HomeMy WebLinkAboutPermit Electrical 2010-7-8
Elec4:rical Permit Application
225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-3689
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DEPARTIVENT 'USE ONLY
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permitno:&O-762
Date: '3.7/ZD
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This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days. .
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Zoning approval verified? DYes D No
.;,.'.:::CATEGOR.y.t;OI"CQN$TRUGl'IOt-j";,,, ','
~esidential 0 Government 0 Commercial
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City: State: ~ ZIP: C)/'}if
Taxlo!.:
. DESCRIPTION, OF'WORK:',..:..'
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PROPERTY. OWNER.
Name: f1re. TI NE.z.....
Address:
City:
ZIP:
Fax:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
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City:
Pho
E-mail:
CCB license no.:
Signature of signing supervi
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440-2584-J (9!08!COM)
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N ti~b,~~"9f,}~Sp~cti~~," P'~r.~t~~(S.;'rJ9~' .' Cost Tatar
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Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ $
thereof 25.00
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services nr feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
~
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
.401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services Or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit 1 $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) J $ 55.00 $ .53"'
Each additional branch circuit ? $ 6.00 $ }Z
Miscellaneous fees: service or feeder ':lot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above fees ?-
(Minimum Per!"~t Fee $58.00) $ t-
(B) Enter 12% surcharge (.12 x [A]) $ :i'~
(C) Technology Fee (5% of [AD $ ?!.}:
TOTAL fees and surcharges (A through C): $ '7J ij
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00762
ISSUED: 06/23/2010
APPLIED: 06/14/2010
EXPIRES: 12/28/2010
VALUE: $ 16,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 512 67TH PL
ASSESSOR'S PARCEL NO.: 1702341400700
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Garage conversion to add two bedrooms and one bath
Residential
Owner:
Address:
Contractor Type
General
Electrical
Plumbing
ALCANTAR BERTHA MARTINEZ . \IOU to
512 67TH PL IN reQUITes, . 'w
SPRINGFIELD OR 97478 N"',ON', Olegon lathe oregO\'1 \.ltl~\ -+\1
r..;+'Tt= ,\ >.ror\ h\1 ,\ I c-Clot 01 L
j \esaUVI"'--'1"h...\<;erU\~'Ov..,: ~ 01.-
10\IOe , TOIUNl'0RMA b'l
':-1ot\\\. 52-Uu' -v' ' , "leS' ,,,-
, 0/\1"19 'otalll co" 'oo)'1one
Contractor \~"Df) '{ou [\laY 0 ~~~o\e', tne~~~psfuion Expiration Date
EITELMAN GL'-EN,;\' a the eellter. Oil \.JtiliWf'79Mf , 12/18/2011
BIRCH CONSTt&~~~1Vor theOre,~OO_3322f6S1Al2 ':,' ,', 08/0112011
JEFFREY DA vIfi\ffltA~ter IS '\ 189615 04/0112012
BUILDING IN FORMA nON ~.
Phone
541-895-5721
541-337-3067
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,...'WlifSto'rles: Lot Size:
Height of Structure ~t 1st Floor:
, Type of Heat: . M~d ~'tJQ 09~ II Ft 2nd Floor:
Water, Ty'p.e:, ,00' a3~~1\"l t Basement:
Range I.YMit~'oj~'oj 13\ 'dO aj!\'dOI-l~\Ft Garage/Carport
1!0!a~'tlt'! II 1. 'dj(l~n jd !.t Other:
1.0WlYli4.Wl\lI\~i II 'l'WI-IS },~~ ant Load:
DE
506
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Oveflay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
; ,
REQUIRED PARKING
Total:
Handicapped:
Compact:
"
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paeelof3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixtu re
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00762
ISSUED: 06/23/2010
APPLIED: 06/14/2010
EXPIRES: 12/28/2010
VALUE: $ 16,400.00
I Valuation DescriDtion ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
16,400.00
Value
Date Calculated
Total Value of Project
$16,400.00
$16,400.00
06/18/20 I 0
~
Amount Paid
Date Paid
Receipt Number
$132.76
$40.95
$17.06
$79.00
$204.25
$57.00
$1.00
$193.20
$323.04
$25.81
$8.04
$3.35
$55.00
$12.00
6/14/10
6/23/1 0
6/23/1 0
6/23/10
6/23/10
6/23/10
6/23/10
6/23/10
6/23/10
6/23/10
7/8/10
7/8/10
7/8/10
7/8/10
2201000000000000690
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000805
2201000000000000805
2201000000000000805
2201000000000000805
Total Amount Paid $1,152.46
I Plan Reviews ~
Public Works Review 06/18/2010
Structural Review 06/18/2010 06/22/2010 APP CJC Approved as noted ou plans
Planning Review 06/18/2010 06/23/201 0 APP DDK Interior only. No planning issues.
Public Works Review 06/23/2010 06/23/2010 APP LKW received on 6-23-2010
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~e()lIirecUnsnections ~
Post and Beam: Prior to Door insulation or decking.
Floor Insulation: Prior to decking.
Pa!!e 2 of3
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20IO-00762
ISSUED: 06/23/2010
APPLIED: 06/14/2010
EXPIRES: 12/28/2010
VALUE: $ 16,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
UnderOoor Plumhing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plnmbing: When all plumbing work is complete.
Rougb Mecbanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
Final Building: After all required inspections bave been requested and approved and tbe building is complete.
By signature, I state and agree, tbat I have carefully examined tbe completed application and do bereby certify tbat all
information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb
tbe Ordinances of tbe City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described berein, and
tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project.
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe
street, tbat tbe permit card is located at tbe front of the property, and tbe approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-[26-3759 Phone
'"
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000805
Date: 07/08/2010
8: II :42AM
Job/Journal Number
COM20 1 0-00762
COM20 1 0-00762
COM20 1 0-00762
COM20 I 0-00762
Payments:
Type of Payment
CreditCard
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee .
Paid By
PAUL BIRCH
\ Check Number
.Received By ~atch Number
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Page I of I
Item Total:
Autho.rization
Number How Received
Amount Due
. 55.00
12.00
8.04
3.35
$78.39
Amount Paid
81059b In Person
Payment Total:
$78.39
$78.39
7/8/2010