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HomeMy WebLinkAboutPermit Electrical 2005-6-3 , 225 FIFTH STREET. SPRiNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~~€'!:~c;;:: ~h/dm:F~ , 1. iN';,()liJ!INST., ,', ,.' 3. /' _ -"i*&'*"a"'lU&~,",""ilii'AA"," Le'355 G ~~J?pr /7IJjESSRJl3/ odKOS jB DESCRIPtION ~ /VJ{ tY- cj) /0 r; yrflLIs Permits are n.on~transferable ~nd expire i~worl(lj~TEf\'TICN:.g~<i~rrtan4t:.a.'\t)4;ij~@you to not started wIthm 180 days of Issuance or Ifwor~"~w r'Jle E.~8Ig\lb"eJ :g1Y~HW~~ft catility Suspended for 180 days. Noti,'r'i"atl' r.~ 'pfeederThos I t f rth ,.., ~I. ...J~, Iler. e ru es are 5e 0 0S9_'''r), 2. '. ',-- 'B.' '.1. (UU IT:ay I Electrical Contractor ~ d d _E b~~~0~F.Am~6r.l!e~~e tel~~ho~a I nun 1081' tor tl-it0PA<nijl@tfu14ijbt~$tlflcatlon Address 3l5b07 S' f/o~IEr//~ ~e4d~A~~~. 60 I Amps to 1000 Amps City DOr~tL Phone 5'Q l'-O~/2-1352...0ver 1000 AmpsNolts Reconnect Only Supervisor License Number "I/7,.e; b ~ c. Expiration Date /C) J tP 7 r Constr. Contr. Number /, "'-ijOl!:) 9 , Expiration Date h/ c:> '7 '. / Signature of Supervising Electrician tO~-J _# ~--.-L/ Owners Nam~nh/J ~ (Lc!.:r6a Ji) Address (/1 ~ <..cs ~ 6 c.5/ Cit~1l tR ./ - Phone f)s;( OWN:R' ~:T ALLA ~ION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 AI;11PS~H i\, LL E\lDIDC Ie T$,J.OO,OOO [;'/ , ., v .r, .t.. .., ~.. I, C vv 11\ Over 600 Amps or JPOo; i'l Qlf~C'~e~fi'm' ~1:f9:v.~:'11 I D. New Alt~faii~h' J~/EX:fe~s1lJQ~er Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 /0 30 $ 3.00 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 93,00 7% State Surcharge 10% Administrative Fee ~.51 .J q , r.3 0 (f / 0 zr<K! TOTAL Shared Drive(T:)/Building Forms/EIectrical Permit Application I-D3,doc . ~1IIr~f~!~;'~'~I".~-~' ,,' ;r* . , '..'-'-'~C_"",,",';""'.~G~:r.- ,., -~ CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-~15S4 ISSUED: 06/03/2005 APPLIED: 12/17/2004 EXPIRES: 12/03/2005 VALUE: $ 100,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: .; Address: SITE ADDRESS: 6355 C ST ASSESSOR'S PARCEL NO.: 1702343102805 , TYPE O~ USE: I A~g~ffifBs you to Residential PROJECT DESCRIPTION: Master Bedroom & Study Addition t~1I~fibfdlti~se regon aWh 0 on Utility follow rules adopted by t e reg _ , .,.-._____..I~""'.oc"tfnrth I\! OIl I IGi:lLlUII V<:O' !Lv" .. ,~-- ' -, in OAR 952-001-001 0 tllrAA~l'NrmnBiV52-ro1- 0090. You may obtain copies of the rules by r.allina the center. (Note: the tele~ho~e nI Lrllher for the Oregon UlIlIlY I'll ULI II I"c:lLlV I I I CONTRACTOR INFORM~WIids 1-800-332-2344). Springfield TYPE OF WORK: Single Family Residence JOHN LESSAR 6355 C ST SPRINGFIELD OR 97478 Contractor Type' General Electrical Mechanical Plumbing Contractor R NEUHARTH CONSTRUCTION INC KIDD ELECTRIC INC JUNG ENTERPRISES INC DONALD CLEWIS D~f"':"'i"r~iL. License 66019 154009 102455 33076 Expiration Date 06/19/2006' '01/27/2007 10/04/2006 06/10/2007 , Phone , 541,-747-3846 541-942-1352 541-741-0002 541-688-1931 VN I BUILDINGIINFORM:<\'II0N I EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT # ofS(ories:^FN('ED OR IS ABA,,2DONbot Size: , . \ .llll/\I\II J '',I r,U..l un Height ofStructurv RERIQ[) Sq 1ft 1st Floor: TypelbfJl4:e1~P Lb'}cetl Air Electric Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 187 905 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type " Secondary Construction Type: .' # of Bedrooms: R-3 I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 16.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 41.70 0.00 20.50 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Setback 5' Curb and Gutter Notes: Storm drainage piped to curb face 12/21/2004 CAS Page 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01554 ISSUED: 06/03/2005 APPLIED: 12/17/2004 EXPIRES: 12/03/2005 VALUE: $ 100,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellings Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 1,092.00 Value Date Calculated Description Total Value of Project $100,900.80 $100,900.80 12/17/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $369.79 12/17/04 1200400000000001756 -Mechanical Issuance Fee- $10.00 1/14/05 1200500000000000061 + 10% Administrative Fee $66.99 1/14/05 1200500000000000061 + 7% State Surcharge $46.89 1/14/05 1200500000000000061 Building Permit $568.90 1/14/05 1200500000000000061 Fixture $56.00 1/14/05 1200500000000000061 Minimum/Adjustment Mechanical $24.00 1/14/05 1200500000000000061 Miscellaneous Mechanical $15.00 1/14/05 1200500000000000061 Plan Review Minor - Planning $59.00 1/14/05 1200500000000000061 Sanitary Sewer - Improvement $127.96 1/14/05 1200500000000000061 Sanitary Sewer - Reimbursement $168.28 1/14/05 1200500000000000061 - SDC Sanitary/Storm Admin $18.61 1/14/05 1200500000000000061 Storm Drainage Impervious Area $75.95 1/14/05 1200500000000000061 Vent Fan $6.00 1/14/05 1200500000000000061 + 10% Administrative Fee $9.30 6/3/05 3200500000000000285 + 7% State Surcharge $6.51 6/3/05 3200500000000000285 Add, Alter, Extend Circ Ea Add $30.00 6/3/05 3200500000000000285 Perm Serv/Fdr 200 amps or less $63.00 6/3/05 3200500000000000285 Total Amount Paid $1,722.18 I Plan Reviews I Initial Review 12/2012004 12/21/2004 APP LLH Planning Review 12/21/2004 12/29/2004 APP TAJ Public Works Review 12/21/2004 APP CAS Structural Review 12/21/2004 01/13/2005 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. Footing: After trenches' are excavated. Page 2 of3 : _~,~~U'~",9,!EJ!'J.ef; ". i~; ~ "' < it, {tl CITY OF SPRINGFIELD- C Status Issued Building/Combination Permit PERMIT NO: COM2004-01554 ISSUED: 06/03/2005 APPLIED: 12/17/2004 EXPIRES: 12/03/2005 VALUE: $ 100,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover FinalMechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical 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 h'ereon 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 bemade 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 time~/~.~~!!!/onstruction. ' ~//<~~ O?~ or Contractors Signature Date Page 3 of 3 225 Fifth Street Springfield, Oregon' 97477 541-726-3759 Phone r:+y of Springfield Official Receipt ~ "f t'elopment Services Department Public Works Department RECEIPT #: 3200500000000000285 Date: 06/03/2005 10:17:45AM Job/Journal Number COM2004-0l554 COM2004-01554 COM2004,-01554 COM2004-01554 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard JOSHUA DEHAVEN Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 001076 In Person Payment Total: Amount Due 63.00 30.00 6.51 9.30 $108.81 Amount Paid $108.81 $108.81 {] :( 1.<, \I :( n 6/3/2005 Page 1 of I .. ;.