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HomeMy WebLinkAboutPermit Electrical 2004-6-25 (2) r "',' '".., ~ .. r." " ~ ....,'. "''''''''l' - .,. ,_ - ",jJ',., J:",:,",' ";':!hitY.:OF,S UN'GFrELD':-oREG'ON"": "'1 ",!" ~~Iit:!: 'f:.\'~' ','\ ',j;:' ,.~~. " ;:.:',' '-.-I... '. ~'.". ~ ':, ~. ," ~~.' '::"~:f" :....t.\.--A.. ',"'~ . .. SPRINOFIELD ~ 2i5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-~m, fe:: (541)726-3689 ~' '_'~~ ELECTRICAL PERMIT APPliCATION THIS PE,RMIT SHALL E~PIRE rnHE 'WORK ' City Job Number !/.'lI'1., ?JjO.../-CO!./<r J Da1dJTH~ ~'1l:n~ P~~MIT IS NOT ' " ~ '.-'..."....-.'..-.-- """-",' ,.^' '-,.'..",..,.. 'r.a5'S'~m (;l.\Me1t9NM.'l9,Q R,'." NOOlltl<l'rfil,k";''''-;>Jlj''- ""ll' \' 1. 'LO€A1'IONOE'lNSTALI:ATI6NfoIlO,,!ir,gRrole-~ , ' 'r~:SCHE "'lJEI::OW:i, .,:.".">Sc;'~JM., . -..-., n-':.o'r' -,~. ~_._i_.~.,_ '.....--.. ....z&l1j,~g;..;:ind;dbes no' rO ....:.-. ~ U==~G ~-__,...-,......J. "." ,- '" .<< ,"'... ~ .1' L:G:;ES~;I:~"oi ,~J- approvai'ZO(;~~.b~~~sid~~'iJir'~~~~]!~fr1@i~~~fi~~~~l I 7 0 '3 '3 4- z 3 0 t I ~, Date 'Se\-vice a~!) AutnOTlztlU ';;':1' .ature 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION fl..c.I...~c. G..>/,"",vl- ee",Jk H~h...", (j j?ttfc<.. . Permits are non-transferable and expire if work is ;, not started within 180 days of issuance or if work is Suspended for 180 days. ' ti(;ONTRAC"F,' 'o'RliiNsi)'T.'i'Zii,ON!ONiJy.j 2. f,.. ..~-~);:,-,l<.t- ."," 'i!.."...,..:.'-.~_''''UX~';'"",,,_,,,,~, '--::: ..,;',,;',,"'~,,-,-..n,~ Electrical Contractor A Is E'/ a.J..r. 'G.- Address 2/:,3( tI~/(iS ''5'-1 City [[.vx Phone 3 if if bo'lq '11;'( t <S'f<h '3Un Supervisor License Number Expiration Date /6 1$ <>{ ZOo if Constr. Contr. Number "2..0 - '11 0 C- 10 .O( 0,-/ ( -n 3"2'1) Expiration Date Signature of Supervising Electrician O-l-\- (J '/.)4...1 L-e'Jc".fr.,.. Owners Name ~1Av<\.. U,J.u.., JCfl".., Address I '-17'3 '1),,,...., J sl--' City S:P""''J ?t-L,( Phone 7% -; wi - $ 106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. kS,~'~~i~e4:~/F~defs,-'~~ihst~llitit1.(Alteratffi-fis '~r:\Reloc'3ti~n~f~;1 ..,.... ~,.' ",;;.",",,". ........~ "'Jt,"i'....,..::n:-_-..".'I.,.~~.\ : _"']~..-~~.' ..- "....-.._J..;,,',.. ,"', 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only I, $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b3 c. k:r~mp'9~iij;'~Jr~~~~?<!r~~e~~r~~';'t~~~:1 ::t~' -"l~;;~~);.~;:t~\~,~'.",:: ~?~I II Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $ 100.00 Over 600 Amps or 1000 Volts see "B" above. r'-~ 'i..'i:I'~"'Ii~"'r.;;"') ~';;':'''.. 'l\/) ,t;'~~1iJ:;:r~',;:'+' D. r~Branc j"\,:;.lrcUlts.,-:-,,.,~ ',':(j _~"'~, r: .,; _ ,,-.,.. ,.' y-.......'-...., ,"C!. . .. ........ .. ....... "~'"'.''''' '.~ . I n~Vi':th ....)"J.,~...;r'Jf.,\.<.,. ~-'. ""n'~"~Ji..:.._ J -,. .:. New Alteration or Extension Per Panel A~.(j) One Circuit ~ $ 43.00 Each Additional Circuit or with ~ \. 0.. oJ Service or Feeder Permit. ,.$ 3.00 ~. , '? ~J /Ii' E. ~@illiI!i:J:~~t~~~1t.~t~~1~~~i,:~riW!e~)~~~~lli'}i~~~l!at@~:1 Pump or inigation $.50.00 Sign/Outline Lighting f50.00 OWNER INSTALLATION Limited EnergylResidential $ 25.00 ~TTENTlON: O~on law requires you to .qffilit".J'\lffi~~8~~I\W efR!'g8ll UlW/f'hich Limited Energy/Commercial $ 45.00 ~d\'Ma'ti&Wtlffi&te'1fflfs6'Tmg\; are set forth Minim u~ Ele, ctric, P, ~rm, it I nsp,~ clio ~Fe~ ~ 54 5.0, 0" + SUAa~ges ~.Q.~B~~~!:O010 through OAR 952-001- 4. f SUBTOTAL'OFAi3Cfvif: 2;,.jt>.",:.;:;.,t,,;""j ~ '3 . ()D M9'O:'Vciu may obtain copies of the rules by [. V'-';\~'" ~",','" ".. -"":,,,"'i!'''}''k,,.,. ,-,' C",; "- ' , </( I.:::>.u,_i calling the cen~r. (Note: the .tele~hone' 7% State Surcharge 0 L-. U C_ nUUlut" IUI un, UIt::~UII UlIlllY I'IUUIH..CHIVII' 5 b? C (:';f"] Center is HlOO-332-2344M' t'\. . ~O% Admi,nistrative Fee ..J .IJ .:.. ' (\ ~ '\ I -""'), . .f~ Inspection Request: 726-3769 ~, 6.:.$ ~ OTAL. v ~ , /\\~~ ~ ShamlDrive(T:YBuildi 0'1 ' it Applicatiun 1~3.doc ' .::J''' oz:- It~r.....~ fVo.lS"fV'1 $ZbJi. 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: COM2004-00463 ISSUED: 06/2312004 APPLIED: 04/23/2004 EXPIRES: 02/0312005 VALUE: $ 8,500.00 SITE ADDRESS: 1473 DIAMOND ST ASSESSOR'S PARCEL NO.: 1703342301126 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Enclose carport - Convert carport to Home Office Alteration Residential Owner: LITTLEJOHN LAURA Address: 1146 SEQUOIA AVE SPRINGFIELD OR 97477 Contractor License KEN GATES 81241 ALAN JOHNSON 78329 BARNES H1G~ T}fH PLUMBING IN:~ r T..M~~nR'" ~~\S'~Ef"BJIq>D~ if'~~~'N6!:-tO \ AU"\-IOR\ItO~U~~w~I\~OO~tO r I{jGWlWlt~Ct '~e\1lll!.Oltructure A~'( ~ au 0 ype of Heat: VN Water Type: Range Type: Energy Path: SprinkJed Building: Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-746-7447 I CONTRACTOR INFORMATION I Expiration Date 03/30/2006 1210512005 02/17/2008 Phone 541-686-3223 541-344-6098 541-726-9854 '~, nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I .REQUlRED PARKING -- Overlay Dist: Total: # Street Trees Rqd: Handicapped:, Paved Drive Rqd: .;f;s.lfJ,Pact: % of Lot Coverage: ~ \)\\\\\'1 .....rn.t O~O: ~ \\l9 ~ _,(l!\!\ I PUBLIC IMPR~~,tM~?~t;~iho:;o~~;b1 ~~\\\\ca\\OI~.'Oo'l'()OO~~~~~p\'IDne . \l\ ONOP- ~:\l ~'1 o'I6~~ts~~~ 009. tn6 ~ '~...n \)\\\i\iAA\.. ca\\\l\9 , r~eO~~'- (I\l\'l\bel ~n\6f IS \ Pa~e I of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Electrical Total Amount Paid Initial Review Planninl! Review 04/27/2004 OS/24/2004 Public Works Review OS/21/2004 I Valuation Deseriotion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,500.00 Total Value of Project Fpp< P..i<lJ Amount Paid $64.74 $9.96 $6.97 $99.60 $3.33 $66.56 $4.50 $5.80 $3.15 $4.06 $43.00 $15.00 $14.00 $31.00 $2.30 $1.61 $23.00 $398.58 Date Paid 4123/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/23/04 6/23/04 6123/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 8/3/04 8/3/04 8/3/04 I Plan Reviews I 04/27/2004 OS/25/2004 OS/2l!2004 OK RJB APP T AJ APP VRJ Pal!e 2 of 4 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00463 ISSUED: 06/23/2004 APPLIED: 04/23/2004 EXPIRES: 02/03/2005 VALUE: $ 8,500.00 Value Date Calculated $8,500.00 $8,500.00 04/2312004 Receipt Number 1200400000000000535 1200400000000000859 1200400000000000859 1200400000000000859 1200400000000000859 1200400000000000859 2200400000000000839 2200400000000000838 2200400000000000839 2200400000000000838 2200400000000000838 2200400000000000838 2200400000000000839 2200400000000000839 1200400000000001179 1200400000000001179 1200400000000001179 No planning review required based on enclosing an existing carport. Meets minimum side setback requirements. tara Ken Bates submitted revised siteplan,5/I9/2004. Intrusion of footings, eaves or any other portion of the proposed structure Into easement area Is prohibited. Please demonstrate to building Inspector property lines and string easement for site inspection. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRI1~uJ'I~LD Building/Combination Permit PERMIT NO: COM2004-00463 ISSUED: 06/23/2004 APPLIED: 04/23/2004 EXPIRES: 02/0312005 VALUE: $ 8,500.00 . . Lll r OF SPRIr\jul'l~LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00463 ISSUED: 06/23/2004 APPLIED: 04/23/2004 EXPIRES: 02/03/2005 VALUE: $ 8,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after aU rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Electric Service: Approval required prior to utility company energizing service. 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 tbe 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 ail times during construction. Owner or Contractors Signature Date Pal!e 4 of 4 225 Fifth Street Spri":gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00463 COM2004-00463 COM2004-00463 Payments: Type of Payment CreditCard 8/3/2004 . RECEIPT #: .~ WJiL,. lIIII1iiiity of Springfield Official Receipt .'evelopment Services Department Public Works Department 1200400000000001179 Date: 08/03/200~ Description Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By KENNETH GATES Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 000460 863863 In Person Payment Total: Page I of I 3:S8:09PM Amount Due 23.00 1.61 2.30 $26.91 Amount Paid $26.91 $26.91