HomeMy WebLinkAboutPermit Electrical 2005-10-13
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LEGAL DESCRIPTION l . 1.1oll~ esl...!n~k",..!!!S'J',,~r,~'!'!"~,dl'.!!~~!'i._~~..!J.!g:!!!,l.:.:F~
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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
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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-
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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
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Installation. Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
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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
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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
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10/1312005
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