HomeMy WebLinkAboutPermit Electrical 2003-10-22
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.;, . CITY OF ~- ~INGYIEtD, OREGON - '.. -
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, as s~~mjtted has the following
225 FIFTH STREET i. SPRINGFIELD, OR 9747.7,'.. P",(54I)726-3753-.'F~~~ot reqUIre specific 'and Use
ELEcrRiOOPERMIT-APPUCATION" I. /^ '2 Zonin" It){<.
. City Job Number CowtZOO3-00 ~b~ Date /0/;)/ /UJ Dale 10. 7.7-0~
i.'locArii:JN.()FINSTALiATIOiv ~". -'+- - 3;,;&kLiitEFi!it'~~'BB:m" ...,.<vJ
IP2<i/,I1J1~"V1 s? tEl -c -"""'. , . . .
LEGAL DESCRIPTION
C/O L_;l/3 (
JOB DESCRIPTION-
Installation, Alteration or Relocation
200 Amps or less. .
, 201AmJl~io 400 Amps
40 I Amps to 600 Amps
0ver600-Amps oriOOoVoltS see ''B''aoove.
~~~:;\~'~$~~t~ D't:..;::!~~,~;'~;:~ ;;~;.
~\. ~\'.\..'- \\\S ~ ~I,) ~\:;.. Each Additional Gircuit or with IJ. 'J ~
Own~f>>~~'#~ ~~c.l../no-L Se.viceor-FeederPeTiirit' --q= $ 3.00 ~.
.. \ \~\'" ~\~- \)~." r-CI. ' f!- /E.;M~~"~fiii~;;i1;;r~J~1ed)-=EJc~'in~tallatio,/
A~ "\~/1.;.~~, ~\ei..'ll srv-. ,..'."".."""""""-~.."".(_.,,,,, ".c"~"'"",,,,,,,':',_ .."...... . "',"..,~ '... ., .,.........
City - 4. :Y:'~\) ,'Phone Pum!>or.iJrigation- $ S(uxi.
t"'"
SignlOotline Lighting . $ SO.OO-
Limited EnergyIR{i\V\>bqUlreS YOU'~'~'J $ 2S.00
.,.-r'~ittifMd~~~9.'l~~oregoll ULO' $ 4S.00-
The installation' is' being madeonproperty.I own.which- . po; I I "" dolil~"::':':: al" 6~t !~r\ ,
is iiot iiiiended for sale; iease ouenL . ~::" ",. :"\EPeltrie-P.erniltlIiGPWti~,_ :$4!l!ll0 'l- Surcharges
. ~til"l:" ~Ui'\l'=
. \O\ijiCaupn"';";1O.nf'f~,thrQ'" . ,. !the rU\~ I, ' '
4~^'S~TA1;O AJU) ~O"" ,. '.~_ c-"--
I \J"'~ -""iWa'{Otll. l;;rw~.. 'lielfERepll~ :<. ~ .)
0090,./. O"~'~'S~^:i'tArJNO\Ue,\~\\." Notilica\iOn :3 t')
Calh!'ls"''''' ~-.,l;fegon I'J
nur\O%1lo\'dlliiIDs~tiy~.332"2344). )>0
. 'Cpnter IS . 3.
TOTAL ?, tf_
61.{o-DU
~ M A~ e f,i)L1I1llcif:d
u .
. Permits arenorr-lransferable'andeXpite:ifwilrk is..--
. nOI staited within'ISO days oiissU8n<:e ot:ifworkis-
SUspeiided fod80days.
.::1: : .-',: ,.'l'f,!--' :::;:::"' ~..-.: ".-.:". .~-~~'- :c~.-F..-,. 'i'-~':':-"I~~-','
2~CO~C1:OR.INs:r~TlON()Jfl.Y,. -
. ..:-;......,.';:. :- ::':"" -'~n" ,:',:. ': ;-;,' ,- :, '~!:"'/"_'::::.,~,'j;-.-'
Electrical Contractor ~eJ ( r S U~:n c.-
Address I u...AtJ'fJ .:2 <)rz() '1
City.?:tA CyGv\..p Phone 9,g)-;)/ 0'1
~
Supervisor License Number . t -1 ~.5_
Expiration baie I~ - /L/- ~.
,.
Constr:Contr.Number 10 q R:ln l/
, .
Expiration Date
/f)~ 1- tHo
. OWNER INSTALLATION
Owne", Signature,
Inspeel16ii Request: 726-3769
..... ._,. ,-- . ., - -..
A, 'N~,~: ~esldt"IUiI-'Sffigli"or M;.jti~F'allJiiyper dweillng unit.
'..-.,0... -,. -_'.. .". ,,,.,. .. .
SIOOOervi:.~c1oUr' ~~s. *. .
-,.lL "'" Si66,oo .
Eachadditional'SOOsq;.ft;'or'" . -. .
- portIOn thereof " $19.00
Each Maiiufuct'd Home or. ~
ModIilllfDWelling-Service OF
Feeder--
. B; '~s~Wc~~r~';;;;~~~i~~..~~ii~~~~AJter~tionsorRelocation:,
SSO.OO
200 Amps or less
201 Amps to 400 Amps
.. 401 Amps 10 600 Am"s-..
601 Amps 10 1000 Amps
OverIOOOAiiipS/VoltS- -
Reconnect Only .
$ 63.00
$ 7S.00
$11S.00
$163.00
$37S:oo"
$ SO:OO
Co' .~t~~j!;~i~~~:,ifWF~7'. ,:~:~-;;",~..:t=.~.;;:::: .;.;.:.:~_~
':~: ~~:' ~.:~~.~~.
.. $SO.OO' .
$ 69.00
$100.00
H___..i;;~...~:;:.,;'" :... _
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. L11 l' OF SPRII"I\.d<lJ<..LJJ
Building/Combination Permit
PERMIT NO: COM2003-00862
ISSUED: 10/08/2003
APPLIED: 09/05/2003
EXPIRES: 04/21/2004
VALUE: $ 22,130.00
SITE ADDRESS: 6251 Main Street
ASSESSOR'S PARCEL NO.: 1702343104000
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Garage conversion
Owner: ADELAIDA D WULLSCHLEGER LIVING TRUS
Address: 2708 SAINT LUCIA ST EUGENE OR 97408
Contractor Type
General
Electrical
I CONTRACTOR INFORMATION I
Contractor
SELLS INVESTMENTS LLC
ROSE CORPORATION
Phone
541-935-2565
541-686-0905
I DE~}oPMENT INFORMATION I
SETBACKS ~v ~~
, {\: ~\,o
Frontyard Setback: ~Y., ~ ~~ \\)~Verlay Dist:, .
Side 1 Setback: Y.,f!.~ S 'X~ ~Y.,\) # Street Trees Rqd:
Side 2 Setback: ,!?-"" '\~ 'Ji.,\;)\S Paved Drive Rqd:
. . .. sY:' 'NY.,~ ~~
Rearyard Set~a~:.. ~.. \0~ ,S ~ % of Lot Coverage:
Solar Setba~!9;" <>Y.,~'.,y"\;) \)~ \.\)\;).
~, ,c.."\ <"\\\.-...('\ ....~'\
'\ \." '0'.r ~\,)- ~ { .
~\0'<':"~~<";; ~ \;)or.
Street ImprOVerii~~{{~ \'0
Storm Sewer Available:
Special Instruction:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Notes:
License
124591
54431
Expiration Date
08/13/2005
09/30/2004
I BUILDING INFORMATIONI
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
, Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
REQUIRED PARKING
Total:
HandiCapped:
Compact:
0\1 \0
~\I\les'l \)\\\i\'l ,
..,{0 _",,0'(\ ,."''(\
I PUBLIC IMPROYEMENfS:-I\~e V,e'; ~le S~~.oO'
I iiI 1\1 'l>.~9" \
...-(~~'\ \V~ a.o09'u ~~ose \I~idewal~~f:se
IS- \' l\l\e l\\e1. \~10 c. 0\ \\' ~Ol\
\0\\0'lJ \\01' C0 '\.OO'\~ c09now~sP96~!Dli~S:
, \o\\~\ca. 95~'OO o'o\a.\l\ ~o\e" \':,.. ~o\\\\C
OJ:>.~ ~ <<,~'l l\\e1. ~ I' \)\\\1" 3AA~.
~09~;~~~ \~~l ~~e ?1~l~o.33~''l
....e1 1'J11S
I\UllW Cel'l"
Pal!e 1 00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Bid Amount
Estimate
Pavine
Tvpe of Construction
Use Bid Amount
Estimate
Use Bid Amount
Fee Description
Plan Review CommltndJPublic
-Mechanical Issuance Fe....
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
Miscellaneous Mechanical
Paving
Plan Review CommlIndJPublic
Planning Final Occy Inspection
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
.
. Lil)' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00862
ISSUED: 10/08/2003
APPLIED: 09/05/2003
EXPIRES: 04/21/2004
VALUE: $ 22,130.00
I Valuation Descrintion I
S Per Sq Ft
or multiplier
SI.OO
$1.00
SI.OO
Square Footage
or Bid Amount
13,130,00
9,000,00
1,500.00
Value
Date Calculated
Total Value of Project
$13,130.00
S9,OOO.00
SI,500.00
$23,630.00
10/07/2003
09/05/2003
, 10/08/2003
Fpp<. PIilIJ
Amount Paid
Date Paid
Receipt Number
2200200000000001479
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
2200200000000001635
1200200000000002352
1200200000000002352
1200200000000002352
1200200000000002352
$64.74
$10.00
$29.88
$17.77
S208.80
$45.00
S45,OO
, $70.98
S1I8.00
$6.16
$123.25
$5,50
$3.85
$43.00
$12,00
9/5/03
10/8/03
10/8/03
10/8/03
10/8103
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/21103
10/21/03
10/21103
10121/03
$803.93
I Plan Reviews I
Fire Department Review 09/1lI2003 09/11/2003 OK GRG Interior remodel of residential
garage. No fire code plan review
, required.
Initial Review 09/08/2003 09/09/2003 APP LLH
Plannlne Review 09111/2003 09/16/2003 APP EMM Final Site Plan and Development
Agreement approved by Mark
Metzger.
Public Works Review 09/17/2003 09/22/2003 APP SB 9/17/03 - Plans received & assigned
to Steve Barnes. KJV
Structural Review 09/10/2003 10/07/2003 APP DLM
SUB Review 09111/2003 09/15/2003 APP DH No review or inspections by SUB pel
DH.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00862
ISSUED: 10/08/2003
APPLIED: 09/05/2003
EXPIRES: 04/21/2004
VALUE: $ 22,130.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection caU 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 Rf'OIJirf'd 1~I~n('i"t'f)n..
~111I11' llhlr"iilll
I Post and Beam: Prior to floor insulation or decking.
2 Floor Insulation: Prior to decking.
'3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Wall Insulation: Prior to cover,
5 Ceiling Insulation: Prior to cover,
6 Drywall: Prior to taping.
7 Final Building: After all required inspections have been requested and approved and the building is complete.
8 Final Mechanical: When all mecbanical work is complete. '
9 Final Paving: After paving is complete.
10 Rough Electric: Prior to Cover
11 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 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 ofthe 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
Pal!e 3 of3
225 Fjfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00862
COM2003-00862
COM2003-00862
COM2003-00862
Payments:
Type of Payment
Check
1t1iEu:~;',", ",",,'
':""'''''. .:. ;
.' 0',^,'AOff'.'.i.,.,. !' ..~,... ,
Receipt #: 1200200000000002352
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DELLS ELECTRIC
Received By
djb'
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department :'
Public Works Department
Date: 10/21/2003
2:27:56PM. ..
Amount Paid
Item Total:
43.00
12.00
3.85
5.50
$64.35
How Received
Amount Paid
$64.35
$64.35
In Person
Payment Total:
.
.
Search Results
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Page I of I
Results of your search
Your query for: 678S
Name: KOSKOVICH DELMER
LEABURG , OR 974899604
County: LANE
CC Taken: 8 CC Required: 8
CR Taken: 16 CR Required: 16
License No: 678S
License Status: ACTIVE
Expiration Date: 10/01/2004
License Category: ELECTRICAL
License Type: S
Employer Lic. Info.: 20-19C
DELL'S ELECTRIC
Total Records Found: I
The data file was last updated Mon Oct 2012:12:162003
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10/22/2003