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Home My WebLink AboutPermit Electrical 2005-4-14 ~ & ~:;:~::~r~~' (541)729J~<P1< f' ::;':-7-<---~-"-';: ':.,. ::0,., &> o~ "'I"'" "'~ ..).., ~ ~... ot- Ql: ~ ('.,I. - ~. F __ () ~/ "0' \O.c,., L(-/'-1-0~""l "/& ~ "b&9-~ "0 0.., or.., "I'~ Ift:;- -......~ -.... \_~_......_~O~ -"'r..'l'?--_,...::o)"~...J>; ,;''''''-....__..,.. __ -... 3 _c.O!'1!'.!:!!TE FEE SChgD LO~~.,l~__>""':J u~.., ~"/, ""&.s" $0'1 -""':-- ~....,- ^. . , ~...........-.ft"~_~ '1~ ;<'Cib ~".. "'__~ _, .\ ~~_~~~~e~tIaI-Smgle ~r M1f 11- _ dwe'ful#"'jllt _: l'J()'vq, ,,~ ~"'J. & ~ 225. FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . F~X ELECTRICAL PERMIT APPLICATION Clty Job Number COi#loO~- 60 Y2. '{ Date I . LoomoiioFINSTAT"T 4Troil- --~-~ _____4... _ _-<__ ...........__-----r.::....._____ 2.. U. ,-( elf A T l::rl-V'- PL LEGAL DESCRIPTION 170")7. '3:' L 03000 JOB DESCRIPTION L( Lt a..<:.M.. ~ h; A- 'l\ ~ /A-L-ri'"fl I Permits are Don-transferable and expire If work IS not started wlthlD 180 days of Issuance or If work IS Suspended for 180 days 2 ...-~" ~ CONTRACTOR INSTALLATION-ONLY' ......_~..... --.......---- . -....~ ,--, Electncal Contractor L( d \ 'C II-\=:' Flfrtv,c I - - ~ ,'" t'\ - Address -oL \ - 1=' lv _-.I \. <.- -- Clty r--- L \ ' , c; I~ -I' J Phone -:>\--:') lc::.lC, -) SupervIsor License Number ~__c- ;:)'"J~lC ..J Explranon Date \ C' I ("\ I / _)CCI I Constr Contr Number \ l ~"::> ~ ExplratlOn Date C'-;.:;../e: '?3 j;:).t::C:" , I SIgnature of Supervlsmg Electnclan o Address ----~ \) O^-- Co."" L. s c....L-..4... +-EA '^- fL Phone 7L17 - 0)"3 i City zg-z..<-( ~?\~ OWNER INSTALLATION The mstalJanon IS bemg made on property I own which IS not Intended for sale, lease or rent Owners Signature InspectIOn Request 726-3769 ServIce Included 1000 sq ft or less Each addlllOnal 500 sq ft or portlon thereof " Each Manufact'd Home or Modular Dwelhng Semce or Feeder $50 00 JhT~rd';;ders --I~tallatlOn, AlteratIons o;ReI;C~l1;;-J fol/9,\1( rule ' gorrtaw-requlres yOu to -- - NotlrtC'atib')jPb .w!Mted by the Oregnn IlflIlti 63 00 In OAfilI~!'O;!I{lt6'& ATli\Qse rules are ~..t form 75 00 009cfl'(ms?J~Q1,{l,t/M'ou9h OAR!l!;~-'JOfl.125 00 ca9/f1gil'la~~~66'~BPles of the rule.q ~ I 63 00 nuriilYef f8P~~N~Wte: the telephone $37500 Rec'Cafl{!J911!egOn Utility NObflcatlnn $ 50 00 ~~_ ~~ ~ _1~?~-2344). .__ __ . - -: __J c Tempor;lry Se~lces ol:":Fe~de,~_,t___ _ ......... ...~,,_ InstallatIOn, AlteratlOD or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above o U;a~;r~t;~~-:r .-- --- -----1 _ ___ ~--,-.___--.I...-_.J $ 50 00 $ 69 00 SIOO 00 New AlteratIon or ExtensIOn Per Panel One CITCUlt Each Addluonal C,rcult or WIth Servlce or Feeder PermIt ( $ 43 00 "".? $ 3 00 l/3 '7 .....,.- - ~- ..--" ----r-- - -- ___ -. ~ _ _~.._ _ __. E Mlscelfaneous (Service/feeder not lDcluded) -Each Installation ~ ---.--- --~------~ BIZ" __..J tj,QJ,,\~\:~ri,~a~"1l\-l,t>.ll tXPIRt IF 1.~_t ~~\9100 S\~&\1~ftcr~H~~tR 1\-1\S Ptt\IVI11}:~ 50 '00 ~hh1I2P]rner!t(N~I~t\~'PalB,t>.NOUI~tU I l" S 25 00 &'ih\t\i~ r A~~2Y(f~iil'00J S 45 00 ,t>.NY'1 U 01"\ M'D1mum ElectriC Perm,t Inspection Fee IS $45 00 + Surcharges _ ~ ~ __"4 .~. __ 4 SUBTOTAL OF ABOVE 52 '5b'f 1)2- (,yO!L. ~-- -~-~ ... -"---"-.........- 7% State Surcharge 1 0% AdmInistratIVe Fee TOTAL Shared Dn\e(T )/Bulldmg FormslElecmcal PermIt .\ppllcano'J. I 03 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2005-00428 ISSUED' 04/14/2005 APPLIED. 04/14/2005 EXPIRES' 10/1412005 VALUE. $ 700.00 Status Issued 225 FIfth 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 Sprmgfield TYPE OF WORK Smgle FamIly ReSIdence TYPE OF USE AlteratIon ResIdentIal PROJECT DESCRIPTION InterIor structural alteratIOn WIth kItchen plumbmg and electrIcal modIficatIons Owner DON COMBS Address 2824 CHATEAU PL SPRINGFIELD OR 97477 Contractor Type General ElectrIcal Plumbmg I CONTRACTOR INFORM~ltiION I )J,\~fIf.> '-i~~ Contractor \a.'Il ~0~ \09pf\ ~ DAVID ZARZYCKI G~~~~~~~ ~\. REYNOLDS I'J..W\~'h~09\e 0&0 ~~ Op..?- ~ ~~ ~i ROCS PL~~0&~_(\\0~ ~.n~o)J,<6\'1 n\\\'Il\lrm(1.0 \O~~lca.\\~~nNt.(lN~~~fj'~U" ~O Op..~ 9 )J, (f\\V ~~~ lll,~ \)\I$'tAo$. \f\ 9Q '(0 ~</jfl~~'(ll~:': ~z.~' R~ c<t:-\\f\<6 ~ \~elg~t o\~ure (f\'00\ ~'o'fHeat VN (\oJ 'Water Type Range Typ",,,. ' Energy.Path SprInkled Bmldmg # ofUmts PrImary Occupancy Group Secondary Occupancy Group PrImary ConstructIOn Type Secondary ConstructIon Type # of Bedrooms n/a I DEVELOPMENT INFORMATION I Frontyard Setback SIde 1 Setback' SIde 2 Setback Rearyard Setback Solar Setbacks Phone Number 541-747-0539 ExpIration Date 04/26/2005 02108/2007 01103/2006 Phone 541-688-0243 541-343-7297 541-607-8704 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Overlay Dlst Total # Street Trees Rqd \'Iv.. HandIcapped Paved DrIVe Rqd r I \-It '-NO Compact % of,Lot Coverage 1..1.. t'i-?I\'It I oM11 IS 1'\01 \\0\ IV,:"' MIl S\-II'- \-lIS ?tl' rC)\'I _ "co 91':.\'1 ,,,\\\\'\'I I ,~r\\\I't.D I PUBLIC\II\1PRO\%MEJ:'/TS .1\\)""- r\\'-IIW\\.-"- Ot\"\\'-S) C,v ''QG DI'-'1 r SIdewalk Type 1'>-1'\'1 \ Street Improvements Storm Sewer AvaIlable Specl8llnstructIon DownspoutslDrams Notes Paee 1 of 3 Status Issued CITY OF SPRlj'~\jl'mL1J' Building/Combination Permit PERMIT NO. COM2005-00428 ISSUED: 04/14/2005 APPLIED. 04/14/2005 EXPIRES: 10/14/2005 VALUE: $ 700.00 225 Fifth Street, Spr1Ogfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecl10n LiDe I Valuation Descrintion I DescriptIOn Tvpe oC ConstructIOn Bid Amount Use Bid Amount $ Per Sq Ft or mull1pher $100 Square Footage or Bid Amount 700 00 Value Date Calculated Total Value oCProJect $700 00 $700 00 04/14/2005 Fpp< P~uIJ Fee DescriptIOn + 10% Adm1Olstral1ve Fee + 7% State Surcharge Add, Alter, Extend Cuc Add, Alter, Extend Cuc Ea Add BUlld10g Permit Fixture MIDlmum/ Adjustment Plumb10g Amount Paid Date Paid $1420 $994 $43 00 $900 $45 00 $28 00 $1700 4/14/05 4/14/05 4/14/05 4/14/05 4/14/05 4/14/05 4/14/05 Receipt Number 1200500000000000447 1200500000000000447 1200500000000000447 1200500000000000447 1200500000000000447 1200500000000000447 1200500000000000447 Total Amount Paid $166 14 I Plan Reviews I Structural RevIew 04/14/2005 04/14/2005 APP DJB counter revIew With DLM To Request an mspection call the 24 hour recordmg at 726-3769. All inspectIOn requested before 7:00 a.m. will be made the same working day, inspectIOns requested after 7:00 a.m. will be made the followmg work day. I Rrnnir4;rllnsnec.tions I Fram10g Inspection PrIOr to cover and after aU rough 10 1Ospecl1ons have been approved Drywall Prior to tap10g Cell10g InsulatIOn Prior to cover F10al BUlld10g After all reqUlred 1Ospecl1ons have been requested and approved and the bUlldmg IS complete Rough Plumb10g Prior to cover and 1Oclud1Og reqUlred test10g Fmal Plumb1Og' When all plumbmg work IS complete Rough ElectriC Prior to Cover F10al ElectriC When all electrical work IS complete Paee 2 oC3 -.u:-7~! ~~'!i ~-;~ Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectIon Lme CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00428 ISSUED: 04/14/2005 APPLIED: 04/1412005 EXPIRES. 10/14/2005 VALUE. $ 70000 By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all mformatlOn hereon IS true and correct, and 1 further certIfy that any and all work performed shall be done 10 accordance WIth thc Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIhed herem, and that NO OCCUPANCY WIll be made of any structurc WIthout permISsIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIs project I further agree to ensure that all reqUIred mspectlons 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 remam on the sIte at all tImes durmg constructIOn o..u",4;r::: Paec 3 of 3 '-1/,1-{. /6 5 Date 225 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~~Q~~jIJ war Ii . ("'Ity of Springfield OfficIal ReceIpt velopment ServIces Department Public Works Department J( b/Journal Number COM2005-00428 COM2005-00428 COM2005-00428 COM2005-00428 COM2005-00428 COM2005-00428 COM2005-00428 Payments Type of Payment CredltCard 4/14/2005 RECEIPT #: 1200500000000000447 Date: 04/1412005 DeSCription BUlldmg Penmt Fixture Mmlmum/ Adjustment Plumbmg Add, Alter, Extend Ctre Add, Alter, Extend Ctre Ea Add + 7% State Surcharge + 10% Admllllstrahve Fee P.,d By DAVID ZARZYCKI Item Total Check Number AuthOrization Received By Batch Number Number How Received dJb 140144 In Person Payment Total Page 1 of I 2 31 25PM Amount Due 4500 2800 1700 4300 900 994 1420 $16614 Amount Paid $16614 $166 14