HomeMy WebLinkAboutPermit Electrical 2006-3-9
Over 600 Amps or 1000 Volts see "B" above,
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Signature of Supervising Electrician . ..' ,ranCm'\:;.I~~~_~v,_:,,~.t~!f.;ni.I~'(~~~',:Jo.f...;l:.,.,.,,:.'r.t~'::;n:::_~;;":;:::~~~~~l.':;
O ' /? :...::::::: . New Alteration or Extension Per Panel
~ .:::'- ~ One Circuit I S 43.00
~- , ~ r u 1. _ Each Addil10nal CircuIt or with t7
~ ~ }J... n"'--+I~E' Service or Feeder Perrnit J S 3,00
Ow Name. ..., ~., .j ;' MIL SllAkt exPIRE-If +I:U;,WDBJS..,,=,,~=.. '~.: ,;"~,,,e.,,'''i'':::-;\i'l
Address I 7/ M7 JC:. IA...u HI iP:!l-E~'UNrn;ffm~~~t'\Y1l'~eijft~~~0r..~~~~ed):-Ea;~_~~.~~.I!~:~?'1..1
City ~&fIc- Phone hf Z - ~ ~MtfJCEDGRI~s'~W6RNEO FOR S 50.00
- ANY 160 DAY lI~\h,e Lighting - S 50.00
Limited EnergylResidential S 25.00
Limited Energy/Commercial S 45.00
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LEGAL DESCRIPTION
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OOfer
JOB DESCRIPTION
Acti ?
L (,rev\. ~-j S
Permits are non-transferable and expire if work is
not started witbin 180 days of issuance or If work Is
Suspended for 180 days.
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Electrical Contractor Y.o,! (\1/ In.::. Elvctn<...
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Address d 11S 1.0 ~:;2 0<:\. A\) e
City I:::: liej 9 r'll'
Phone ,~ :l';:;)C\ l
Supervisor License Number
:;<S;:;lO
c'
o
Expiration Date
\0.\.01
Constr. Contr. Number
;:::,) (', . \ ':"JS c...,
Expiration Date
I-I-C,ln
OWNER INSTALLATION
The installation is being made on property [ own which
IS not intended for sale. lease or rent.
Owners Signature:
Inspection Request: i26-3i69
~~~
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Date
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9 <-A..f' The following proJect ~s eGuire specilic land use
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3, 7.COil'IPLETEFEE'SC. -ilLEBEibW.';;;'~~~~
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A. ~.~~I~~.€~~~e~~~]~~{~.~;~~fi~tHl~~~~~~~~~.n]5it
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
S 106.00
S 19,00
S50,OO
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B. ,.~s~~ic~"~~~1?~~~;i~rriitafI~i.if~~rAit;~ tiri;; ~r?'R~iij73ti-ciii.;:;;~~
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200 Amps or less S 63.00
201 Amps to 400 Amps S i5.00
401 Amps to 600 Amps '_.. .,S125,OO
1" T'lTIn"" ('\'-,('on law requl, VV ,-- "
601 Amps'to'lOOO A!!,!,s the Orf~M IIW;lSI63.00
fe' .....,', ~,.".c. ;1nOl'tlSd uy ..... 1
Over 1000 A--mp'SlVolts ose rules MO co, InS;375.00
N 1.......*,......... {ol,rer. III
OReconnect On y h h 0 ^ n """ 1)~.s0.00
in OAR 952,001,0010 t roug ,'.;:: '_, .,:~ h:'
(r.ol9'~~"".h....:;~'~~~':..c;:;::...l'-r:...,~j:."-~';~.....d.:o<%l'>>\......~Ii'"..;.}i~',..d'...,N"..:.o..:'<~?JI;1,t:"~p;lt:.,I!:-.,&;r.ttt;":J
c.:. . ~,I eE?P2ral'Y.::,'?ell\'!~~.~~.~~_. ersli;,:'~~li'6~~i;~;t~';:\i;"i~~1:;'-ii~~ti<'1.;~~:J
ciiTIing me <""""" \"v. '...-...'. .
,. ..'M t"'- nr~nnn l"iPtv N.ollflcatlon
rInsmllation, Xlter::ation or Relocation
r,enler is 1,800'3;j~'~.j"").
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
S 50.00
S 69.00
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Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
4.:s~~~~~:_~~~g~:~3L~~&T;:L:
7% State Surcharge
10% Administriltive Fee
TOTAL
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Shared Drivel.T:VBuilding FOrm5lEleca;c:J.1 Permit A!Jpiication 1.03.doc
.
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2005-01582
ISSUED: 02/02/2006
APPLIED: 11108/2005
EXPIRES: 09/09/2006
VALUE: $ 25,000.00
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 450 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF
Interior
TYPE OF USE: Alteration
Residential
. PROJECT DESCRIPTION: interior remodel
Owner: HOUSING AUTHORITY & URBAN
. Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
Phone Numher: 541-682-2591
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
REYNOLDS ELECTRIC
THOMAS ANTHONY RYDER
License
17252
159425
Expiration Date
02/08/2007
05/12/2006
,
Phone
541-343-7297
541.343-0975
I BUILDIN" "'ruRMATIONI
# of Units:
PrImary Occupancy Group:
Secondary Occupancy
, PrImary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of.,;.. ; 1: Oregon law re . Sq Ft 1st Floor:
Type of Heat: ;;::iopted by th dUlrerSq:Ft 2nd Floor:
WaterrTYpe: Center. Those el regoSq,Ft,Basement:
'Jljo/"i~,'.h..:'" ruesa'
Range Type:001'0010 thro h reSq'FJGaragelCarport
"tJ", \' ug OA -..n-
Energy Piitb:ay obtain C' A [Sq?FJLqther:
Spril\lile-d'he Center (N opUi{ia')f the ,O,c;.c.!'e'!nt Load: ,
r"lrnh....~~... . ote_ tho t...../_. Y
-. ...~, .r~_.. .. -'-"'-'IIQ'
I DEVELOPMEl'u,m1<vNdATION1I' Notificalion
. - -w,,'.::344). REQUIRED PARKING
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
R-3
. Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
SoIar Setbacks:
Notes:
No SDC fees apply 1l/16/05 CAS
IPUBLIC IMPROVEMENTSI
F II I 1 E Sidewalk Type:
u v mpr TIC:
S PERMIT SHAll EXPIRE IP~Jjl;IijM>rains
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Curbside 5'
Curb and Gutler
Street
Storm Sewer Available:
Special Instruction:
.
.
:
. 1 of 3
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. CITY OF SPRINGFmLu .
Building/Combination Permit
PERMIT NO: COM2005-01582
ISSUED: 02102/2006
APPLIED: 11/08/2005
EXPIRES: 09/09/2006
VALUE: $ 25,000.00
Status: Issued
, 225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Type of Construction
Estimate
I Valuation Descrintion ,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 25,000.00
Total Value of Project
Value
Date Calculated
1110812005
$25,000.00
$25,000.00
~ F..... Paid I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $145.86 11114/05 1200500000000001713
-Mechanical Issuance Fee- $10.00 212/06 2200600000000000163 "
+ 10% Administrative Fee $31.44 2/2/06 2200600000000000163
_ + 7% State Surcharge $22.01 2/2/06 2200600000000000163
.
Building Permit $224.40 2/2/06 2200600000000000163 .
Dryer Vent $6.00 2/2/06 2200600000000000163
Exhaust Hoods $9.00 2/2/06 2200600000000000163
Fixture $28.00 2/2/06 2200600000000000163
Minimum/Adjustment Mechanical $18.00 212/06 2200600000000000163
Minimum/Adjustment Plumbing $17.00 2/2/06 2200600000000000163
Vent Fan $12.00 2/2/06 2200600000000000163
+ 10% Administrative Fee $6.70 3/9/06 1200600000000000273
+ 8% State Surcharge $5.36 3/9/06 1200600000000000273
Add, Alter, Extend Clrc $43.00 3/9/06 1200600000000000273
Add, Alter, Extend Clrc Ea Add $24.00 3/9/06 1200600000000000273
Total Amount $602.77
I Plan Reviews I
~
Initial Review 11115/2005 11115/2005 APP LLH
. Plannlne Review 11/15/2005 11122/2005 APP TAJ No Planning Issues. ;
Public Works Review 11115/2005 1111612005 APP CAS No SDC fees apply 1111612005 CAS .
Structural Review 11115/2005 12/14/2005 APP RJB
To Request an inspection caD 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. wiD be made the following
work day.
Rpn~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
2 of 3
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, I
_I
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CITY OF SrKll'lGFIELD:'
Status:
Issued
Building/Combination Permit
PERMIT NO: COM2005-01582
ISSUED: 02/02/2006
APPLIED: 11108/2005
EXPIRES: 09/09/2006
VALUE: $ 25,000.00
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
-
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mecbanical: Wben all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
, .
By signature, 1 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 wiD be made of any structure without permission ofthe Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wlIl be used
on this project.
I further agree to ensure that all reqnlred 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 wiD remain on the site
at all times during constructlolL
,
Owner or Contractors Signature
Date
':oi
..
3 of 3
225 Fifth Street
Sp'rinifield, Oregon 97477
5U-726-3759 Phone
.
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llllliity of Springfield Official Receipt
.velopment Services Department
Public Works Department
J'Ib/Journal Number
COM2005-01582
CClM2005-0 1582
COM2005-0 1582
COM2005-0 1582
Payments:
Type of Payment
CreditCard
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3/9/2006
.~
RECEIPT #:
1200600000000000273
Date: 03/09/2006
Description
Add, Alter, Extend Circ
Add. Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ELLEN REYNOLDS
Received By
djb
I of I
Item Total:
Lneck Number AuUlonzallon
Batch Number Number How Received
065756 In Person
Payment Total:
8:\3:SIAM ..
Amoo nt Due
43.00
24.00
5.36
6.70
579.06
Amount Paid
$79.06
579.06