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Home My WebLink AboutPermit Electrical 2004-10-27 ~ .. ~..,~. .. ~t90FINaFtELD ~ ;0 ~ .. -at.. 0 . 22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)~3il89 ~ ELECl'RlCAL PERMIT APPUCATION . , o~ %.;. . . ~ ~ City Job Number COVIll z..c>oLj - DO b I..( Z nate <!)."': . ~ '" 1. !f:rr6ciiioN;OEq&S~iioNt>;i~~ 3, ':'df'" iib1F;"",'7S(;i1j[jj'tf~" ~'.. ,) . ,,' ~~);. .. tk'~::M,'."."_'M"1it--.....-3!j.;-~~-.." ~_"""""""t~~~ ,."" ',. ~. .... ...'~ . "'^" ;:Jkl5 I11AI1C)V2 c.,~.I/J {,>Q c17477. ',.,. . LEGAL DESCRIPTION A, mesiden . /7 0 ~ 2. ]. 3 z.. 0 I 300 Service Included JOB DESCRIPTION 1000 sq, ft. or less Each additional 500 sq. ft.,or _ (;(\JY. ('It::> ~CTiI' v-p,' S,'r,A portion thereof' , Permits are non-transferable and expire if work is Each Manufuct'd Home or .. not started within 180 days of issuance or if work.is Modull!" Dwelling Service or $50 00 Suspended for 180 days. F~~~ \ . . """,,,,,,~,~~~,''''''''-e.,~_~.,~~~.,,,, '-"' ~FJ!=~'~f-"';.'''lJi*'''''''~-~-~''' "~K_' 2. .,gON1JR:;!,CFO UJ.'ISTAIJEATI.Ol{tOlfEJ(it ~ ~ ~~~~~~~~~~\=~Jt~"r~u~ral!~nSlor. Relocation: 17 ~~ ~<<-<<:: <~ Electrical Contractor k-'::~ fTc., 'n 0 ~ (,il ~" Rl'2oo Amps or less S 63,00 ,",y'!ff';~ '\~ ~'V 201 Amps to 400 Amps S 75,00 Address /.iLl> ~~t; Cc-~ ,~<<;r:>~ 401 Amps to 600 Amps SI25,oo ~'\~ q<<-~~~ 'V.~~ ~~~' 601 Amps to 1000 Amps S163.00 City!?lh.~ ~n9>.~~t:#Yi.~ Over 1000 Amps/Volts S375,OO , 1 '\'<' ~"\ ~<o:. 'V~ Reconne<:t Only $ 50,00 ~ \;)~ ,,"0.... , Supervisor License Number ? ~k <: c, ~~~1iP..f~~~~~'%lTiE~,g;_ . ' OWNER INSTALLATION E. MiSe ~v.sP"&' ~ Pump or irrig.qptt ~'# S 50.00 Sign/Outline Lightin~- , S 50,00 Limited EnergylResidential S 25,00 Limited Energy/Commercial S 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges <;Z 36"{ SZ-.=> bO!!::L ~ \ft, Shared DrivdT:YBuildinlit FonnslElcctrical Permit Application 1~3.doc If? ") Expiration Date )AC>--! - 2WL..7 Constr. Contr, Number }.fi - ?t:>&-- c.- Expiration Date 7-- /') ( - /) f.:, Signature of Supervising Electrician \~:}- --(~ Owners Name -g.",,'<-o 1.2I;Jdl Q \ \ Address :.'Jis 1'; VYII'l11(\ R n ~ City _S,?.f!1d Phone 3<,x-~8'&,07 The installation is being made on property I own which is not intended for sale, lease or rent Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/0112004 EXPIRES: 01116/2005 VALUE: $ 5,000.00 SITE ADDRESS: 2815 MANOR DR ASSESSOR'S PARCEL NO.: 1703233201300 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Garage conversion Owner: LOBDELL ROBIN Address: 2815 MANOR DR SPRINGFIELD OR 97477 Phone Number: 541-338-8607 I CONTRACTOR INFORMA:rION I aX. \r \ \'''' ,(, I'll) \ Contractor~: \,.\.. 'i:..'IS>\" ?'i:..?-tJl\\ I;icense Expiration Date Phone OWNE~~~~~~l:\\~~1' "i\\\S Q~'i:..\) r\)\\ BOB FI~I{~~\1\:.'&O\iN~ [:>.'Or>.~\) 96275 01/25/2006 541-689-7973 OWNER r>.\}\\\Q?-~\,,'i:..\) Q?- ,,\), OWNER "C\WltJlt:\~ n"''/ ?'i:..?-\v 'r>.~i 'C(iiJILDING INFORMATION I Contractor Type General Electrical Mechanical Plumbing # 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: Notes: # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla O"",l1i\.nt Load: ~- ilf>5ivt.!l ! DEVELOPMEN. m"UN>1An~.to~o(\66l~ \O~. U'w~66 ~ .. ~\eS~gS1..a~U1RED PARKING ove~'m\l~e5 ,.609~. ""'~~ 0 ~ CU\8't/Atal: # St~(I"I-.Ie~.pn~$,\Q~ c;09\e5d\ ~il..Wlicapped: Pav dW'" ~\ drN~t\ ~~ \l\6 ~o'G~~'GDipact: % 0 1\~ ~~~ ~ 1\\)\\~~)' OO:~;\,,(l~;MeO~~ I PUBLIC IMPRO~fDME~l~'~ Sidewalk Type: Downspouts/Drains: Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/01/2004 EXPIRES: 01/16/2005 VALUE: $ 5,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000,00 Value Date Calculated Total Value of Project $5,000,00 $5,000.00 06/01/2004 Fpp< PlIi/iLI Amount Paid Date Paid Receipt Number $44,46 $10,00 $15,84 $11.09 $68.40 $28,00 $39,00 $17,00 $6.00 $5,20 $3,64 $43.00 $9,00 6/1/04 6/18/04 6/18/04 6/18/04 6/18/04 6/18104 6/1.8/04 6/18104 6/18/04 10/26/04 10/26/04 10/26/04 10/26/04 1200400000000000830 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000001512 1200400000000001512 1200400000000001512 1200400000000001512 $300.63 I Plan Reviews I Initial Review 06/0212004 06/0212004 APP LLH Plannine Review 06/0212004 06/1512004 APP TAJ No Planning review necessary since its an interior conversion only. Public Works Review 06/0212004 06/07/2004 APP VRJ Structural Review 06/0212004 06/07/2004 OK TCM To Request an inspection call 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. Ueonire1Jnsne('tions I Post and Beam: Prior to floor insulation or decking, Floor Insulation: Prior to decking, Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover, Ceiling Insulation: Prior to cover, Drywall: Prior to taping, Paee 2 of3 . . CITY 01< ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/0112004 EXPIRES: 01116/2005 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, Undert100r Plumbing: Prior to insulation or decking, 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 tbat 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 he 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 tbis project, I further agree to ensure that all required inspections are requested at the proper time, tbat 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 Pa2e 3 00 225 Fifth Street Spr,ingfield, Oregon 97477 54'1-726-3759 Phone . ar~"l!t~.9!,~.1 ~,""-' ____'_"_", u.... ..... . Jiiij.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200400000000001512 Date: 10/26/2004 8:44:3IAM JohlJournal Number COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 43,00 9.00 3.64 5.20 $60.84 Amount Paid Check ROBIN LOBDELL djb 2526 In Person Payment Total: $60,84 $60,84 10/26/2004 Page 1 of I