The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-1-23 ZON L-u2- INTI1ALS W~ DATE \--=:-''S-A''<;(_ SOURCE~ ~V Dale J~Zs-oF " "'" ",.f, ~ . ""," '.. '. ,.' . ~, . i;;;r: , 4~'. <i .: .~JWYJ)f.~.I~~(JlfIA:IiI?, Om;;:QQ]\f ~~~ SPRINGFIELD ~- 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r o.A-1 Z-OC> g- _00 0 ~ S- . .200 Amps or less $ 70.00 / 201 Amps 10 400 Amps $ 83.00 401 Amps 10 600 Amps $138.00 / 601 Amps to 1000 Amps $180.00 )'60ne _ ,_.. ...qulres y~OOO AmpsNolls _ $413.00 O\<t: U'I>"'d'bY the Olegon.~~~ect Only $ 55.00 \loW rules adopte ose rules are set 0 to at\ ncenter. Th hO~RQ5~1~i~i!l![!"-!iillTIITIh""""""'" c.?...!._...J"~'W0J_"~.bWb!.....'" ,." "'Ifie 0 ...1\010 \hroUg ,.. C .1ilff:i'iniiiirarv.Sefriccs'CltiEeellers#-'k,..-,,,j2"EE'!lIjH'>fi-i:!J.ZW'l0.i!l!11S1 .,' "" ~ 00.- Ithe IUI_'4"- 'J",.~ ~...... ..... . . .%C. ...., -~z..__!. -'" ... -... . APt~ may obtain COPI~sh~ telephone . ~h"l;8nter. tNot~~~ity Notif~tion, Alteration or Relocation N eTI'" C.. 12% State Surcharge THIS PERMIT SHAll EXP~11l~WORKFee AUTHORIZED UNDER THISlf'~ffflWV ~f COMMENCED OR IS ABARiO FOR ANY 180 DAY PERIOD. . ,:~, jGit~^'^""""" "'4""""'~~'#~"'~~"~=~'"'~''!''''''''~''_''Hh\"A~\'!::'.%",,,,.~,,,",,,"":"'''''''''''1I0!'$'fSF''''&if''"m' 1. 4LOe.ArpION[OE'lNST.A.FT'\!TION:l[I1S1[['i4~ 1~""';':.''''''_%i&'&~'-'i-JL0'",0''-t'''AY';_'''''',",~&Jz'''''''''''''''''JY!!!27d:!!ifL,;L~. 33Lf f3R6A n~v 1 LEGAL DESCRIP1JON: 17D32b3.'1 OlfbOO JOB DESCRIPTION: M f)I tv!, llNO !<.:ec'f! f'rfAcie5 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor City Expiration Date / Constr.'Contr. Number E/. . _ xprrallon Date Signature of SupervisiPg Electrician Owners Name U;/tfiltJ 8t<eJvifdh~[~e Address 73c; /J/20fJD hlA)/ . City 1pf''4n Phone 7'1 ~ -AIC, OWNER INSTALLATION The installation is being made on property I own wbich is not intended for sale, lease or rent. o?ers}lj91"atur".i;:;7~ h /;t / /JI-., #2 ~. .) Inspection Request: 726-3769 ~..........._.... 3. 1i!!11.1If!'Bf!Jr.l~l """j~~!fj!jj~f1[~Wt~J!f~ A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion Ibereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuil or wiIb Service or Feeder Permit $ 48.00 $ 4.00 L(e, E. Pump or irrigation Sign/OuIline Lighting Limited EnergylResidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee $ 55.00 $ 55.00 $ 28.00 $ 50.00 Surcharges ~O b , Z~o b3~ 4. Shared Drive(T;)IBuilding FonnsIElectrical Permit Application l-QS.doc Status , Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 334 BROADWAY ST ASSESSOR'S PARCEL NO.: 1703263404600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00055 ISSUED: 01l14/2008 APPLIED: 01l14/2008 EXPIRES: 07/14/2008 VALUE: $ 1,000.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Add interior wall for new bedroom Owner: ROACH-BRENINGHOUSE W W & DB Address: 334 BROADWAY SPRINGFIELD OR 97477 TYPE OF USE: Alteration Residential Phone Number: 541-726-2975 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER Expiration Date Phone. License BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructinn Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Slructnre Type of Heal: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarpOl"1 Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Selback: Side I Selback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer AvAIT:iliINTION: Oregon law requires you to Special I nstrucflO\\~W r~les adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth Notes: m OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain copies of the rules by callmg the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Paee I of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00055 ISSUED: 01/14/2008 APPLIED: 01/14/2008 EXPIRES: 07/14/2008 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Line I Valuation Descriotion I Bid Amount Use Bid Amount $ Per Sq FI or multiplier $1.00 Square Footage or Bid Amount 1,000.00 . Value Date Calculated Description Tvpe of Construction Total Value of Project $1,000.00 $1,000.00 01/14/2008 Ff'f'~ PllW Fee Description + 10% Administralive Fee + 12% State Surcharge + 5% Technology Fee Building Permit Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $5.00 $6.00 $2.50 $50.00 $32.50 $5.00 $6.00 $2.50 $48.00 $2.00 1/14/08 1/14/08 1/14/08 1/14/08 1/14/08 1/23/08 1/23/08 1/23/08 1/23/08 1/23/08 1200800000000000032 1200800000000000032 1200800000000000032 1200800000000000032 1200800000000000032 1200800000000000067 1200800000000000067 1200800000000000067 1200800000000000067 1200800000000000067 Total Amount Paid. $159.50 I Plan Reviews I Structural Review 01/14/2008 01/14/2008 APP DLM All plan review comments are on the submitted documents 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. l.J~'au.irprlln~,np('tion", I Framing Inspection: Prior-to cover and after all rough in inspections have been approved. Final Building: After all required inspections have heen requested and approved and the huilding is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complet.e. Pa2e 2 of 3 -lik."..~~ . ... i " .,' . .._~.... Status Issued CITY OF SPRINGFlELU Building/Combination Permit PERMIT NO: COM2008-000SS ISSUED: 0I/I4/2008 APPLIED: 01114/2008 EXPIRES: 07/14/2008 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signalure, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withoul permission of the Community Services Division, Building Safety. I further certify that only contraclors and employees who are in compliance wilh ORS 701.005 will be used on this project. I further agree 10 ensure that all required inspections are requested at the proper time, Ihal each address is readable from Ihe slreel, that the permit card is located at the fronl of the property, and the approved set of plans will remain on the site at all times during construction. Ow.1::,fj}!:;; "../~ y6 7 Pa2e 3 013 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ";7~:~;jij...".....".... !i... _.' , . ..' ,~ -.> ..:.' ........ .','.,...~.,..,.'.,...".,~._'" .. .. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000067 Date: 01123/2008 2:34:43PM Payments: Type of Payment Paid By Item Total: t:heck Number Authorization . Received By Batch Number Number How Received Amount Due 48.00 2.00 2.50 6.00 5.00 $63.50 Job/Journal Number COM2008-00055 COM2008-00055 COM2008-00055 COM2008-00055 COM2008-00055 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Paid Check SHARI SMITH djb 2127 In Person Payment Total: $63.50 $63.50 cReceintl Page I of I 1/23/2008