HomeMy WebLinkAboutPermit Electrical 1998-02-04SI'HINGF IELLI
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z@ BLBCTRICAL PBRHIT APPLICATION225 FIFTB STREET
SPRINGFIELD, OREGON
INSPECf,ION REQI.]EST:
OFFICE: 726-3759
97 47l'"ie
72 Ci ty Job Nuruber
SCBEDIILE BELOV
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
3
1 F ftiuII
lffiTt qTf'ff?oo (Sum
JOB DESCRIPTION -|L $Ar&b1-000 sq.ft. or less
Each additional 500
SUBTOTAL OF ABOVI
5Z State Surcharge
32 Administrative Fee
TOTAL
s 8s.00
<0,00
Ovners Name
Address (
D. Branch Circuits
t0 Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
s 3s.00
on
ar]le
not included)
40.00
40. oo
20. oo
, City Phone -70{t/Circuit or vith Servicer
or Feeder Permi t ?$ 2.00 goo
OVNER I I.^ATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lighting- S
Limi ted Energy/Res
-
$
5
RECEIVED B
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI..ATION ONLY
Electrical Contractor €A €LEC,
Address bX2 9) 6o%flG€ Ltt,
ciry SF€(p Phone ?q l^ /Yqg
Supervi-sor License Number 3S lV 3
Expi ration Date lO- I ' Ol
Constr Co ntr. Number ll777O
of Electrician
thereo f
amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
s 1s.00
s 40.00
s s0.00
s 60.00
$100.00
s130.00
to\\ow
Expiration Da re )O^ V^71 200
Over 1000 /voI ts
C.
Ins
20L
0ver
Over 600
t
-
ctrY oF sPFrrvGFtELD, oREGOTU
SPF|I IELE,
DEVELOPM ENT S ERWC ES DE PARTM E NT
July 24, 1998
Shirley A. Miller
3252 Montebello Avenue
Springfield, Oregon 97 477
Dear Ms. Miller:
Your request for an extension of your permit to construct an addition and remodel your residence located at
3252 Montebello Avenue, Springfield, Oregon, City Job Nurnber 971082, has been revierved and
approved.
This extension rnay only be granted one time and will expire I 80 days from the date of the granting of this
extension (January 24, 1999).
If you lrave any questions, or if I may be of any assistance, please feel free to phone me at726-3790
Sincerely,
Lisa Hopper
Building Safety Coordinator
cc: Dave Puent, Building Official
th
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX(s41) 726-368s
3252 Montebello Avenue
Springfield, oR 97477July L4, 1"998
Dave Puent
Development Services Division
City of Springfield
225 5th StreetSpringfield, OR 97477
RE: Request for extensi-on on Permit #97LO82
Dear Mr. Puent
Sincerely
I discovered on Sunday evening, iluly L2,1998, that my contractor
had no intention of starting, much less finishing my home expan-
sion and remodeling project. I am noli, searching for another
contractor. I respectfully request an extension on permit
#971082 issued to shirley Miller for construction at 3252 Mon-
tebello on February 4, L998.
il;r,* 4 'lhiltr-
lnirr.vd o. Mirrer
/
CITY OF SPilNGFIEA,
3PF!i.GF!ELE'
RESIDENTIAIJ PERMIT APPI'ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nnmber: 97LO82
225 Nortsh Fift.h Street
Springfield, OR 97477
LocaEion of Propoeed Work: 3252 IIONTEBELLO AVE
Assessors tutap #: L7O2L93L
Lot : Bl-ock:
Office:
Inspection Line:
7 26 -37 59
726 -37 59
Tax Lot #: 01005
Subdivision:
Owner: SHIRLEY MILLER Phone #: 725-7054
Address z 3252 MONTEBELLO AVENUE City/State/zip: SPRTNGFTELD, OREGON 97477
Describe Work: ADDITION & REMODEL TO RES ADDTTION
QUAD AREA: 5RNC
ZONING CODE: LDR
VN
SECONDARY HEAT: HP
1111 # OF BLDGS: 1
CONSTR. TYPE:R3
1 SQ FOOTAGE: 560
To requesE an inspection, ca1
A11 inspections requested bef
j,nspections requested after 7
ng at 726-3769
the same working day,
ing work day
--- REQUIRED INSPECTIONS
FoOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
POST AI.ID BEAII - Prior to f loor insul-ation or decking.
INSULATION - Floor; prior to decking Wal]/Ceiling; Prior to cover
ROUGH ELECTRICAL - Prior to cover.
ROUGH PLITMBING - Prior to cover.
ROUGH MECHANICAL - Pri-or Lo cover.
SHEAR WALL NAILING - Before covering sheathing with fini-sh materials.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SAI{ITARY SEWER LINE - Prior Lo f1]ling trench.
FINAL PTIIMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When a1f efectrical work is compleEe '
FINAL MECHAI{ICAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspecEions have been approved and
the building is compfete.
Total Height: 13 Solar Approved: Y Lot Tlpe: INTERIOR
ftem
Mai-n
Garage
REAR ADDITION
PORCH
Total Value
Building Permit Fee
surcharge/admin
--- BUILDING PERMIT ---
Square Feet x $/Square Feet
64 .66
11.04
Vafue
0.00
0.00
42,575.O0
1, 888 . o0
44 ,564 . OO
250
20
50
B5
TOTAL FEE (A)28r_.35
650
L71,
gPFIXGFIELC,
ilob Nnrnber: 97L082
CITY OF SPNNrcFTELD,t
Page 2
SYSTEMS DEVEI.OPMENT CIIARGE (SDC)
(B)208.82
Systems Development Charge is due on all undeveloped properEies within the City
limits and the Citys Urban Growth Boundry which are bei-ng improved.
--- PLIJMBING PERMIT ---
ltem
Fixtures
Sanitary Sewer
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
1
Fee
10.00
25.00
35.00
2.80
(c)37.80
--- MECI{A}IICAL PERMIT
Furnace
Mechanical Permit
Issuance
surcharge/aamin
TOTAI. PERMIT
5.00
15
10
1
00
00
20
(D)26.20
(Excluding Elect.rical )
unless otherwise noted
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)ss4.L7
--- BUII.DING VAI.UE, PLA}I CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the DeveLopment Code, regulating the consLruction and
use of buildings, and may be suspended or revoked at any time upon vj-olation
of any provisions of said ordinances.
PIan Check Fee: 159.33 Date Paid
Received By:
Plans Reviewed By: Date
Building Site Reviewed By: LISA HOPPER
07 /L7 / e7
/ /zs
Receipt Number:. 26740
--- ADDITIONAL COMMENTS ---
PATH 1, SEPARATE ELECTRICAL PERMIT IS REQUIRED
CHECK EXISTING SEWER FOR APPROVED MATERIAL
By signature, I Etate and agree, that I have carefully examined
the completed appli-cation and do hereby certify that all information hereon
is true and correct, and I further certify that any and alf work performed
shalI be done in accordance with the Ordinances of the CiLy of Springfield,
and the Laws of the State of Oregon pertaini-ng to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Buildj-ng Safety,. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that alf required inspections are requested at the
proper time, that each address is readable from Lhe street, that the permit
card j-s located at Ehe front of the property, and the approved set of plans
will remain on the site at alf Eimes during construction.
2-4 -
ignature te
(-'
3I'FItlGFIELD
Job Number: 97A082
CTIT OF SPilNGFIELD.
Page 3
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
48704
a-4 1/
5a4. /7
+{,o
CITY OF SPilNGFIELD,
SPRTNGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: SHIRLEY MILLER
Location: 3252 MONTEBELLO AVE
Developement T)pe: R Building Size:
Job No. : 97L082
Lot Size:Sq Ft
1. STORM DR,AINAGE
Impervious Sq Ft
2. SAI.IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRANSPORTATION
Number Of Units
5. ADMINISTR.ATIVE FEES
Base Charge (Subtotaf Above)
880 X 0.226 Per Sq Ft =
X 46.86 Per PFU =
X Trip Rate X Cost Per Trip
0
$198.88
$0.00
$0.00
$o. oo
$o. oo
$0.00
$198.88
$e.e4
Transportation Total
4. SAI.IITARY SEWER - MIrndC
Number Of PFUs
0
MI,MC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add ftemg 1, 2, 3 & 4)
Per PFU + MWMC Admin Fee
20.690
.!.
x
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 07/23/97
$208.82
UOOD STOVD/INSERT INSPECTIOI,I APPLICATION
CITY OF SPRINGFEILD
BUILDII'1C SAFET'I' DIVISIOI'J
225 Fiftlr Street
Springf ield , Oregon 97 /.71
SPF.INGFIELO
Office:
INSPECTION LINE:
7 26 -37 59
t 26-3t 69
e&
Job Location
Assessor-< l'1ap il:
Ovner
N
Ta>: Lo t H
7
S:Hzp r-E ? fU lttt=e
Add ress :
Ci ty .9PP rttrtFtE-L:T)State 02,
Value of Vood Stove/Pe11et Stove/Insert:
Preliminary Inspection is S15.00 (prior to installation of insert)
Uood Stove/Pe11et/fnsert Permit is S15.00 + S.75 state surcharge * S-45 administrative
fee * S10.00 issuance = 526.20 tota]
Type of fnspection Requested:
Contractor:
Phone: f:
Zip Code:
W
?7W
Address Phone #
Ci ty:State Zip C.ode: '
Construction Contractors Registration #Expires i
-
By signi.ng this permit/application, f agree to caII for j-nspection(s) as required
(726-3769). I state that all the information on this permit./application is correct
and,that I vas provided vith the Uood Stovc Safety information for vood burning
appliances and preliminary inspection standards. I further state that-the appliance
f am installing meets smoke.emission standards as set by the Oregon Departmenf crf
Environmental Quality or the Federal Environnrcutal Protection Agency and I agree to
provide the testing approval number to the irrsl>ector at the time of inspection- I
also understand that if I am requesting a prc).iminary inspection, the. va}I covering
may be required to be removed.
gna ture te
7
REQUIRED INSPECTION(S) :
Date of Application:
To tal Amoun t Collec ted :
LLET PRELIHINARY,
Job fl
Issued By:
z,/t rA zT---7
a)
Ilece i p t
theclced
llit ^:o
for Deliquencies:
2n
Clrccked for Itistorical- Status:
i, , '..:..r:. '.
hrn'lr,^. n. fku^
======. FOR OFFICD USE
^GRD
I
SP6lINGFIELc)
0ffice:
INSPECTION LINE:
u00D ST0VE/INSERT fNSPECTIOI'I APPLICATI0N
CITY OF SPRINGFEILD
BUILDINC SAFETT DIVTSIOI{
225 Fif tli Street
Springfield, 0regon 91477
€h
7 26 -37 59
I 26-31 69
Job Location C-
Assessor-< Hap ii , /Ta>: Lo t f
ovnen S.hp-t t=,l l,l ,LL6P-
Add ress :
Type of Inspec
Contractor:
Address:
Ci ty:
Cons t ru
Bys
(726
and .t
applian
I am instal
I4 Phone: #
Zip Code
?4-
Ci ty:State, O B ?zryn
Value of Uood Stove/Pellet Stove/Insert:
Preliminary Inspection is S15.00 (prior to installation of insert)
Uood Stove/Pe}let/Insert Permit is S15.00 + S.75 state surcharge + S.45 administrative
fee + Si0.00 issuance = 526-20 tota
N
>
tion Re i
I
mee
vided
minary
ts smo
Phone #
State
t/appli.cation, f agree to call for inspection (s) as required
that aII the information on this pernit/application is correct
vith the Vood Stove Safety information for vood burning
inspection standards. I further state that-the appliance
ke .emission standards as set by the Oregon Departmenf of
Federal Environnrctrtal Protection Agency and I agree to
number to the j.llsl)ector at the time of inspection- I
requesting a prc).iminary inspection, the vaI1 covering
Envi ronmen taI uali ty or theprovide the testing app
also understand that if
roval
Iam
may be required to be removed.
,/.Au', A th^J-lru,(-q
Signature a te
FOR OFFTCD USE
REQUIRED INSPECTTON(S) : UOODSTOVE/PELLET/INSDRT PRELIMINARY -
B-L( -qa qltDate of Application:
Total Amount Collected:
2aqou 5
Job ll
Issued ByReceipt
thecked for Deliquencies:
15"
Clrccked Ior I]istorical Status:
i.. I ...r .:! l
L., -) ]a
Registration f,: Expires:
//-