HomeMy WebLinkAboutPermit Electrical 2008-3-6
,225FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEl,aKlCAL'PERMIT APPLICATION
City Job,Number r 1) YVl2D C51 - () \ ,q ~ Date
We.RK;.c)V
12% Stat glZED UNDER THIS PERMIT IS N(H ~ D
10% A~M~MBf.d) OR IS ABANDONED FOR S (~
5% TecbJiQWgyjOO DAY PERIOD. - /7-, ."/~ I
TOTAL " 0 ~_ ~S
Shared Drive(T:)/Building FormslElectrical Permit Application 1-08,doc
A/~M lS~vJ- +0, P0h~ ~ . ~ s civlli~ ~
l.r OVO \.OV\OLL \(l,ev\<;.;L, V'eVV\.JVL..
1. 3.
'1...l7~/~- ~n S I~
'-'
LEGAL DESCRIPTION:
/7D:3:3 -tj q /J- '10 D
JOB DESCRIPTION:
!?ope-. r--,/ /?nr /ar/?_ U./. r-/;-'f
Permits are non-transferable and expire if work is
not started within 180 days of issuance or iCwork is
Suspended Cor 180 days.
2.
Electrical Contractor
/'
/
City PhO/
Supe",;so< License Numbl
'/
Address
Expiration Date
Consn-. CO~b"
EXPirati7Date . "
si7e of Supervising Electrician
Owners Name ' .~J /Z.---" ;; C/f;/ ~k
Address Po /3ox Lfo/ /:L
CityEiJ ()~. .J:l_ Phone 9t- '1- 6:JU
ml;~Il9.N: 0, regQn_Iaw requires you,t,o
OWtofrb'J.H&I"~~lWty the Oregon Utility
Th~im1i~m1Be>5il m~~~\\~~mCh
is n~ ~~7dilQan9,Q~~tttrffi\lp. f the rules by
0090. You may obtam copies 0
owne...~~.'gIgl~:,center, (Note: ,the tele o~e .
~~r t~r~~Y cation
~efutf1'~~~-- .
Inspection Request: 726-3769
A.
Service Included
1000 sq. ft. ,or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
f
,
$117.00
1/7. VD
. +;),00
;2
$ 21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
.401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts .
Reconnect Only
$ 70.00
;$ 83.00
$138.00
$180,00
$413.00
$ 55,00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Am s or 1000 V oIts see "B" above.
D.
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with ,
Service or Feeder Permit
$ 48.00
$ 4.00
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Elec . Inspection Fee is $50.00 + Surcharges
4.
Status
Issued
CITY OF SPRINGFIELD'
. Building/Combination Permit
. PERMIT NO: COM2007-01799
ISSUED: 01122/2008
APPLIED: 12/10/2007
EXPIRES: 08/22/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3.769 Inspection Line
SITE ADDRESS: 2745 D ST
ASSESSOR'S PARCEL NO.: .1703361412400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Dryrot, plumbing, electrical and mechanical repairs. BWOP - house gutted.
Residential
Owner: GOLDBECK MONTE
Address: PO BOX 40112 '
EUGENE OR 97404
Phone Number: 541-954-6306
I CONTRACTOR INFORMA TIONI
Contractor Type
General
Electrical
. Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
'License
Expiration Date Phone
BUILDING INFORMATION. I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type: .
# of Bedrooms:
R3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor: .'.
Sq Ft 2nd Floor:
SqFt Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
. I DEVELOPMENT INFORMATION'
REQUIRED PARKING
l~_>:;,..- . 'I
Frontyard'Setback:" ", Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 SetIJac'k:q Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setb~ . ,.
fHTtNTION: OreQOnlaw reouirpc:: 11(')11 t"
lurl.~w r~les adopted by theOr.eg 'PB'BIDLC IMPROVEMENTSI';lTIGE:
!'Jotlflcatlon Center. Thoserules ar ~v..v '" . , S P~MIT~MALL EXPIRE IF THE WORK
Street IMb~ra~01-001 ~ thro~gh OAR 952-001- ' 'HO ~a~w~11~:THIS PERMIT IS NOT
OOgo. You may obtain copies of th I b AUT ILtu
Stor~ Se~lI~'g'tkW~enter. (Note: the tel:~~~:e y COMM~R9Kt~(PMJ~~DONED FOR
Special IQ1Urn8MflYOr the. Oregon Utility Notification. ANY 180 DAY PERIOD.
Center IS 1-800-332-2344).
Total:
. Handicapped:
Compact:
Notes:
:1
Pal!:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01799
ISSUED: 01/22/2008
APPLIED: 12/10/2007
EXPIRES: 08/22/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
. $1.00
Square Footage
or Bid Amount
20,000.00
Value
Date Calculated
Description
Total Value of Project
$20,000.00
$20,000.00
12/21/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $132.89 12/21/07 2200700000000001893
-Mech Iss 2+ Appliances- $40.00 1/22/08 2200800000000000086
+ 10% Administrative Fee $100.49 1/22/08 2200800000000000086
+ 12% State Surcharge $60.29 1/22/08 2200800000000000086
+ 5% Technology Fee $50.24 ) 1/22/08 2200800000000000086
Add, Alter, Extend Circ $48.00 1/22/08 2200800000000000086
Add, Alter, Extend Circ Ea Add $56.00 1/22/08 2200800000000000086
Building Permit $204.44 1/22/08 2200800000000000086
Dryer Vent $7.00 1/22/08 2200800000000000086
Exhaust Hoods $10.00 1/22/08 2200800000000000086
Fixture $144.00 1/22/08 2200800000000000086
Minimum/Adjustment Mechanical $12.00 1/22/08 2200800000000000086
Penalty Fee - BWOP Building $204.44 1/22/08 2200800000000000086
Penalty Fee - BWOP Electrical $104.00 1/22/08 2200800000000000086
Penalty Fee - BWOP Mechanical $50.00 1/22/08 2200800000000000086
Penalty Fee - BWOP Plumbing $144.00 1/22/08 2200800000000000086
Vent Fan $21.00 1/22/08 2200800000000000086
+ 10% Administrative Fee $5.50 3/6/08 2200800000000000288
+ 12% State Surcharge $6.60 3/6/08 2200800000000000288
+ 5% Technology Fee $2.75 3/6/08 2200800000000000288
Minimum/Adjustment Electrical $55.00 3/6/08 2200800000000000288
Total Amount Paid $1,458.64
I Plan Reviews'
Initial Review
12/26/2007
12/26/2007
APP LLH
Public Works Review
12/26/2007
12/28/2007
APP LKW
L(;lft voice mail for owner to call me
on 12/28/2007 regarding additional
fixtures added to structure. No new
fixtures and no new structure to
residence. Porch addition was the
same as previous one being replaced
per owner.
Pa!!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007..;01799
ISSUED: 01/22/2008
APPLIED: 12/10/2007
EXPIRES: 08/22/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~ 726-3769 Inspection Line
Structural Review
12/26/2007
01104/2008
APP RWC
Plannin!! Review
12/26/2007
OJ/14/2008
APP T AJ
No Planning issues as long as
remodel stays within the existing
building footI>rint.
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. '
~eouiredJnSDections .
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation:. Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
"
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover:
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cove.r or placement of concrete. I
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Final Plumbing: Whenall 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.
Pa!!e 3 of 4
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01799
ISSUED: 01/22/2008
APPLIED: 12/10/2007
EXPIRES: 08/22/2008
VALUE: . $ 20,000.00
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 Ordina'nces 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 ofany sttucturewithout 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
Paee 4 of 4
Date
225 Fifth Street
Springf.ield, Oregon 97477
541:726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1799
COM2007-0 1799
COM2007-01799
COM2007-0 1799
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200800000000000288
Date: 03/06/2008
Description
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MONTE GOLDBECK
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 1183 In Person
Payment Total:
Page 1 of 1
lO:06:41AM
Amount Due
55,00
2.75
6,60
5,50
$69,85
Amount Paid
$69,85
$69.85
3/6/2008