1t., t "~'~:J% ,t~' J'"'~~*h"f'~-'/(.~,,\1~'""r'f{~ ! 'i~"<04'::f. '7'\:'k":!~ E ~~I\llscellaneous (~ervlt.e/feedLr: no't mcludedr.':.Eacl1 Inst.illatlOn: ,)jfu ~c\:.~ ,""'~"%.,~',,"; -0: '~J)\:<~wP~","~ af'''''''~~ ",1-J~ ""l;i{,:~ ....$1:S..,......JfOt ~ $ 50 00 ExpiratIOn Date ExpIration Date Signature of Supervlsmg ElectriCian Q'\--/' ~~ Owners Name ~ )ll) t22:tA- j;/4-NJi) Address 'J..673 avvl,( J!Y-:iAyUtn-(I!x-YJ) Clty5MIPUG-Plt1VJ Phone YJ3 - '-IJ.-S' I<;;-Sj Pump or IIT1gatlOn Sign/Outline Llghtmg LImIted Energy/Residential Llmlted Energy/Commercial $ 50 00 $ 50 00 $ 25 00 $ 45 00 OWNER INST ~LLA nON The m~tal latlOn lS bemg made on property I own which IS not mtended for sale, lease or rent MIDlmum ElectriC Permit InSpel.tlOn Fee IS $45 00 + Surcharges Owners Signature s....4.:' ,,~~': ~'; ...,;~ ~ \,Jr -;Jc' ~~,~ 4 'sUBTOTAL OF~OVE. ~"'..-~c~,,~,,;:~ ' t r:J';J!'~ ",*" 't~ 'k. jiJ~ 0300 +-,4- ( re,,3o l ~,-ll 7% State Surcharge lO% AdmmJ~tratlve Fee InspectIOn Reqllest 726-3769 TOTAL ShJred Dnve(T )/BUlldmg Fonns/Clectncal Penml ApplicatIOn 1-03 doc , . I CITY OF SPRINGFIELD-. Building/Combination Permit PERMIT NO: COM2005-00517 ISSUED: 12/1412005 APPLIED 05/02/2005 EXPIRES: 06/14/2006 VALUE: $ 17,076.00 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS 2673 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703254401400 Sprmgfield TYPE OF WORK Smgle Famdy ReSIdence TYPE OF USE Remodel ReSIdentIal PROJECT DESCRIPTION Convert carport to mtenor hvmg space Owner. ANDREA SANDAU - Address 2673 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number. 541-428-1553 Front yard Setback SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks \ .\\)'I:' ~ ' I CONJ;illtCWR INFORMATION I ~.~V Contractor :(3.~\\Y:,~,O ~\:)~ OWNER ~\,. V; '\~S ~\:)~ OWNER c.>(..'f._<.-~ o.~~ ~,\\~~\-~~O '0'<;\'R- f.>,~,.fmILDlNG INFORMATION' ~ ~S <:( ~\: <v\) <:) ~~~ # of UOItS ,\'0 ~>(..<:) ~~" ~ <:( # of Stones 1 Pnmary Occupancy Gro~ \\~~ 'O~"?j HeIght of Structure ,,<!3 00 Secondary Occupancy Groii~ "I \ Type of Heat Wall,Heat :<;1.' ~. . \~" t(\ Pnmary ConstructIOn Type ~ VN Water Type :v\~e" ~ v '/..,o~ '\" Sq Ft Basement Secondary ConstructIon Type Range Type. ~e<J:. ~e<!>o e "e/)_\)\) A Sq Ft GaragelCarport # of Bedrooms Energy Path \'1>~ t(\e 0 "i> ilith,!''' '0 Sq Ft Other SprmkledlBf.'ddufe ~.s.e O'r n/a":; o<:-e Occupant Load. ,...,;<..'0 '-' ....0. v _~ ",,'0 ~ \S,.... ^'<:\ ",0" I DEVELOPMENiiNFOAAiA-l'ION 'i~>>"CF :<.,,\V ,.s.'" (}o' _\)\) ,<:- v o,e ~"'" ,,~ ~ ," ,,<:- _(\, ~,'/;i ~ 0~ 'l-r:J .o$POverlay DJst 0 e' 0<:- n~:>'l: "' I l;;.... nVJ" ......'3-).....~ Q) ~ ~o'~~ree.!J're~s~R'!,dj' :o()$ ^Paved\Dnve Rqd' s" \.,- 0.'\ ....0 .f"',\ t" (Ko ofJ,ot Coverage c." ~'O'" ~e' ,~ Contractor Type General Electncal License ExpiratIon Date Phone . - Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor' " . REQUIRED PARKING Total Handicapped Compact. I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer A vadable Special InstructIOn Fullv Improved Yes SIdewalk Type DownspoutslDrams CurbsIde 5' Curb and Gutter Notes Intenor no SDC fees 5/412005 CAS . , , Paee 1 of 3 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme DescrIptIOn Tvpe of ConstructIOn BId Amount Use Bid Amount Fee DeSCrIptIOn Plan RevIew ResIdentIal + 10% AdmmlstratIve Fee + 7% State Surcharge BUlldmg PermIt - Plan RevIew ResIdentIal + 10% AdmmlstratIve Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 10% AdmlmstratIve Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Total Amount PaId ImtIal Review Planmnl! RevIew PublIc Works RevIew Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00517 ISSUED: 12/14/2005 APPLIED: 05/02/2005 EXPIRES: 06/14/2006 VALUE: $17,07600 I Valuation nescrmtlOn I . $ Per Sq Ft or multIplIer $100 Square Footage or BId Amount 17,07600 Value Date Calculated Total Value of ProJect Fpp<, pqUU Amount PaId Date PaId $17,07600 $17,076 00 05/19/2005 $34 32 $1698 $11 89 $16980 $76 05 $460 $322 $43 00 $300 $630 $441 $63 00 5/2/05 5/20/05 5/20/05 5/20/05 5/20/05 11/14/05 11/14/05 11/14/05 11/14/05 12/14/05 12/14/05 12/14/05 RCCClpt Number 1200500000000000555 2200500000000000621 2200500000000000621 2200500000000000621 2200500000000000621 2200500000000001580 2200500000000001580 2200500000000001580 2200500000000001580 2200500000000001701 2200500000000001701 2200500000000001701 No Planmng revIew req Ulred. InterIOr remodel no SDC fees 5/4/2005 CAS Approved as noted ValuatIOn was adJustcd based on enclosmg eXlstmg carport to IIvmg space Used square footage calculatlOn of carport ($3,924) and subtracted that value from square foot value of habItable space valuatIon ($21,000), to obtam value for thIS proJcct Submlted value for project was too low for proposed project To Request an mspectlOn call the 24 hour recording at 726-3769. All mspection 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. $436 57 I Plan Reviews I 05/0312005 05/0312005 APP LLH 05/03/2005 05/06/2005 APP TAJ 05/03/2005 05/0412005 APP CAS 05/0312005 05/18/2005 APP JB Pal!e 2 of3 -~~., CITY OF SPRINGFIELD-' Building/Combination Permit Status Issued PERMIT NO: COM2005-00517 ISSUED 12/14/2005 APPLIED' 05/0212005 EXPIRES: 06/14/2006 VALUE: $ 17,076.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme I Reomrerl I nsnectlOns I Floor InsulatJOn PrIor to deckmg Shear Wall NaIlmg Before covermg sheathmg With fimsh materIals Frammg InspectIOn PrIor to cover and after all rough m mspectJOns have been approved Wall InsulatIon PrIor to cover CeIlmg InsulatJOn PrIor to cover Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete Rough ElectrIc PrIOr to Cover Fmat ElectrIc When all electrIcal work IS complete By SIgnature, I state and agrce, that I have carefully exammed the completed apphcatJOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall he done m accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State of Orcgon pertammg to the work descrIbed herem, and that NO OCCUPANCY wIll be made of any structure Without permIsSIon of the Commumty Services DIVIsIOn, BUlldmg Safety I further ccrtlfy that only contractors and employees who are m comphance With ORS 701 005 WIll be used on thIS proJect. I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readahle from the street, that the permit card IS located at the front of the property, and the approved set of plans wIll rem am on the SIte at all tlmeSlrga:;_~ /J _ tL/-o s- .............--- ~ ~ - - _ Owner or Contractors Signature Date Paee 3 of3 ,225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone S!:~JN~.!'1!l-D> __ " ~ u... ~.' ~ 'y of Springfield OffiCIal Receipt = .:velopment ServIces Department Public Works Department Job/Journal Number COM2005-00517 COM2005-00517 COM2005-00517 Payments Type of Payment Cash 'I u '\ ( {J '( c: 12/14/2005 RECEIPT #. 2200500000000001701 Date: 12/14/2005 Description Perm Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Admmlstraltve Fee PaId By KEN WILLIAMS Item Total Check Number Authorization Received By Batch Number Number How Received Jmp In Person Payment Total Page 1 of I 11 46 42AM Amount Due 6300 441 630 $73 71 Amount Paid $7371 $7371 , ,