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Home My WebLink AboutPermit Electrical 2005-11-14 ."'"' 'tlb/23/2005 726367' 07:A4 CITY OF SPRINILD ,;" L.t?!t- 02 , 0< submItted hl ~/1rtf05 !re~;r~,~~~ ,:.:.:t::} fr~~ ~'~ ",~::.:. ~.".~':_-:~'~ ,n-:::IP__ h~~l~" ll/~!Dt . ...... ... "., .', "'" H" ."~ '.~ "' '." 3. . "COMPI$tE FEESCHEDULE'BELOW .,.",' . ., '.'.. ".. "":':':H""':' " ...:.....' ",'.._:'., ". .:,' CITYOF.spRiNG.FJELD~ OREGON' . .' ." 225 FIFrH STREET. SPlUNGFlELD, OR 97477 . PH:(54I)726-3753 0 FAX: (541)n64689 ELECTRICAL PERMIT APPLICATIbN . City Job Number c"oM"U>05, 0 I~~(p l.'LQCATtON OF INSTALUTTON .'. ~:" ',.-. .... "" . , . ',"". -, , !-,; ~ .,". ".":.; . G#2..~V1k.-e:. .+so LEGAL DESCRIPTION \"1 O~ ~ 1);2- JOB DESCRlPTlON ~ CA1t.pt)~-r Permit., Brc non-transferable and expire if work is Dot started within 180 day. ofissusnce or if work is Suspended for 180 duys. ,." .:".". .... n,.,....,"_"','. ;".'" . ". ~" ::~:";": ~ ' ... ::..' ..,..'. ",' ;. ":.CONTRACTOR INSTALlATION ONLV: 2. <"~' ,"':.-.':;::." ..; ',' ,"",."-:'i~(";'" '::.' '., :,'. ..~..;...,'.. . ;. ':~"'" .',.~'. ',. Elec~cal Contractor 1~ '\\.. f(ltrr-;s Addr.... L/<lz... ~ 0 .P i1 LA . ~ . CitY~/'1aud Phone 1Lf7'(J<6l1 Supervisor License Number 300 &. .s Expiration Dale , 0 -I _ 0' Constr. Contr. Number --1.){~"b Expiration Date ~ q - 01 _ Sign~turc__of Supervising ,Electrician --X!I. , tJ- .. --(;7 Owners Name 1:>~N-J O'r-ie:.[U- Address 2.?O be.,=:a1VAt...J::: City SP.z.UJ~P..L-Q>hone 7oc..-~ 0_ r OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signa~e: Inspection Request: 7Z6-3769 ;. -',~'t--:,:' A. .~~'R~id~~ti~lc.. si;;gI~-~~M~lti~Ii~;~iy.p~~'dFeiii~? ~~iL. Service Included 1000 sq. ft, or less $106.00 Each additional 500 sq. ft. or portion thereof' $ 19.00 each Manufact'd Home or M~eEj:lling Service or RE IF 1HE W~o ' B. F'lk\~~~:.RM.I1.~~\'::~~P~I1I,~~'~ii~i~~~rlon:'~ '!A'iJ~~r~b'R'\S'~iW~tre~~"''''i'''''''' ,... ....,... .'... 2~~~ff~'t p~R\OD. $ 63.00 201 ~",\~Q~'Amps $ 75.00 401 AmpS!o 600 Amps $125,00 , 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNo1t. $375.00 Reconnect Only $ 50.00 c~ :~\t~~p.~~~d~~~.~'~! ~~'~~~~::~;~~,~:>?B~.~:?;~\{~-:.:~;:~~~: '. Installation, Alteration or ReJoc.atfon 200 Amps or lOllS $ 50.00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100,00 Over .~~ ~.rntsTo!~~\)~lis9~g€"1a'6'~J.equires yo~ 10 '. ,...". '.' ,'t'~'<"' r.(Jti ".rUlc(' "-I!<l.~.~.f:o,...,.,,:I"'J'''I':l'I''-ArO''~(r~'T'U,_,l~ty'''~/:-'' D. :~}~~~~~~~ -: ~mrf~ ~r~~~fe~nt~t:'~t;;~6~~'~~;ie~~~t~~~~~(:f0~1h~:;~-::;:'" . New Alteratio.n,or.Exten.ioD Per,Panelol'gh OAR 952~1 II I vnn .;:IJ(:.-uu l-VV I V:AI I ." - One Cin:~i: ooqn, YO)! mal' obt~;~>>'\~ n,$u43,RQ r"I<--, .00 EachAddltJonal,~,,~~}~or')W1th.:-. (N:~'l' I. t-'~ h n OD Service or FeederPelinit1~ cenkr. ~.. t$€3,OO-P on~. n I,,;' for ~h OreC10n Utility Notificauon .'~ ,:.e- : .~.. ::";".;;', .......~..-_\.* ".: . ...".:w..~ ...~::.:...,~.. :\_'~~-;-~,:. :_'. ~.,..~: ,.:.;,.... ~:. .'~;' E. ,l\.tiScelhnieous(SerVicl,jfeeae;,~Otiiicl~iiidj'.LEi1~h liut:.llarlon' , .. ,_. , ., . 1,~.., ,n.:., ,:., '. . . .....; ':.: . ".\ "".~'..' :........ ,...:::..... '., ""-: Pump or illigalion $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylR..idential . $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric- Pennit Inspection Fee'is $45.00 + Surcharges '"': ;':. :::. ~". ' . ."...... -:', ""Y:~ '.-': ':" '~'.., ~',-;j~:'::, .' . 4. ..SUBTOTALOFAB9VZ>.' '" .,. ". . ,. . ~~'.,',-.'" ' .'. '7",1, State Surcharge. 10% Administrative Fee 52.0D ~.b4- 6.z.D _bO. M.-.. I TOTAL Shared Drive(T:)I8uildins: FOf"ms/E1cctriC4l Pcn-nit Application I.03.doc 06/23/05 THU 08:45 ITX/RX NO 5616] rl I I CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2005-01336 ISSUED: 10/17/2005 APPLIED: 09/29/2005 EXPIRES: 05/14/2006 VALUE: $ 15,336.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 253 GREENV ALE DR ASSESSOR'S PARCEL NO.: 1703262205200 PROJECT DESCRIPTION: Garage conversion , Springfield TYPE OF WORK: Garage Conversion NOTICE: THIS Pt'mffi QRM.~EXPIR~tfIt\ifllE WORKResldential AUTHORIZED UNDER THIS PERMIT IS NOT r;.nuui:~.c.i:.D.!)D Ie ~^Mnn~li:n I:nD ANY 180 DAY PERIOD. Phone Number: 541-736-4819 Owner: BRIAN O'NEILL Address: 253 GREENV ALE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General , Electrical . Mechanical Contractor NORWEST BUILDERS INC L H MORRIS ELECTRIC NORWEST BUILDERS INC License 157044 01838 157044 Expiration Date 09/15/2007 06/08/2007 09/15/2007 Phone 541-513-6476 541-747-0811 541-513-6476 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st floor: Type of Heat: S~ Ft ~g~Jae!lUs you to Water Type: ATTENTION: Ore'SqrFfBasemencon Utility d t...c "'"..tne V'\:;8 Range Type: loll OW rules a OP'<l~ Ft'tiarage;Ca.J;p!!rtlorth 1~ ~r~ "lILG::J dLv v'-'~ Energy Path: Notilication Centers Ftutlier:OAR 952-001- Sprinkled Building: OAR 9c..!ta)01-0COC~p~~t:iload: rules by 10 ,_.L....:... .....f"'\nlP.S at tne I DEVELOPMENT INFO~'hdN ~I:~u~e~ter. (Note:t~e :;~:;~~~~i~n - b - r lor the Oregon lREQUlRED PARKING num e . 800-8'12-2344). Overlay Dist: Center IS 1- Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: DownspoutslDrains: Setback 5' Curb and Gutter Notes: Interior no new fixtures Page I 00 f Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee Conver. Garaee ,~ " Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid I I CITY 0.. ~rK11~ut<i~LD. Building/Combination Permit PERMIT NO: COM2005-01336 ISSUED: 10/17/2005 APPLIED: 09/29/2005 EXPIRES: 05/14/2006 VALUE: $ 15,336.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $71.00 Square Footage or Bid Amount 216.00 Value Date Calculated Total Value of Project Fpp<. PIiILI Amount Paid Date Paid $15,336.00 $15,336.00 09/29/2005 $100.23 $7.80 $5.46 $15.00 $63.00 $10.00 $19.92 $13.94 $154.20 $9.00 $36.00 $5.20 $3.64 $43.00 $9.00 9/29/05 10/12/05 10/12105 10/12/05 10/12/05 10/17/05 10117/05 10/17/05 10/17/05 10/17/05 10/17/05 1lI14/0S 1lI14/0S 11/14/05 1lI14/05 Receipt Number 1200500000000001428 1200500000000001510 1200500000000001510 1200500000000001510 1200500000000001510 2200500000000001453 2200500000000001453 2200500000000001453 2200500000000001453 2200500000000001453 2200500000000001453 2200500000000001571 2200500000000001571 2200500000000001571 2200500000000001571 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 after7:00 a.m. will be made the following work day. $495.39 I Rpollirpl'l Tnsnections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service:' Paee 2 of3 . . . . CITY VI< ~r.KlNGFIELD' Building/Combination Permit PERMIT NO: COM2005-01336 ISSUED: 10/1712005 APPLIED: 09/29/2005 EXPIRES: 05/14/2006 VALUE: $ 15,336.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete, Post and Beam: Prior to floor 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. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanica1 work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon 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 Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . . ap~"R~.~"g'J1~. __ __ :i.: IL..... I ~.i ~ty of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200500000000001571 Date: 11114/2005 10:2S:41AM Job/Journal Number COM2005-01336 COM2005-01336 COM2005-0l336 COM2005-01336 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard L.H. MORRIS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 024258 In Person Payment Total: Amount Due 43.00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84 L I" ;! : ~ -' " ':\. :' ,. " -' " ~ , , 11114/2005 Page 1 of 1 "