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Home My WebLink AboutPermit Electrical 2005-7-6 appro'Va'~ - -"''O'a nor require ~-... ".,.::i rne fOl/owlng I f'\ 'eJlfific land usa -II".i1 ':fll I I ~"w 11111. IJ &;II '" I, =",f.11 III I" _~ ~~..l .. " I; 'ng .......t..I fc'-. . I"" I .. ." . 111 -. " F'lILD~"""----' n f " ^, "-;;j 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (5~flCff6?-glill9gnarJ~' ~;"".:':'1 '.. ELECTRICAL PERMIT APPLICATION L~~ "<l CityJobNumber COM'2JX:FJ.C>...r.:>i--5 Date *C1'5 . M~N6- I. UJOCATION 6EiNSTArI'AfiON-.f"_;.~"i',i,r~ 3. I;(cOMPEftifFEEKCHEDULiFifIfLOW,""<;,':' '\,',?, ~:' ", \ t.- .._...v~_....,...' ...,..1 ..._~,,,.....,,-,,.,,_....,. ..-.,~'1,!.J_w...~ I",...,.:.~J""'_'-_-"'~~"'-_" ;:;;:. ""_'_'_<L...""..-,'-" ..- ._.......c-"., ",'u. c_,..,." , _ \ c; 1/ j? b>dAh ~2 LEGAL DESCRIPTION l"T O'?1 Z7 2-1 ., 1000 sq. fl or less $106.00 Each additional 500 sq'r/tror . e fOllowing p I portton thereof " " ro act as SUhr$rlMJl,s r~ _ . .. . ~......,..~ Permits are non-transferable and expire if work is Each Manufact'd Home or ;, not started within 180 days of issuance or if work is \hrM~d~!ar Dwelling Service or 1= WORK $5000 Suspended for 180 days. \ Feederr-,f\IT SHALL EXPIRE If 1\.1 T . 2 lic.ONTAA. cr.oii,iilsT'A.LfiATiON."':.oMS-?l ~lf~j~.cg.JfrFJ~i!1f~\~Y~~i.~~~iF.ei:aifuns'bdi'eio.ca'ti~n:'>1 . . ~:"'(:''''-:'''''~_d,~,.......,::;..~v'""",,,,,,,,,, ,~~.,' ,-""'~"~.JJ CON\I~~t.i~'~1we)t4~mli."''4-~v":,.''",''',, ",";-'--~' "co.; '."L-- -.... Electrical contrac~r/- k//../A? h~.A"7<f{gOOWnps~({rli5~IOD. . $ 63.00 " 201 Amps to 400 Amps $ 75.00 Address ..5$~2.5?- /))y~",- t.d it-fl./cfJ 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 00700 JOB DESCRIPTION <I d /C75" ~ Citya#/JALL S7.f-:'j>C6cJ' Phone 3'2..2.9$ Expiration Date / /) / () / / If 7 . // Constr. Contr. Number b 2. '7 -? I Expiration Date (/_ ( ?, ~ / I 1 Signature of Supervising Electrician ~0~ Owners Name AJ~ ~N ~~ Phone 7 4tI-7 4";30 Supervisor License Number 06 ;v/./' P City r /' dt:...;7/ Address OWNER lNST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. rr~~l~~m:~d:fi~i~sl;;g-~'~o~~;~'~lmi~Fiiiml~~p'~~:~rig'~~"i::~1 ~~"'".__...-_..__ ...",_ ,'" _~_~"'__. ....'''..1,_ _..........:'0, .____ :._,'.~~ Service Included c. I&t~PQr;rry;Se!\~~'~~_s"~r.~f'~~~~rl>-' .._.:~,' :':1~::;~~/,~:{~ .,:~~;~Ztj.,~ ;rJ Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D frBI.intllCii)cUitS.~l"K....\~~'t'fr:.(F'~ < 1'l,,i..,.~,",,';.... '.l"'~'. -"tot t; ir..; :.; ~'.' .;~ I . A=H-t:N+l~;..~.egon:tawireQUlte.s:YOU_lO' ,.,....:..: ."c/. . ". ~"\ .... 1lt~~ratIoD:bY,ltitj,~.tliipQf1i'OOfI1 Utility .~ l'Qrteeirlillitl Center. Those rules are~et fCS~1.00 /-1 '3 il!;l@lid.\dditiofifil1GitCull/!i1iWit1i1h UI\r\ ,,~.O\YI- . ~ ....- GiS!X!~OfQr_F~9r(P.einiit copies of th~le~b:r.oo ~ ~.;~,\:~;;~r.~~~~~1f..:,..\b.~~1~9,~~~.~;., "".' ,,' - "'_ t"".~ ,,' -- '1'-1 E. !l;Mi~~lian'eous;(Se'iivice/feeiler 1\'0' 'ui~ludi;(1)l'-'Each'Irislalhitiiiri; i!i'=~'": ~~"..'-1;1'~6~O~3'~-:;'&":-' .~",.. ',",' .~ 1 .....', .... Pump or irrigation . Sign/Outline Lighting Limited Energy/Re8idential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges ['''' ...' .'. . ,.. . '. .. 'j .' ~"", ""'"." --",~"'~...I,,?-- i';,z'...., ........~ ~-.' '..,. '..~' '._' ___ 4. :'SUBTOTAhOF'ABOVE'(;,' ., ..,)v.' ,..-2...... "."'~,-"'~:,..~":L'''''' :~, '::'I:.,;{;;~"f;~Wi:: "~..r.;). ,~. 3.~4 c::...7LJ -100. VL 7% State Surcharge 10% Administrative Fee TOTAL Shared onve(T:)lBuilding FonnslElectric:.l Permit ~pplication 1-Q3.doc ........ ........... . -- "'unm.n........ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 12/22/2005 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 948 DARLENE AVE ASSESSOR'S PARCEL NO,: 1703272100700 Springfield TYPE OF WORK: Garage Conversion PROJECT DESCRIPTION: Garage conversion. TYPE OF USE: Alteration Residential NOTICE: ~...~ ~cn'''T C'u^tl ~YDIQ~ I~ THF WORK A'UTH'O'RIZED UNDER THIS PERMPh6be"-'NJmber: 541-746-7430 CGlvifViENCED OR IS ABANDONED FOR ANY 1 flu DAY PERIOD. Owner: FOX NORMAN & CHERYL Address: 948 DARLENE ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor WL POOLE CONSTRUCTION INC CHRIS MILLERS ELECTRIC INC BARNES HIGH TECH PLUMBING INC License 78319 62377 83311 Expiration Date 12I1212006 12/2112006 02/17/2008 Phone 541-726-2870 541-895-3660 541-726-9854 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Wall Heat Sq Ft 2nd Floor: Water Type: ATTENTIOI\iEI~t'i!"Jn la~'t!~~,;;ment:t Range Type:/OlJow rules ,EJ!lC,Jm~ by ~fuE ~aral~~~fPort Energy Path:)ltflcation Cen!t~thWJosJill (,)fh'W: tllilY Sprinkled Buililing:952-001_t%'l 0 th O~ili~a'j{ft"o'IM:"Jrth ~~~_ .. rouqn (JAR Q""_nfl1 , I DEVELOPMEN 11~~-r~':"~~ATioN:'ialn caples of the rules by . (Note: the telREQl!IlRED PARKING number for the Oregon Utility NOliI' . Overlay Dist: Center is 1-800-332_2344\T~1&1':lon # Street Trees Rqd: 'Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Partiallv Improved Yes Sidewalk Type: Downspouts/Dralns: Curb and Gutter Notes: SDC for new bathroom fixtures only Pa2e 1 of3 . . Lll r OF ~rtuNGFIELD Building/Combination Permit PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 12/22/2005 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-37691nspection Line I Valuation Descrintion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Value Date Calculated Total Value of Project $20,000,00 $20,000.00 05/1612005 F PPLI:iilIJ Fee Description Amount Paid . Date Paid Receipt Number Plan Review Residential $120,51 5/16/05 2200500000000000587 + 10% Administrative Fee $4,50 6/6/05 1200500000000000769 + 7% State Surcharge $3.15 6/6/05 1200500000000000769 Water Line - Ist 50 Feet $45.00 6/6/05 1200500000000000769 .....Mechanical Issuance Fee- $10.00 6/8/05 2200500000000000727 + 10% Administrative Fee $27.54 6/8/05 2200500000000000727 + 7% State Surcbarge $19.28 6/8/05 2200500000000000727 Building Permit $185.40 6/8/05 2200500000000000727 FIxture $42,00 6/8/05 2200500000000000727 Minimum/Adjustment Mechanical $3.00 6/8/05 . 2200500000000000727 Minimum/Adjustment Plumbing $3,00 6/8/05 2200500000000000727 MIscellaneous Mechanical $18.00 6/8/05 2200500000000000727 Sanitary Sewer - Improvement $109.68 6/8/05 2200500000000000727 Sanitary Sewer - Reimbursement $144,24 6/8/05 2200500000000000727 SDC SanItarylStorm Admin $12,70 6/8/05 2200500000000000727 Vent Fan $24.00 6/8/05 2200500000000000727 + 10% Administrative Fee $5.20 7/6/05 2200500000000000884 + 7% State Surcharge $3.64 7/6/05 2200500000000000884 Add, Aiter, Extend Clrc $43.00 7/6/05 2200500000000000884 Add, Alter, Extend Circ Ea Add $9.00 7/6/05 2200500000000000884 Total Amount Paid $832.84 Initial Review Plannlne Review Public Works RevIew 05/17/2005 05/17/2005 05/17/2005 I Plan Reviews I 05/17/2005 APP 05/18/2005 APP 05/17/2005 APP SKG TAJ CAS No PlannIng Review needed. SDC for new bathroom only 5/1712005 CAS Sent to Jason Bush for review Approved as noted on plans Structural Review Structural Review 05/17/2005 05/25/2005 05/25/2005 10 05/31/2005 APP LLH JB . 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, inspections requested after 7:00 a.m. will be made the following work day. Paee 2 of3 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 12/22/2005 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reojil~Insne~tinnsJ Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Shear Wall Nailing: Before covering sheathing with finish materials. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cov!r. Drywall: Prior to taping. . Final Building: After all required Inspections have been requested and approved and the building is complete, Underfloor Plumbing: Prior to Insulation or decking. Rough Plumbing: Prior to cover and Including required testing, Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final ElectrIc: When all electrical work is complete, Water Line: Prior to filling trench and including required testing, By signature, I state and agree, that I 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 without permission of the CommunIty Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on thIs project. I further agree to ensure that all required inspections 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 remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 00 . 225 Fifth Street :.Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 P3yments: Type of Payment CreditCard . " 7/6/2005 . RECEIPT #: G~ ~i 2200500000000000884 DescrIptIon Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHRISTOPHER MILLER Received By ddk Cbeck Number Batcb Number Page 1 of I J;J.ity of Springfield Official Receipt .velopment Services Department Public Works Department Date: 07/06/2005 8:2I:I3AM Item Total: Anthorlzallon Number How Received 908692 In Pernon Payment Total: Amount Due 43.00 9.00 3.64 5.20 $60,84 Amount Paid $60.84 $60.84