HomeMy WebLinkAboutPermit Electrical 2004-4-15
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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.. ,
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'.;.;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
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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