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HomeMy WebLinkAboutPermit Electrical 2005-3-28 $106.00 A\"~ g C-, fL'-"I.-(-/1 $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50,00 ' Supervisor License Number y 7.2 75 C 1t't--""""""~S""''''",''~4F't'''1F-j'f.l!Mr~~~-.''''l;)''''''!lli\':;u'):iI/l.'''' . ttt_,~mR~D1I1"~J~.Q:1C,~~JOJ:~:." ~~_:J~H&~:!;'iW~)' . ,~~~li:lt-:~:}~:~..;i.~ 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 E. ~'Nm-~ii~:~~~~(S~~iia1~6tTri~i1id~d~E~m~1flltli~iq ~~""~'-":::;';i~"'i"~"m/tl""'''-~''''';~_J.'~''''-''''.'''_,iE.~~'''-'~ 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 m:'~'i~&W"'b\;s;::!\:,y.:.4\.?-;~4i~;;'~~'.!'i':')" 4. "SUBTOTAEiOEABOVE ~~~~'l',~~~~f:if. 1;/1 '-IL(~ b40 71{~ 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