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Home My WebLink AboutPermit Electrical 2004-9-22 ,,~ ~*~ ;0... fi> ~ , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~-~9 O~~t'~ . . .;:i:...:~.~ ELECTRICAL PERMIT APPLICATION ~~., ~%.~\fo. %",~ ~, ~ '1:'2 ~ ':, ? .... City Job Number COrl/f Zoo 4 - 00 '70 ~ Date // 0 l'/S:p ;p o,.~~~'" . . I 0>. lOp. "'6 1. L;JJOeAfio'N/OF.iINSTAi!r:4.TI.' 6N;fJ..~, ;~'ff1.' 3. [. ?cOiii'fiEET'E:"FEE1SciikD[iLEiIiff.rr- ,"". ~.~i~f-"<!"\:;":'~jl': \ Z/~"~""'I~-;'~-- .~~\' %. .! "..~.~"..., ....,~."....""''''''"'~~l~~(~~1~;~.. ,,~ LEGAL DE'SCRlPTION ~. A. tf:~'f~1f~id~W;.rr:;siig'liiffj~i{;ili:Ffm ~p'~~;~,);irigE~f~"7 14',.----.,,-~.~....._..._- ........r" --.--.. ......-~--""'~~ ~\:.o':o~~~o~ 170 S 27/0 D/?500 Service Included . ~~ ~.. ~ JOB DESCRIPTION 1000 sq. It or less $' . Each additional 500 sq. ft. or portion thereof p ~ .....,..~ -..,. -' --, -,'* If \( ,~............ "":\:'~",--;", '~""'O"" 1::;::;>, . :<:, "CITYOE'~ uNGFIELf.)~.tjREGbN'.-..' "; t~....tl,1 _~,l-. . ~ . ,~t,..~~-~ _ ..~.-.t1..J.....~~".~;. ,.... ',' " .....' l'", r. l~..f _~~,' .~ .. ,., ,~',''1\... .. _.._~ .. ..~. 1....#._. ~. n, . A"b~ ~ c\Q...c......'-, .~ . Permits are non-transferable and expire if work is J, not started within 180 days of issuance or if work is Suspended for 180 days. ~10:'''''.!'''''''' I'\':l~ ".'>1!'.<-~.;;. I.-",~:.:o;.~"'l':"""" '.-h'" -fP!"..'__:....:~,.'j r :.lec~::=:~~p:~rE~~~:~f7:Je Address Po B so59 I -- City ~e..-,<: Phone '-I fW - 5lCO Expiration Date f f sf-s lohr./ Supervisor License Number Constr. Contr. Number I S c 7 b (?J Expiration Date el/ oC) / of" , , ;gnaru~msC:C:ian i L '/' ~<= l7E~ S~rz...~ LAvu2...4- s i'- Phone 71.( (- CJb2-1 Owners Name ,M /rlLy Address Z I L{ '3 City sA::::;" OWNER INST ALLA nON . ~iI=NTlnN: ore~n law r~g,l!ife~_10ll !Q The m lalion .lf1iel'U\..Il!~ ~.w;~~'tl{egOo"fj'O'i~\fg IS not l?~J"l6~~a~~'I'Pall r ~~1. Notification center. ose rules are set forth ownl!h<8fj.,,9.5?,;OOl-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number Tor tile uregon UtiliI}' Nouncation Center Is 1-80~.2344). Inspection Request: 726-3769 "''":.t<.~ . -'- Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 13# rSir~~~~i.~'F~eaef~~~~Ih~t~Yiatr~'h; Altern-dons ~'~;'-:'Re~IQ~nti~ln:~' ),1 l7'.~~ .... -'~-:'..':-- ":,"''''.;~''f' .-,..__...,....._,'l"~"..., .,! ...f',~t_ ..;;"....-._..'..,_'.;1. .'~,--, ,'~.~. ...~.., ~J .. ~ , 200 Amps or less 20 I Amps to 400 Amps 40 I Amps 10 600 Amps. 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~t~)ifP:~~m.;~s~t~:~~r9~'~~"efs'{.,~~'.:~l'~1 "'~'I'.)') .....~ ,.',:({,rl.o::tsr;}.o:,:;~:~)<~'h' :L Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. f~B~a'n~h:CIFcJitS ;':'P~':.,~;f?~\i, " ~,.~ "~:'.,':~. .k .-.--....- ~...~..-....-. ..,....:li,;. r:>.".' '-.l~.. '.~ '~'-' :", \..;,";..r:?Yir{,~" :': .:'. c",:',.! ,....~..:~,.,"",....\i,.,.'U New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit q $ 43.00 $ 3.00 I.(] 12.. v E. ~Mi.s~.:~.f.l.~..~;~{(;';S~rifrEeJf~:~dei,tJi-o"t i~~lh~~ie'dJ ~;,- Eifchi:in~st~ -in tibi~'i .."........~.......~.c.. .. .."....~~f\.... Pump or ~:~~JJCf:. MIi SH~LL' [~,p~~~~illq IS 1'401 SignlOUtlineii!:i~t~~2!:O UNO!:R \\,\I~ jS:~ll:2PrOR Limited Ene~lR~gdentialO 0\\ IS I\'OI\\~ ~ 25.00 r.OMwltl'V'- Limited Energy,tff'Vll\S'ti/ll{ p!:f\\UU. $ 45.00 Minimum Electric ~ermit Inspection Fee is $45.00 + Surcharges ~,._",-",...,__.."";....,,o,~..._,,:.,..,.. ... .". ".j 4. iSUBTOTAL;.OFABOVE:.';c':,,'. ',;;,'1,.,';,: ;:-a."'~~~t--q"'~'1'r,<:~ ,~} ';;:"('~'v~'.' ......j ~'L:' .1'...~,' ,', .,'.. ;>) 3: 3"J~ 7% State Surcharge 10% Administrative Fee 5'''' b t.j '3 j- TOTAL Shared Drive(T:YBuilding FonnslElectrical Pennit Application 1-D3,doc .. -;:..~. 'lI{ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 Payments: Type of Payment CreditCard 9/2212004 . RECEIPT #: ."~I!_I~~F:I.'~.'_' --,.....,._--~- 1.. wr '. -~ i '-~- . ." .. ~_.~_,,'.'_. _. _'. r r 2200400000000001187 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By TIM C JUSTIS PACIFIC ELECTRIC Received By dim Check Number Batch Number Page 1 of I Me of Springfield Official Receipt .velopment Services Department Public Works Department Date: 09/22/2004 Item Total: Authorization Number 080042 How Received In Person Payment Total: 12:00:43PM Amount Due 43.00 12.00 3.85 5.50 $64.35 Amount Paid $64.35 $64.35 Building/Combination Permit PERMIT NO: COM2004-00905 ISSUED: 08/18/2004 APPLIED: 07/20/2004 EXPIRES: 02/18/2005 VALUE: $ 29,000.00 . .. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2143 LAURA ST ASSESSOR'S PARCEL NO.: 1703271001800 CITY OF SPRINGFIELD Springfield TYPE OF WORK: Garage Conversion . DAVID M & MARY J STAFFORD REVOC LIV ,,~~()\'\~nJl.DCoU~ 2143 LAURA ST SPRINGFIELD OR 97477 "'~ \~ ~ \~ \~ ~G -/4t W e-t.~\"Y ".o.~\\ _<:>.0. ('~. f''A.~'':'" - \\\';) ( - ~~, ~ I CONTRACTOR'Il'<tVkM~:HONI,I\)~~ '\ 'rJt-.~'V'J ,\\,\\~ I ~1.t.v. ~ \~ ~ Contractor ~'\\'\~~ ~ ~~ration Date DAVID RICHARD BRUNDAGE ~.C\~~t~~ \l 10/2112004 BUILDING INFommrtoN I . TYPE OF USE: PROJECT DESCRIPTION: Garage conversion & laundry room. Owner: Address: Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Forced Air Gas Water Type: Gas Range Type: Energy Path: Path 1 Sprinkled Building: nla R-3 VN I DEVELOPMENT INFORMATION I I,...~"" Alteration Residential Phone 541-913-4736 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 528 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 29,000.00 Total Value of Project Paee 1 of3 Value Date Calculated $29,000.00 $29,000.00 07/20/2004 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description Plan Review Residential -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Gas Fireplace Gas Outlets 1-4 Not Covered Mechanical Total Amount Paid Initial Review Plan nine Review Public Works Review Structural Review . . CITY OF I)rK11~ld'l.l:'.LD Building/Combination Permit PERMIT NO: COM2004-00905 ISSUED: 08/1812004 APPLIED: 07/20/2004 EXPIRES: 02/18/2005 VALUE: $ 29,000.00 Paee 2 of3 Receipt Number 1200400000000001114 1200400000000001229 1200400000000001229 1200400000000001229 1200400000000001229 1200400000000001229 1200400000000001229 1200400000000001229 1200400000000001229 Not to be considered an additional dwelling unit. No cooking facilities are allowed. 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. I Fpp< PIilLI Amount Paid Date Paid $161.07 7/20/04 $10.00 8/18/04 $37.68 8/18/04 $26.38 8/18/04 $247.80 8/18/04 $84.00 8/18/04 $15.00 8/18/04 $4.00 8/18/04 $26.00 8/18/04 $611.93 I Plan Reviews I 07/22/2004 07/22/2004 APP SKG 08/05/2004 08/06/2004 APP TAJ 08/05/2004 08/05/2004 APP MS 07/22/2004 07/29/2004 APP DLM Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. . Post and Beam: Prior to Ooor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required Inspections have been requested and approved and the building Is complete. UnderOoor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. Rough Gas: After line is Installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. . . LU t' OF ::'rKlI'lI\Jt<l.l!.LD Status Issued Building/Combination Permit PERMIT NO: COM2004-0090S ISSUED: 08/18/2004 APPLIED: 07/20/2004 EXPIRES: 02/18/2005 VALUE: $ 29,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that 1 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 he 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 he made oCany structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 r)ring construction. ~:'.:n~.~,JP-- D~- IIS:-o r- Pa!!e 3 of3 U5 .Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 COM2004-00905 Payments: Type of Payment Check 8/18/2004 . RECEIPT #: Description Building Permit Fixture -Mechanical Issuance Fee- Gas Outlets 1-4 Gas Fireplace Not Covered Mechanical + 7% Slate Surcharge + 10% Administrative Fee Paid By DAVID BRUNDAGE 81~~~1~~~~._ I WiL . , _. . , -_. .. aty of Springfield Official Receipt .evelopment Services Department Public Works Department 1200400000000001229 Date: 08/18/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2805 In Person Payment Total: Page 1 of 1 9:42:32AM Amount Due 247.80 84.00 10.00 4.00 15.00 26.00 26.38 37.68 $450.86 Amount Paid $450.86 $450.86