HomeMy WebLinkAboutPermit Electrical 2004-03-26Status Issued
225Fitth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00299ISSUED: 0312612004APPLIED: 03/1812004
EXPIRESz 0912612004
VALUE:
SITE ADDRESS: 1871 2ND ST
ASSESSORTS PARCEL NO.: 1703262401200
PROJECT DESCRIPTION: Cleaning wiring and adding circuits.
Owner:
Address:'
WOODROBERTH&TERESA
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
EUGENE OR 97401
ALL EXPIRE IF THE WORK
ArJ IH0RiZEU UND
C0[I{[\4ENCED 0R lS ABAND0N
contra&UI +$$ P AY PC{lflB.to.
Electrical ROSE CORPORATION
License
54431
Expiration Date
09130t2004
Phone
541-686-0905
INFORMA
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories: Lot Size:
Height of Structure Sq Ft lst Floor:
Type of Heat: Sq Ft 2nd Floor:
\Mater Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
AT T E Nl T I O N : Ll r e r".; r-; r'r i i w i'hqxrublrrtrrrJace Area :
ose rules are set fort
!n 952-001 -00 1 0 through OAR $SSHUIED PARTilNG
overt$ffiQltYou may obtaih copies of therr&bo I
# Street reCl#ry&e center. (Note: the telephodhapped:
Paved Irrfimhea:for the Oregon Utility Notifrdimt::- r. (-tofr ee"n-2?4A\"o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
R-3
YN
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of2
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
l, U lLr-rll\ rJ rN r uKlvrA, l!!2f-]
Valuation Description I
I
I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00299ISSUED: 0312612004APPLIED: 03/1812004EXPIRES: 0912612004
VALUE:
Fee Description
+ 10o/o Administrative Fee
+ 7Yo Stzte Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0o Administrative Fee
+ 77o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid Date Paid
3n&t04
3n8,t04
3lt8t04
3n8,t04
3126t04
3t26t04
3t26t04
$5.20
$3.64
$43.00
$9.00
$6.30
$4.41
$63.00
Receipt Number
2200400000000000263
2200400000000000263
2200400000000000263
2200400000000000263
2200400000000000290
2200400000000000290
2200400000000000290
$134.55
Plan Reviews
To Request an inspection caII 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 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Electric Service: Approval required prior to utility company energizing service.
Reouired fnsnections
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 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.
'E/zc"/e--sa=*
h3 t--Owner or Contractors Signature
Pase2 of2
Date
r ees raro I
CITY OF SPRINGFIELD. OREGON
Feb-L1-04 03:5Ip
225 FIFTH STREET r SPRINGFIELD, OR 97477 o PH:(5{l)726-3753 r
PERTUIIT A}PLICArIOJV
Ciry Job Datc
I. I,OCA'I'ION OT; TNS'II^,.LATTO]M 3. COIVIPLE'CE
\x1 t ) r-,./-,6+T1 o,Y
rAks
zonl
AS submitted has the lollowing
require specific land use
ap
Zoning
Aulnorized Signature
A- Itiew Residential - Single or IVlulri-Faruily per dwelling unit.
Serr.lce Included
P-02
A
LEGAL DESCzuPTTON
2.Z o\251)
JOB DESCRIPTION
Permits are non-transferable end expire if work is
not star(rd withiu ltO days of issurnce or if wor* ls
Suspended for lS0 days.
2. coMrRAcr'q. 4 rJV.sryrLtTTON ONLY
Elcctrical Contractor
Address
Constr. Contr. Number
Expiration Datc 3c L
Signanrrc Elcctri60llllC
1000 sq. ft. or less
Each additional 500 sq. ft. or
portioo thereof
Each Manufact'd Home or
Modular Dwclling Scrtice or
Fceder
s106.00
3 r9.00
$50.00
B- Scrvices or Fceders - Installation, -lllerations or Ralocation:
6s.e2O0 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
6Ol Amps to 1000 Arnps
Over 1000 ArnpsiVohs
Reconnect Only
$375,00
s 50.00
s 50.00
$ 69.00
$ru).00
$ 43.00
$ i.m
s 63.00
$ 75.00
$ 12s,00
$ I63.00
"rO,E#kl ? Pno",
Supervisor Liceosc Number 15t,8 s C- .Tearpogry Service or Fccders
Expirarion Date c o o
I IIVHS lltr\iti
O*ners Name
Address o
ci,' +> 6,J14:rg4oon"
o(L
OWNER INSTALLAI'IO}T
The iastallatioo is being made on propeny I own which
is not intended for sale, lease or rent.
Owners Signature:
Installation, Alteration or Relocation
200 Arnps or less
201 Amps ro 400 Amps
401 Amps to 600 Arnps
Ovcr 600 Amps or 1000 Vols sec "B" abovc.
D. , Brangh Cirluits
New Alteretion or Ertrnsion Per Panel
One Circuit
Each Additional Circuit or with
Service or Fccder Permit
7o/o Stats Surcharge
l0% Administrative Fcc
TOTAL
1[ach InstaUetion
fff hAtfmtiQsrcharges
oF-guwoaa "t 3. cto
a
AVC NB
UIdX
"7Q,
13.1 tInspectlou Requot: 726-37 69
Sharcd DivdT:)iBuilding Forms/Elcrtri{:al Pc.nu{ Application l-0i.doc
5qq=I
lJ0 0lJlrl
ifue-eqcs
Oregon
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci(y of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #z 2200400000000000290 Date: 0312612004 9:19:2lAM
coM2004-00299
coM2004-00299
coM2004-00299
Perm Servffdr 200 amps or less
+ 7oh State Surcharge
+ l0%. Administrative Fee
63.00
4.41
6.30
$73.71Item Total:
P
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard ROSE CORPORATION nJm 000336 025383 In Person
Payment Total:
s73.71
-sifrT
CITY OF SPRINGFIELD, OREGON
Feb-11-04 03:5lP
225 FII'TH STREET o SPRINGFIELD,OR 97477 t PH:(541)72G3?S3 o F'AX:
E LECT RI CAL P E RM TT AP P LI CAflON
CityJobNumbcr eO$(2r\c4-oo tl3 out" O?- tB -o4f
P. 02
alnleu0;g pazl.torltnV
atBo
6u1uo7
r. LocA'ftoN oh'rNs't1,/.-r,/.'11o/Ii
tA-1 t 2,dg 9r,
3. COMPIJ|TEI,'EE
o-
scl{4&{,tru€r4fr1&y[,
out/vrollol eql seq pautu/
LEGAL DESCRIPTTON
\1 092b24 6 Zoo
JOB DESCRIPTION
ur(B i
if work is
not started within ltO days of issurnce or if work ls
Suspended for lEO days.
z. cor\rm4cToR rNS[.!Lr,4.TTON O_NLY
Electrical Contractor
lenotdde
lnbe.r 1ou seop pue' '6uruoz
qns se lcalord 6uraaoppl aql
.d l{ew Rtsidentiel - Single or lVlulti-Frmily per dwelling unit.
Service Includcd
I 000 sq. fi- or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Homc or
Modular Dwelling Scnicc or
Feeder
B,Sersices or Feeders - Insfallation, -{llerrtions or Relocation:
,ro'4 &4 ? Yno,.66L-oqcS
Supervisor Licensc Number I,sag _s C. .Tempgrary Servicet or Fceders
Expiration Darc a a o
20O Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to l00O Amps
Over I000 ArnpvVola
Reconnecr Only
--
$so.oo
$ 63.00
$ ?5.00
$125.00
s t 63,00
$375,00
s 50.00
s s0.00
$ 69.00
$ r00.00
Constr. Contr. Number Srtqs
Expiration Datc 3c
Signaturc Elccrician
o
O'*ners Name
Instrllation, Alteration or Rclocatioo
200 Amps or less
201 Arnps ro 400 Amps
401 Amps to 6fi) Amps
Ovcr 600 Amps or 1000 volts scc "B" above.
D. Branlh Ckcuits
Nrw Alteretion or Ertrnsion Per Panel
Onecircuit ! $43.00 &3.oO
,'*l;9Jl3:L'ffilorwith 3 sim 1,6
E.IVliscellnucous (Service/feeder rrot irrcl uded) -Each I nsta Ue tion
P,tmp or irrigation $ 50,00
Sign/Outlinc Lighting $ 50.00
Limited Energy,?.esidential 3 25.00
Limited Eaergy/Commercial $ 45.00
Minimum Electric Permit Inspection Ftc is $,15-lX} + Surcharges
4. .strBToTAL OF ABAVE 5? .OO
7o/o Statp Surcharge
l0% Adminisrraive Fcc
bo,g
I
ooD
Address rg'tr 9t,
Ciry 53g.,,r{cr6\GLDptror, " 1Lb- L&o3-
O\A'NER INSTALLAI'IO}I
The installatioo is being ma& on property I own which
i$ not intended for sale, lease or rent.
Owners Signarure:
NOTICE:
Iirspection Rcquest: 776-3'169 TOTAL
Shared DrivdT: lBuilding FormVElcrtrir:a I Pcrmil Appl icadon l -0i.doc
Address 8qq7b D"., Lrl.
Rn<e C,urPero*J,;on
$106.00
s 19.00
3.64
Srzn
lr
225 Fifth Stre0t
Springfield, Oregon 97 477
541-726-3759 Phone
|:City of Springfield Official Reccipt
Development Services Department
Public Works Department
Receipt #: 2200400000000000263 Date; 03/18/2004 10:43:ssAM
coM2004-00299
coM2004-00299
coM2004-00299
coM2004-00299
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ lloh Administrative Fee
Item Total:$60.84
43.00
9.00
3.64
5.20
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard ROSE CORPORATION lkw 000006 041397 In Person
Payment Total:
$60.84
$60.84
t.
City of Springfield
225 Fifth Street, Springfield, OR 97 477
541-726-3759 Phone
541-726-3676 Bax
August 23,2004
SMALLWOOD ROBERT H & TERESA
PO BOX 70s76
EUGENE OR 97401
Job Number:
Location:
coM2004-00299
187I 2ND ST
Project:Cleaning wiring and adding circuits.
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which 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 1871 2ND ST which is set to expire on
912612004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff 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 inspection 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.
Sincerely,
T,\@
Lisa Hopper
Building S afety Supervisor
\$r
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-31 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00299ISSUED: 0311812004APPLIED: 03/1812004EXPIRES: 09/1812004
VALUE:
SITE ADDRESS: 1871 2ND ST
ASSESSOR'S PARCEL NO.: 1703262401200
PROJECT DESCRIPTION: Cleaning wiring and adding circuits.
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
Owner:
Address:
SMALLWOOD ROBERT H & TERESA
PO BOX 70576 EUGENE OR 97401
Contractor Type
Electrical
Contractor
ROSE CORPORATION
Expiration Date
0913012004
Phone
541-686-090s
License
s4431
CONTRACTOR INFORMATION
Valuation Des
BUILDING INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
sotar SetuttCf:
AU
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
REQUIRED PAR]ilNG
Total:
Handicapped:
Compact:
iuontzro UNDER THts P'EB
street Img6r6pBppRtro 0R ts ABAtrillc li
storm se*0tYAtAIlaDAY P ER i 0 D
Special Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
ED FOR
ay obtain copies of the rutes t
cente r. (Note: the telephone
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of2
$iili;k: t i f i c at i g61s Catcutated)-:a::1441.
L}."i
Description Type of Construction
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00299ISSUED: 0311812004APPLIED: 03/1812004EXPIRES: 09/1812004
VALUE:
Fees Paid
Fee Description
+ l0Yo Administrative Fee
+ loh Stal,e Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid Date Paid
3t18t04
3tr8,t04
3n8t04
3t18t04
$5.20
$3.64
$43.00
$9.00
Receipt Number
2200400000000000263
2200400000000000263
2200400000000000263
2200400000000000263
$60.84
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.
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
Reouired fnsnections
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.
Owner or Contractors Signature Date
Pase? of2