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