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Home My WebLink AboutPermit Electrical 2005-5-4 225 FIFTH STREET . SPRI:GFIE:D~ OR 97477 . P: (54:);26-375: . FAX1!!4iiv26-36~ :~~EU> o e 0::: ~{ ELECTRICAL PERMIT APPLICATION / I o~ 0., 0). ~~ - . CIty Job Number C/.JI{2IJfJS - ()O/)5 Date S If / 0 ~ '<>0-& 1> "0...:""'", , t9,. \ 6l.~1 I~ ',.,,,... ". , -'., q n '-, l't~"" ."", . H '"" ,..:i:Jt! ~~"'" ~~, 1 f,I-OCATI,QIYJ2I:"'lJ'l$'[ALLATlO,N ,,",,""j 3 ....m;Mp..c:ETEFE.l!~JLl{l!; T '{l .(),,!"~i""J:i1i~"'."''''';;J L ~ ~~~ :a ~~ ) /J/J;IJ f1.F./I/ lAtA- Bv. r.::'::,;: "q,~' '-, 1'1< ' -"r& ffi ,\ nt!:F~t:::,,"T"";'. ~::~~~i~N2 n z ~OV A ~~~:: ~;::~:::~b~~ngl~ O!.Mu ~'F " ~'~~~~~~~:It I ,.../ / Each additIonal 500 sq ft or ~ ~ r'/JJ6/1 ~~rAI~L W~ pornon thereof $ I 00 Perm.ts are non-transferable and expire If work IS Each Man\jt~1l~t1JJ,9~ Oregon law requIres you to not started wlthlD 180 days of Issuance or If work IS Modular DWeml\~rSilAA&l(\ppted by the orejf Utility Suspended for 180 days Feeder Notification Center Those rules ~ fc~ B. r~r;,I~~.lj~~~~~~!~O~~~,~~ u:~~...,..} l~ .... .;rn:fSJnB~QO~Utmtrm,'l~himd calling the center. (Note: the telell^hone 200 Amps Mber for the Oregsr. '..'7!.-:tj Mnll\'6at:s:: 201 Amps to 400 At!ll?ihter is 1-a~::W1A_00 401 Amps to 600 Amps n n_ -$ i i's" 00 601 Amps to 1000 Amps $163 00 Over 1000 AmpsNolts $37500 Reconnect Only $ 50 00 IPcoNT1iAcroR'rNsiALi.ATION'ONLf:1lJ 2 tJlW.._,d;",."LW0~,"".. >y,,>. _'''>''''.~..,H .,,,,..~\,,,,,. "",N,,~.~~.' ::1 Electncal Contractor ~ c.M~ Address ,U.3 ~.L/.f f'r, CIty pJU. 'l'7#JPhone 3#-1PJ7~ ( I L. SupervIsor LIcense Number 3~/~5 It! I zoo '7 ExpIratIon Date Constr Contr Number /,4>.~.z. "7 EXPlratIOnDatel:2../"'?/~_<;" / Signature of SupervIsmg Electnclan y DA-t. o Owners Name AN'TJItJ.J./V )h:.'f~ Address/ /JttfJ I" blip( .-J-/. R/~ CIty SJ~, 911"7?l>hone .747-S'/3tJ OWNER INSTALLATION The mstallatIOn IS bemg made on property I own whIch IS not Intended for sale, lease or rent Owners SIgnature InspectIOn Request' 726-3769 c ['T';'~po'(:a.ry:S'~Glf~:fl*i\f~1~~I:,? l\'GTICE' lnstallallon, AlteratlOn'or RelocatIOn I HI:' r'tRMIT SHALL EXPIr. 200 Amps or ltEfTHOR r$BOrQQW: \A(nol( 201 Amps to f99t&fJW-' IlED UNOtH THIS $'~!rp9.IT I~ ^'':IT 401 Amps to 600 AmpsfIJCED OR IS ABANIJMi}f!J8 F-OO -~ f\1~Y 180 nAY P"FI.'Cln I Over 600 Amps or 1 000 Volts see W''iIbove D f B'ral1~Ii CI;~~;t;d h New AlteratIOn or ExtenSIOn Per Panel One CIrcUIt Each Add1l10nal Circuit or with ServIce or Feeder PermIt $ 43 00 $ 300 E I' M!~ce~~~~~ous '(~~~.~r;f~~:e~~~~t'~nci~de~)~~~.~~~)fiit!i~~~~~1 Pump or Imganon $ 50 00 SIgn/Outhne Llghnng $ 50 00 LImited Energy/Resldenllal $ 25 00 LImIted Energy/CommercIal $ 45 00 MlUlmum ElectriC Permit InspectIOn Fee IS $45 00 + Surcharges 4 r~~TOTALOF~o,;~jl:"'{. /"'145,00 L/.50 .5 IS- , --\;;) _ ~S- 7% State Surcharge 10% AdmlnIstranve Fee TOTAL Shared Dnve(T )/BUlldmg Forms/EJectncal Penmt Appl1carlOn 1-03 doc TYPE OF USE Addition Complete Bedroom/Bath addition (started 10 1993 under Permit # 931204) ATTENTION OreQon law requires you to . follow rules adopted by thPfi-6h~);Im4!~~1)' 541 747-5130 Notification Center Those rules are Set Torth In OAR 952-001-0010 through OAR 952.001- :3"'.A '.':...;. -:-::.~. -:-~+......... "'''P'o~ "ftho rlllAQ hf I CONTRACTOIMNF~A'TfOji .(Note the telephone m:f/..!. I ~ .t! ! _ "on Utility Notification Cen~wsk800miHM~b Date Phone Status Issued 225 Fifth Street, SprmgfieJd, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Lme SITE ADDRESS 1000 CENTRAL BLVD ASSESSOR'S PARCEL NO 1803021203600 PROJECT DESCRIPTION Owner Address YOSCO ANTHONY J JR 1000 CENTRAL BLVD SPRINGFIELD OR 97477 Contractor Type General Electrical MechaOlcal Plumb 109 Contractor OWNER ALAN JOHNSON OWNER OWNER # of UOlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary Construction Type # of Bedrooms R-3 VN Frontyard Setback Side I Setback Side 2 Setback. Rearyard Setback Solar Setbacks 3200 10 00 10 00 Street Improvements Storm Sewer A vallabJe Special Instruction Notes CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00115 ISSUED: 05/04/2005 APPLIED: 01/31/2005 EXPIRES: 11/04/2005 VALUE: $ 20,000.00 Sprmgficld TYPE OF WORK Smgle Family Rcsldence ReSidential 78329 12/05/2005 541-344-6098 BUILDING INFORMATION' # ofStorlli'.OT1CE' I Lot Size Height of~truc WtlMIT SH,IWt?~XPII~8 !jt1~\1!"11'.0.!iHK Type of He.ltl~ aselioard Electrl'1HISS9r!(tI2p,d 1900uT Water TytJ I fHUKILtU UNutH Sg:F1;W e'mi~t Range TypllMMENCED OR IS ABANSlrFtt(lia~iji1/Carport Energy Patli Y 1 BO DAY PEpllfhlt Sq Ft Other Sprmkled Bmldmg n/a Occupant Load. 400 I. DEVELOPMENT INFORMATION' REQUIRED PARKING Total Handicapped Compact \ Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage Urban Frmge 3030 I PUBLIC IMPROVEMENTS I Gravel No Sidewalk Type DownspoutslDrams Paee I of3 Issued 225 FIfth Street, Springfield, 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 Bmldmg PermIt Dryer Vent FIXture Mlmmum/Adjustment Mechamcal UGB Plan Rev MjIMm - Planmng Vent Fan + 10% AdmlmstratIve Fee + 7% State Surcharge MmlmumlAdjustment Electrical Total Amount PaId Imttal Review Plannme RevIew Puhllc Works RevIew Structural RevIew 02/0l/2005 02/01/2005 02/0I/2005 02/0I/2005 CITY OF ~rK11'lGFIELD Building/Combination Permit PERMIT NO: COM2005-00115 ISSUED: 05/04/2005 APPLIED: 01/31/2005 EXPIRES: 11/04/2005 VALUE: $ 20,000.00 I Valuation DescrlD~lOn I $ Per Sq Ft or multIplier $100 Square Footage or BId Amount 20,000 00 Value Date Calculated Total Value ofProjcct $20,000 00 $20,000 00 02/22/2005 FW' p.,i11 Amount PaId Date PaId ReceIpt Numher 1200500000000000124 2200500000000000321 2200500000000000321 2200500000000000321 2200500000000000321 2200500000000000321 2200500000000000321 2200500000000000321 2200500000000000321 3200500000000000171 3200500000000000171 3200500000000000171 $120 51 $30 04 $21 03 $185 40 $600 $70 00 $33 00 $15600 $600 $4 SO $3.15 $45.00 l/3I/05 3/22/05 3/22/05 3/22/05 3/22/05 3/22/05 3/22/05 3/22/05 3/22/05 5/4/05 5/4/05 5/4/05 $680 63 I Plan Reviews , OZ/0l/2005 02/2Z1Z005 02/03/2005 02/23/2005 APP SKG APP TAJ APP CAS APP DLM PermIt #931204 See documents for plan revIew comments To Request an mspectlOn call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same workmg day, mspections requested after 7:00 a.m. will be made the following work day. ~Rpnlllrprf In~,nechons I Frammg InspectIon Prior to cover and after all rough m mspectlOns have been approved Wall Insulahon Prior to cover Cellmg InsulatIOn Prior to cover Drywall. Prior to tapmg Paee 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00Il5 ISSUED: 05/04/2005 APPLIED: 01/31/2005 EXPIRES: 11/04/2005 VALUE: $ 20,000.00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme Rough Plumbmg PrIOr to cover and mcludmg reqUired testmg Fmal Plumbmg When all plumbmg work IS complete Rough Mechamcal Prior to Cover Fmal Mechamcal When all mechamcal work IS complete Fmal ElectriC. When all electrical work IS complete By sIgnature, 1 state and agree, that 1 have carefully exammed the completed applIcatIOn and do hereby cerllfy 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 Sprmgfield 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 Commumty ServIces DIVISIOn, BuIldmg Safety. I further certify that only contractors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIS project 1 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 oflhe property, and the approved sct of plans Will remam on the sIte at all times durmg constructIOn /luJ~ U~ 6/Y IDS- Own';;. or ContractorJ Slg,J.ture / / Date Paee 3 013 225 FIfth Street SprIngfield, Oregon 97477 541-726-3759 Phone "!'~~Na!'l~ ___ ,. r ~' , I _ ~ _ 1 rlty of Sprmgfield Official ReceIpt evelopment ServIces Department PublIc Works Department Job/Journal Number COM2005-00115 COM2005-00115 COM2005-00115 Payments Type of Payment , CredltCard I, 5/4/2005 RECEIPT #: 3200500000000000171 Date: 05/04/2005 Description Mlmmum/ Adjustment Electncal + 7% State Surcharge + 10% AdmlDlstrahve Fee PaId By ANTHONY YOSCO Item Total Check Number Authorization Received By Batch Number Number How ReceIVed nJm 61405 In Person Payment Total Page 1 of 1 2'49 46PM Amount Due 4500 3 15 450 $52 65 Amount Paid $52 65 $52 65