HomeMy WebLinkAboutPermit Electrical 2003-4-29
.
,
(i::~:. 0j: . '\'., E~CAL PERtvUTAPPLICA tION. . ~' ' .
ff<~' ~:~: ~k~i\>JOh ri~~I;~;~dtQ~~;f*"6:$)~~rr,
Q~\~;{~; ~i ~~; ,l)" ~::V<~_:~~t:.:~,(,~~J~~5::._ )-~i.~'.::.~'~. ~(;~!,f~J~,;--"'-:,;:::, -"'-. '
S!~:"!;.':' ~\;,~O~J..ETE FE~ Sl:l~..~~.."",q,,)' '~.~."_'.?"".:'..'.'...""
~;:,~.::1:.~~ t~~L0:t ~~~...f~' _;~~! .;: . _ _ ;;,:.i~::~~",7:':,<:;:::: ~~;i:;-- ;-:, .:~., ..~--, '_ ,,' 'c' : _
,.- 'A.' New Residenthll:Siri~lc or~' .."", .','.. ..t~. " ',:--,:- '.'~
u "
Multi-Family per dwelling unit. '_.'. ~'"
S~'Vicc Included: . 'i', :::
00 S"O,{, 0 IO"O"'~ Items Cost Suin"~,
S\\\ oilS
0\\'" ,,,<'
JOB DFiSCRIPTION sll'O<<"\\:Q0C\\'C 1000
Hvll....S,t-' el! lJlfl.t',:,.C,,,S'0o.,;,'0
n.V'-' (\v~
.. \o-tl\(\'\? 60a~
Permits are non.transfera~'ll~~aj\1re
if work is not started withint~ll~<>Ill'is 0<'\<'''
of issuance 9f if work is sus~~lded for Modular Dwelling .~ .'
ISO days, ,,', <,,,\Il'" Service or Feeder ':', " ': $ 50 00 "
';,' 0,,\0 A s,g aU ,,", "', , -
2, CONTRA~TOR INSTALLA'jJ0'Rl'~~y B. serviCe,t,,\\J1e,~~~~ :' '~:':;. ~ ' ,~:.
, i," n ^ ~ ~\~'in~iXw!fi\i>,'A.ltera!l~~~<%" >,- ";":..
Electncal'Co!'traclorV:la::.L ~ /)r.nt\r ~~LI,sIl'&~aHo"u\l, ;''''', ," ~~ ",: ~~~. ,,'
9A',." ,"" t\ ~9~~t.~~\\S ;-;;'\\"~n'iJv..'c.\) '':,',<'''': ',', -:. "'1 !i
q'M',' ., \ ,\ ~""" ,,':v" Q ,v ' !',,;, " "'~ "''-' -,', ,
Add I css, ,~, 'I';,~,'" '\. (' ,,'~ ' .', ,)\~ \Sl'-V Oampsorles~>:~:;'.':-:.:" ,',;:.~ " ,~$j~'9.~,~
<; ',,i . <~" '''' ~aM\ r ''iJ~\, ,\'i), 201 amps to 4p~:a\"p~." OJ';'''''''';'';' ,:' '.' $:;7.?,0():~ :
,,'1~ .. '-i (...n' ". q:~.~Jl\\J .-"'~,... .,l:;. ,.....w.'" ~ ,. ~..;' " ~ <. >,
Clly . ~ Ir{.%,,~:.-:thone ~,,,." ~~;'!" 401 amps l~j99.0a~'~;",:,,,,;:,,::,~0'.' ~,$1.2.5.,0,Q.,: :~E:, '
','C,,: ,', ';""4':, .4!N\J\ "\~' ,'\';:"1:.<:::';; 601 amps to'IOOO'ampst~,F;":,'" '-" :;. $16300' ,''-W:.'
Sllper\'ls~; Iilc~~~c;Nit~ber ~R~{~~;'~'~~~:-:~~5::~~'-~::- b~'er 1000 ~nipii~olts;: f;~ .~>t;;.~.( c~ . -c $375"00' . ~~.~ '
l" ~~'.. "'~- . ''0-~'' ^'.if.., '~~v'\'''~?r",<~'''','-':!0r'W~~'''''-'''''''('' J..""'0'1'lt~ '-"",f':'.,-f\'f::'~';"\ "^''', .' $'5"0"'0^~~
'l;.~lA .'~){~ "JI"'it'''{'\ '~~''''f ':'~ )~"g;'-" "',:~i.",~, '<:';i:'}:~If'!.r'~"JReconnect 'n Y''''''~t:~ ~~<:-:~{.,; !.::.~iff:' ','" -.< \.( '\ .0 't~'~
. . ,,,:. ' '..{,:;,.-:Zr,.. -f'!.;>!: ~17\~~ ~r'/.r^ ~ ""r'4'/'-"' Ii ...-.;..t,:':<'f?~"- ,:"~~' ......N;;;.,~C ''9<1'~ "'~;r'. . ~. ;--:;-::;;:....~,.,. :~,.~
ExpiratIon Qatel' ,\:<ir.... .~ .t~:) ~ ';.. ~ 7" tU ~ .,....." ...,.,"11-:;'/., ./'f."~: .~t{W, ~~ v 'it.".:;,; ,\., t.'? .':, >"1 :;k:~': l~.~: ~\ ."} ~ t~ "i:'...i"~' .;';.... :-;.
.
fu :;:,.. ~~,."'....,,'\,....~~;,..~:..,.:..~..,"'~",.~ :l.~)~~'rr~.,.'''~''';.,..~ ;""S.~~..-:~,-~"." 'F~.t;r'ut~ :.~ .~!;'.",'. ",~"",%.~;, '-~~'"
"~\ll:::;!t"l;lt;;:~,:...~i t{-i :,.., t),.:;o,;;eB't;\:' !&l:':l'~'='~' :4,'t<\~':.~, iii~:b1~itt' ,0'V.'; ~cmllorarv CI}'lces or: ce ers.' ~,':,f\'-~;,,:~:~i ~~t\i.J- .1;:/:::i'f,..
';",
,.';, ~ ." , ^>', .J.~.' '(..-'.. \.~1,.( . ~~\ ~ , -.. /1' "'.'t'1~'t "'<i'~''.''1 ., 'i: '::"'.;_,;' .~. '. ,I. ,'~ ~ "... ". '...,....:., : j:<~. -: .:-'>['r.,;,;:\t::;,~'"'' y-_;
Constr C01!tLrUrn~.er, "t.l~ -~ k ~ :P'. \.:~Y;~~<"~':_~~t'-' ;'-:"}!:ls)a!latlOnj"~l\ltera~IO~:q,r, Rc:;]oc.a~lOn: :- -: ";:f.';.";.- >~~~\'" :.=-'"z}
.>.,,:;-},~,,:-;"'j;.r:,.,. ~, '~'.<:"i'i, r......~!';,..,.....f.".;,;..j..,.r~\,~. ~"'~~,..~,\,..~,~.,f " ."~",... ~ ",}l'.;<! ''''P;'':'~',K.''
. ""~q".""''''6>l:J' "~<'( .; . "i,r.."" T"''l;'\'''.J~?!t.'' "'{elf: ~ '" ",.,~~..~.~t:..,..;,p::- ",~5; ','. ~-'\\<\}'t>-:'7>).i"Ir\'"
,l"~,. ";':!<" ,1,\,..... "'.I>j-I'6Z't,,$,t-<:' '!:~~,'\Ti"'""'L"'~"r1tr.~,~,!:"\,,,:,,, "1.,~;:'~_':';", t~:-h~~'" :::..... ^'f.' '_~'..'...~.~
\,'. "\'f,ExpmltlOn Date . .~ d h~~;:.:~~~.~~,~~:~_"~~.~::200:a!np~,~r:!~s' :~~i~::f.. ~R' . ~,;",~".$:?Q:9Q_l~ ~~
"". '. ....,,,,'!',,.,'....;.'.,r..20l'ampsto400amos'..s: ',' '.~ '~'$6900' "-"<' ,
,t.,,.: :....,. .......":." ''''Y''':'':'';j .,::'" ^".",. ''l,fO'''':'<'''}.;''. .:; -r-"-., . \--
,'", ~:,~Signatilre.of Supel'Vising Electrician '''. ,','-~, OVer,40J' to,600~a!nPS,~~" "t <;', " ": $100"00 ,,_,~.,'
" f;:5~""t \- '~'" ;,,:~~':,-,_, Over 600:~~odj)o'O y.;!ts see', ..' ','- '''~i"',; c: ;'".~",
,:".~\;,,),,;~, ",'~'~':', ''.. ~ " "..,Po" ,,01" .\0" ,;.:' .,' "':':,~"1f':'t";',;.~:,
~">'.J., '\~., ,:." '_:~,,~;\ '(.... B,--'lDa\YeO<t0,=, a..0\. ",\ . .J~ ,~J,~:tt."'h"\\~ ',,>
,! ~ " !<-;~, . ~-~ ....,.. " "" ... ' ~\ -0: '~e ~ .J::J\J . , '...,~ ....~ .l.. 'Y. . ".
..,~':t'L':':" ~ ,'", '"''';\ ',: ~- .()\e,r!J~A'Q'i~~~,,\e'i>'l> ~9~?; s'Q) '~~' \~;:;,:~~~;..:,;':"
,', "c"", :/,p :'",~:, ':'v-:2.rr ':;'" ",\\)'D'---I(>\;1ueh ~\!;cl!lt~OI>', e~l)\0 e :";, :"r ,"~' ~:(.
. ";,.. :'):Owl,lcrS.N~me :' f'o:GlV r."1fK?t:-t A,Y.~ ~0s '(l.~_'e~~ ~~,~~,njonOir'~xt~,~, p~ Panel .'~!'; ',..- r.
. "","" ,'.,,:' "",,,,)',',,,,,, ":;;",,,.. "'~'''~~\) Ge"""r::/\O~~o9\e.'i>,^e\ffie..",c'(l.\IO , ''''''.' :" .
,"'Addl"css/'J.O,<S:52..... LvVL.dA- '~'(l.\IO~'2:00,\-v!;tl\~~~'8~':\l~0\1\ --'- $4300 ~',
'" "', "., '11 '. '.' ',,', ~0\\'~~9rj \i\'(l.'lo ~e~'\,1, f:I\J\v,\ ?,':JtJ>.'\. , ,\" :' .
',' City sl;C:!:.J "Phone e, ..n~ o.'-{Ol) \"eC'E~~YA'li'ctlR\'~?Clrcuit or with Service
, ::" , ';..' , OO~ ~\I~~ ,0~,'OFF.eeqe?,1lermit _$3,00
,\ OWNER INSTALLATION",'- ' C'l> 'IOe~ r- ~\e~'':> "",:,
The installation is being made on ~\}~ E, M~cell"neous (Sen-ice/feeder not included)
properly I o\vn \vhichisnot inten.ded' , .Eachinstallation"
for sale, lease or rent:::F,:, ' Pliriip"or irrigation'
, . ,0,' S(gnlOutIihe Lighting
Limited EnergylRes
Limited Energy/Comm
.. .
:' "225 FIFTH STREET ", ':, '>'''''';'
, "\'SPRlNGFIELD, OREGON 9747.7 f<",,:;
~'INSPECTldN,REQUEST: 72'6::3'769,;
" :.,:()FFlib~:'-?2~:;3759;;1~~: :" ~% ~'~h:
;:,':: <. '. ;", ~:;~:~:~~ f~:) .,~:, '~'2ij" fY""~~,~ ~".':~" "
,> 1. LOCATIPN,'Of ]};STAL,Li\T!ON
/05Y' , (..,:. J,A.' tN
LEGAL DESCRIPTION
I !S'O l.0 300
"
--L $106,00
","', ',f,
-,,', '.
lD
-t- $ 19,00
"~Ii
'.','\'1
" ,
,')
. "j"
, ~':",
I~,' v
..' I
\', "
, .~,
"
.J_Owners S,ig~ature:
$50,00
$50,00
$25,00
$45,00
I\'linimum Electric Permit Inspection Fec is ScJ5.00 + Surcharges
TOTAL
"~
I Zs.
'i('7>
I 2 ~-C>
/lf6 ~
, . . ~ ,
4, SUBTOTAL OF ABOVE
7% Siatc Surcharge
80/0 Administrative Fce
"
.~..
,
., ~;.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00273
ISSUED: 04/16/2003
APPLIED: 04/15/2003
EXPIRES: 10/25/2003
VALUE: $ 12,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1055 LINDA LN
ASSESSOR'S PARCEL NO.: 1802030000506
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Remodel, plumbing, dryrot repair, mechanical and electrical repair
Residential
Owner: KENT FREY
Address: 768 ASCOTT DR EUGENE OR 97401
Phone Number: 541-521-6922
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General CURTIS FRANK GARNICK 134387 04/0212005 541-515-0281
Electrical ROSE CORPORATION 54431 09/30/2004 541.686-0905
Owner KENT FREY 541.521-6922
Plumbing JACK A MAYFIELD ..\0 151346 05/03/2004 541-726-9636
_;:n.-
I BUILDlNG'lNE0R1\tAT.ION I
0" \~.....' O~al,\- sa\ \v :\
# of Buildings: \..O~ag 'O",'Il~:\t(!,Jjes';:; 9~'l.'00 '0'>
Primary Occupancy Group: ~~-<;\R~3 60~\e~\\c:J!eiglihotSti"nctrJt9S
Secondary Occupancy Gro!lil:\ ~u,aS ~ ~a~' ~YIie16f ~!it"a ;r.o"e
Primary Construction Typ~O"o'l'l 'S,\oyiiJa :\-OO:\~;w,aj~Y':Jj:~ta\0~,\C~\\O"
Secondary Construction T~Ji\\\C~ 9~?;00 o'O\~\~gel~r.~~o\\
# of Bedrooms: . Ol'-~"OU ~~'l ",,,\e~ Energy)Pa\,,:?>c..c..~.
\" 0 ~ e c" a~\J\ ~'l..t-
009 ~\\\(\~\~,.\neO~.9.00''?)
~~\\,\'Oe\ C"DEVELOPMENT INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
REQUIRED PARKING
Overlay Dist: Total4't. ~t,)\\~
# Street Trees Rqd: ~1iI~~~l/lt,)
Paved Drive Rqd: 't.i-?\~~t~\\t,)~
% of Lot Coverage: ~\Cfc:. .~" 'O\\t>-~~\\ '\\\'~~t,)t,)~'t.'I)
~~ 't.\\W \')~'V t>-'O~
~\\\c, ~ :;'\7~'I) ~ ,'0 . .
I PUBLIC IMPROVEMENt~~~'t.~c.~~ ?'t.\\,\)V
C; ~'l ,sidewalk Type:
~ Downspouts/Drains:
FrDntyard Setback:
Side 1 Setback:
Side 2 SetbBck:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I 00
.
.
U1i' OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00273
ISSUED: 04/16/2003
APPLIED: 04/1512003
EXPIRES: 10/25/2003
VALUE: $ 12,500.00
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Foota2e
12,500.00
Value
$12,500.00
$12,500.00
Date Calculated
04/15/2003
Total Value of Project
I Fppo. PiilLI
Fee Description Amount Paid Date Pai Receipt Number
+ 10% Administrative Fee $26.88 4/16/03 1200200000000001014
+ 7% State Surcharge $18,82 4/16/03 1200200000000001014
Building Permit $130.80 4/16/03 1200200000000001014
Fixture $126.00 4/16/03 1200200000000001014
Vent Fan $12,00 4/16/03 1200200000000001014
+ 100/0 Administrative Fee $12.50 4/25/03 1200200000000001070
+ 7% State Surcharge $8.75 4/25/03 1200200000000001070
Residence Wiring 1000 Sq Ft $106.00 4/25/03 1200200000000001070
Residence Wiring Ea AddU 500 $19,00 4/25/03 1200200000000001070
Total Amount Paid $460,75
I Plan Reviews I
Structural Review
04/15/2003
04/15/2003
APP RJB
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 Rpnnirptlln(',n'fl',r\iaIIIJ
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Walllnsulation: Prior to cover. .
3 Ceiling Insulation: Prior to cover.
4 Drywall: Prior to taping.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Underfloor Plumbing: Prior to insulation or decking.
7 Rough Plumbing: Prior to cover and including required testing.
8 Sanitary Sewer Line: Prior to filling trench and including required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Rough Mechanical: Prior to Cover
II Final Mechanical: When all mechanical work is complete.
12 Rough Electric: Prior to Cover
13 Final Electric: When an electrical work is complete.
14 Electric Service: Approval required prior to utility company energizing service.
Pa2e 2 00
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00273
ISSUED: 04/1612003
APPLIED: 04/15/2003
EXPIRES: 10/25/2003
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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 will be made ofany structure without permission oftbe Community Services Division, Building Safety,
I further certify 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 is located at tbe 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
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003.00273
COM2003-00273
C0M2003-00273
COM2003.00273
Payments:
Type of Payment
CrediLCard
4/25/2003
City of Springfield
Development Services Department' .
Public Works Department
Official Receipt
Receipt #: 1200200000000001070
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid 8y
ROSE CORPORA nON
Received By
djb
1O:45:22AM
Date: 04/25/2003
Amount Paid
Item Total:
106,00
19,00
8,75
12,50
$146.25
(;heck Number Confirm No
How Received
In Person
Payment Total:
146.25
$146.25
Amount Paid
000052 025832
Page 1 ofl
.
.
.
cReceipl.rpt