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Home My WebLink AboutPermit Electrical 2004-11-15 ;;", ~1,'~/'1, . ''':'"l'~: '... ' ""." _ t,., .' , '. '. - -..;"';. " ..,' . . , :' I .~. . ":,;.,~",,,\h'~"":'.t"'J.""'.ClTY.OFSPRINGFIELD"OREGON ,,'"'~! ,", ,," ::~'~'}.,:,.:~I,'~~-:..~;,:9~\:.... ''':''':''_:\.'''~''~(:-' .;,..' ....~. ~,.!,"_' t. .,y.o','-' ...1",1" ,::::','~:' -.,;;~~. :_:~'L":~' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION, City Job Number C<.JtM 2,00'-\ _ 0 I ( b Z. Date 1, ?'fij(j(iAfidirbji)iNST1tTf:iXrfi(f&~~!f;t14 . . cr.......-... .~.._~._l-.f~,-.......O::W:...:.....I....._.._...........__u...~~ 11..(3) LAv/N.~II~&e LEGAL DESCRIPTION 17012~ZZ ~>t;';'-~'_'''''''I,.'::;........_,-.u.Jf\......:NOo-~~~....W'f-l''''''-...I''-l::''':''~-'''''''~'' .~"t::a..1f:'!!tt'If~'" l,t\i~'o"iIi:.",;:~::u."~"""'."~"""~$~'-.~';"'-'~i"'"'-1,"~;"~ 2 w,CONTRAGT:OR:ffSTA:IJEA.1'1O 'O'~ B. 'SeaKes',,,r [Cellen. 'JDstallation;"AlieratibDS\or.lRelocation:". ~lec:::;:~:~:~:~2~~~-~f~ ~lvOJ 200 Am:'o:';ess- ., - . $ 63,00 " P j) B 201 A~~~Dregon law rAOulre\$Y6.llQO Address U 6 X -1 GO / (p 401 ^mllb~,) ieReM!R!opted by the OreQ<Sl1StOO.y 601 ~l!'Ill\~fjQll\lempt3r. Those rules ar'Sfll'j\d@rth ovetrlQ!l!>.I'~-O010thrOugh OAI1s~75:0001. Rec'fll)sGPi1!lo may obtain cooies ot th6 50\00 by c. :re r.,Jl~.t~,~'ll\t r",-2t'~ e: the t~epho;e ""!'~{iS\~ Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 OWNER INSTALLATION Limited EnergylResidentiaJ $ 25,00 . The installation is being made on property I own which Limited Energy/Commercial $ 45,00 is not intended for sale, lease,,~r.rent~ E' MinImum Electric Permit Inspection Fee is 545.00 + Surcbarges , , 'n,UlIlI . Owners SIgnature: ," '.., THIS PERMIT SHAll EXPI~,E~' ,'" ..'. '; :F~VE~1lic~ AUrHORIZEO UNDER THIS P,' r, '. ,~"'''~~ rnMMFNCED OR IS ABANDO~ISJtG!kcharge ANY 1 BO DAY PERIOD. 10% Administrative Fee b6900 JOB DESCRIPTION '3 AdJ.{ ( L' tLcvo-( k Permits are non-transferable and expire lfwork Is not started within 180 days of Issuance or If work Is Suspeoded for 180 days. . City btH{ J~ q l:/.CP$ne -({phs90 Supervisor License Number' <J. ,C; S 3 S d)/r /()7 . I , Constr, Contr, Number J ,) ~ /?Jjto- 4'1? e... Expiration Date J (J /1 q /0-' . I , Expiration Date Signa re of Supervising Electrician .~ ro ~ A'V t'n./l/'o. Owners Name ~ o--fL, '" ~J~ ( 14Y) '5 P ,~\\ Address 4tVV',^r~.1..s ~.- City Phone Inspection Request: 726-3769 r;=~ ~'~,! Service Included Each Manufact'd Home or Modular Dwelling Service or Feeder Center Is 1-600-332-2344). Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D "1'B""''''. '''''. ~'<::'.'."'?>.'~l1iffi~""..Jl> ." ''''1~''/l.;;;>'''1~%'.!'; "ll't<."!it"'~'t't,ll~"'~ . f:,.J1ln.c~tYl~~~_~,;':~.Y1ii,.l~~~~~"il'.%~~~~~ New Alterallon or Extension Per Panel One Circuit - ) 43,00 Each Additional Circuit or with Service or Feeder Pennit $ 50,00 $ 69,00 $100,00 ;> i $ 3,00 i~~'1l'''-'t:-t'-~~~--,.;,~o;~=--~~lt~H;~~~~-''''''~~~'~::-;'~ E. ~~ie~\~_!!!.1l,~~~~mc....~~,g~51~iili!'5!~1~:.~ir~11nsta!la~on~\ TOTAL '7 .b~ , '70 JOj7 Shared Drive(T:)lBuilding Form:JlElectrical Permit Application l-03.doc -1IIr~AI:q!:Il!'~'~. ~ ' -----.~ "_.. -~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01162 ISSUED: 10/21/2004 APPLIED: 09/21/2004 EXPIRES: 05/10/2005 VALUE: $ 29,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1435 LA WNRlDGE AVE ASSESSOR'S PARCEL NO.: 1703252206900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Remodel two bathrooms - add one fixture (within area of existing bathrooms) Adding to permit 10/14/04 - enclosed sunroomnaundry at covered patio area. Residential Owner: TINDOL DORIS B TE Address: 1435 LA WNRlDGE AVE SPRINGFIELD OR 97477 Phone Number: 541-344-7190 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor 'GEORGE BRADDOCK THOMAS LEE BALCOM JR ARPS PLUMBING CO INC License 77180 138121 38123 Expiration Date 12/16/2005 10/19/2007 01/24/2006 Phone 541.342-3478 541-461-2590 541-484-7246 VN BUILDING INFORMATION I NOTICE: # o~Stories: THIS PERMIT SHA~!fS,,'f~HE IF THE WORK Height of Structure UTHORIZED UND~~. ~trM~ ~1,Y1\~~lIT IS NOT Type of Heat: A S" N 2nd)F100~: Water Type: COMMENCED OR Si!;Y~B\ilJeb\~r.1 FOR Range Type: ANY 180 DAY PERS"qLFt Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: 288 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENTlNFORMATION I Front yard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: OrEl~It:rIJW\Nl;II.m~TS I follow rules adopted ~vy" the urego~ ~~Ihty Street Improvements: Notification Center. Those rules are set forth Stor~ Sewer A~ailable: In OAR 952-001-0010 through OAR 952-001- Spec.allnstrucl1on: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Use Bid Amount Use Bid Amount Bid Amount Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Fixture Minimum/Adjustment Plumbing Not Covered Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review 09/22/2004 . . CITY OF SPRIrli\.oI'1J<"LD Building/Combination Permit PERMIT NO: COM2004-01162 ISSUED: 10/21/2004 APPLIED: 09/21/2004 EXPIRES: 05/10/2005 VALUE: $ 29,700.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 14,700.00 15,000.00 Value Date Calculated Total Value of Project $14,700.00 $15,000.00 $29,700.00 09/28/2004 10114/2004 FpPo. P"WIJ Amount Paid Date Paid Receipt Number $95.16 $10.00 $27.54 $19.28 $146.40 $84.00 $39.00 $36.56 $48.08 $4.23 $6.00 $95.16 $10.00 , $4.60 $23.64 $3.22 $16.55 $43.00 $3.00 $146.40 $6.00 $14.00 $31.00 $39.00 $0.90 $0.63 $9.00 9/21/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 10114/04 10/21104 10/21104 10/21104 10/21104 10/21104 10/21/04 10/21104 10/21/04 10/21/04 10/21104 10/21104 10/21104 11115/04 11115/04 11115/04 1200400000000001369 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000268 3200400000000000290 2200400000000001321 1200400000000001493 2200400000000001321 1200400000000001493 2200400000000001321 1200400000000001493 1200400000000001493 2200400000000001321 2200400000000001321 2200400000000001321 2200400000000001321 2200400000000001321 1200400000000001617 1200400000000001617 1200400000000001617 $962.35 I Plan Reviews I 09/22/2004 APP SKG Pa!!e 2 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01162 ISSUED: 10/2112004 APPLIED: 09/2112004 EXPIRES: 05/10/2005 VALUE: $ 29,700.00 ,I' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 10/14/2004 Structural Review 10/14/2004 10/14/2004 WE DLM Converting covered paito to sun room and laundry - adding to eisting permit. 09/28/2004 APP TAJ No comments - an interior remodel. 09/27/2004 APP CS 09/28/2004 APP DLM See documents for plan review comments 10/2112004 APP DLM Plannin!! Review Public Works Review Structural Review 09/2212004 09/2212004 09/22/2004 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 Rf'~irf'd Insnf'rtinn'LI Framing Inspection: Prior to cover and after all rough In inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and tbe building is complete, Underf100r Plumbing: Prior to insulation or decking. Shower Pan. Prior to covering and including required testing. 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 Electric: Prior to Cover 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 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 of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address Is readahle 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 Pa!!e 3 00 225 Fiftl\.Street Springfield, Oregon 97477 541-726-3759 Phone. . .~ Job/Journal Number COM2004-0 1407 COM2004-01407 COM2004-01407 COM2004-01162 COM2004-01162 COM2004-01162 Payments: Type of Payment Check 11/15/2004 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHINOOK ELECTRIC 1200400000000001617 Received By djb Check Number Batch Number Page 1 of 1 Jit1.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 11/15/2004 Item Total: Authorization Number How Received 2383 In Person Payment Total: 10:52:34AM Amount Due 4.41 6,30 63,00 9,00 0,63 0,90 $84.24 Amount Paid $84,24 $84.24