HomeMy WebLinkAboutPermit Electrical 2008-10-7
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225 FIFfHSTREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'3689 ,
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.9'll \ee;O\e~~f/iI~; Alteration or Relocatioo
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.O\6g 0'0'1 ". ~eS 'S'~less $ 57.00
d" _ ~.~A09\e ~n.OS6 ~'\\ 0 ~1(\18 400 Amps $ 79.00
"'''';' tU' -e(\\;..O\'\\\O ~iesq\~e~~\\<btlOO Amps $114.00
Expiration Date \O~o ~\Of\ \' {\ ~~\~, ~~e \~O Amps or 1000 Volts see "B" above.
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~~eI \01 ~\ \11 New Alteration or Extension Per Panel
',,~ ce~ . One Circuit X $ 50.00
Each Additional Circuit or with 1 '
Servic~ or Feeder Permit / -/... $ 5.00 .
ELECTRICAL PERMIT APPLICATION
City Job Number C ('j fifl. 2r:X)'7--;;:'O('j ::17 .5'" ,
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LEGAL DESCRIPTION: /80 Z Of,<.{ l
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Permits are non-trAnsferable aod expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Phone
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Expiration Date
Constr. C)>~ber
OwnersName /)n~
~~,.
/'~.. ~~ /
.//.-'"
Address " //5'S.
City f'.,L/J.
Phone ....(,.j:>tf> - .("/7<::>
Inspection Reqnest: 726-3769
','Date
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ServiC:~ Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
"
$121.00
$ 22.00 '
Each Manufac!' d Home or
Modular Dwelling Service or
Feeder
$57.00
B.
,200 A1nps or less
'20 I Amps to 400 Amps
I' ~
40 I Amps to 600 Amps
"
60 I Amps to 1000 Amps
, Over 1000 AmpsNolts
Reconnect Only
I
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
73
t:.o
E.
$ 57.00
,: Shared Drive(f:)IBuilding Forms/Electrical Permit Application 7-08.doc
Status
Iss u ed
CITY OF. SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2007-00275
ISSUED: 04/09/2007
APPLIED: 02/23/2007
EXPIRES: 10/0912008
VALUE: $ 29,160.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1155 Laurel Ave
ASSESSOR'S PARCEL NO,: 1802064200200
Springfi~ld TYPE OF WORK: Garage
TYPE OF USE: New
Residential .
PROJECT DESCRIPTION: Garage
Owner: ' CHARLES MATHIS
Address: 6146 JONES LN
GILLETT WI 54124
I CONTRACTOR INFORMATION I
Ii '.."
Contractor Type,
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER , ~,,'~es '10U~}~
-ii'l'lr! ~'J.~' .
,I~ ~lJNP
....."'l'-I110l'-l' 'I. '.{'~ ., /I ..,;
pi.' \ '" S eOOI' - \lOse tUI.' p.P.
\0110'11 ~~~~ cen\ef~\~~ ~ \tIefU\ell '"
l'-IO\i\iCtl~5'2..oo\-O t\W~~~'i6\wP"one
In Op.,f\ ~ou \'tie" o! ~p~vt.IR ~ l'-IO~
009~i3 n \"9 cen ~o(f ~.....).
C9-11\"~ \of \I\e ~ :~.
lIutnb cefI\llI ~nergy Path:
Sprinkled Building:'"
. License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Se,condary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,080
504
Path I
,n/a'
J'...;'1"
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: "MO.'" Total:
# Street Trees Rqd: ',,~ ' ...... Handicapped:
Paved Drive Rqd: . ~~:.t Compact:
% of Lot Coverage: _~ f ~~~ ~O\
, ~ .,,,, \. ~~:~y~v.'!n ~aV.
I PUB~~~~~~~~~a\)"'';''
,~\l. t\..tj.~! ,{p.r .
Partially Improved ~U\~\J~~C~~ ~~aa. S,dewalk Type:
No t~\SI~!:) ~~, DownspoutslDrains:
~~~'\~
12,00
25.00
5.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Drywell - Provide
Drywell Engineering
Notes: OK to rvw per Don 3/27!07...No SDC's--Dwelling will not impact any phblic system. Owner is resposible for
providing "septic responsibility form" to either'Li,"e Count)> or City ofSpfld plumbing inspector. Drywell
approved by Mati S, JLP 4/2107
"
Paee 1 of4
ii
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541..726-3769 Inspection Line
Description
Tvpe of Construction
Gara~e
Gara~e
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2007-00275
ISSUED: 04/09/2007
APPLIED: 02/23/2007
EXPIRES: 10/09/2008
VALUE: $ 29,160.00
I, Val~.~Hon Descriptinn .1
I
Sqnare Footage
I '
or Bid Amonnt
I
$27.00 1,080.00
Total Valne OfPrOjeJt
I
$ Per Sq Ft
or mnltiplier
L.Ff'~" P:'W
. Amount Paid
Fee Description '
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Techuology Fee
+ 8% State Surcharge
Fire SF Fee - Residential
Fixture
Garage/Carport
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO:
Storm Sewer - 1st 50 Feet
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 12% State Surcharge
+ 50/0 Technology Fee
Add, Alter, Exteud Circ Ea Add
Fixture .
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Initial Review
Public Works Review
02/24/2007
02/24/2007
Revised Plans Received/Ro
03/26/2007
$164.87
$10.00
$54.37
$30.08
$39.17
$54,00
$42.00
$253,65
$39.00
$112.00
$45,00
$14,00
$45.00
$6.00
$45.00
$23.10
$27.72
$11.55
$60.00
$98.00
, $73,00
Date Paid
I
2/23/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
4/9/07
,
10/6/08
10/6/08
10/6/08
10/6/08
,
10/6/08
10/6/08
I
$1,247.51
I Plan Reviews I
02/26/2007
02/26/2007
APP NJM
WI JLP
03/27/2007
IO DLM
Paee 2 of 4
Value
Date Calculated
$29,160.00
$29,160.00
02/23/2007
Receipt Number
1200700000000000193
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381
1200700000000000381 .
1200700000000000381.
1200700000000000381
1200800000000001041
1200800000000001041
1200800000000001041
1200800000000001041
1200800000000001041
1200800000000001041
Rcvd 2/26/2007---Waiting in order
PW rcvd for rvw.JLP
Distributed
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00275
ISSUED: 04/09/2007
APPLIED: 02/2312007 '
,EXPIRES: 10/0912008
VALUE: $ 29,160.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
Public Works Review,
04/02/2007
04/02/2007
APP JLP
OK to rvw per Don-hold released
3/27/07...No SDC's--Dwelling will
not impact any public system.
Owner is resposible for providing
"septic responsibility form" to ,..
either Lane' County or City of Spfld .
plumbing inspector, Drywell '
approved by Matt S. JLP 4/2/07
Approved revised plans. See
documents for Plan review
comments.
Structural Review
02/24/2007
04/02/2007
APP DLM
Plannine Review
02/24/2007
04/06/2007
APP SJS
Setbacks are close or exactly as
required. These need to be checked
on site.
This building is not approved for
habitation.
/
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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,
~ir\1In..nppt~
'.
Ufer,Electrical Ground: .Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Foundation: After forms are erected bnt prior to concrete placement. ,
Footing: After trenches are',excavated.
Framing Inspection:'Prior'to cover and after all rough in inspections have been approved.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspecti~ns have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required-testing. ...
Water Line: Prior to tilling trench and including required testing,
. Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When'all plumbing work is complete,
Rough Mechanical: .Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When,allelectrical work is complete,
Paee 3 of 4
Status ,Issued
225 Fifth St,.eet, Springfield, OR '
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00275
ISSUED: 04/09/2007
APPLIED: 02/23/2007
EXPIRES: 10/0912008
VALUE: $ 29,160,00
UndC/'slab Plnmbing: Prior to filling the t,.ench and inclnding ,.eqni,.ed testing,
By signature, I state and ag,.ee;that I have carefully examined the completed application and do hereby certify that all
information he,.eon is trne and correct, and I fn,.thC/' cC/'tify that any and all wo,.k pel'formed shall be done in acco,.dance with
the O,.dinances of the City ofSp,.ingfield and the Laws of the State of Oregon pe,.taining to the wo,.k described herein, and
that NO OCCUPANCY will be made of any strnctn,.e without permission of the Community Services Division, Building Safety,
I fnrthe,. certify that only contracto"s and employees who a,.e in compliance withORS 701.005 will be used on this p,.oject.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable f,.om the
st,.eet, 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. '
.1P
~
/0-6'- 0 J>-
Owner or ~on.tractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield" Oregon 97477
541-726-3759 Phone
qty of Springfield Official Receipt
Development Services Department
Public Works Department
Job/J(:mrnal Number
COM2007-00275
COM2007-00275
COM2007-00275
COM2007-00275
COM2007-00275
COM2007-00275
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200800000000001041-
Date: 10/06/2008
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Fixture
+ 5% Technology Fee'
+ 12% State Sur~harge
+ 10% Administrative Fee
Paid By
DAN MATHIS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
877786 In Person
Payment Total:
Page I of I
1:15:48PM "
Amount Due
73.00 '
60.00
98,00
11,55
2772
23,10
$293.37,.
Amount Paid
$293.37
$293.37
10/6/2098