HomeMy WebLinkAboutPermit Electrical 2006-9-26
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225 FIFTH STREET. SPRIi'lGFIELD, OR 97477 . PH (541)726-3753 . FA-X (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number CONIzoo~. 0076 7' Date q ~2.0 - 2<10((-'
1 Lo.~fiO~ QF:~~~1;~.719-r.{,~~.::t~
Z8ZL( C~A-' eAv- IL
LEGAL DESCRIPTION
170"3 233Z
JOB A.-l1ION "'X
~3occ>
c (V( LA r fr
Permits are non-transferable and e,(plre If work IS
not started wltblD 180 days of Issuance or If work IS
Suspended for 180 days
3 'COl..lPLETEFEE SCHEniliE-BELoiv:: _ ,- ;c.~:;;-:- F:b~
.::... - - ~ n"~ _ -" ~~_>....._~_~ .......__..... _ __~_~ ,.,t.:.-"" _ ~-:;::~.=-..;:..:.;-...!:.1
- ~ -~ '''rs'~ ~~"..;>:-rt..--,"!l""'-~""'-';; -""'<><-_" ~~ ~- -""',.....- ~~
A New ResIdenllal =- SID'gle or Muill,F~mIly per d';;-ellmiunit"',""~'
-~""- ~ I ~~~~~.....~_~.."."""~~ ~= ~_ ~___ ~"-~__.!O...;J
Service Included
1000 sq ft or less
Each add1l10nal 500 sq ft or
porn on thereof
$10600
$ 1900
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$50 00
2 ~CO!{!}:AqOR,t;7.tyST.Ai _i?~1!oi\fo~i~~ B ;;S~~l~~~ ~~~~ i~~~r?:j'rri~ta,Ji;tion, ~~~~~;~~~tl~~r~J
~ -'- .....'-''%.kL~~::..a.,f'''''"''''''''''''_",c;~~..ro.__~~..l.~~ ~~_,,__, <.--..__"""............J..~,.:."'<_ .....;:..,.,___ .:;.:..,~1o.._...:.'1f
o ,-m~N.IION Oregon law n~qUlres you lu
Elecmcai Contractor IP 'i ('[ \C\~ I~I~ 'adop~llctl1'!l'lReleregon Utility $ 63 00
, 0C\ tN~flCatlon Cent6f.JrlmW?~setfortr $ 75 00
Address d ns U J ,".:;l I m'dAR952-001.(Jiji0'tll~~952-001 $125 00
0090 You,may oljMlfIlllIZIPlei/lM ttlGpsules b~ $16300
City CC":Y"I\ f Phone ~n ~thecentfmr(~4tJe'\6llllphone $37500
number for the ~n:tJtnby Notification $ 50 00
c' Center Is t.-Itl7lk~:-4~\ . '"~ ". -0 ="l'!T'\C:-~ j,,, ,,', - _ , "'''-,-::-,,('''
Supervlsor Llcense Number :;<S~C J ~.J C _,""IeE!-E.~~arx..S$"l~,,2r....~de.rs I~ ~~} ,.1;1: ;{;:~~~~~':"S;:.~~..'~
E'plratlOn Date \ 0
\ 01
::;)C'-\'"')~G
Constr Con tr Number
ExpIratIOn Date J - \ - C lr
SIgnature of Supervlsmg ElectncIan
~~~~~
!ZrsName DON Cc,.Nl/... (
Address 2- g-z..l./ G~..4--fr...41A IL
C:;~r ,\ Phone 7l(7-0S' 3'7
CIty
OWNER INSTALLATION
The mstallanon IS bemg maoe on propertY I own wntch
IS not mtended for sale, lease or rent
Owners Slgnature
Inspection Request 7:6-3769
~
~cotn
InstallatIon, .\.Iteration or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50 00
$ 69 00
$100 00
Over 600 Amps or 1000 Volts see "B" above
,,~~ ,~ ~~ - "'-~~....,,. , t""'J ......",,;<'..... ~ --~ ~4 - ........"....."...- -~
D B h r t ,I'M, ~- \"", ,""''''" l ~l ~ '-", ,,-~, ~1' J'
ranc ~'tlrCUl s::. ,~'~7<U-~ ~w1-- 1 ~~ ~ ~ ,~_ "'f"'; , q \.......;:;;.
~,----~ '"""~ ..--......... *'-' ' ." .- . ,~~ ~ ~ ~ i.,w.....~"'~ ....'J,.~~""'....,
New ,,"iteratIOn or ExtensIOn Per Panel !
One CIrCUIt $ 43 00
Each AadrtlOnal C1TcUlt or Wlth "? b
ServIce or Feeder PermIt L- ~~
- - "- -.. o~ ~,,~,\~,1~t ~01 n;-^ . q
E MIsc~IWI"'O?s (SefVIcelf"t~jili!Pl5i::>f[.1..c;E'3cli Installauol}']
~01\U~' \\ ~\\f'.\..\.. \\\\'0 yt."W<<fQ\\ ," --.,-- - ~
PumM~~~ \I \\~\)t?- ~f'.'t\\\\l~t\\ 50 00
SIgn)~.ij1t't\~~l'i~ \)?- \'0 ~ S 50 00
LlmItl}tll~~~'\''e.\'-\Cl\) S 25 00
LImIle~~~~~~eTC1ai S J5 00
;v{IDlmum ElectriC Permlt Inspection Fee IS $45 00 - Surcharges
'IJ
.j
1/,
6;", State Surcnarge "3 S Z.
'0% ~ommlStranveFee J hOt"' '190
TOf~~a":~:"dmL~: 'op",,"oo, l~:J
SUBTOTAL OFABOVR~ :
- , .
~- -------~......-~-<-~-~~
, ,
Status
Issued
'::ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2006-00769
ISSUED. 08/15/2006
APPLIED. 06/22/2006
EXPIRES 03/21/2007
VALUE: $ 2,18400
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2824 CHATEAU PL
ASSESSOR'S PARCEL NO 1703233203000
SpllIIgfield TYPE OF WORK Garage
TYPE OF USE AddItIOn
ReSldenh,ll
PROJECT DESCRIPTION Garage addlhon
Owner DON & JUDY COMBS LIVING TRUST
Address 2824 CHATEAU PL
SPRINGFIELD OR 97477
Phone Nnmber 541-747-0539
I CONTRACTOR INFORMATION I
Contractor Type
General
ElectrIcal
Contractor LIcense ExpIratIon Date
DA VID ZARZYCKI GENERAL CONTRAcnllai~\O 04/26/2009
REYNOLDS ELECTRIC _ ...WlleqU\}.i78U\\\~\'I..... 0210812007
-<"f L,Btj[~~~~~~~iOp,:;:ao~
j).\ . ~ef aI 1~o& _.....nO~ ~& \)'1
\0\\0"" II.l~G~~~O 'G\CO"lO': 0\ 'G\9 ~~9 Lot SIZe
~o\l\\ca\\O ~t9?Stftl'l:lo{l.\e&'G\e\e\"z'~'\\o(\ Sq Ft 1st Floor
O~9 'll'Jll'9d)~tl ~~o\e', ~o\~B" Sq Ft 2nd Floor
VN\(\ gO. '(Ol4Y.!if~~t. 0(\ \)'6\\\'1 ~,. Sq Ft Basement
00 ca\\\(\C)t"lll\~fEI'Pt100-~'2.'Z Sq Ft GarJge/Carport
U!(\\)61I)g!l:tdt:\l:b~' Sq Ft Other
(\ S~"-led Bnlldlllg n/a Occnpant Load
Phone
541-688-0243
541-341-7297
# 01 UUlts
PrImdry Occupdncy Group
Seconddry Occupancy Group
Pllmdry Con.tl uctlOn Type
SeconddrY ConstructIOn Type
# of Bedrooms
84
I DEVELOPMENT INFORMATION I
Frontydl d Setback
S,de I Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbacks
REQUIRED PARKING
Overlay DlSt E'l-JOR'i- Total
# Str,e.l<Hrees Rqd E~?\\\E W i\\ \S ~01 Hdndlcapped
~\MJi-4m~~~\.\. \'21 ?E\\~\i Compact
r~\'bfiJcft Ilt.d"~\)t.\\ i:~~\)O~t.\) fOR
M li\\G\\ _ rf"\ C\\\ IS t'
I PUBLI<ljmi~~iMwUS~\J
r...N\ ,J-
Parhdllv Improved
No
3400
4100
Street Improvements
Storm Sewer A vOllable
SpecldllnstJ llctlOn
SIdewalk Type
DownspoutslDrams
Drywell - PrOVIde
Drywell Engmeel 109
Notes
Paee 1 of 3
Status
Issued
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlUe
DescrIPtIOn
Tvpe of ConstrultlOn
Gal3ee
Gara2e
Fee DescrllltlOn
Plan Revle" Resldentldl
+ 100/0 AdministratIVe Fee
+ 8% Stdte Surcharge
BulldlUg Pel nllt
FIre SF Fee - Resldentldl
SDC SaUltdlJ/Storm Adnlln
Storm Dr.uo.tge IrnpclvlOuS Area
+ 10% AdmlUlstratlve Fee
+ 5% Technolog} Fee
+ 8% Stdte Surchdrge
Add, AlteJ, Extend Clrc
Add, Alter, Extend C1rc Ed Add
Total Amount PaId
hlltlal Review
Plannme Review
Public WOI ks Review
Structural Review
06/23/2006
06123/2006
06/23/2006
06/23/2006
':::ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2006-00769
ISSUED' 08/15/2006
APPLIED' 06/22/2006
EXPIRES 03/21/2007
VALUE: $ 2,18400
I Valuallon DescrmtlOn I
$ Per Sq Ft
or multIplier
$26 00
Square Footage
or B,d Amount
8400
Value
Date Cdlculdted
Totdl Value of Project
$2,18400
$2,18400
06122/2006
Fpp<, P\WIJ
Amount Paid
Date PaId
ReceIpt Number
1200600000000000932
3200600000000000432
3200600000000000432
3200600000000000432
3200600000000000432
3200600000000000432
3200600000000000432
2200600000000001343
2200600000000001343
2200600000000001343
2200600000000001343
2200600000000001343
$3432
$570
$422
$52 80
$420
$016
$323
$490
$245
$392
$43 00
$600
6/22/06
8/15106
8/15106
8/15106
8/15/06
8/15/06
8/15/06
9122/06
9122/06
9/22/06
9/22/06
9/22/06
$16490
I Plan Reviews I
06/23/2006
07/11/2006
07/05/2006
07/12/2006
APP
APP
DON
APP
LLH
TAJ
JAP
DLM
No PlannlUg Issues
Engmcermg documents are not
legIble Called englUeer for new COP)
7/11/2006 dim ReceIved new copIes
of englUeerlng sheets 7/12/06 dIm
Plan review comments on plans (2
notatIOns to mdtch englUeerlng)
To Request an inspectIOn call the 24 hour recording at 726-3769 All Inspection requested before 7 00 a m
Will be made the same working day, inspecllons requested after 7.00 a m WIll be made the follOWing work
day
Rpf1l1lrpti In",n(>rt~
Footing After trenches are excdvated
FOllnddtlOn After forms arc erected but prior to concrete placement
Pa2e 2 of3
"::ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2006-00769
ISSUED. 08/15/2006
APPLIED. 06/22/2006
EXPIRES: 03/21/2007
VALUE: $ 2,18400
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691I1spectlOn Lme
Frammg InspectIOn PrIor to cover and after all rough m mspectlOns have been approved
Fmal Bulldmg Alter all requJl ed mspectlOns have been requested and approved and the bUIldmg IS complete
Rough ElectrIc PrIor to Cover
Fmal ElectrIc When all eleclllcal work IS complete
By Slgndture, I state and ,Igree, that I have cdrefully exammed the completed apphcatIon and do hereby cerllfy thdt all
mformatIolI hel eon IS true and lOI rect, dlld I furthe, certIfy that dny dlld all work pe' formed shall be done m accOl dance WIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertdmmg to the "ork descrIbed herem, alld
thM NO OCCUPANCY wIll be made of allY structure WIthout permISSIon of the Commulllty ServIces DIVISIOn, BUlldmg Sdfety
I fUI ther cel tlly 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 mspectlOns are requested dt the proper tIme, that edch addre" IS readable fl om the
street, that the permIt card IS located at the front of the pI operty, and the approved set of plans WIll remam on the SIte at all
times dUI 109 con!:ltructlOn
O\\oer 01 Contractors Signature
Date
Paee 3 of 3
225 FIfth Strcet
Sprmgfield, Oregon 97477
541-726-3759 Phone
Clt-- ~f Sprmgfield Official ReceIpt
D. .opment Services Department
Pubhc Works Dcpartmcnt
Job/Journal Number
COM2006-00769
COM2006-00769
COM2006-00769
COM2006-00769
COM2006-00769
Payments
fype of Payment
CredllCard
LRecemtl
RECEIPT #.
2200600000000001343
Date 09/22/2006
DescriptIOn
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Clrc
Add, Alter, Extend ClrC Ea Add
Paid By
ELLEN REYNOLDS
Item Total
L'hetk Number Authoruatwn
Received By Batch Number Number How Received
dlb
052737 In Person
Payment Total
Page I of I
3 39 28PM
Amount Due
245
3 92
490
4300
600
$60 27
Amount Paid
$60 27
$60 27
9/22/2006