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HomeMy WebLinkAboutPermit Electrical 2006-3-9 'I 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERll1IT APPLICATION ~ L City Job Numb",- CD... z...,., - 0, 5( I D," -S-/70 b_ 1.:.~?!~fiP~TQlfliii~~AF::~~i1jg~Il~~2j : :~c.~~~!?~f-!l!.fEllffrfiiio.---"::;==~~fu~c~~i~;J /':-4 II , S c ,- - _0 51<;\1.,.. ~ , ->.,\I'J\Il.v :~.-~-~: ,- "":. . ....'~._-: .".~~....,:.,~~~~t ~:':."';'~~_"T-:':.!"-~~.';.~'"'?f"'=-'~';";"'",:':"'-~"-':~~,,:,"'~' . :;,;;:>>::~ :.~-.: ~ :~.~ -"p'~,~,-~,:;<,,:,";-tF1 A.. New Residen t:iae~Siii'gte~o'IrMllIif.F'arniIV per. d~eIi.illg~linit~;:!;.~ "~.:"",;..;"':':,,,,;K'!u;';.~,,;,_.., .....~L.-...a!o+.;..;.:~~.:...,....;:..-.~;u:c.-<'I'~a;;.,....;..;<<""'..:;:_;j,,,:-.....'?i., ':;;., .,.;(-..--.~~.:!;;~~~;._..:....,-.",,;:"'...:..i..'~ Electrical Contractor ? () '- i (\n \d~ e-I c?cTn <.. 200 Amps or less ~ I . 201 Amps to 400 Amps Address ;~ rlC) Ltl d ('leA.. A \J e 401 Amps,to 600:Anips . (y \' ,..... ;'[' )r If:W !';;'.- 1 c. A-~-.TEr'.\1\vl\.. \...., v..-"d :60l.iA1.mns.tojLOOe;Amp' '.'s . . ro U'j li '-' .1';., ~ " Phone .~.\ifi9\Anl~--q aqa:J ,C -, hOy;~r r!&,lLQ,$mpsNo'lf{'.h _. ntor L.....'-' . ,. ~ NotificatIon \..It: ~, Reconnec't'Q)ri1;y352-0u \- $ 50.00 _ ~~in OAoR?Jp95u2m-OaOy' ~~t~ Ocint~~~~~~~~~~~s;"x~~.~s by ::~'[;;tI.';.;l~~.,t' S L N b ,C " - . . ,emp.oJ:arv:< emu ue:r.si. ,. :-. ;;-,. : .,~. - upervisor icense urn er ?,:::;Ie U nter ,N, ~ .-,,,,l'i<. ,'\.7."";,,,J,,c:' ",=":,,,,,,,,,,-,,,,,,...~.:;..,.::".~~,;;_~: calling Ule L.Ci . Utility Notification \ 0 . \ ' G -, number for th~i~~~~J!3y~ti2..9441teration or Relocation ljent\:: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. '-~;~~~~~.i.i~~~a,~Fi~ . LEGAL DESCRIPTION \70.3 2b3Z 0030c JOB DESCRIPTION pl\dJ 7 C I r C-.,^ \ .J.-( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ::~~~~;~~.~'l~;~~r'>~~ .~~{~1:%~~"~-'\".:\;I.;~tf,~~;~?r,"!~;.r~'t'~i-~~~ . 2. :;~f:BP9!gff1~lleJ~~Zll!-!'It-1[IlJ) City ei...ICj~_"C\f Expiration Date Constr. Contr, Number ~a- \S'J~ Expiration Date 1- \-Cl.o Signature of Supervising Electrician Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50,00 ':Y~:~:;'''' '::~~~~~:0~:t':;!'#::;~1~:~':>r;::;~1?~~.'!:~~'~~".~f.'':'''Ji.!oi'' "c1,~~;;~-:;n:~'!'~:ra~~F::,:;:::-!".{i.l~~~';~~~~~~~";:;:'~'!!~ B.'::'ServiCes .0 r. Feed'ers~:";:Iristalra:tion".AItera tions ol1'Relocanon::"( ~ ;::t.::...;i.:.:ii-.~i,,~s;.L~...:i..'._d:;;~.::,.~.i,";~t'z';t, ~:h:.&ti..:..Ai.:,}.i,~,~:j~'''''''''::~L~:'''~.:~...:'''''..;~~,:.:4L.i.:..:.:i~:~~,:~~:.:s..~d $ 63.00 $ 75.00 $125,00 $163,00 $375,00 $ 50.00 $ 69,00 $100,00 ~ ~ New Alteration or Extension Per Panel r;i) \.. ~~..r-::-: ~~ One Circuit I $ 43.00 A...f}). ~N,m; 4;<'7<~ ~~j ~ E.~:i~:':.;:~C:;:=:.;;o~~~i;;~~;~~::i I ,- _ iHtWQ~1\ ..--.,...... ......,............. ......~,.. .' ..,~,.~......_". ......,',,~.. City P-c,Lc-otk. ~~'t\C~1?' ~\iI~\R~~~~C\e~~ton $ 50.00 1H\S Pl:R\ZEO UNOER 1H\S 0 tb~e Lighting S 50.00 OWNER INSTALLATION I\U1H~ENCEO OR \S I\BI\NO Imlted Energy/Residential S 25.00 The installation is being made ~~~OVMo/ID~~~Ji\~gO. LImited Energy/Commerclal S 45,00 is not intended for saie, lease of\Wt. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges . Owners Signature: Inspection Request: 726-3i69 ~~ "'" ~~ ,..~ -?\ \)'" ~~ ~ro 4. 'Sr]BTOT.AL:.OE'AB9VE,~ '.' . ...... . .r:._ .. ;",'~. ~'__.' .....:.._ _._" ". .~. .'.,"" ....0,.-1."._; .... .~':".t."-"'~~'.:'._:"'.,;- ~_-..;.~~.._,~"":;.,_:;.:...;.,_.. lo'1?' 5.&0 1 () /"/0 7 "9 ~" 7% State Surcharge i 0% Administrative Fee TOTAL Shared Drivel.T:)lBuiiding FOrmslEiecoicai Permit .-\opiicarion i-03,QOC CITY OF SPRING~lELD' Building/Combination Permit PERMIT NO: cOM2005-01581 ISSUED: 02/02/2006 APPLIED: 11/0812005 EXPIRES: 08/02/2006 VAL UE: $ 25,000.00 , '~-.. .,:, Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1544 1ST ST , ASSESSOR'S PARCEL NO.: 1703263200300 Springfield TYPE OF Interior PROJECT DESCRIPTION: Interior remodel TYPE OF USE: Alteration Residential Jlf"\Q~ , IPUBLIC. IMPRO~~~\~ ~~ \S ~Q\ FuUv I~~)~~i~\\ ~~\\\ \\\\~~~~~~_Ik Type: . . \~~Q\\\lt.U Q\\ \S ~'O~ Downspouts/Drains ~~ \J\\J\t.~Ct.U ~t.\\\QU. ~ '\~O~ . ~~'i Owner: HOUSING AUTH & URBAN REN AGY OF LAN " Address: 177 DAY ISLAND RD EUGENE OR 97401 .. ,~ ~v I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor REYNOLDS ELECTRIC THOMAS ANTHONY RYDER License 17252 ~.~~~5 .....0..... \1.....-. I BUILDING;:INFvn-1~'IIc!)N" 1\:rn:.N1IOI''' , '"'; - i~d b\} tne V' "'re set iortn r' \'()IJIJ rule;:; ad~PofSW.!i~s:rules ~R 952-00\~ \R~3 ' cenH~h!ht of Ugn 0/"\ I b\} "-lot\lICatIOn . (lUlU \:,,,0 , ,tne rU eS ','I Q!\R 952-00 ITYX~~~~~~t:s 0 Ie none InVN. .ma~Water ~R~' ine te ~ 'n 0090, '(OUtne cRalfie U~ti\iW Notihcatlo call1~~{ 'or tEfi~gY~]~32-2344). num cen~rtmk~H nla # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: I DEVELOPMENT INFORMATION I ~ 'C'Frontyard Setback: Side 1 Setback: Sid~ 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street . Storm Sewer Available: Special Instruction: Notes: No SDC fees apply ~'. :~~ 1 of 3 Phone Number: 541-682-2591 )" Expiration Date 02/08/2007 05/12/2006 Phone 541-343-7297 541-343-0975 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: . Handicapped: Compact: Curbside 5' Curb and Gutter Status: Issued 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: cOM2005-01581 ISSUED: 02/02/2006 APPLIED: 11/0812005 EXPIRES: 08/02/2006 VAL DE: $ 25,000.00 I Valuation Description I Description Estimate Type of Construction Estimate $PerSqFt or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated Total Value of Project $25,000.00 $25,000.00 11/08/2005 L Fees Paid I Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $145.86 11/14/05 1200500000000001714 -Mechanical Issuance Fee- $10.00 2/2/06 2200600000000000162 + 10% Administrative Fee $31.44 2/2/06 2200600000000000162 + 7% State Surcharge $22.01 2/2/06 2200600000000000162 Building Permit $224.40 2/2/06 2200600000000000162 Dryer Vent $6.00 2/2/06 2200600000000000162 Exhaust Hoods $9.00 2/2/06 2200600000000000162 Fixture $28.00 2/2/06 2200600000000000162 Minimum/Adjustment Mechanical $18.00 2/2/06 2200600000000000162 Minimum/Adjustment Plumbing $17.00 2/2/06 2200600000000000162 Vent Fan $12.00 2/2/06 2200600000000000162 + 10% Administrative Fee $6.70 3/9/06 1200600000000000272 + 8% State Surcharge $5.36 3/9/06 1200600000000000272 Add, Alter, Extend Circ $43.00 3/9/06 1200600000000000272 Add, Alter, Extend Circ Ea Add $24.00 3/9/06 1200600000000000272 Total Amount $602.77 I Plan Reviews I Initial Review 11/15/2005 11/15/2005 APP LLH Planninl! Review 11/15/2005 11/22/2005 APP TAJ No Planning issues. Public Works Review 11/15/2005 11/16/2005 APP CAS No SDC fees apply 11/16/2005 CAS Structural Review 11/15/2005 12/11/2005 APP 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. 2 of 3 :-SPAliNQF.'m..D. .iji ... ....... .. ::.... WiL, ~ ~' - .~--_.~ i ~ , . - ~ - .~.., "'-"', ',' .-- .' . -_._"'". " . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I CITY OF SPRINGf11ELD"'! Building/Combination Permit PERMIT NO: COM2005-01581 ISSUED: 02/02/2006 Ar:C LIED: 11/0812005 EXPIRES: 08/02/2006 VALUE: $ 25,000.00 " Drywall: Prior to taping. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. 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 Electric Service: Approval required prior to utility company energizing service. 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 wiD 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 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 ~j.~;~..~~ '..! la.., '~ . ~..: "Ib/Journal Number COM2005-01581 COM2005-01581 COM2005-0 1581 COM2005-01581 Payments: Type of Payment CreditCard / .. ,01 :< :c 'C , '~h, '( 3/9/2006 RECEIPT #: 1200600000000000272 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS CheCK Number Batch Number Received By djb 1 of I Ve of Springfield Official Receipt ~elopment Services Department Public Works Department Date: 03/09/2006 Item Total: Authorization Number How Received 093263 In Person Payment Total: 8:12:09AM Amount Due 43.00 24.00 5.36 6.70 $79.06 Amount Paid $79.06 $79.06