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HomeMy WebLinkAboutPermit Electrical 2005-08-18Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00884ISSUED: 08/18/2005APPLIEDz 0711112005EXPIRESz 0211812006 VALUE: SITE ADDRESS: 146 S 40TH ST ASSESSOR'S PARCEL NO.: 1702314102902 PROJECT DESCRIPTION: Service Change Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Owner: Address: Owner: Address: Contractor Type Electrical WILLIAM J MARTIN TRUST 1295 CLEARWATER LN SPRINGFIELD OR 97478 DOUG SOGN 146 S 40TH SPRINGFIELD OR 97478 s adopted by the Oregon Utility Center. Those rules are set forth follow rule Notification in 0 OAR 9s2-001-0010 through OAR 9S2-OO1. 090. You may obtain copies of the rules by calling the center. (Note: the tele phone number for the O on util Contractor DOUG PALMER CORP License 90725 Expiration Date 05/03/2006 Phone 541434-5600 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: REQUIRED PARJilNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page I of2 I ry lrUlLLrlI\(, lI\I (JI(JYIA I l(r1\ | PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00884ISSUED: 08/18/2005APPLIEDz 0711112005EXPIRES: 0211812006 VALUE: Description Type of Construction Fee Description + l0o/o Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less + l0o/o Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200s00000000000909 2200s00000000000909 2200500000000000909 3200500000000000501 3200500000000000s01 3200500000000000501 Amount Paid $6.30 $4.41 $63.00 $1.s0 $1.0s $15.00 $91.26 $ Per Sq Ft or multiplier Square Footage or Bid Amount 7mt0s 7mt05 7nuos 8/18/05 8/18/05 8/18/05 Plan Reviews To Request an inspection call the24 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. Electric Service: Approval required prior to utility company energizing service. Reouired Insnections 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 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. Srcv-nq& \r*= \Wrct^,.q 61,il/cs prtt Owner oNontractors signatule \ Pase2 of2 Date Valuation Description I Fees rar(l approvar Date 225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:$a\726-3753 o FAX: (5al)726-3689 Zoni -L'e $63 s 75.00 $125.00 $ 163.00 $375.00 $ 50.00 I City Job JOB DESCRIPTION Permits are tron-tratrsferable if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 Electrical Contractor Address "13q 2. BrA ftve " 7- l/- r:;_g ' COMPLETE FnE SCHEDULE BELOIf ..',, , ,.,.',,'., ,i.,, .3. A. C LEGAL DESCRIPTIONt Service Included'i.- t 1000 sq. ft. or less rc0aro.auI iol la qnrdbo Each additional 500 sq. ft.,Jtuec aqlOulllec er.q+Ieu-ool$19.00 F{orqi o too- too-296 Hvo- qI 'Jeluec u ez-zce-008-! st raluac oc ul City SupervisorLicenseNumber 2]A2_ 5 Expiration Date to ?-oo-1 Constr. Contr. Number 4o1ab Expiration Date Signature of Electn Owners INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: B. L 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. D. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. Z^ 7-r^4 etQ- prrone 43Ft-3ooO_-------=- New Alteration or Extension Per Panela One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 t" E. Pump or irrigation Sigrr/Outline Lighting Limited Energy/Resi dential Limited Energy/Commercial Miuimum Electric Permit Inspection Fee is $45.00 + Surcharges $ s0.00 $ 50.00 $ 25.00 $ 45.00 0s7-q7o/o Slale Surcharge l0% Administrative Fee TOTAL 73.-7t d Inspection Request: 726-37 69 4. Shared Drive(T:)/Building FormVElectrical Permit Application l-03.doc l 225 F'ifth Street Sprirtgfield, Oregon 97 477 541-726-3759 Phone City of Springfield Officiat Receipt evelopment Services Department Public Works Department RECEIPT#: 2200500000000000909 Date: 0711112005 3:20:t2pM Job/Journal Number coM200s-00884 coM2005-00884 coM2005-00884 Description Perm Serv/Fdr 200 amps or less + 7Yo State Surcharge + ljYo Administrative Fee Amount Due 63.00 4.41 6.30 Item Total: Payments:$73.71 Check Type of Payment Paid By CreditCard DOUG G. PALMER Received By njm Batch Number Number How Received 0339 I I In Person Payment Total: Amount Paid $73.71 $73.7r 7nU2005 Page I of I rillnlfD I Building/Combination permit Status Issued 225 Fifth Street, Springfietd, OR 541-726-3753 phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line SITEADDRESS: 146S40THST ASSESSOR'S pARCEL NO.: 17023141 PROJECTDESCRIpTION: ServiceChange PERMIT N ISSUED: APPLIED: EXPIRES: VALUE: O: COM2005-00884 07nu2005 07nu2005 0uLu2006 02902 Owner: Address: Owner: Address: Contractor Type Electrical -W.ILLIAM J MARTIN TRUST 1295 CLEARWATERLN SPRINGFIELD OR 97478 DOUG SOGN 146 S 40TH SPRINGFIELD OR 97478 nurnb cenle,: errb, er for the Expiration Date 05t03/2006 by Phone 541434-5600 Cent. Contractor DOUG PALMER CORP License 90725 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: OU UAI T nla REQUIRED PARI(NG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Pase 1 of2 Springlield in 0as0 -0010You IUUI!EU rUii Building/Combination permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Description Type of Construction Fee Description + l0yo Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid PERMIT NO: COM200S-00884ISSUED: O7fiUZh}SAPPLIED: 07fltt}001EXPIRES: 0t/[ t2006VALUE: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Date Paid 7llu0s 7nu0s 7ltuos Value Date Calculated Receipt Number 2200500000000000909 2200500000000000909 2200500000000000909 Amount Paid $6.30 $4.4r $63.00 $73.7r PIan Reviews To Request an inspection call the24 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. Electric Service: Approval required prior to utility company energizing service. By signaturer l 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 Springlield 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. 1.-tlX rJ^- Reouirer Owner Signature Pase2 of2 Date - \L'L., CitY of SPringfield 225 Fifth Street, Springfield, OR97471 541-726-3759 Phone 541-726-36768ax January 25,2006 DOUG SOGN 146 S 40TH SPRINGFIELD Job Number: Location: oR 97478 coM200s-00884 146 S 4OTH ST Service Change The Springfield Building Safety code Administrative code provides that in order for a permit to remain valid, the work *tri.t, has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 146 S 40TH ST which is set to expire on2llg12006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inipection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project' If you have any questions, please feel free to phone me at 541-726-3790 or David Bowlsby at 541-736-1029 after February 1,2006. Project: Dear Permit Holder: Sincerely, Lisa Hopper Building Safety Supervisor SF.EIHqFIELE City of Springfield Development Services Department Communiry Services Division, Building Safety 541-726-3759 Phone 541-7'26-3676 Fax March 3,2006 Doug Soon L46 South 4Oth Springfield, Oregon 97 478 Date Permit Issued:8n8t2005 Permit Number:coM2005-00884 Location:146 S 4OTH ST Project Description:Service Change Dear Permit Holder: As stated on your permit and/or approved plans, work authorized under the permit issued will expire if the work is not commenced or is abandoned for any i80 day period. Because you did not contact us to request an inspection or to call us to veriff that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(s) expired on2l1812006. Please contact our office at Springfield City Hall, 225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your project. There are additional permit fees that are due in order to complete your project. Sincerely, Lisa Hopper Building Safety Supervisor Dave Puent, Community Services Manager Code Enforcement cc CIry OF SPzuNGFTELD, OREGON MDz-8-n -Zoo5 3 225 FIFTH STREET o SPRINGFIELD, oR 97477 o pH:(541)72G3753 o FAX: (541)7263689 PERMIT APPLICATION City Job 0 Date 3 LEGAL DESCRIPTION A.-7o.^I 4t o)fo ) JOB DESCRIPTION qc f,o non-transferable and expire ifwork is not within 180 days of issuance or if work is Suspended for 1E0 days. 1 Electrical Contractor Address 13q 2. BrA ltv a City 2 pnon. 43*3poO Supervisor License Number 2tq2 s C. Expiration Date to 2oo-1 Constr. Cont. Number c\ot?-t Expiration Date 'Zr-D Signature of Electncian Owners k-) re is1 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only One Circuit Each Additional Circuit or with Service or Feeder Permit 1Yo State Surcharge l0% Administrative Fee TOTAL '-5 15.N B. L zooo-pt..u$P,3'J:1il: Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. = Branch Circuits ']':..|]':]'.i:.::1l...,.:..-::.:i']..].].l'].-....:i'.])'i];'j..i-.l].';.'..:- New Alteration or Extension Per Panel 00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 s 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 Address City.Srtt? &-.-Phone'-,(I q7?7r OWNER INSTALLATION" The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges /s 6 LE. $ 50.00 $ s0.00 $ 25.00 $ 45.00 p 4. a5 / ..goIt'7 ,5Inspection Request: 72G37 69 Shared Drive(T:/Building Forms/Electrical Permir Applicarion l -03.doc Service Included \ 1000 sq. ft. or less Each additional 500 sq.(-(pornon*W$llOt t: $106.00 k/ ii ^* / 5\a\ Each Feederin CAR iul 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'ity of Springfield Official Receipt .- evelopment Services Department Public Works Department RECEIPT #: 3200500000000000s01 Date:08/18/2005 1:35:30PM Job/Journal Number coM200s-00884 coM2005-00884 coM2005-00884 Description Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 15.00 1.05 l.s0 Item Total:$17.s5 Payments: Type of Payment Paid By CheckNumber Authorzatlon Received By Batch Number Number How Received Amount Paid Check Cash DOUG PALMER ELECTRIC DOUG PALMER ELECTRIC nJm 6727 In Person In Person Payment Total: $16.0s $1.50 $17.5s Job/Journal Number coM2005-00884 coM200s-00884 coM2005-00884 Description Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0%o Administrative Fee Amount Due 15.00 1.05 1.50 Item Total:$17.ss Payments: fype ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check Cash DOUG PALMER ELECTRIC DOUG PALMERELECTzuC njm 6727 In Person In Person Payment Total: $16.0s $ 1.s0 $17.5s t i 8/18/2005 Page I of I aaiuar]o