HomeMy WebLinkAboutPermit Electrical 2004-11-23
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225 FIFTH STREET. SPRINGFIELD, OR 97477 · l'H:(541)n6-J753 . FAX: (541)726-3689
ELE....l1dCALP-FP:Al..ITf\PtiI(lEATION </I;(;IF,
City Job Numbt-, U\.. \ \ rx::=J Date N.OI)/". Olin,
"-',01: &, 'II)
L ',tOCA'r;.:~NO, FTNSTALI.ATION:: 3, COMPLEJ'EFEESCHEDlJt;;;l)ifi!:9W'
33'6JJ (()JlQa~ ,., ..' " .' ""/ O~t(;l '. <>01)/ &~;::;~~V6
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LEGAL D~SCI p{m ( ,.t::::::.f\OJ A. N,cw R~s,~(lt:ntl:Jl- Sl~~;r ultJ- mil)' per ~~.cl'fllIIJ;c9. umt '
, in \ 0' \V._J.JU (Q Service Included 05'(9, (;IC'/.i}.,~tl;(;I
J 1\ C,jJ()eir~<. ~ i'J~tVI: C'1q/);Ol/o"z,.'
JOBNSCrTI~~_ _t -~~n~-Jrv;; p ~~:~'d~;~~~le~~OSq, ft,or (;I ~SI L 1/,('o9-"/).9
::) --t ~ C\~I\.f2J.LI \\..\Vl~ 1110D 'hereof $ 19. -7-
-. - I ~rN~.j ..;)~
Permits are non-transferable an xpire ifw ' ~ch !v:unufnct'd :,1ome or ~5f
. not started within 180 da)'s of issuance or if Modular Dwelling Service or $50.00 -"'!)I...(!j
SuspeDded for 180 days. feeder . --
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:.,o<::::::~~~;\~~~~t\Q B'O:~::::',:~:':'d"'"I",,".ti,~ ?:.:'~: R'iQ.'kDD
201 Amps to 400 Amps $ 75,00
401 Amps 10 600 Amps $125.00
601 Amps (01000 Amps ._ ___ $163.00
Oyer 1000 Amps/Volts $375.00
~econnect Only $ 50,00 '
Address V() ~X 2P~2\
C'ty~t:F ~Cf1~h'", iSt:LSLJ.l.\l:\:
Supervisor License Number 4 --1 4L\- ~
\ D \ () \ \D"\
200 Amps or less $ 50,00
Conslf, Contr. Number -1-~ C) L6...- 20 I Amps to 400 Amps $ 69,00
~' ,Hafner:. 401 Amps to 600 Amps ___ $100.00
Expiration Date \ l\ I r--.. Cj)-J ' 1;;.
- :-v ,!e FtRM Over?00A~pS~r 1000Volt~see"B"above, __",..
Sl~naJure of Scoervislflg Elecuician AUTHORI IT SH'IlLD, E Brunch ClrculL~
- - - ,~- lED 11 L XP " , '
~ ~~O{l;jMFJj~.!!NDER ~'e~v IJ3.Eirlfii^fPlt! wxtension Per Panel
~::~u OR IS A IlcEtf?~ft/VjIT ORK
v CIi Y P~~D a rHlff,@~Jtir.r~u' l>>o{WfJo/f with
· · W-P~' ServIce or F~.le&p-frmit $ 3,00
._~.';'..." '.",::" "~/';:".> :...".~". . ". .. : ,',; "..:':-,~~... '. ,,:, .
E.J\1iscellape,ous (Senice/f~der not included) -Each Insta11i1tlon
,Minimum EI~l:trk Permit Inspection Fee is $45,00 +" '. surCh\a~r::es .r/I
ATTENTION: Oregon law req~'re~mt9f~4L 'oF ABOiT ~
tallow rules adopted by the Oregon Utility, ,: ,c ' , an.
Notification Center. Those rules ar0~$ett~t$)-charge r:IL-
in OAR 952-001-0010 through OARl ~G!U1!st-alive Fe: -, \ ~ .t o..Q
9R~g1D~oU may obtain copies of thEi-ffil~l by l 4,'. J :. L :!J.-
calling the center. (Note: the telephone \
number tor the Oregon Utility NotificatiBn'1:d Dri'.,,(T:)/Building FDnl1.;!EJMI;~al hr.11il'''ppljc~tion ! -03,doc
Center is 1-800-332-2344).
Expiration Date
The installation is heing n~ade on propel'Y r own \vhieh
is not intended for sale, leas.: or rent.
Owners Sigflalure:
Inspection Heque-st:
, ~. " . .. ,. . ~ .-,. - '1' _ -, "
c. :,}~elUvorary Senices or Feeders
Installarioll, Alteration or Relocatioll
$ 43,00
Pump Of irrigation
Sign/Outline Lighting
Limited Energy.lRcsidential
Limited Energy/Commercial
S 50,00
$ 50,00
$ 25,00
S 45,00
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004~01185
ISSUED: 11/22/2004
APPLIED: 09/24/2004
EXPIRES: OS/22/2005
VALUE: $ 58,656.00
Status
Issued
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
Springfield TYPE 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
I CONTRACTOR INFORMATION'
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
JOSH RUPPENTHAL
OWNER
ROBS ELECTRIC INC
OWNER
OWNER
License
156678
129990
BUILDING INFORMATION I
# of Units: # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure 22.00
Secondary Occupancy Group: Type of Heat: Wall Heat
Primary Construction Type VN Water Type: Electric
Secondary Construction Type: e on ,d~"eqllWpec yoU to Electric
# of Bedrooms: ATTENTIOl)l:or t9 d btl"~Or'fdlt'\ Utility Path 1
follow rules adop e ~S~S<QlJ$itdib1P-rth n/a
i '\Xf\~2\iQn r.Anter. Th~.. - ~nM
in OAR 952-001~i~~TION .
0090. You may 'Note: the telepho~e
calling the center. \ f\lUWIit.YN~ficatlon
number for the. Orea90o At "'B!ef3'~ Rqd:
CenteflS 1- U-l:) .
Paved Drive Rqd:
% of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
17.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-746-6418
Expiration Date Phone
541-870-5521
08/14/2005 541-686-5444
06/24/2008
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: 340
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Yes
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
Curb and Gutter
M'fH9~~oved
THIS PERM1~SHALL EXPIRE IF THE WORl(wnspoutsillrains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pae.e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01185
ISSUED: 11/22/2004
APPLIED: 09/24/2004
EXPIRES: OS/22/2005
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
Dwellinl!s
Tvpe of Construction
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
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
Total Amount Paid $4,662.74
I Plan Reviews I
Initial Review
09/27/2004
09/27/2004
APP SKG
Pal!e 2 of 4
~~J!~IIl\.I$1iiI';iI~, ,
I
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01185
ISSUED: 11/22/2004
APPLIED: 09/24/2004
EXPIRES: OS/22/2005
VALUE: $ 58,656.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan~iDl~ Review
09/27/2004
10/11/2004
APP
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.
~eouire~nSDections I
Ufer 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.
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.
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.
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.
Pa1!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01185
ISSUED:. 11/22/2004
APPLIED: 09/24/2004
EXPIRES: OS/22/2005
VALUE: $ 58,656.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Paee 4 of 4
" 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
""~ty of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2004-01185
COM2004-01185
COM2004-01185
Payments:
Type of Payment
CreditCard
11/22/2004
RECEIPT #:
2200400000000001434
Date: 11/22/2004
Description
Perm Serv/Fdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ROBS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LLH 061170 Phone
Payment Total:
Page 1 of 1
2:09:03PM
Amount Due
126,00
8.82
12.60
$147.42
Amount Paid
$147.42
$147.42