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Home My WebLink AboutPermit Electrical 2005-4-6 To'ect as SUbmi~he following not reqUlre.,4gtqi]c f!E9 use . I · I~ I It.. .' SPR.'N&F .~~-- . t ,1I'1.1,"If., ,.1 "rlli' "'"'" ~J <' - , 225 FIFTH STREET. -SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72ii~~ . . po i;::::;{. .~"" ELECTRICAL PERMIT APPLICATION Date - '"1)'1 6<li./) r' '.' U ~"CitY1obNumber r~/?":7.2LYO<? -t') I 7. 3' 9 Diit'eonzed~~I1'~C'S 1. LOCATION OF INSTALLATION. 3. COll1PLEl'EFEE SCHEDULE BELOW - 7/J~<~~/1-//(} c;T LEGAL DESCRIPTION /7/).2- 5.)."\/ "'0'18"("0 JOB. DESCRIPTION A. ,New Resident~~I_- S!ngl~_or~1ulti-F.a~!I~' per ~'~'e~Ii~~1 oi!. . Service Included $106.00 _l5qt3L//) OJ4trr.r J/f2.L'/tkJ 1000 sq. ft. or less . / J Each additional 500 sq. ft. or ~V(.,. portion thereof $ 19.00 Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. ,f j/ Electrical Contractor [) In H [I eC. fr,( Address 7:''JO s;, 57 T1f stl'U T \ Cily _Sp"''''y.(;~_W Phone 5]]-.30~7 . \ Supervisor License Nu~ber 45'5'1.5: j Expiration Date ~hcc 7 Constr. Contr. Number biD -Q5'8 c.. Expiration Date 7/, / nla I f Signature of Supervising Electrician I )<5\)N\ Wl.4 L- '-...-/ Owners Name M/f-)( ~ 'f~L2/r Address Pt'J A'1-X '7 J I City ~ulL3a r~r)'hone /'..J..?-~J.C:;-fJ, OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 1tiJ., \ \lJ~-L --,\\--iJ\ D~ Each Manufact'd Home or Modular Dwelling Service or $5000 ~F'Je1i~CE: . THIS.PFRMIT SHAll FXPfREIF THE WORK ."-~ B. USer,,:ices or.DE\jeedersJ.Installalion,r~lterations or Relocation: . 1\ 1l1vtiUt . 1~.Utl1 .It:U;).t'tlU,wl I;) "UL. .... . ... qoo~~~~~msPR IS ABANDONED FOR$ 63.00 f"v 1R'1 n.v O~RlnD 201 Amps to' 400 Amps . $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 C. T~ri;porary Se~vic~s f?r.!,eeder~ Installation, Alteration or Relocation 200 Amps or less 201:-:\mpst0400Amps - 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00. Over 600 Amps';;i 1000 :>;~lts see "B"",bove. . . _ ~.."" )."1.11.J 1~11 \.' .', ~ " -'" D. IBranch €ircuits " _ ."', ~.. "I f'"' " ',\' . M'J .y~ mC.l:)' t~t.7t:R~f;L..J.,.....:_.. , ~:-_- Ne~ Alteration8r.Ex,tension', Pej-:Panel " . ,L.; One ~i~~~i;~r \~r \1;0 Ore,:ol1 \j", ~tP4'43~8d 4s~ Each1 ~ddttj~reb~t~,u!t;or -;ith -33C: t..j+t J. Service or Feeaer Permit $ 3.00 E. l\1iscellaneous (Service/feeder,not in~luded) -Each Installation Pump or irrigation SignlOutline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. . SUBTOTAL OF ABOVE 4s;~ 3,.1 J 4,ro 6""Z~ i'1J.%'State Surcharge 10% Administrative Fee 'l.;t 'j'''P TOTAL l).lO Shared Drive(T:)/Building Forms/Electrical Pennit Application I.03.doc . .U 1 l' OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01739 ISSUED: 12/19/2005 APPLIED: 12/15/2005 EXPIRES: 08/21/2006 VALUE: $ 3,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7034 MAIN ST ASSESSOR'S PARCEL NO.: 1702353100900 Springfield TYPE OF WORK: Foundation PROJECT DESCRIPTION: TYPE OF USE: Alteration Residential Foundation and wall for shortened bldg. Redirect san,sewer for Parcelization (This is Parcel 2) t\.nTln,.. - .."'.... Owner: Address: NORRIS MAX E PO BOX 311 LOWELL OR 97452 THIS PERMIT SHALL E Phone Number: ~~~~F~~~~ ~~O,~R, ~~~!E';~~E,:~~~ fo.r\lY 1pn:~ ,1/ rH ,....,::..:.'....."lLJU1'H.:U rUH I CONTRACTu,," l""vRMATION~1 541-937-8158 Contractor Type General Electrical Plumbing Contractor OWNER DONALD MARVIN HORTON CUTTING EDGE CONST License Expiration Date Phone 116021 150438 07/25/2007 02115/2008 541-937-1452 749-0452 BUILDING INFORMATION I VB # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft.Basement: Range Type:\TTENT10N: Ore']on 1~\'!sitFt'G'';;'~g~)C~rport II I doptnd b\' tr'~ (\'''''''1 IJl II \f Energy Patti:1 ow ru eo; a v Sq Ft Ottier: ., Sprinkled lBuililing:on Ce'1teiJ/aTiOo.e Occupilnt i~ald\r':11 . ,............ ,..,...n nnot "'."1nth',\1 ',r, \,' )).-t '.JI- # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT,'INF'ORMATIONJ 1'" c('~.:s c:', c' . 3S 'cy calling the cemer. (No'o:. 1e , ' REQUIRED PARKING ber for thn O'e"on u";,t,, . :.. ',..11.011 Overlay Dist:Jum ~ ." ..;0 Total: # Street Trees Rqd: Center is 1-8CO-~,,2'L'" 'Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee + 7% State Surcharge Foundation Permit Plan Review Residential Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addt1100' Encroachment Permit + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Total Amount Paid Structural Review . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01739 ISSUED: 12/19/2005 APPLIED: 12/15/2005 EXPIRES: 08/21/2006 VALUE: $ 3,500.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,500.00 Value Date Calculated Total Value of Project $3,500.00 $3,500.00 12/15/2005 Ii'pPo P11U Amount Paid Date Paid Receipt Number 2200500000000001718 2200500000000001718 2200500000000001718 2200500000000001718 2200500000000001718 2200500000000001718 2200500000000001720 2200600000000000432 2200600000000000432 2200600000000000432 2200600000000000432 $11.96 $8.37 $60.60 $39.39 $45.00 $14.00 $\30.00 $4.50 $3.60 $43.00 $2,00 12/19/05 12/19/05 12/19/05 12/19/05 12/19/05 12/19/05 12/20/05 4/6106 4/6/06 4/6/06 4/6/06 $362.42 I Plan Reviews I 12/15/2005 See documents for plan review comments. 12/15/2005 APP DLM 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, l...icaMirprllnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Sanitary Sewer Line: Prior to filling trench and including required testing. Paee 2 of3 -1IIr:.~" N\lQPI~ . . . ' . . . .CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2005-01739 ISSUED: 12/19/2005 APPLIED: 12/15/2005 EXPIRES: 08/21/2006 VALUE: $ 3,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bolts Installed in Concrete: To be done by a State Certified Speciallnspectnr. Provide inspection test reports to City Building Inspector. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 nf 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 54g726-3759 Phone . J;~~ Wit .. ~ Ca.of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2005-01739 COM2005-0 1739 COM2005-01739 COM2005-0 1739 Payments: Type or Payment Check 4/6/2006 RECEIPT #: Date: 04/06/2006 2200600000000000432 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By REN-FUR LLC. Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 1574 In Person Payment Total: Page 1 of 1 11:19:09AM Amount Due 43.00 2.00 3.60 4.50 $53,10 Amount Paid $53.10 $53.10