HomeMy WebLinkAboutPermit Electrical 2005-3-28
$106.00
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$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50,00 '
Supervisor License Number
y 7.2 75
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Expiration Date
Installation, Alteration or Relocation
200 Amps or less $ 50,00
117770 201 Amps to 400 Amps $69.00
401 Amps to 600 Amps $100.00
Expiration Date /0" 0 1- 0 S t1\-\O\;1~t~f~~~ci~~0~~~~:~"~~~~~IRI~>ffW1~
SignaOlre of Supervising Electrician 1 ,"-",~" ,,.,.' ~-- - -~~~<t~~1i~~~WJ.e."d;.:r,.;~lit~"!lr~1tE
~ !t~' A\.Jl\-\0N~~rA1ter~tion ~r\lEJ:tl;nsl~\f.peF~~nell ]
'~N ',tV un Iv" " L.(
j/1 4 COM\\Orie CrrcuitER\OD $ 43.00
, ' '. "N'I ~E~dhUA'1tdfnonal Ci;"'uit or with 7 '2 (
, -r oc J /'.r I 7 ~;.4+ I Service or Feeder Permit $ 3.00
Owners Name ~ .,. t::'f' "'- ~ /:::>(0-<;;;, '"
9'1 g 5~/~d st-
Cily <;?r~~ Phone7:?b-90Z-)
10-0/- tJ7
Constr, Contr. Number
Address
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Owners Signature:
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 $45.00 + Surcharges
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4. "SUBTOTAEiOEABOVE
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b40
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OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
7% State Surcharge
10% Administrative Fee
Inspection Reque~t: 726-3769
TOTAL
Shared Drive(T:)I~uilding Fonns/Elecmcal Pennit Application {..o3.doc
.
. CITY OF :srK11~GNI!,LD '
Building/Combination Permit
PERMIT NO: COM2004-01400
ISSUED: 03/01/2005
APPLIED: 11/12/2004
EXPIRES: 09/28/2005
VALUE: $ 9,240.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 948 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703342100302
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing sfr
Owner: CALBREA TH JOSEPH R & C S
Address: 948 ISLAND ST
SPRINGFIELD OR 97477
Phone Numher: 541-726-9025
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
, Plumbing
Contractor License
MOIR CONSTRUCTION 41570
EASTSIDE ELECTRIC INC 117770
ROBERT HENRY WEHRMAN 109426
BUILDING INFORMATION'
Expiration Date
02/14/2006
10/04/2005
10/18/2005
Phone
541.343-4396
541-915-9828
541-937-8808
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: I Lot Size:
Height ~f Stru~t,ur~N: Oreqo~~dl.q req~i1t!\J ~or:
Type of Heat,: ': ~~r~t~~!~~~~tthe 0 l!JIiilt'1or:
Water Type:d'Jr! Center, Those rU11'h ~ !IM,8lt1It:
~::;~ T:~~( 0J2-001-001 %1lPiJgh (I.~d'tf~~arport
SprinRled Builcling?ay obtalfl,JiPples lcul!.an~'S~ld:
'",.. .fip ('pnlpr INote: the telet'norftJ
I. DEVELOPMENTIINFORMA:rIONJ'I' Util~ty Notification
"'''''''''' 'w ,'w~~-332 2344). REQUIRED PARKING
Total:
Handicapped:
Compact:
100
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
24.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I.PUBLlC IMPROVEMENTS I
Street Improvements: Fullv Improved Sidewalk Type: Curbside 5'
Storm Sewer Available: Yes NOTICE: SHVor''E'PI'lIt,@ralos:, WORYCurb and Gutter
Special Instruction: THIS PERMit i-\~R -THIS PERMIT IS NOt
AutHORIZED UNO ONED FOR
Notes: Storm drainage into existing to curb face 11117/2004 E6~\MENCED OR IS ABAND
. ANY 180 DAY PERIOD.
Page I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Dwellines
Fee Description
Plan Review Residential
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Refund - -Mechanical Issuance
Refund - + 10% Administrative
Refund - + 7% State Surcharge
Refund - Building Permit
Refund - Dryer Vent
Rerund - Exhaust Hoods
Refund - Fixture
Refund - Minimum/Adjustment Me
Refund - Plan Review Minor - P
Refund - Sanitary Sewer - Impr
Refund - Sanitary Sewer - Relm
Refund - SDC Sanitary/Storm Ad
Refund - Storm Drainage Imperv
Refund - Vent Fan
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01400
ISSUED: 03/01/2005
APPLIED: 11/12/2004
EXPIRES: 09/28/2005
VALUE: $ 9,240.00
I Valuation Descrintion J
$ Per Sq Ft
or multiplier
$92.40
Amount Paid
$69.81
$10.00
$22.24
$15.57
$107.40
$6.00
$9.00
$70.00
$24.00
$59.00
$-10.00
$-22.24
$-15.57
$-107.40
$-6.00
$-9.00
$-70.00
$-24.00
$-59.00
$-36.56
$-48.08
$-7.83
$-71.92
$-6.00
$36.56
$48.08
$7.83
$71.92
$6.00
$10.00
$22.24
$15.57
$107.40
$6.00
$9.00
$70.00
Square Footage
or Bid Amount
100.00
Value
Date Calculated
Total Value of Project
$9,240.00
$9,240.00
11/1212004
Fpp< P~ilLI
Date Paid
Receipt Number
11/12/04
3/1105
3/1105
3/1105
3/1105
3/1105
3/1105
3/1/05
3/1/05
3/1105
3/1105
3/1/05
3/1105
3/1105
3/1105
3/1/05
3/1105
3/1105
3/1105
3/1/05
3/1/05
3/1105
3/1105
3/1/05
3/1105
3/1105
3/1105
3/1105
3/1105
3/2/05
3/2/05
3/2/05
312/05
312/05
3/2/05
3/2/05
1200400000000001607
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000277
, 1200500000000000277
1200500000000000277
1200500000000000277
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000269
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Plan Review Minor - Planning
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF ~rKlI'illJJ:'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-01400
ISSUED: 03/0112005
APPLIED: 11/12/2004
EXPIRES: 09/28/2005
VALUE: $ 9,240.00
$24.00
$36.56
$48.08
$7.83
$71.92
$6.00
$59.00
$6.40
$4.48
$43.00
$21.00
3/2105
3/2105
3/2/05
3/2/05
3/2/05
3/2/05
3/10/05
3/29/05
3129/05
3129/05
3129/05
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000279
1200500000000000313
1200500000000000380
1200500000000000380
1200500000000000380
1200500000000000380
$638.29
I Plan Reviews I
Initial Review 11115/2004 11115/2004 APP LLH
Planoine Review 11/15/2004 11/29/2004 APP TAJ
Public Work8 Review 11117/2004 11117/2004 APP CAS Storm drainage Into existing to curb
face 11/17/2004 CAS
Structural Review 11115/2004 11130/2004 APP DLM See documents for plan review
comments.
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 R~~n~nIPlrtJau.LI
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.
Post and Beam: Prior to 1100r Insulation or decking.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work Is complete.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01400
ISSUED: 03/01/2005
APPLIED: 11112/2004
EXPIRES: 09/28/2005
VALUE: $ 9,240.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 8tructure 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'ofplans will remain on the site at all
times during con8truction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfietd, Oregon 97477
541.:7i6-3759 Phone
Job/Journal Number
COM2004-0 1400
COM2004-0 1400
COM2004-0 1400
COM2004-01400
\ Payments:
'Type of Payment
CreditCard
.
r ~
3/29/2005
.
RECEIPT #:
Wit"r"'"~-."'~.~. --.".'~ '.:.....
~ '. -
--, -, ,:
1 " ; ~
-...'. '"
iIitY of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200500000000000380
Date: 03/29/2005
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ROGER KING
Item Total:
Check N umber Authorization
Received By Batcb Number Number How Received
djb 055303 In Person
Payment Total:
Page 1 of 1
7:S3:31AM
Amount Due
43.00
21.00
4.48
6.40
$74.88
Amount Paid
$74,88
$74.88