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Home My WebLink AboutPermit Electrical 2006-1-10 l I I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRJCAL PERMIT APPUCATION City Job Number f-.f/)-y1~6])S -01 ~LI SP~~-==;' 0tklQ[t2Cp~--' i Cb~ 1_ Date __.:!~.b_~O~_~_<.___. t--'1(}f~~~~ 3. ..COM],>LETE FEE SCHEDULE BELOW I '------~--- ..,._~-- ----_._---- -- --- --_._-~ . 1. 'i!.:C!.CATIOl',(ol1NST~IAirON '_~ ;). 7K1 r1/~r C?f- . 4! /..p LEGAL DESCRIPTION V I cl. q 7'-/: TJ \1 03 ZS l4- OOb!O f . .;;' ". - . ~ .- A. LN,ew Residential.,. Si,!~Ie,~~ M~!.ti.~~"'.i!f per~weHin~.u~!:. . Service Included 3CJ rtLLi-+s 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 JOB DESCRIPTION $ 19.00 . Permits are non-transferable and expire if work is Each Manufact'd Home or ~ not started within 180 days of issuance or if work is !fl~elIing Service or $ Suspended for 180 days. '. _ ~~ F [S..eWMIT Sll~lL_EX~B_E.Jf.l~Tl.W~;~~~~ ,_ ,--_ 2. r:cONTRACTOR INSTALLATIo.N ONLY I B. MJil\lilliJ~t!RMjOOl;linl11iii.acli.G~te~ftitl\\l ~r Relocation: . ,",ulVllv1ENCEO-OR lS-A'B'ANOUNEOtoR-- -- --- Electrical Contractor p,'MU..y ~u.a1Z.A(/(L( 201lf<<ntlllilrl!tiW PERIOD. $ 63.00 . 201 Amps to 400 Amps $ 75.00 Address Soo S-bL/)/ (-d( C-J~( "li) 401 Amps to 600 Amps $125.00 _ /) . 601 Amps to 1000 Amps $163.00 City ~u rS 1~<)Phone / U - 079.3 Over 1000 Amps/Volts $375.00 - Reconnect Only $ 50.00 Supervisor License Number l--/oo D Expiration Date I () - 0 ( - ~ 7 c. I Tempora.ry Services .!'r.:Feede~ -'.---, ! Installation, Alteration or Relocation 2200g1 t\'t'l~.pfd90~0~ AOreoon law reyu;. ~~ yvu ~$~0'000 Amps to ~ mpsd b th C "t' t.69.0 IOIIUW rUles fiOUlJle y e ,....tjv.. v III V. 401 Amps to 600 Athpsrh __ __ u. $100.00 l,utd'lCullOII '-'t::IIlt::!. ose rul.__ _, _ w. tunll 0:ver/600"''':mps)ir.,1 000) ~olts see. ':B;abOye~.OO 1- D. fBfa~~-h(<;irc~itso1Jl1-CI.0-~1 "\;;- ~h~ {tll"~:;B'~:iY -:- - ---~.- - ~ N CilAlll'no tl1.e centE'ir-(t\'ritep' l!lf'ptelE',o. ilone - - -.-- ~ ew terahon or xtenslOn erane - 11 ~ nUfl)I'er lor lhe uregun UUII1Y I~Oll ,catlnn '(V 0'0 11M ~ CV\..I\.A.{ One CU'CUtt.:t'nt8r ,5 1,Sc8:n2-2::,'. $ 43.00 . ~ Each AddlllOnal ClrcUlt or with '.., . I ~0 ..... J fA'. oJ ^ _ Service or Feeder Permit 0<. $ 3.00 IQ.(() OwnersNam ~ ~tA. il'J.I}o~ --~~ -----.- ~--- - ---, Address d..7k I ~4 s-:::! ~('2.... E. ~ Misce~~~JSen'ice'feeder not included) -~n~h Ins!nUatioll c Ci~~ Lu&f) ~one 0'1 1- S).J~ '3::1..... Pump or irrigation ' $ 50.00 -iJ d~ Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Constr. Contr. Number j (..., 0 h 03 Expiration Date 1- / L/ - d-<.= f., Signature of Supervising Electrician The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electrie Permit Inspection Fee is 545.00 + Surcharges Owners Signnture: I ~M~~ .-. --- _._--~ --------1 4. ~ SUBTOTAL OFABOvE '. - : Inspection Request: 726-3769 TOTAL Lf},iJ) ~. Cj?x tJ./tiJ S1.~';).... <t7. j;. State Surcharge 10% Administrative Fee Shared Drive(T:)/Building Forms/Electrical Permit Application l-QJ.doc .,-it~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-37691nspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01664 ISSUED: 11130/2005 APPLIED: 11130/2005 EXPIRES: 05/30/2006 VALUE: SITE ADDRESS: 2787 OLYMPIC ST 6 ASSESSOR'S PARCEL NO.: 1703254100600 Springfield TYPE OF Plumbing Only PROJECT DESCRIPTION: Installation of2 sinks. TYPE OF USE: Alteration Commercial ~O!n~~~1 nI'I' c:~Al' FXplRE If THE WOR~ Of1l\/!' E..... UNDER THIS P~KMlIl;) IW' ~~1l'~~~J~ OR IS ABANDONED fOR n M\1 'i\~ ~\1 ~99. Owner: NEW SALEM TRUST Address: 2787 OLYMPIC ST STE 15 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor BARRY ELECTRIC LLC G & C VENTURES LLC License 160603 157056 Expiration Date 0711412006 11103/2007 Phone 541-659.0476 541-544-5258 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: # of Stories: Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: TION 0 gon 1.89 Ft-Other:you to Sprinkled ATTEN : nfae "OC~~p.~~tioad:lity. ",,...lIn\,., rt IIp.~ adooted by lilt:: '..:Jl"'~""'" .... "_ . - ,1 hose rUI~:::; dl v .,v~ ......... I DEVELOPMENTINFeRMA'fIONI huh OAR 952-001- Inv"n""~-vv' v010t rog REQUIRED PARKING . 0090. You may obtain copies of "~" . ~'V~ vy Overlay D.st: II' the center. (Note: the Total:lone # Street Trees ~~ Ibng f the Oregon Utility IHanillcapped: P d D. RlJdm er or '" ave nve 'I: enter is 1_800_332-23~0I"pacl: % of Lot Coverage: e Front yard Setback: Side 1 Sethack: Side 2 Setback: .. Rearyard Setback: , Solar Setbacks: IPUBLlC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains Notes: 1 of 3 . . CITY OF SPRINGFIELD. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMITNO: COM2005-01664 ISSUED: 11130/2005 APPLIED: 11130/2005 EXPIRES: 05/30/2006 VALUE: I Valuation Descriotion , Description Type of Construction $PerSq Ft or multlpUer Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fl'l's P,lIid I iii Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $4.50 11/30/05 2200500000000001635 + 7% State Surcharge $3.15 11/30/05 2200500000000001635 Fixture $42.00 11/30/05 2200500000000001635 Minimum/Adjustment Plumbing $3.00 11/30/05 2200500000000001635 Sanitary Sewer - Improvement 573.11 11130/05 2200500000000001635 Sanitary Sewer - Reimbursement 596.17 11130/05 2200500000000001635 SDC MWMC Administration 510.00 11130/05 2200500000000001635 SDC MWMC Improvement $1,139.24 11130/05 2200500000000001635 SDC MWMC Reimbursement $108.00 11130/05 2200500000000001635 SDC Sanitary/Storm Admin $48.13 11130/05 2200500000000001635 SDC Transpo Admin $28.14 11/30/05 2200500000000001635 SDC Transpo Improvement $80.67 11/30/05 2200500000000001635 SDC Transpo Reimbursement $18.29 11/30/05 2200500000000001635 + 10% Administrative Fee $4.90 1/10/06 1200600000000000031 + 8% State Surcharge $3.92 1/10/06 1200600000000000031 ft Add, Alter, Extend Circ $43.00 1/10/06 1200600000000000031 Add, Alter, Extend Circ Ea Add $6.00 1/1 0/06 1200600000000000031 Total Amount $1,712.22 I Plan Reviews I Public Works Review 11/30/2005 11/30/2005 APP SB Added SDCs for change of use and plumbing fixtures. 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. I Reouired Insoections I . Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work Is complete. Rough Electric: Prior to Cover 2 of 3 j . . CITY OF SPRINGFIELD Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691I15pection Line Building/Combination Permit PERMITNO: COM2005-01664 ISSUED: 11/30/2005 APPLIED: 11/30/2005 EXPIRES: 05/30/2006 VALUE: Final Electric: When all electrical work Is complete. .' By signature, 1 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 wiD 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 ofthe property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 225 Fifth Street -'Springfield, Oregon 97477 ;541-726-3759 Phone . iii~~ ,/i,j,ty of Springfield Official Receipt .velopment Services Department Public Works Department ,Job/Journal Number \.GOM2005-0 1664 'COM2005-01664 'COM2005-0 1664 COM2005-0 1664 Payments: T)1le of Payment Check , . , , , I h . .. ,. ;r '{ '( - '. i '. , I t~ , ;r '( :( - " ( " 1/10/2006 ~ :1 RECEIPT #: 1200600000000000031 Date: 01110/2006 Description Add. Alter, Extend Circ Add. Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By RUSSEL L. SMITH Received By ddk I of I Item Total: Lueck Number AurnorlzaUon Balch Number Number How Received 2814 In Person Payment Tota.: 8:52:50AM Am... nl Due 43.00 6.00 3.92 4.90 S57.82 Amount Paid $57.82 S57.82