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Home My WebLink AboutPermit Electrical 2003-8-18 · ltM(rb~~Mr},]~(o~&~~ zoning and do's su~mitted has the tOllowing , I es not reqUIre specific land use approva ' J-.... /7 Zonina ()<.J)I ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number tJ/Wl was . OC S fl{ Date ~/0J 3. - COMPLE'l'E'1f1!l:!. S'c/!'I"i:ElYbE lUll.OUl 1')- (, - b Authorized SIgnature ~ LOCATION OF INSTALLAnON 1. '1f:.3C TC-<L l~\... v\. < <.:. '--. - A. New Residentia\- Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION 170Z>2Lf3 JOB DESCRIPTION '-I c ( /Z.-C-\A ~ .\- , o g-sc:s c.~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within ISO days of issuance or if work is Suspended for] SO days. $50.00 . "''*'~ B. Services or Feeders - InstaUation, AItenltions OJ: Relocation: CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor ,fie II c~r.S C iEt ," It k( 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps _ , ~o I Amps to 1000 Amps Phone 4~(.) (J) )) ~~~~er 1000 AmpsIVolts 'X:-~ ~ ~econnect Only . ~~~#~~~ . . 0' Supervisor License Number ~ ].<-10 -. S:<}~ <)4f ~r:. , Temporary SerYices or Feeders' 0/ ~' ~~ Expiration Date I () - / ,(, I} ~Q... ~~ Installation, Alteration or Relocation ~ ~ ~V&:J ~ 200 Amps or less $ 50.00 Cons!r. Contr. Number 4 ~~~ ..::s (:\~ ~~~. 20 I Amps to 400 Amps $ 69.00 ',' ~~ 'if?~V ~'v~~ ~ ~'<;' 401 Amps to 600 Amps ~'\.~~ $100.00 Expiration Date -1--1 ' f...~ .~",<;lS ('\~ ~9 ~\~ 1..' ~. .:.~... ~. O.v~r 6~0 Amps or I g~~ -v om' ~~e '~", above., ure 0 Supervising ElectI1~<rl~ ,q) D. Branch Circuits " 41;2" ~,,~ ;::...~ ' <0 ' ..~~" ,i" 't!?J ' ' ~ New Alterat{~~ fitljrxtb1~i6itl>R'~a.~ f ' / / ~ J.4 . ~, ~",~' .r"'".""",~ ~' ':\C w] /~ L~..... One Clrc~ '(.j~ ,,> :;;"",'" '", ,> (1';<;;,~ $ 43.00 ( cach 1^~~t~a.li'f~~culto17f\\{i th$~}': u.",;.,*~M ~ C ...;1 {~ /~ "-' \ . ',' '~, ",","'''' $ 7 Se~~6i"F~c(j~'~~n}~':~\"" ~.yJ ,'-. ,3.00 .,v m:". ,~"" ,,'" ",..... .,,~ ,,-"" ,," ~ (; .'st;' ,,,,~~'..~" ~~"'('. .:~-:;' fi.lI' ~'""l~ '-;11;7 :"h". -......'4,\ - ",\,\:') ~<r "~..~ (J";'; 1\....." ~.- ""~- ............. ~.....,.,,- --.,~, :0~'~ ~~~~,~~~!~ll~O\l$, ~~e.i:~~~~it~!g~"not included) -Ea~h Installation ~ /~ .~~ /,,~/~... ;/ .r::.,~ ~ f'-P ~ ~ ff~;. ,,>y / ;r~.:? /~; ~ (,;;$.\'0 If "':..~\.t'; {-? ~'\,J ,,0: /$)fi~tWl'6~.ij\i'>lMM'on,,"'7' ,9' $ 50.00 0:::''' ~ .,,"", ~~ V",1 0 ~ G?J'g~tltltil'e.M~'fitu.~ $ 50.00 . 00. <01,2' . 8,.'> '" ...,,'" ~1Vo ~ fUiihi1~~'I:~~g1\1'I.~~sidential $ 25.00 ~l1i~~4>~erg~/col11l11ercial $ 45.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 jCjc') A.:1G( \ \ ~,(, I \ Address l \.)<?f'n\-.;! City bM' I') \IL\.P~ ~<<-'7 ( Owners Name b<:?O ~CL Address City Yt.A!".v1 C(-~ U4- Phone f I ( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ,. 'i '-'.'-' -~-"-":,' ~..,. '~';'< 4. SUBTOTAL OF ABOVE Owners Signature: 5L ;: bY s-z.o bo r: if 7% State Surcharge 10% Administrative Fee TOTAL Inspection Request: 726-3769 Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00384 ISSUED: 06/06/2003 APPLIED: 05/19/2003 EXPIRES: 12/06/2003 VALUE: ~ 24,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4630 UNION TER ASSESSOR'S PARCEL NO.: 1702324308500 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Garage conversion Owner: DAVID TRIPLETT Address: 680 GREGORY DR YUBA CITY CA 95993 Phone Number: 916-372-8538 Phone Number: 530-755-1260 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER BUILDERS ELECTRIC INC DOUGLAS LEE JONES License Expiration Date Phone 4296 104606 12/10/2003 02117/2005 541-485-0922 541-747-1254 I BUILDING INFORMATION I # of Stories: Height of Structure Type o.~t: I~~ ~ l\~ e: <..~~C(.~~ ~~ h: ~\.. v u,.\S C\~~ -l.}~. "" '\"\' I'\}\\.l ,~,\\~\~,*,~ ,J~~"J":'t~ELOPMENT INFORMATION' SETBACK~ ~{o ~ ~1,~-rv ~ \)~ . ~\)\). Front yard Setback: '\ ~~\~~~~,,~~ ~~~ Overlay Dist: ' Side 1 Setback: d;:)~ \~~ # Street Trees Rqd: Side 2 Setback: ~~-{ Paved Drive Rqd: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: SqFt Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: OU \? . ~\'(eS ~ ~~\\\\~ I PUBLIC IMPROVEM~.~l,'~:o~e~O~ se\ ,O~. U\IQV S ~~ ",c!)/J ~\O~. 0\00'd, e ~U\~i1J~~lR-'rYB~\. -~~ 0.00,," i'(\OS n'C\ 0 e ~\J' f>..'0 ~ ~u\eS e(\\0{' 0 \'{\~OU;>~o$d~~~~~~~s: 'O\\~ \\0'(\ C 0" ~OO'\ . '(\ eo9' . \'(\e \0 '.\.\\\e'3.\\O ~O~\~~ 9S~~~'3.~ O~:~. \~O~~\\\\\~ ~~L\)' $\ BO. "l 0 \'{\0 ee'(\ O~e90 ~,!>'!>?/t. 00 '3.\\\'(\~ \O{ \'(\e. ,,~?>$\) e ~e{ \e{ \S (\u't\' Ca(\ Notes: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00384 ISSUED: 06/06/2003 APPLIED: 05/19/2003 EXPIRES: 12/06/2003 VALUE: $ 24,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 24,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $24,000.00 $24,000.00 05/19/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $140.79 5/19/03 1200200000000001252 + 10% Administrative Fee $26.16 6/6/03 1200200000000001461 + 7% State Surcharge $18.31 6/6/03 1200200000000001461 Building Permit $216.60 6/6/03 1200200000000001461 Fixture $42.00 6/6/03 1200200000000001461 Minimum/Adjustment Plumbing $3.00 6/6/03 1200200000000001461 Plan Review - Planning $59.00 6/6/03 1200200000000001461 Sanitary Sewer - Improvement $117.53 6/6/03 1200200000000001461 Sanitary Sewer - Reimbursement $154.63 6/6/03 1200200000000001461 SDC Sanitary/Storm Admin $13.61 6/6/03 1200200000000001461 + 10% Administrative Fee $5.20 8/18/03 1200200000000001974 + 7% State Surcharge $3.64 8/18/03 1200200000000001974 Add, Alter, Extend Circ $43.00 8/18/03 1200200000000001974 Add, Alter, Extend Circ Ea Add $9.00 8/18/03 1200200000000001974 Total Amount Paid $852.47 I Plan Reviews I Initial Review OS/20/2003 OS/21/2003 APP LLH Planninl! Review OS/21/.2003 06/02/2003 APP AID Confirmed zoning as LDR. Need to supply 1 additional 9 x 18 paved parking space on-site. Public Works Review 06/02/2003 06/04/2003 APP VRJ SDC's calulated for bathroom. Structural Review OS/21/2003 06/05/2003 APP TCM 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. 1 Foundation: After forms are erected but prior to concrete placement. 2 Post and Beam: Prior to floor insulation or decking. 3 Floor Insulation: Prior to decking. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal!e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00384 ISSUED: 06/06/2003 APPLIED: 05/19/2003 EXPIRES: 12/06/2003 VALUE: $ 24,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Rough Plumbing: Prior to cover and including required testing. 10 Underfloor Plumbing: Prior to insulation or decking. 11 Final Plumbing: When all plumbing work is complete. 12 Rough Electric: Prior to Cover 13 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 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 Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00384 COM2003-00384 COM2003-00384 COM2003-00384 Payments: Type of Payment CreditCard Reccipt#: 1200200000000001974 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Received By djb Check Number Batch Number Authorization Number 000145 083345 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/18/2003 10:49:08AM Amount Paid Item Total: 43.00 9.00 3.64 5.20 $60.84 How Received In Person Payment Total: Amount Paid $60.84 $60.84