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Home My WebLink AboutPermit Electrical 2005-3-14 ~ SPR1NOF1ELD 0., ,<9, , ' ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)7~3689 'Ot--~ ELECTRICAL PERMIT APPLICATION . /, ) '"Y'(,r.: ~~ ~~/ City Job Number CO 1412004 ~ 0 J I Z), Date 5/ / ~ /0 <)' ~o." 0"", / <>($l ~ 1. 3. 1000 sq, ft. or less , b 'l /1,'" .,.-,::::(~ ,..L '. - (/ ' Each additional 500 sq, ft. or L ,'-'-"^' .,,,- , D f:"ft..s " Ii\. (9- lortion thereof 11 -"'- Permits are non-transferable and expire if work is ~(2ach Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder At 1111 Notification Center. Those rules are..set forth in OWA~512~1~Vb10 through OAR-5J.:_v~63,OO OOg:w.1VG\!iJIlYltiy4B~~f:opies of tho I ui~., "if,,'5,OO c~fl~e~6RM~ote' the t"}' ., ~125,OO . {n . O,gtJ lUll" numb&rrfwrtth~0r~ Utility NotificwtioJ163.00 Over JtDQVll~lf-4eJl1lO-332-2344) . '-s375,OO Reconnect Only .. $ 50.00 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps ~\'rl'TI~!I;l h \d! '101i.-/1\.mps to 600 Amps $100,00 T HIS 8W M~ A~ ~ 6~ 1 ~O~\PJtJ ge~ Hs."\itliWeK AUjf.1 CO !Vit A. NY fl6rr Altera~ionlor.O xtenslOn e an~ One ~~~{tK U . Each Additional Circuit or with Owners Name <; iA--c-( c:; Cl'-t I ~?O -()J::7 r Service or Feeder Permit Address 3-:> gZ 0 ~-&o,-J E. S?Fb c) rLf:::u-o () b S-OZ- LEGAL DESCRIPTION 170 2 31 3 I JOB DESCRIPTION A/\ i} 2. Electrical Contractor Poh ~ 'EJ (J( fr/(IJ)y, Address .p() nflK 2fJ2! City 9QjlQ- 6~&SJ-fLfij Phone Supervisor License Number 4 (Y 'i S lD!D\O, \ Sir'\ ~ I~ Expiration Date ~ I \ Y l D 5 . I Expiration Date Constr, Contr. Number Signature of Supervising Electrician ~. ~ City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $50.00 C. $ 50,00 $ 69,00 $ 43,00 / (r:;) $ 3.00 yB Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. LIE> 3~ I{eo 5b/~ 7% State Surcharge A~\~ TD , {' 10% Administrative Fee ~(;r ~' TOTAL e/t> Shared Drive(T:)/Building FonnslElectrical Permit Application I-03,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 11/22/2004 APPLIED: 09/24/2004 EXPIRES: 09/15/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3382 OREGON AVE ASSESSOR'S PARCEL NO.: 1702313106502 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: SFR addition (remodel garage into duplex unit - add upper story over garage for bedroom) Owner: SCHIPPOREIT STACI L Address: 3380 OREGON AVE SPRINGFIELD OR 97478 Phone Number: 541-746-6418 Contractor Type Architect General Electrical Mechanical Plumbing I CON~RA~TORI~FO~TION 'ires you to C t t ; :'( ,,' r' ,i. . ';,jel(>e,"i E'J'" thp. ()regoEn Utilitvti D t . on rac or ' ," -",.. lcense xJllTamon a e JOSH RUPPENTHAL f': ,:i\:;;i!Y, ',....8pter. Those rules are S TOr OWNER in OAF; 952--001-0010 through OAR 952-001- ROBS ELECTRIC INC 0090. You may obtaint56~if8s of the ruleOs8R~12005 OWNER calling the center. (Note: the telephone GARY'S ROOTER SERVlMllber_for the, ore~ff~~i~~~tifica~~~4/2008 V'4IIL"". t"" 16\o#e. '...tol_ wt. . -)" I BUILDING INFORMATION. Phone 541-870-5521 541-686-5444 # of Units: # of Stories: 2, Lot Size: Primary Occupancy Group: R-3 Height of Structure 22.00 Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Wall Heat Sq Ft 2nd Floor: 340 Primary Construction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport # of Bedrooms: 1 Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION. REQUIRED PARKING ~~n~eiPist:. . r THE WORK Total: 4 l~Ssree~t~M~'~ Bg,l,l,:ll EXPIRE I MIT IS NOT Handicapped: ~a~e~Ifflir~~~4mER 1HIS PER 'Y'esOR Compact: t%\ of\-idot CO"Deral!e:IS ABANDONED f COMMENlit vn ^ ~~v i An nAY PERIOD, 1\'" . I PUBLIC IMPROVEMENTS I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.00 Street Improvements: Storm Sewer Available: Special Instruction: , Fully Improved Yes Sidewalk Type: Curbside 5' Curb and Gutter Downspouts/Drains: Notes: Paee 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 11/22/2004 APPLIED: 09/24/2004 EXPIRES: 09/15/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Dwellin2s Use Bid Amount V Wood Frame $ Per Sq Ft or multiplier $1.00 $92.40 Square Footage or Bid Amount 27,240.00 340.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $27,240.00 $31,416.00 $58,656.00 10/26/2004 10/26/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $95.16 9/24/04 2200400000000001205 -Mechanical Issuance Fee- $10.00 10/28/04 1200400000000001531 + 10% Administrative Fee $59.58 10/28/04 1200400000000001531 + 7% State Surcharge $41.70 10/28/04 1200400000000001531 1 Bath One & Two Family $145.00 10/28/04 1200400000000001531 Addressing Assignment $31.00 10/28/04 1200400000000001531 Building Permit $405.75 10/28/04 1200400000000001531 Dryer Vent $6.00 10/28/04 1200400000000001531 Exhaust Hoods $9.00 10/28/04 1200400000000001531 Minimum/Adjustment Mechanical $18.00 10/28/04 1200400000000001531 Plan Review Minor - Planning $59.00 10/28/04 1200400000000001531 Plan Review Residential $168.58 10/28/04 1200400000000001531 Sanitary Sewer - Improvement $219.36 10/28/04 1200400000000001531 Sanitary Sewer - Reimbursement $288.48 10/28/04 1200400000000001531 SDC MWMC Administration $10.00 10/28/04 1200400000000001531 SDC MWMC Improvement $865.31 10/28/04 1200400000000001531 SDC MWMC Reimbursement $82.03 10/28/04 1200400000000001531 SDC Sanitary/Storm Admin $42.09 10/28/04 1200400000000001531 SDC Transpo Admin $75.66 10/28/04 1200400000000001531 SDC Transpo Improvement $772.49 10/28/04 1200400000000001531 SDC Transpo Reimbursement $175.13 10/28/04 1200400000000001531 Vent Fan $12.00 10/28/04 1200400000000001531 Willamalane Attached (duplex) $924.00 10/28/04 1200400000000001531 + 10% Administrative Fee $12.60 11/22/04 2200400000000001434 + 7% State Surcharge $8.82 11/22/04 2200400000000001434 Perm Serv/Fdr 200 amps or less $126.00 11/22/04 2200400000000001434 + 10% Administrative Fee $4.80 3/15/05 2200500000000000293 + 7% State Surcharge $3.36 3/15/05 2200500000000000293 Add, Alter, Extend Circ Ea Add $48.00 3/15/05 2200500000000000293 Total Amount Paid $4,718.90 Pa2e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 11/22/2004 APPLIED: 09/24/2004 EXPIRES: 09/15/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin2 Review 09/27/2004 09/27/2004 I Plan Reviews I 09/27/2004 APP 10/11/2004 APP SKG TAJ A duplex requires 4 off street parking spaces. Duplex meets minimum density requirements of MDR. Public Works Review Structural Review 09/27/2004 09/27/2004 10/01/2004 10/17/2004 APP APP CS DLM See documents for plan review comments. 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. L.Jl.eouiredJnsnections I Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Vnderfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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. Footing: After trenches are excavated. Post and Beam: Prior to floor 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. Firewall: Located and constructed according to plans. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 11/22/2004 APPLIED: 09/24/2004 EXPIRES: 09/15/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Storm Sewer Line: Prior to filling trench. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 will 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Pae:e 4 of 4 225 Fifth Street Springfi~ld, Oregon 97477 541-'726-3759 Rhone rity of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2004-01185 COM2004-01185 COM2004-01185 Payments: Type of Payment Credi tCard ,1 "j 3/15/2005 RECEIPT #: 2200500000000000293 Date: 03/15/2005 Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAVID LAWLER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 051467 In Person Payment Total: Page 1 of 1 8:25:34AM Amount Due 48.00 3.36 4.80 $56.16 Amount Paid $56.16 $56.16