HomeMy WebLinkAboutPermit Electrical 2006-3-9
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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_
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A.. New Residen t:iae~Siii'gte~o'IrMllIif.F'arniIV per. d~eIi.illg~linit~;:!;.~
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Electrical Contractor ? () '- i (\n \d~ e-I c?cTn <.. 200 Amps or less
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201 Amps to 400 Amps
Address ;~ rlC) Ltl d ('leA.. A \J e 401 Amps,to 600:Anips
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A-~-.TEr'.\1\vl\.. \...., v..-"d :60l.iA1.mns.tojLOOe;Amp' '.'s
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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
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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.
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LEGAL DESCRIPTION
\70.3 2b3Z
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JOB DESCRIPTION
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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.
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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
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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}).
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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
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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
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, IPUBLIC. IMPRO~~~\~ ~~ \S ~Q\
FuUv I~~)~~i~\\ ~~\\\ \\\\~~~~~~_Ik Type: .
. \~~Q\\\lt.U Q\\ \S ~'O~ Downspouts/Drains
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Owner: HOUSING AUTH & URBAN REN AGY OF LAN
" Address: 177 DAY ISLAND RD
EUGENE OR 97401
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I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
REYNOLDS ELECTRIC
THOMAS ANTHONY RYDER
License
17252
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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
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1 of 3
Phone Number: 541-682-2591
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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
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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
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"Ib/Journal Number
COM2005-01581
COM2005-01581
COM2005-0 1581
COM2005-01581
Payments:
Type of Payment
CreditCard
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..
,01
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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