The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-9-29 , ZZS FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)7Z6-37S3 . FAX: (S4t)7Z6-3689 ELECTRIC#- PERMIT APPLICATION City Job Numb{ OM;::)f'i1Xt, - () I OdS p..... .""\,,..,~ ......0.... ""~"}-""" -_.' r'o, '{'I ",.. '.,.'\ ~'''' """l'l!'"..V~"""-'~':~2f~' \~;:~~3!~e&il JOB DESCRIPTION: Ooh ~ r So 12J~:-O Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address PD. R. ,'i. //93 City ~ 1tJJ.." l....j ( Phone . >rr;~ - ?1Y'tt,. Supervisor License Number ,2 9'7 () .- S Expiration Date, /0,- LJ/- L) 7 Expiration Date /596'"$7 7'-/S-/;/V Conslr. Contr. Number Signature of Supervising Electrician C&L /?,~ I ownersN~ ~~ - - .-#' Addre~1 .w.llo(Y\.d1'u ,cSt dol'" Ci~IYt/ ) Phone <15Lf -5\ ~q O~~ ' OWNER . ST ALLA T 0 '[he installation is being ma e on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SPR'aELD, -::-1.' ZON LD'2- -*-~~ INITIALS ru M , ; " ".:", ~~ ~~~:CE ~~~r,.. Dale C\ \ 'd-q \ 2CiVCn 't',~~l"-"" ~l>O''''''':';I~'' ,.; -:.~;......-,..... .,.... ":'U':"""';>"" '..' ...... ..~:; -, ... .;~'''::'''''. ,~....""~" .......- 3. f!;COMPLETEFEESCHEDULE BELOW'; ."/'.;? L....~....:.~'f~ ':oJ .:.:.;c-":tl'..;' ,,"",~o'~:;~ .. 'l~ _ ,';"'"" .'~..': .,:......'.l""~'-....t.\,. ',r> ':. :-,'.y,~-"',_"'':Oo.'t:;'',\!!~>;"".,~,...;. .,~.~.( '" ,..... -:. .'. .~.... ......,:t........... ,.,-.H ',j',. '. A. iiNcl,'.ResidentiillCcSinglc'Jlr. l\1ulli-Fajnily per ~,,:~I1i1lg ~~ ,,~.>.-t,~... .....~.,......._:c:.t\. ..._::\... ." "" .~..~ .' ...,~. ,"",._~... - t. __.....~'......... Service Included \olp \q 1000 sq. ft. or less Each additiomil 500 sq. ft. or . portion thereof ~ ~ $ 19.00 $106.00 Each Manufacl'd Home or Modular Dwelling Service or Feeder $50.00 B. r~~~~:ci~~;1j~;~T:~1\W~i'i~ifT11~~:;~rr~~~~ :R~ir~~~Yi.hJT~ ~..~~'II:':":-t..".:..:t:.:..:~~';'~'''..'' .-....."".~. .,~.~,.L,;~~~:..:.::..i.~,.(...';j..r ...:......:~.....J 200 Amps or less TION'Oregon .:Z... '''r-lUI~j09U lU 201 Amp.ID~I)J~~s dopted~' the nIeY7Ji1UOtilltv 401 AmlPlb?60A'.~mDSaente'r Th';"e rilles $;t~!Ol): fortt Notmcalion v' . '. 001 60 I Arn~t5'AIR~lW1-001 0 throuah O&f6~6~- ,Over 1~Il'Ot\<W!i1y obtain copies of~31P.;.'Q(jes o~ Reconnect8l11Yng the center. (Note: the \sl~~n8 ,).. ..,,-...nUl11be.IJ.oHI:t~"QJ~QP.':1-~~3N404t)lflc~t~o;n . .7?~'! C. ,,,Tcmporary.!>er."'.""IF'~"fdllOO,~32-?.. ;', :,/~.-":': .,,;" .':;,'0.... \U,;;....;;,,,.;-",="".,o..JJ..l_..:.,,.,......lJgiT"9 t_~,-""" ,__......, '-~,~_~.~....,..:.:<l..~~..:..Ll~J..uJ_:J.:t).41 Installation, Alteration or Relocation 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600fiU1J M 000 Volts see "BOO above. D. [;1lj:11;:~if/&~~P.~SJy1J't1SHAL ~.E>:~:.-".'1".!.;i .:.''''',,: ~:':~'!~~ ~-~."-AUIlr' r~~'><---~-' P-IRE IF.THE,-WORK-4.--~ New A1ttf~tlOnO.fl.lm.u~hlp.g. WMllPERMIT IS NOT OneCircu:t'MMENCED OR IS ABANOOllWHlIll Each AdaM~nl&tlitWiVql'~toD. Service or Feeder Permit $ 3.00 ~l.11,""":!<OJ'./O'2-1$...~4~.-...~~::.~i~,;- ..t}.<:'.:.-:~~.....t-.-~.. . .~ --".~."'- A'-",~'~: E. ~~.i\l\s.t~lfaile.~t~S (~~I:v!~e!fe.d~r.!io~ iticilided)":~ncIi IustaU:ili.ou ~ ,.~.......J.;.........t....;;ll...,l.:_~_ .......\;._.."',;...J......,t.. '.._. ..,,~.~..,.. ..~~..,r_" .........,.. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidenlial $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4 fi"SunlYO'TAiY3p"ABOVE ':~"J~i:;.,(I~~~~:~ni__~~,~/r~:,.:i ern . L:...u.;l....::::,j:.!.:-;:,.~:.~"b:.., '.~..~,j'.~~~i.k.-.:t':~.~i~~~,' \ ~ 5 , 8% State Surcharge I (:).~ tjn 10% Administrative Fee I .).. .- 5% Technology Fee <n .:;:>, ~ ~ 153."16 Shared Dnve(T:)/Building Fonns/Electricnl Pcnnit Application 8-06.doc TOTAL 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . "j:O~~~ WiL. c;a of Springfield Official Receipt _Iopment Services Department Public Works Department Job/JournaJ Number COM2006-0 I 025 COM2006-0 I 025 COM2006-0 I 025 COM2006-0 I 025 COM2006-0 I 025 I'ayments: Type of Payment CrcditCard cRcccintl RECEIPT #: 2200600000000001366 Date: 09/29/2006 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% Stale Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC Item Total: Lheck Number Authorization Received By Batch Number Number Ilow Received njm 084486 In Person Payment Total: Page I of I 1I:30:5IAM Amount Due 106.00 19,00 6,25 10.00 12.50 $153.75 Amount Paid $153.75 $153.75 9/29/2006 '-Wi"~ . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01025 ISSUED: 09/29/2006 APPLIED: 08/10/2006 EXPIRES: 03/29/2007 VALUE: $ 10,000.00 Status Issued 225 Fifth Street. Springfield. OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 857 KELLY BLVD ASSESSOR'S PARCEL NO.: ]703352211500 Springfield TYPE OF WORK: Dryrot TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Dryrot repair. And Kitchen remodel Owner: DON WARD Address: 541 WILLAMETTE ST 214 EUGENE OR 97401 Phone Number: 54]-954-5]69 ATTEN IIUIII:uregon law 16\juiJ\:lS you (0 f",II"""AI "III~ "3nnnto"" h~, tho f'h''o'1nn IltHit~, Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR ~~OWus~",ter. Those rules are set fort~ . 0010 through OAR 952-001 Contractor 0090.11V,1 eitrn'~ Obt tE'.tlBrr'l1fi~8ffl'~UhUIIPh8he OWNER ca IJf8d~91 cen er. \N~~~l~'O 11~P o~e C PERKINS ELECTRIC INC numbr59S31he Oregoro J' 9,0 pllflcatSC4~_895_4466 RONS HEATING AND AIR CONDITIONING lJ./gSlterls 1-8000 4- 00'84). 541-343-6829 CRAIG ARNEY ]670]5 ]0/25/2007 541.736-9582 I BUILDING INFORMATION' VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENli INEORMATION I THIS PERMIT SHALL EXPIRE IF THE W~R~IRED PARKING Overl~ltJ1i~mRIZED UNDER THIS PERMIT 19'/lffilf # Stre~toJf.f\\'A',,:~JldtD DR IS ABANDONED FoHandicapped: Paved 'tjriv'e'RRClY ~ompact: % ofLI)kI~dJWa~I!Y PERIOD. I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Speciallustruction: Sidewalk Type: Downspouts/Drains: Notes: Pace I of 3 -~- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Estimate Use Bid Amount Estimate Fee Description + 10% Administrative Fee + 8% State Surcharge Building Permit + 1 OlJ/o Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Water Line - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Fl Residence Wiring Ea Addtl 500 Total Amount Paid Initial Review Structural Review 08123/2006 08123/2006 . I Valuation DescriDtion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 5,500.00 4,500.00 Total Value of Project Fpp< P1ilU Amount Paid $6.84 $5.47 $68.40 $5.00 $2.50 $4.00 $50.00 $10.00 $23.00 $11.50 $18.40 $140.00 $12.00 $33.00 $45.00 $7.62 $3.81 $6.10 $76.20 $49.53 $12.50 $6.25 $10.00 $106.00 $19.00 $732.12 Date Paid 8/10/06 8/10/06 8/10/06 8/18/06 8/18106 8/18/06 8/18/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22106 9/22106 9/27/06 9/27/06 9127/06 9/27/06 9/27/06 9/29/06 9/29/06 9/29/06 9/29/06 9/29/06 I Plan Reviews I 08/2312006 09/26/2006 APP LLH APP DLM Pace 2 of 3 . CITY OF ~rKIl~t...mLD Building/Combination Permit PERMIT NO: COM2006-01025 ISSUED: 09/2912006 APPLIED: 08/10/2006 EXPIRES: 03/29/2007 VALUE: $ 10,000.00 Value Date Calculated $5,500.00 $4,500.00 $10,000.00 09/26/2006 09/26/2006 Receipt Number 1200600000000001238 1200600000000001238 1200600000000001238 1200600000000001295 1200600000000001295 1200600000000001295 1200600000000001295 1200600000000001444 1200600000000001444 1200600000000001444 1200600000000001444 1200600000000001444 1200600000000001444 1200600000000001444 1200600000000001444 2200600000000001358 2200600000000001358 2200600000000001358 2200600000000001358 2200600000000001358 2200600000000001366 2200600000000001366 2200600000000001366 220060000000000]366 2200600000000001366 See documents for Plan review comments . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01025 ISSUED: 09/29/2006 APPLIED: 08/10/2006 EXPIRES: 03/29/2007 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 54 I -726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. I Reouired Ins~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench 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. Footing: After trenches are excavated. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Ceiling Insulation: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 accordancc 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 thatonly 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 Pa2e 3 of 3