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
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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