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Home My WebLink AboutPermit Electrical 2005-10-13 The following projecl as w:::r? ,: , foliowiiig g. and doas nol rar<!'rf'$cific land use vaL I ol/:3./0..r-' · · · I .. . -:.~._~..~~ ~r ~ ~l;~~;~~=;;:~J~;;~~ PH:(54I)726-3753 . FAX: ~MmJflrd~8nalur _ _~- CityJobNumbeC5_ O//dCJ Dale 1o/1~..J;;) trr),.~ . . I Ldi'iAitiON6ir'Si;fi:r!Aft(jN!"'b~,,{tj 3. WOOM'P.Ebii>F.EES~l.i.t:iE(BEtOW~""''''M',,;~~~ ''"''''',.,..........,.. 'JIlY,7'-""-'" ,.".~~ ~._=,_.__,__,.....~.~,.,.".,_,..~.~~;I!;iil{~~ l/.;r . I A ~N".mR."':a'""F;"''''S'''~~;'i'''"I'ti'.tF'j''''''-l'!3'~a'''';'II'':''''''"'''""t' ,a,1!iil LEGAL DESCRIPTION l . 1.1oll~ esl...!n~k",..!!!S'J',,~r,~'!'!"~,dl'.!!~~!'i._~~..!J.!g:!!!,l.:.:F~ / F'()d ()3 1/ ()O; / {f1J JOB DESCRIPTION (V {)lu lxJ!:i2..rJu1ld- 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereoAITENTION: OrenM b,,, __.. l'.19,,00 . f II ,,-.,Ulrel> YOlo ,u Permits are non-transferable and expire if work is Each Manuiac7'.a0ifol'hYl(;~ adopted by the Oregon Utility """lIe-t,,,,,, f'", t Th not started within 180 days of issuance or if work is Modular Dwelling'ServicO'<>r1 er. ose ruleSSSffiOllet forth Suspended for 180 days. Feeder ~1)~:~952'001 ~01 ~ ~;" uuyn uAR' 952-001- i;1{'.....\oe>....._~... ...,,-~.........~'U.<....~ ..~'t_r"':,..___~~ . ~t;~""')i:t':....~'p:;.!:<i'~~~;I~~~.,nt~Cff~~~'f}~. 2. ~~~~~~~~;g:.,g,1'!{~4Y~~ B. . s:~I1'L<!"\~.~F.. e.. i:!o. usta,.!! i'ii ~~'1.~1JitC;;W!M',~l.$lJ Elecmcal Contractor ~ lU,\ $ c.. \m,o,v zl eC-\-VK 200 Amps o;I~~bercfeOnrtthe 01recg.o_n Utilit~$ ~i31(j{jcation -' er IS -uvv-..:h,).:::-~;jA A\.. 20 I Amps to 400 Amps $ 7SNO Address'13'-\ Z" ~rJ 'fN~ 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 City bt:j ~ I'lL Phone ~:?oDO Supervisor License Number 'L'1 1\ 'L S 10/1/'1-0'01 C\ D'1 1-'::> Expiration Date Constr. Contr. Number Expiration Date _ 6\ ~\1..oDLD . Lrs /v~i1tl .. . slgna:~p~r ecmclan v //7 I Owners Name t::O~~ / ui hfaL Ad~r ss (oJ'd~tLt.t r~ Ci UtJ.-. Phone 74/ - O%"O~ U OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included $106.00 ~:~".-"-'--'"'-"'-~"__"""_"'O>~"'-'i""'~'''''_'''''+'''~'' . C. Te_mp_()K:~.ry;.s.eJ:yu:e~I~r,JJ~~en;'P~p~'-~->'t;: ~!r~~~l1'; '~', -ii'~ Installation. Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 O~::~:~~~I!6diJ:~~~f#,JllHEWOR~ D. ~!'-"n~iGj~~~~~~'P.;~H~~<<~~;~ New Alteraticill.ll\lQMet'O'\SRir:fo.NOONEO r./ / < iJV One Circuil COMM " PE $ 43.00 -V0. Each Addition:Atl)fc~aQrlMlh"'"'l --, / . au Service or Feeder Permit r-V $ 3.00 <.J? E. -;M~llii:~~t~~-!J~1t,~~til~~~~~"!:~tlj1f!~I~i.!~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is S45.00 + Surcbarges . ~~_",-u'Q;(. -_J;ir:--li.:r..;--;cr......"'I.~~.._~,v..n-!1!!.~:~~~...~~..~;......o:t~1'~");.~ltI..';.;~ Lffj ()b 4. Ii'S["uo..A:L':OE-:il:BOVE,~ - ,,,,,~,..,'ta,"',,. ~~"':~-a<;!~~_,w,~""",:"c-~'~:>f;'Q-o.t'-'__ .'~-,.-l~_~_~_~".. . . .J> . 4'.:5 .L.J . <7 <:> .:/,-t)/ 33 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:yauilding Fonus/Electrical Pennit Application I-OJ.doc . . CITY VI' ~rRINGFIELD . Building/Combination Permit PERMIT NO: COM2005-01129 ISSUED: 09/09/2005 APPLIED: 08/19/2005 EXPIRES: 03/14/2006 VALUE: $ 21,946.00 2! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6828 HOLLY ST SpnngfieICIClWP.E;(0F,WGRK:(SiiigIe Fiimlly Residence ASSESSOR'S PARCEL NO.: 1802031106100 follow rules adopted by the Oregon Utility Notification iO',P.E(OHIUSE: ruifAItel'1ltloDforth Residential PROJECT DESCRIPTION: Ponr concrete slab in basement:~!!.(!\(Ip!s.!I.:.btl~e/l1~!.1t <ls:an:e~ensIon70nliereXlsting single dwelling unit. 0090. You may obtain copies of the rules by Owner: ROY LUNDBLAD Address: 361 S 68TH PL SPRINGFIELD OR 97478 L:dJllIIY lilt::' vvlllC'l. \1'lUlC. Lll~ ~v'';''''''''''''''''''' number for the Oregon Utr.!W~~Jtl.l\!!tq~5it 541-741-0802 Center is 1-800-332-2344). I CONTRA....u....NFORMATION I Contractor Type General Electrical Mechanical Contractor License Expiration Date Phone WYATT DUANE LEDBETTER. 126938 01122/2006 541-935-2774 DOUG PALMER CORP 90725 05/03/2006 541-434-5600 KENTEC HEATING CONTRACTOR.\~G.. ^..~3621 07/09/2006 503-982-5927 , BUILDING INFQ~1~ONI SHALL EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PERMIT IS NOT # o~ Stories: C'nmAENCED OR IS ABI.l.\l.l~ED FOR Height ofStrDmlre" ~ S'ci'ftj's-t Floor: Type oCHeatANY 18D DAY PERIOIJ. Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: DownspontslDrains: Curbside 5' Curb and Gutter Notes: No new fixtures no SDC Fee's Pa2elof3 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 Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Dryer Vent Fixture Minimum/Adjustment Mechanical Plan Review Residential Vent Fan + 10% Administrative Fee + 7% State Surcharge , Add, Alter, Extend Circ , Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Planninlr Review 08/22/2005 08/22/2005 Public Works Review 08/2212005 Structural Review 08/22/2005 . . CITY OF ~r1UNGFIELD Building/Combination Permit PERMIT NO: COM2005-01l29 ISSUED: 09/09/2005 APPLIED: 08/19/2005 EXPIRES: 03/14/2006 VALUE: $ 21,946.00 1 Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 6,946.00 15,000.00 Value Date Calculated Total Value of Project $6,946.00 $15,000.00 $21,946.00 09/02/2005 08/1912005 Fppc PIilLI Amount Paid Date Paid Receipt Number 1200500000000001216 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 3200500000000000542 2200500000000001425 2200500000000001425 2200500000000001425 2200500000000001425 $95.16 $10.00 $31.60 $22.12 $201.00 $6.00 $70.00 $33.00 $35.49 $6.00 $4.90 $3.43 $43.00 $6.00 8/19/05 9/9/05 9/9/05 9/9/05 9/9/05 9/9/05 9/9/05 9/9/05 9/9/05 9/9/05 10/13/05 10113/05 10/13/05 10113/05 $567.70 I Plan Reviews I 08/22/2005 08/25/2005 APP SKG APP TAJ A house cannot have two kitchens. The kitchen must be removed or apply for and be approved for an Accessory Dwelling Unit. No SDC fee's no new fixtures 8/24/2005 CAS Plan revIew based on no new dwelling unit being created by this permit. See documents for plan review comments. 08/24/2005 APP CAS 09/06/2005 APP DLM 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. Palre 2 00 . . Lll r OF SPRI1~ld<11i,LU' Status Issued Building/Combination Permit PERMIT NO: COM2005-01129 ISSUED: 09/09/2005 APPLIED: 08/19/2005 EXPIRES: 03/14/2006 VALUE: $ 21,946.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Renuired Tnsnedions I : Slab: To be made after alllnslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. 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 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 Page 3 of3 225 Fifth Street ,Springfield, Oregon 97477 541-726-3759 Phone . .p.~~Na.FlBLD 1Ji~-- i iAJty of Springfield Official Receipt .evelopment Services Department Public Works Department RECEIPT #: 2200500000000001425 Date: 10/1312005 1:38:54PM ..' :!~Job/Journal Number 'l" , '.:!COM2005-01129 ~CbM2005-01129 COM2005-01129 COM2005-01129 Description Add, Alter, Extend Circ Add. Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard DOUGLAS G. PALMER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 030727 Phone Payment Total: Amount Due 43.00 . 6.00 3.43 4.90 $57.33 Amount PaId $57.33 $57.33 J' (~)i !( ~ ~: ;1 :( ... .' . .;'" ;,. :. , '\ ,,' , , ' '-( , .. " 10/1312005 Paj1,e 1 of 1