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Home My WebLink AboutPermit Electrical 2006-4-25 - L-ifL t ~~k~~~ 1"1""" , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 mCl.f~~ ~ ELECTRICAL PERMIT APPLICATION ,/ _ l.. \\wv ..J City Job Number (OyV\ L <.:> 0 b - DO 0 Z z.. Date Lf( t?'l 0 (, 1. LOCATION OF INSTALLATION 3. COMPLETE FEE SCHEDULE BELOW /04 I Olyvv. (' ,-; S'+- LEGAL DESCRIPTION A. New Residential- Single or Multi-Family per dwelling unit. i '70 J 2-b L.f / /000'( Service Included JOB DESCRIPTION 1000 sq. ft. or less $106.00 J ,PI. I -:L..- Each additional 500 sq. ft. or ZDOf'v\^/S't-VL VI.~.~~~ t./c.,r,-,-^,,:;,portionthereof $19.00 Permits arc non-transferable and cxpir/ifwork is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00 Suspended for 180 days. reqF.eeder,/OU to . laW~' Tt" ~~N: oregon Q orNjon Uti I , . . 2. CONTRACTOR INSTA!JJiJA:~ ;ur~ qlX,~led by t'\~'\essc\:r0ices or,Freders - Installation, Alterations or Relocation: 10\lOW r 'center: 1\1ose nl\.p' 952-001- . . Electrical Contractor Not\\ICat\o~ :},:,.[\()1 0 t\1rou9J~9 &-,'3'P~'odeSS' / $ 63.00 b '3 in OAti "" ~a" obtain cople'201 AmRs.to'1l00 Amps $ 75.00 '(oU ,,,' te' 111" .".- - Address 0090.. .'^~ ""nter. tNo U't.4\ 0 I 'Am~s:to'''600 Amps $125.00 callH I'::' ~.. - gall \ 'l~ I........ number lor t\1e.Or~800_3320J2Affips to 1000 Amps $163.00 City Phone r.enter IS 1 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 . '" > "f\~~" : '!'"'IGI:rf'~GF':S-r~)NtjFlEtB~ 'ORHGON:z~::~(;'1i!")' ~.'.'~" ,,~.. ;"'..'",,....:/.' \~ 'r~'~ 1-- .-# ,., ". , 'f,'f.!. ,.i{'.) \'~ ~., .' '"" t> '.!,; '" ~ ~ t ft. ~ 1 >{ , " ~, I'd' l' IJ;.' '" " Expiration Date e'V J\~ l) C. Temporary Services or F~eders . \NG\\\\ Inslallati<\\i,~'leratiohl/'r Relocation ~",\,\I'_ ~\\ Iv' 01W't.'. II S\\[\\.~OO\4,'.9PSI'oI}\;ft ~G'i\ . $ 50.00 ~ .,,, \>\:.'i\WI ') \.I~I)t.2'o :&Il1iiS'i1"ilo'6 Amps $ 69.00 I '.\~\\G'i\\Lt; c.1) G'i\ '40 \A';;,ps to 600 Amps $100.00 [\'u .~~~~(',<- \:.UIGV. \.;u',,, ' \.l[\'{ ~ .'Over 600 Amps or 1000 Volt.. see "B" above. [\~'{ '\ 'QQ D. Branch Circuits Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~ Lf-{. A... yd Address lOt} I 01. "1 ""'f; ~ City~11....IJ,P~ Phone z..z...I-Bt.f1Z- "t7<t'11 OWNER INSTALLATION New AIt~ration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Lf $ 43.00 $ 3.00 17. E. Miscellaneous (Service/feeder not included) -Each Installation The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fcc is $45.00 + Surcharg~s 8% State Surcharge 10% Administrative Fee 7S:- ~ 7':fD 88a Own.ers Signatu~ ) ~ . 4. SUBTOTAL OF ABOVE Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application 1..o6.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line . . Ltl l' OF ~rI<INGFIELD Building/Combination Permit PERMIT NO: COM2006-00022 ISSUED: 02/17/2006 APPLIED: 01105/2006 EXPIRES: 10/25/2006 VALUE: $ 20,075.00 SITE ADDRESS: 1041 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703264110004 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Carport conversion ~u~ Owner: ARD JEFF W eo,u1res \)\I\I\'! Phone Number: 541-221-8472 Address: 1041 OLYMPIC ST 0(\ \a,\I'l r 01e90(\ e\ \o0.n SPRINGFIELD OR 97477 ~. ore9 c\ 'o~ \ne s a,le 5 00'- _~\-(\O . ,_,,\6 ~_ ,u\e _ n o,S?'- ... p..\ \..... ... \\e~ 0....... ~"'f \ \ \""'- _, \r\"t\ v' .,_..... ,,\.\\O:1J . \Il'l>ONTRAG-TOR,INFORMA nON 1;...C."..1 ~o\ll'v~ 9S?'Vu' :oWI\\ v' '\p:. \\w.- \M,r,\'u(\ Contractor Type Contractor \(\ 01><" '{ou (f\a,~ O(\\er. \~O ~!~eil'SI~). Expiration Date Phone General OWNER 0090.. 9 \ne ce 01e90(\ ?,?,'2..?3A Electrical OWNER Ca,\\I(\ \01 \ne. \-?JOO- bel rls Mechanical OWNER (\u(f\ Ce(\\e Plumbing ARPS PLUMBING CO INC 38123 01124/2008 541-484-7246 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 275 VN n/a I DEVELOPI\JI'-" 1 ""ORMATION I REQUIRED PARKING Overlay Dist: Total: ~ # Street Trees Rqd: H,a~ICW'p'ed: Paved Drive Rqd: \~ '\~01'\'bll~~\ % of Lot Coverage: 't.i-"\~\~:_~~\'\ ~\J~ _..~, ~v.\>.\.\._ ~,,\S~l\~'t.\J I PUBLIC IMPROVE)~EJNJ,51~~~-\J~\)\S \,-'01'-"- W'- .1'\J\,\\t ,&:N~ al)lJ?y e' Fully Improved \,-\J\" ~~c,~'{ \,~,. p. Yes c,\J~~ <oli ,rn.wnspoutslDrains: \'-~'\ \ Setback 5' Curb and Gutter Notes: Interior remodel fixtures only for SDC 1/10/2006 CAS Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee Conver. Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00022 ISSUED: 02/17/2006 APPLIED: 01/05/2006 EXPIRES: 10/25/2006 VALUE: $ 20,075.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $73.00 Square Footage or Bid Amount 275.00 Value Date Calculated Total Value of Project $20,075.00 $20,075.00 01/05/2006 Fpp<. PIilLI Amount Paid Date Paid Receipt Number 1200600000000000012 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 1200600000000000539 1200600000000000539 1200600000000000539 1200600000000000539 $125.58 $10.00 $28.32 $22.66 $193.20 $42.00 $39.00 $3.00 $114.42 $150.42 $13.24 $6.00 $7.50 $6.00 $12.00 $63.00 1/5/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 4/25/06 4/25/06 4/25/06 4/25/06 $836.34 I Plan Reviews I Initial Review 01/06/2006 01/10/2006 APP LLH Plannine. Review 01/10/2006 01/26/2006 APP TAJ No Planning issues. Public Works Review 01/10/2006 01/10/2006 APP CAS Interior remodel fixtures only for SDC 1/10/2006 CAS Structural Review 01/10/2006 02/08/2006 OK RJB 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. Footing: After trenches are excavated. Foundation: After forms arc erected but prior to concrete placement. Paee 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00022 ISSUED: 02/17/2006 APPLIED: 01/05/2006 EXPIRES: 10/25/2006 VALUE: $ 20,075.00 Status Issued 225 Fifth Street, Springfield, OR 54 I -726-3 753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to Iloor 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underlloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. 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 all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 arc 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. I d!~:". ~ I cr-/ OtJ Date l Paee 3 of3 .~~ 225 Fifth ~treet . . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00022 COM2006-00022 COM2006-00022 COM2006-00022 Payments: Type of Payment CreditCard cRcceint I C& of Springfield Official Receipt .lopment Services Department Public Works Department RECEIPT #: 1200600000000000539 Date: 04/25/2006 9:22:20AM Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% Slale Surcharge + 10% Administrative Fee Amount Due 63.00 12.00 6.00 7.50 $88.50 Paid By JEFF ARD Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 213456 In Person Paymenl Total: $88.50 $88.50 Page I of 1 4/25/2006