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Home My WebLink AboutPermit Electrical 2005-10-20 ~~~i'-II' and doa. nOlTt::.u'\\7:::YLL _ r- approval., I ~ ZOning .. I .. . -'''''~' o~ ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (S4I)72t36s9 .'., . ~ ELECTRICAL PERMIT APPUCATlPN,.. ,. . CityJobNumber CoN\Z0CS--CO~/lbate /O-tp-O) . '. ~ I. "'i.OCAfiON.OitiNsTA. ;i'iAifi6NT"~ 3. ?OOMPUi'ii'FEE. -:SCHEiiULERRf.Olv.i"'i19'.,". .', . '.' ~......_ ".._'__"~.."""""'..._~ ,:;c,..__,.....,.__.-..._..._.._....,.._r.:w'M.".1i'." ,~~, I bZO \CeII 0 7 ~ m::~.''''''''>n_'.,._.,.,.'''''"~..''''~"'-'''''''''~''''''''''.'''n.."'''''"'''y.' ''Ii' LEGAL DESCRIPTION A. New R.!$,i~tia~~gl~~l!It,iif~~J.lyiP.tt;d"'ellll)g;!!.Il~~~f~.i1 J 70 3.3. '1 Z- Z 00 7/ b Service Included JOB DESCRIPTION 1000 sq. ft. or less $106.00 -- -~5\"'''L dlO J.. Each additional 500sq, ft. or ~ <;\" 'f c...c rc.oA.7', ~ portion thereof $ 19.00 Permits are non-transferable and expire if work Is Each Manufact'd Home or not started within 180 days of Issuance or (fwork Is Modular Dwelling Service or t $5000 Suspended for 180 days. Feeder I ... requireS yOU .0 . ., _.. .,. r =n.\lr.. .. )l1)\iW 2 ~~$R:lNST,ti"}:r?:.tnON'ONi"iI\iiENB\~~~'.i~~~1~~.1riik':.t.i.~;~'ti~I.;'ili.~iatf@n:<' . lllI,<<t'" ,w'~"'lZ""":'.""--"'" <=......'""'-.."~\\QW ru\Er.l'~;;.w~t;~~Il'~5~.'tl6\:;'" '''w_..-'-.... .. , Electrical Contractor~ C.PF~ ~ c; lDcAfl~li~M6~f-6~W~O~gh ~ the rulpg bY I $ 63.00 b.:l , in O/'.R 952bP9Jn8t!9.\jlIlOll'ili1~ \elephnne $ 75,00 Address PD. e,()'t.. L\ ~ c;. co n1)90. '(0'401'~.lR.6~fA'mp,~he No\lhc<>lion $125.00 cal\in~mei\'tWf&.IlQllO~~Y 344), $163.00 City f, .,... ^ M_ Phone /4la- \ <{ 1 \ l\urnb~~n\g9</g'\ln\l~6I'a.2.2 $375.00 ~ t&c!lJnnect Only $ 50.00 Supervisor License Number ~(').;l. 3 S ExpirationDate 10 I () \ I ;).007 , L Constr. Contr. Number i 5' 0 S S'c:2 Expiration Date S I ~ ( :J. 0 0 s:- ~~~li~~....1'..*.:>...~.."".;~AC~.'..--r,a(~'Q..~' .'~(~~'.~ .,~ '~~-~~ ..'~'~ c. ~~,~!!!P.9..r!!YJ~em~eslord~~ersu~_ '-'" IustaJlation, AJteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see ''B" above. D. Ajit':ri'Ch-"Gi~i1i~. ".:\'Wf\';:O; ':'~I<fii'~I$~~~\".J!,n'ml~:ti'IQ";'~' ~,<~" ..~.. .._,...".~~'if,<;m~r~~~~.l!:'_t~"\'1.\'ij New AJteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50,00 $ 69,00 $100.00 Signature of Supervising Electrician / ...d~~ ~ " $ 43.00 Owners Name S ~.4A.-+ ,wtyCif. \ Address "3'"l'l61 '"8/0-" 4.t-rc, I&d City f'1^6-EIIIC' Phone It) $ 3.00 "}.o E. ~iJlVl~li~~~1ii~~~~~~~.tti~i~hid1=d~.-~ii~iJar;ill'ti.~~~ l~~~~, .',-n<_""-'"..-......".,"'~.._.~,,~~I.t-...kwWS:r..........~......'"".'l~ OWNER INSTALLATlON irrigation ~O.OO 'IT s~pPlRt IF H'It nv 0.00 lH ~1l6 PERMIT 1::1 l"t~ 5.00 AU R~N~ "UK $ 45.00 MI~I~':~~:::~Fee~~:,:;~nrCharges 4. ,p:Sll1uv~AL;OE:.4BOVE>'l-",~':, ~1]';,," ~"."..,'>t''''':'''''''''''""{.'''''''''''J,\''''';,,,,:;(\:i.<~ ~"=~'"~~ 7 '3 6'51 '710 JO't !!- 7% State Surcharge 10% Administrative Fee The installation is being made on property I own which is not intended for sale, lease or renl Owners Signature: 611 Inspection Request: 726-37~ew c.t.1!f 1"1.\ e~f. ~/q/01 '))!$ TOTAL Shared Drive(T:YBuilding FonnsIElcctrical Permit Application l.mJloc: . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 04/20/2006 VALUE: SITE ADDRESS: 1620 KELLOGG RD ASSESSOR'S PARCEL NO.: 1703342200916 Springfield TYPE OF Site Work Only TYPE OF USE: New PROJECT DESCRIPTION: Sanitary, gas and paving for partition approval parcell Residential Owner: STEWART MEYERS Address: 33461 BLOOMBERG RD EUGENE OR 97405 , I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor WALTER DREWS III CAMP CREEK ELECTRIC LLC License 124842 164877 Expiration Date 08125/2009 06/0912007 Phone 541-606-1755 541-746-1471 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I BUILDING INFORMATION. no IC:I~I/ON' 0 tOVrOfS~E'''~d regon law requires 0 ~ot Size: .Notjaeigl!Jr"ten~ted by the OregonY U~,~WFt 1st Floor: m O;rypJ~R_q}J~!bo' Those rules are set t~rrft 2nd Floor: 009LWJlW I~~e,; 10 through OAR 952 S~tilt Basement: caRaDl!e]lY.Jle: btam Copies of the I -rsq1Ft Garage/Carport .", 'b""l, e.7 Prlt ru e~ ' nU~J1J'rn.l"lith:er. (Note: the tele -SqlFt Other: Spriul<le\i1e Oregon Utility ",Dla PhonrOccupant Load: I.",entp.r;e:.- 1 0...._ _ Onf,f::=Ifi,..,.... -__ ......'_~~~A) I DEVEWPMENT INFORMATlON'I' REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: !PUBLIC IMPROVEMENTS I Partlallv lmprNDJICE: Sidewalk Type: fili~ PERMIT SHALL EXPIRE ~slDralns ~g~HJ~~~~ ~~DER THIS PERMIT IS NO~ ANY 180 DAY PtR:g~BANDONED FOR Drywell - Provide Drywell Engineering Notes: I of 3 Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtllOO' SDC SanltarylStorm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 7% State Surcharge Sanitary or Storm Sewer Cap + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st SO Feet Storm Sewer Each AddtllOO' + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Public Works Review 08/05/2005 . . CITY OF SPRINGF1I!.L1J I Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 04/20/2006 VALUE: I Valuation Descrlotion I $PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees P3idJ Amount Paid Date Paid 7/19/05 7/19105 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19105 7/19/05 7/19/05 7/21/05 7/21/05 7/21/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 10120/05 10120/05 10120/05 10120/05 Receipt Number 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001056 1200500000000001056 1200500000000001056 1200500000000001146 1200500000000001146 1200500000000001146 1200500000000001146 1200500000000001146 1200500000000001577 1200500000000001577 1200500000000001577 1200500000000001577 $10.00 $10.40 $7.28 $4.00 $41.00 $45.00 $247.91 $325.91 $14.00 $74.13 $908.79 $4.50 $3.15 $45.00 $7.30 $5.11 $14.00 $45.00 $14.00 $9.30 $6.51 $30.00 $63.00 $1,935.29 I Plan Reviews I 08/05/2005 APP CAS Drywell approved per PW 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. ' 2 of 3 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit' PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 04/20/2006 VALUE: Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Gas: After line Is Installed and required testing and capped if not attached to an appliance. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the Inspector with receipt and verification from company performing pump and fill. I. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. Storm Sewer Line: Prior to mling trench. Rough Electric: Prior to Cover Electric Service: Approv,al required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 certity that any and all work perforl)led shall be done bt 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 ofany structure without permission of the Community Services Division, Building Safety. I further certlty 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.. located at the front of the property, and the approved set of plans wID remain on the site ( at all times during constructiolL Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-72'6-3759 Phone Job/Journal Number COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 Payments: T)1le of Pa)1llenl CreditCard '" 10/2012005 . RECEIPT #: ~ WiL.: City of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001577 Date: 10/20/2005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Eo Add + 7% State Surcharge + 10% Administrative Fee Paid By CAMP CREEK ELECTRIC Received By djb Item Total: l:becK Number AuUlorlzatlon Batch Number Number How Received 472273 In Person Payment Total: I of I II :06:42AM Amoont Due 63,00 30,00 6,51 9,30 $108.81 Amounl Paid $108.81 $108.81