HomeMy WebLinkAboutPermit Electrical 2005-6-3
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225 FIFTH STREET. SPRiNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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jB DESCRIPtION
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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
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2. '. ',-- 'B.'
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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
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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
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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
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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
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6/3/2005
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