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HomeMy WebLinkAboutPermit Electrical 2004-4-15 ')'Ni .., FJU 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . F~~J'~Z!1J8}!~~~~aSUbmitled has;ha tol/owing ELECTRICAL PERMIT APPLICATION approval. qUlra spacitic land Usa City Job Number CJJ/MZ06~:i)ti>i'Pt Date 4-/{ 0 ~ ' Zon;n~ .J... \) (2.. , . ~ U.n - ~~'''ItT;I).t~r.~'''f::'''A~)~'''~;:\f!'I$~'~'~fII'' "1 . ~"."(.~,~?~~~)).;~.."Vt.~"d"~~~;I'~"*~.",,,,'~~.."t"'!:/...~(.{g~"'~"\a 1. '1!.OCAIIONLOFjlNS.TAEI1AIIONlC.:"" 3. ~;COMP11ETE'FOOtl~'J!"'1;"nrTTFBEL()W"~"Ili.'f!,r.;'i!{j;:JiPx" " ,J( '.;.;m:~'i!~i~~".~~;:,.U;~~'""m*'I~' n ~"~'~'\\M;,j;li.'ilC";jI"%Wlt:E"i,>...I(J..,,{~~_{~~~.~~i.~~"'""t"\'l.~r.l~' , 1^3Y Do 2. n A-C H- Supervisor License Number :>, 7 ,:;-tj 5 loll j l>~ Installation, Alteration or Relocation 200 Amps or less ~ It ~ ~ (/ 201 Amps to 400 Amps j' j 401 Amps to 6~0 Amps=\UlreS you IV I () 1 IJ '" EN"TION:u(ego, .",. t"\r.enOn UI";'Y I 'TI Over a29.AmpSI9rt\libo'vOIl!;.~e~e~l~ I~:' 'olloW "'I~i#,"'''''~'l:\"~~~~>~9i,. ~';2'1llW<71ll\11l~~ Sign:ptu of Supervising Electrician I .,. at?ci~~~g,!n~_~1t9~ ~~~"'~~'Ijm~"\'l~ "L \lot\lIC ~,,(\.nn1D . ',,,, l , r n OAR 9ENew-roteration o&.ExteIl1l1o\t'lP.ertPanel I _"'" nbtaln" \',-- \ phorle (t J r71 r> ~ _ "'\90. Yo"0ne'circujt (Note: the te e. .' 'f $ 43.00 7;), U v . \ I J I - ca\\ingE3~ch lIf<l!iit'iJIi.'1l&f'O'imW\Wtlltlllca~v" 1. Owners Name W/1-l1~ fJv-.d...a..S.6......DUmbe~~C~~;:."~~%~~_eJ!!l~_~M4). : $ 3.00 . tJ(J C2-:JC( "D:n'^;\"C..L..,-s1- City S'ff;~ LEGAL DESCRIPTION I 703 2722 'JOB DESCRIPTION" 't C.l~<n 076~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days; ~.~"",;y,)~\~~'~I"':it'J><\i...(!;.<ll""'Mo.~~I'''' , 2 ~C,O.' tfEKACTOR1lN.,ST:AEHAIION;.ONI:; ~ . ~~~~I'i"~~,"~'f""""~'E~~" -- "i.\ Electrical Contractor th 11) " f.e.,.{ JM tda-C;.( Address (Y1 t J?J.t 1Jv..P \) tU ~ City ~~ Phone {g ~ 'fR tr- I Expiration Date, Constr. Contr. Number Expiration Date Address A. ~N'.~f1RWti'a!".~~m_~m;,~~Th'l'..ti~ra1f{Ni"?eN~~I}'~\Wr~.,"." .?:;'.A~:Yi:t"""1"""'~""""';""'\'"",,~~~~.L>i<;u:.:~;:l?'J'~''::'~:.w;...~-f,l;i/.''::;'~'tC..Wlo....,~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 Feeder ' ~.ft;l'~~""1\~"\>"1I':~'1~:'~~'It""!\.~'1f,~ B. i~~if~Lt=~~~~~~;~~&!l~~:l~~n~~~~~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV oilS Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 , $ 50.00 c. ~l'lfiii~~'i~~~~}ifJtd.F~i1't~~,' :"';;'M~~' ,." 'All':' h.,~~~, U\1::1.<.i.....~.............,..,...~aoi...~~~~~~..u~ $ 50.00 $ 69.00 $100.00 , /iJm~""',~",,' ".-'.""~' ..~~..'" '~,~"'l'lW"""''''"''''''''''''''''I-IM~ ' E. 'tNlis'celfant6ifS1(Servii:eifeed:;f{llof.iIicludejf)','IEi:CiITi~st'!flla tjtn~, ~'..~",......."..~".-".~w,..;"">,,., .~"u;.~""'~.""""~""',:l:;i~~:Juf.:.;.'~~,11 :.tni..."!i.1~~\.-(~'''''''''''''..:n.;;~~ : Phone Pump or irrigation $ 50.00 NOTICE: ~7 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION THIS PERMIT SHAll EXPIREilEiil!llEnW~sidential $ 25.00 The installation is being made onill\:l;li~16&.IH.\t!llAER THIS ~!iSMl\lSr~ommercial $ 45.00 . is not intended for sale~ lease or r'lN)MMENCED DR IS ~Wi~eft9~ Permit Inspection Fee is $45.00 + Surcharges ANY 180 DAY PERIOO.,.~~.""...."",,,,,,~~,;;ilf~"Z., , 4. l~~~~'~OVE sa,fT{J 7% State Surcharge 3. h <! ~ l\,~ 10% Administrative Fee ~. do. 0 ~JX\ TOT~ ..P (). f 1- ~0~~\.'\),\ Shared Drive(T:)IBuilding Forms/Electrical Permit Applicallon 1.0).d~e Owners Signature: Inspection Request: 726-3769 . CITY OF SPRIN\d<lJ!,LD Building/Combination Permit PERMIT NO: COM2003-01l79 ISSUED: 01/07/2004 APPLIED: 11/25/2003 EXPIRES: 10/15/2004 VALUE: $ 21,664.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2234 DORNOCH ST ASSESSOR'S PARCEL NO.: 1703272207650 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Remodel PROJECT DESCRIPTION: Garage conversion and shop. Existing mechanical permit fees collected covers additional items, insert, vent, gas line.033104 DB. Owner: WALLACE ANDERSON Address: 2234 DORNOCH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor PRECISION REMODELING INC CHRISTENSON ELECTRIC INC PRECISION REMODELING ROBERT HENRY WEHRMAN License 111300 458 109426 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: U-l Type ofJ.JlljIt!J.\~ Wall Heat Primary Construction Type VN 1a.'l'IWate~I~Il~:J\II\\'I Secondary Construction Type: N..O{agOl"\)'i \,l.UI1g't~llF;;a\ \O{\ # of Bedrooms: ~\:.N,IO dO?\ad slperev P~'USZ-OO I'- l"UlaS a. lal". ,nO ugn-OP< {UlaS \ ,,..,110'l'l . _ r.a\"\ _,,..,In{o.. _. ~,\ne _^ ~0\i\iC;95'?-'00"\ '~I~OE}VEi:.oPMENT'INE8.RM)\ T10N I SETBACKS 1\"\ oft' '(oU 0Ia.'i \"\\a{. \"- \}\ili\'i \~~. 0090. \na ca ago\"\ ~AA). Front yard Setback: ca.\li\"\9 'e' \na Ol" 9-(\lilyeflay'Uist: Side 1 Setback: \"\ut(\pa{~OO_ ...'~ · - # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: Solar Setbacks: 3.00 0.00 % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: I PUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNOER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Residential Phone Number: 541-726-0768 Expiration Date 02/02/2005 05/01/2007 Phone 541-485-7480 541-688-6121 541-485-7480 541-937-8808 10/18/2005 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 336 Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: 20.60 Sidewalk Type: Downspouts/Drains: Notes: J Paee 1 of4 , ) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descrintion Tvpe of Construction Use Bid Amount Gara~e Bid Amount Gara~e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . Lll}' OF ~rKll'luNI<.;LD Building/Combination Permit PERMIT NO: COM2003-0II 79 ISSUED: 01107/2004 APPLIED: II125/2003 EXPIRES: 10/15/2004 VALUE: $ 21,664.00 I Valuatinn Descriotion I $ Per Sq Ft or multiplier $1.00 $23.80 Square Footage or Bid Amount 15,000.00 280.00 11/25/2003 11/25/2003 Value Date Calculated Total Value of Project $15,000.00 $6,664.00 $21,664.00 F pp~, tiiIiLI Amount Paid Date Paid Receipt Number 1200200000000002512 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000019 1200400000000000490 1200400000000000490 1200400000000000490 1200400000000000490 $130.65 $10.00 $34.70 $24.29 $201.00 $56.00 $39.00 $59.00 $103.26 $135.84 $17.62 $113.39 $45.00 $6.00 $5.20 $3.64 $43.00 $9.00 11/25/03 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 1/7/04 4/15/04 4/15/04 4/15/04 4/15/04 $1,036.59 I Plan Reviews I Initial Review 11/25/2003 11/26/2003 APP LLH Delay in initial plan review review due to Thanksgiving holiday and two vacation days. Plannin~ Review 12103/2003 12123/2003 APP TAJ Pa~e 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01179 ISSUED: 01107/2004 APPLIED: 11/25/2003 EXPIRES: 10/15/2004 VALUE: $ 21,664.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 12/03/2003 12/16/2003 WE VRJ Public Works Review Public Works Review 12118/2003 12/18/2003 12118/2003 APP VRJ Structural Review 12103/2003 12117/2003 10 DLM Structural Review 12/18/2003 12/19/2003 APP DLM Shop is located within PUE, have contacted owner and left message for contractor to submitt a revised siteplan with the entire structure including eaves and gutters to be outside of PUE, 12/16/2003. Contacted Mr. Anderson 4:12pm 12/9/2003, storm sewer to tie to existing house drains, outfall curb and gutter. Revised plans Received new siteplan. Intrusion of footings, eaves or any other portion of proposed structure into this easement area is prohibited. Discussed code requirements with contractor for revisions being proposed. Contractor to submit revised drawings for site and building. Contractor submitted revised plans 12/18/2003 dim See documents for plan review comments. 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. 14 Ufer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or foundation Inspection. 7 Footing: After trenches are excavated. 8 Foundation: After forms are erected but prior to concrete placement. 10 Post and Beam: Prior to Ooor insulation or decking. 6 Floor Insulation: Prior to decking. 9 Framing Inspection: Prior to cover and after all rough In Inspections have been approved. 16 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 15 UnderOoor Plumbing: Prior to insulation or decking. 12 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: When all plumbing work is complete. 13 Storm Sewer Line: Prior to filling trench. 11 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is comple!e. 17 Rough Electric: Prior to Cover 18 Final Electric: When all electrical work is complete. Page 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01179 ISSUED: 01/07/2004 APPLIED: 11/25/2003 EXPIRES: 10/15/2004 VALUE: $ 21,664.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify thai 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 ofany structure witbout permission of the Community Services Division, Building Safety. I further certify tbat 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 4 of 4 225 Fif(h Street ..... I Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-01179 COM2003-0 1179 COM2003-0 1179 COM2003-0 1179 Payments: Typc of Payment CreditCard 4/15/2004 RECEIPT #: ~ .wy of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200400000000000490 Date: 04/15/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By LARRY CHAPMAN Item Total: Check Number Authorization Received By Balch Number Number How Rccelved djb 000356 088817 In Person Payment Total: Page 1 of I 2:26:19PM Amount Due 43.00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84