The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-10-12 N~ re~~ . :: ,," :~'.;L,l'::~::"""'i:~;;'~' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 0 FAX: (541)726-3689 't:'h;;;:{"i>"' ~, ELECTRICAL PERMIT APPLICATION '. " 1.1.."........,.... . City Job Number COw\ 'l.. ~O S- - C> I -S 3 b . Date 10/( 1,; '0 J~ .' . 1. :i'QciTiONOFINSrAtLA110N. .... " .':. 3,':'COMi>uJ.i. FEESCHEDWBELOW'- . .' z's3:'(;;~~,4-r~'" ., " ...,...'u. ....,...'.'. 06(2f/2BB5 'B7:44 726367. CITY OF The lo\\QWio9 prOlt:f~~t~~ql.1ire speCll''''L'-'' d does .. SI1'R1!l1lG_~EL D aopro ' -. 9oing. JOB DESCRlPTION 1000 sq. fl. or less ~ . _ _ ( I - -1, Each additional 500 sq. ft. or z,t:JO Sl:ttIIlC: c-Io\~t. S CI"'~'~ portion thereof Permits are non-transferable and expi!. ((work is Each Manufact'd Home or not started within 180 day. ofi..<oa...e or if work is Modular Dwelling Service or Suspended for 180 days. Feeder Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 OWNER INSTALLATION Limited Encrgy/Residential ' $ 25.00 The installation is being made on property I own which Limited En<J1lY/Commercial $ 45.00 is nor intended for sale. lease or rent. M"' .....).. , I ATTENTION: 0, Jg'mPml...I'S!T!cr~tJ lupe<:tion Fee is $45.00 + Surebarges follow rules adoQ~er~ti~ffij1.wa'fr5rli~lii;>""'" Notification Center. ~n<;S(:;.rules'2cf'e:3el.!()fVf7.i"": :."<. 7 B in OAR952-001-0010i%rSiafe"SG'rJh~';;4-001. S l.(b . 'lOgO You may obtair(()o/.rxafi,irils~i~~'F&by J 7 80 cai:i'lg the center. (Note: the telephone l:. IIUf,',be, for tile OreJS1!~ity Notification 't I Z Ce.1ter is 1-800-32:fhari:dDrikcr.)I8Uildins Fonn.IEloctriclll Ponnil Application I.03.doc LEGAL DESCRlPTION 17D) 2b22. o ') z.oO '~'CONrRAcrO.RiNsT.AlIAiioNoNiy:' 2. -::~'.."':'"."';;~,'..."~. ".' ,.',.'\":",.,;"":.:, ;:.:;.'" ,\<'.....,;'.;;.:".. ,;. ::~":'...-:.;:I.:, ',. Electrical Contractor J- \\ ~^nY-~~~ Address 1..\<;<"2, ~V\DJ(U.l6 ~t, CitY~. ~~rtrl Phoneill\' jtn.=051I/ Supervisor License Number 3 ()O (. S Expiration Date 10-/-0' Constr. Contr. Number \ '9, :s ~ Expiration Date (0 - "l5 - 01 Signature of Supervising Electrician A...b2__o U. , Owners Name "lSr,A", OV\t:!7 II Address 'Z S"3 6rt;~ ",Ltc S ? t= h. Phone 73 b - 4 g-, '7 City Owners SignalW'e: Inspection Request: 726-3769 '. :'::'~~::' A. .' N~'~id~~ti~l- Si~I~.~~'~~!J:l'~;~iY~~~d';'eii;~~~';'l:.. Service Iocluded $106.00 $ 19.00 $50.00 B. ~:'~~~~~;~~~~~;~~~};~fi.~~~,~;;.X~~~'~.?;~~'.?'i:'1i,~.i~~id~nr 200 Amps or less, 20 I Amps to 400 Amps . 40 1 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolt.< Reconnect On Iy I $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 63 c.'T~~~~;~~'frCir?-; F~Iid~;~~;, InstallatloX~~fJJM4lJr~~~PIRE IF THE WORK 200 Amp. ~~ORIZED UNDER THIS p~.1t IS NOT 201 Amps kAMMfJjl;EO OR IS A~ANl)U~Ok 401 Amps IWVoUlsll~AY PERIVU. $100.00 Over 600 Amps or \000 Volts see "B" above. D. ~,,~~~'~h"c~~~ib~:~~ ';- *',:~~,:', ~":~~:, \~~. ~ ',. ~"~' ~:~~::~ .~:~~~. _ . e.' <_;,;'~::;~!;S;'::~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit Or with Service or Feeder Pennit $ 43.00 $ 3,00 5" /S" ". .r.. '.', .."...~, ......'.__~._ r'. ....~.:f... '_:""~"' ...~_._:- _,~~. """,'" .~... .._.~ _______ E. ',lI<iis~.lj"';eOiis' is.;rVictl(eeiI~fi.oi i.i~j;;d~) :::Ea~h"ln;&II~tion .... . ,., ,,' . j...... ".~"'" ,..' '" . .....;.:.~ ....: .'",~'.,';.;','.. ""~""..'''''': . i~,-:- 06/23/05 THU 08:45 [TX/RX NO 5616] . . CITY OF SPRINGFIELD Building/Combination Permit Status: Pending 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line PERMIT NO: COM2005-01336 ISSUED: APPLIED: EXPIRES: VALUE: SITE ADDRESS: 253 GREENVALE DR , ASSESSOR'SPARCELNO.: 1703262205200 Springfield TYPE OF 09/29/2005 04112/2006 $ 15,336.00 Garage Conversion PROJECT DESCRIPTION: Garage conversion TYPE OF USE: Alteration Residential Owner: BRIAN O'NEILL Address: 253 GREENV ALE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General , Electrical Contractor NORWEST BUILDERS INC L H MORRIS ELECTRIC License 157044 01838 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type' Secondary Construction # or Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # or Stories: R-3 Height or Type or Heat: VN Water Type: Range Type: Energy PatJI: u to S .. krellulres yo / ,,,,""l\lT\ON: OregG pn~~~ ("""nOn Utility n a lollow ruk~I:DEYEiOp.~IEN:r~lNFORMA TION I Notlllcatlon2 ~()1-001 0 througn v~h" - ~Ies by in OAR 95 - 'r~i"S.O\ t e r You ma" obtz6verlaY'U1stt'elephOne 0090. ' S '~tr' 'hP. calling the centeT# t~~t}{~~lotilication , . the OrPaveil Drive R?W: number lor , o,-;r.~,T'2::>C"?""I. . center IS 1,,,,OvLUr overage. IPUBLIC IMPROVEMENTS. Street Storm Sewer Available: Special Instruction: Notes: Interior no new fixtures ~~~I;:~MIT SHALL EXPIRE tf tHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIDD. Phone Number: 541-736-4819 Expiration Date 09/15/2007 06/08/2007 Phone 541-513-6476 541-747-0811 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Fullv Improved Yes Sidewalk Type: Downspouts/Drains Setback 5' Curb and Gutter 1 or 3 " Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2005-01336 ISSUED: APPLIED: EXPIRES: VALUE: 09/2912005 04/12/2006 $ 15,336.00 I Valuation Descrintion I $ Per Sq Ft Square Footage or multiplier or Bid Amount $71.00 216.00 Garaee Conver. Garaee Description Type of Construction Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Initial Review _ Plannine Review Public Works Review Structural Review Value Date Calculated Total Value of Project $15,336.00 $15,336.00 09/2912005 Fees Paid I Amount Paid Date Paid Receipt Number 1200500000000001428 1200500000000001510 1200500000000001510 1200500000000001510 1200500000000001510 $100.23 $7.80 $5.46 $15.00 $63.00 9/29/05 10/12/05 10/12/05 101l2/0S 10/12/05 $191.49 I Plan Reviews I 10/03/2005 10/03/2005 10/03/2005 10/03/2005 10/03/2005 10/03/2005 APP SKG APP TAJ APP CAS No Planning Review required. Interior remodel no Dew fixtures 1013/2005 CAS 10/03/2005 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 Reouired I nsnections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When aU electrical work is complete. 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01336 ISSUED: APPLIED: EXPIRES: VALUE: 09/29/2005 04/12/2006 $ 15,336.00 " 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 wiD be made ofany 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. 1 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 ofthe property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 225 Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone . 8"~.I~a~~ Iiti~:~ ,l "'*!ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-01336 COM2005-0 1336 COM2005-01336 COM2005-01336 Payments: Type of Payment CreditCard " " 'y - ; "c . , 10/12/2005 RECEIPT #: 1200500000000001510 Date: 10/12/2005 Deseription Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAWN HELGEN Received By djb I of 1 Item Total: Lbeck Number Au1b.orization Batch Number Number How Received 0112138 In Person Payment Total: 11:09:29AM Amount Due 63.00 15.00 5.46 7.80 $91.26 Amount Paid $91.26 $91.26