HomeMy WebLinkAboutPermit Electrical 2005-10-13 (2)
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.225 FIFTH STREET . SPRIN~FIE~~, OR 97477< .'pH:(541)72:-~753 . FAX: (541)726_36g~ning ~~~:..d - C,,~:: .~
ELECTRICAL~:ERMIT APPliCATION . . . Dale - .,,~v.
I ~Signature /' _--..:-. .., /'
City Job Number jJvv\ was -{)()h4 I Date \0, \"~"ft'5~ YYlg..p<:s'Q/T u tJ
ffL"OCAiioNOF!iNSTAf(':4fiONf.;FJ~ tt:OMPLEfE-'FEESCiiEi5t.IiE'BEL61Wb~~~~\';'~?i;k:'fjl:J
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JOB DESCRIPTION
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. Permits are non-transferable and expire if work is
.. not started within 180 days of issuance or if work is
Suspended for 180 days. .
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EleclricalContractor
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tJo)<; 1~'8
Phone 90-'61 Kl/
Address
'PC)
City Loltc.y Gr~Jf
Supervisor License Number . LI '1.)..1 ;r
Expiralion Date I DI 0 --,
Constr. Contr. Number' 11')<;3 '1 'I
H/o6
Expiration Date
Signature of Supervising Eleclrician
r:B~
Owners Name 1i motVwj br; 0!:F ~
Address ~(/)'7R \)t)v.~Lo-.') Dv.
City ~.9lJl Phone 7L.(Lf~ ~C)
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OWNER INSTALLATION
The inslallalion is being made on property I own which
is not intended for sale, lease or ren\.
Owners Signature:
Inspection Request: 726-3769
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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 $50.00
Feeder HOTlel" .
B. r;.'s:,...g'i~IfJ$~gg,...t~iCr/Mriji,WAt~!I!Jld2a'ii6'ril;<r.~
~~A~OI~ytVif .,. . . "trtt'WOAA' IN> <'..q
200 Am~QMMENCED ~~~~~1:tER~~.fj NQ.T
. 201 AmpWd'4tl1lfNAAy PERIOD. ONEQ,f0R
. 401 Amps to 600 Amps . $125.00 . .
~ .
601 Amps to 1000 Amps $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
f-<"""J!..,';I':*'""" -,(.-;.:, .-:-;,'. '?', ~ ;:-'~"':,'W\J';,:. t", .. '";;r;""'Y:tc :/,<:" tj;~:",;':f~1;i>lf~":S,-. '+s"~,,,,,,..:v~;- '.;,r .'0'-' "',"":'i?{: ',.
C" ~'T,t;.m1>.o~ar:y s.e_rY..I~~~'.o~..'F.e~~ers'.;;::::_:-\:b;;:.~;>_;,-';,);~~%:"i;:~~~t.:'\)'~'f:ill~ ..
Installation, Alte.ration or Relocation
. 209ltff'N'19W." $ 50.00 .
201 Amps 10 400.A?J;~~on law requires YOtSf69.00
rOduv. rUle- RC10DtAd by the u .' .
. 40 I Amps to 600 Amps . regon. UtS'I!O'O.OO
:wt'''C._IIUil ventef. Those rules are set forth
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D. ~1!Wn.Ytiicifcuitsl~\;';&:;'\?I'~<-"''''k;::,,;,,~~t,<':;7.l' ' .
4.t'-" -." .-..-- "'. ','~W::t""""""'T,"bff:"J.~ur""'-'"
CarlinO lhe cp,ntor~lfl'r' th- tnl h '-
Ne~ Alteration o'r Ei:tension-Per'PaneIP one
O~e c:::;'~\tror ltm Ure;)'lil Utility N(ftrr;catl$'43.00
l,..enlpr IS 1-1)(\(}-':I,'12 2
Each AdditionarCircuit or witti . v'f't I.
Service or Feeder Permit '\
$ 3.00
~ 3.m
I :2. o-v
r~,:",\,>~;'"1,"""""'~'P7'f1:7:")I_'''''~f:9;:;''''''-,.jt..:., ~ ,-""'~-,~:,_ '--ro.. '-,--':"'l
E. :;:~~,~.el1a~e~uIJ~e0ce/fe.~~giiJ,i,I1fl!!ded):~Ea,chIHs\~U~ti?~D
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. rSUBTOTAi:oiA1iOVE' ,,'.;'7.'[::'S)
", ''":',..,-........ <, .M"...... ,. .~'f..':;.,...;.~~..',.'.-,.....,..'.. ...:......-.._.....'..]~
~.~.~~2L....:L.o....t...,jL~~-~"~,-":",, '" ,~' "~'-='
7% Slate Surcharge
10% Administrative Fee
~.OD
3 '65
r;, C; 0
G4-. ~~
TOTAL
Shared Drive(T:)IBuilding FOm1s1Electric:J.l Permit Application 1-03.doc
,
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
" _ ,...llnwing
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00691
ISSUED: 07/05/2005
APPLIED: 06/08/2005
EXPIRES: 04/13/2006
VALUE: $ 42,560.00
SITE ADDRESS: 3678 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802061202602
Springfield TYPE OF
Family Room
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Garage and family room addition
Owner:
Address:
TIMOTHY BRIDGES
3678 DOUGLAS DR
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
NotiCE: Phon~Number: 541-744-2285
T SHAll EXPIRI: It" I Mt V'H
THIS PERM\ UNDER 1HIS PERMIT I";) I'V .
r.IIT~ORIZED . 'l.~""n' c(\W
J:~. ):U Uti \<l "uh w-'...
'CONTRACTO~"9~D.
License Expiration Date
45710 0811112007
128394 04/0112008
Contractor
DURFLINGER & SONS INC
MARKHAM ELECTRIC INC
Phone
541-942-7258
541-942-8789
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
Street
Storm Sewer Available:
Special Instruction:
24.00
15.00
5.00
10.00
0.00
, BUILDING INFORMATIONI
R-3
U
VN
# of Stories: I Lot Size:
"eight of 13.50 Sq Ft 1st Floor: 360
Type of Heat: Wall Heat Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
'"
Range Type: r~~ID:Gal'8i;e/carport 320
Energy Path: N' OlPath'l\aW Sq.Fl.Other:'.I\I\'1' h
Sprinkled f',11E.Nl\O . do;q(al b'i t\10~'i~l!tiEO:r.t~
. _. "l\\P.S a _l-......e.P fl1\\::: _ .....~r"'iJ.'1(r\~
I DEVELOPMENT:iNFORMATiONr', 0 t\1l0Ug\1 ~~~~-ru'es 'CY
'n Of',\{ ""~ -' obta\n caples \bW'.QUlRED PARKING
~ . 'IoU ((\a'i (Note'. the:, .' ,_..'-('\
Overlay Dlstfl90. . t\1e center. U\iIlW Total:
# Street ~rees calling lor \\1e oregon.332 !f-~C HilDdicapped:
Paved Dnve Rqd:,ber entel is ~.8CO Compact:
% of Lot Coverage: C
IPUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspouts/Drains
Fullv Improved
Yes
Setback 5'
Curb and Gutter
Notes: Storm drainage piped to existing daylight at curb face 6/10/2005 CAS
1 of 3
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00691
ISSUED: 07/05/2005
APPLIED: 06/08/2005
EXPIRES: 04/13/2006
VALUE: $ 42,560.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description,
Dwellin2s
Gara2e
Type of Construction
V Wood Frame
Gara2e
I Valuation Descriotion ,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$96.00 360.00
$25.00 320.00
Value
Date Calculated
Total Value of Project
$34,560.00
$8,000.00
$42,560.00
06/08/2005
06/08/2005
Fpp< PlilIJ
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $214.31 6/8/05 1200500000000000804
+ 10% Administrative Fee $37.47 7/5/05 1200500000000000939
+ 7% State Surcharge $26.23 7/5/05 1200500000000000939
Building Permit $329.70 7/5/05 1200500000000000939
Plan Review Minor - Planning $59.00 7/5/05 1200500000000000939
SDC SanitarylStorm Admin $10.54 7/5/05 1200500000000000939
Storm Drainage Impervious Area $210.80 7/5/05 1200500000000000939
Storm Sewer - 1st 50 Feet $45.00 7/5/05 1200500000000000939
+ 10% Administrative Fee $5.50 10113/05 1200500000000001515
+ 7% State Surcharge $3.85 10113/05 1200500000000001515
_ Add, Alter, Extend Circ $43.00 10/13/05 1200500000000001515
Add, Alter, Extend Circ Ea Add $12.00 10113/05 1200500000000001515
Total Amount $997.40
I Plan Reviews .
Initial Review 06/09/2005 06/1 0/2005 APP LLH
Plannin2 Review 06/10/2005 06/16/2005 APP TAJ
Public Works Review 06/10/2005 06/1 0/2005 APP CAS Storm drainage piped to existing
daylght at curb 6/10/2005 CAS
Structural Review 06110/2005 06/1412005 APP JB Approved as noted on plans
To Request an inspection can 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. win be made the following
work day.
~ Rpmaln<n~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Ooor insulation or decking.
Floor Insulation: Prior to decking.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00691
ISSUED: 07/05/2005
APPLIED: 06/08/2005
EXPIRES: 04/13/2006
VALUE: $ 42,560.00
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have heen 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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backf111.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I slate 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 certity 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 win be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 ofthe property, and the approved set of plans wiD remain on the site
at all times during constructiolL
Owner or Contractors Signature
Date
3 of 3
,
225 Fifth Street
" Springfield, Oregon 97477
541-726-3759 Phone
JrlJ/Joornal Number
COM2005-0069I
COM2005-0069I
COM2005-00691
COM2005-0069I
Payments:
T)]Ie of Pa)1l1ent
CreditCard
"
j\
,"
10/13/2005
.
RECEIPT #:
-:'~~'!F'~ "':
1IiL. .
- 'W- ;
Y ,
... }-
,_. _,.-.,,_ J
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001515
Description
Add, Alter, Exlend Circ
Add, Alter, Extend Circ Ea Add
+ 7% Slate Surcharge
+ 10% Administralive Fee
Paid By
BRADLEY A MARKHAM
Received By
ddk
I of I
Date: 10/13/2005
Item Total:
LDecK NumDer AuUlorlzatlon
Batch Number Number How Received
OS 1498 In Person
Payment Total:
8:57:01AM
Amoont Due
43.00
12.00
3.85 '
5.50
$64.35
Amount Paid
$64.35
$64.35