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Home My WebLink AboutPermit Electrical 2001-1-30 SPAIN(. ZON ~~ INITIALS -W DATE '. ~. [.0') SOURCE --t I C" - A -~~ \.30 !O\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMJ1'APPLICATION City Job Number (~~O'O'O -00C12\ New "IfWWl!?r Exten,sion Per Panel One tlMu9t11lt. $ 43.00 , Each.ml&i~lM4qu$WA'L!~ EXP/J$F T$l6 WORK~ L{-; D{) ~ / Pz t!3J Serv~tfffiEfflTlErfYJNDER THIS PERMIT is NOT ' E. .MGQA{1~~~a/t~~!JNJ)@~tllfmCh Installation ANY 180 DAY PERIOD, Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges \ 1. 'LOCATION OFINSTALLATION: /~L)h / 5/_ LEG\rf~\ oo.lr)JJ JOB DESCRIPTION: ~:t-A-__ /-1 ~-;;6v ~ Per~-~f~or~is not started within 180 days of issuance or if wor is Suspended for 180 days. 2. CONI'RACTOR INSTALlA1l0 'ONLY Electrical Contractor Address )ono Supervisor Licezse Nu her Expiration Date , Constr. Contr/ umber City re of Supervising Electrician Owners Name .A.c~ .I-~q h.-o c Address J ~ L/ b =:L :;: /, City ,if ;:-:'k d. Phone /7 t.J'i-t?/C c: OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: '- pI ~/-d/ Yn, r J----A-P-/ V'. ~ - Inspection Request: 726-3769 .1> ~ Date 3. COMPLETE FEE SCHEDULE BELOW A. Nl.''W Rcsidential:- Single or Multi-Familyper dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufac~q1fleNJ>fUN.UU:~~UlllclW (t;;4I,wu::, YUU Lv Modular DW;Bne~f(jfe~radopted by the €1~n Utiiitv Feeder Notification Center. Those rules are set forti B.ServicesiQ~91Alm~1t:O~'l10tfl1oou~DA.Q~~MM)1 0090. You may Obtain copies of t~p~lftS _bj. 200 Amps or I~alling the centeL..l}4ote:5tM3C\lSl b'aAtu 201 Amps to ~~forthe ~on UfiJiijtlNotif.ication 401 Amps to 600 AmpCenteris 1-AOO.~32~)- 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 C. Temporary Servic.es or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D.BranchCircuits $ 50.00 $ 69.00 $100.00 4. SUBTOTAL OFA.BOVE g:7,UV ~~q~- II.-:J.- " ..., . 3S \01,0\ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pemit Application 8-06"doc " 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: COM2006-00921 ISSUED: 09/01/2006 APPLIED: 07/21/2006 EXPIRES: 07/22/2007 VALUE: $ 17,520.00 SITE ADDRESS: 1846 I ST ASSESSOR'S PARCEL NO.: 1703362102600 Springfield TYPE OF WORK: Garage Conversion PROJECT DESCRIPTION: A.I I eN TKr~;Bft;'9~,: IcM~UtfBires you ~sidential follow rules adopted by the Oregon Utility r l:tifi..gatisRI Cfl"'....r Tt'"","o ",tAct aro C!'at fnril in OAR 952-OO1.001(tlUil~gAR ~~1n55 0090. You may obtain copies of the rules b~ calling the center. (Note: the teleJ?hone · numoe",.,.. .ne....' ~,...,<OI UltlllY t'UlIIKii:tllVII I CONTRACTOR INFORMATIOMlteris 1-S00-332-2344). Garage conversion Owner: Address: ROSS LINE 1846 I ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: No changes to storm are necessary. Description Type of Construction License Expiration Date Phone BUILDING INFORMATION I R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN n/a I DEVELOPMENT lfi.~TION I REQUIRED PARKING THIS PERMIT SHALL EXPIRE IF~H~WORK Overlay Dist. . # Street Tre~~tWpRIZED UNDER THIS PER ~ ~~P~ld: Paved DriveiQMMENCED OR IS ABANDONffiJi(f.lk % of Lot Co~~:80 DAY PERIOD, I PUBLIC IMPROVEMENTS I Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garal!e Conver. Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee~ + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Review Planninl! Review Public Works Review Structural Review CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00921 ISSUED: 09/01/2006 APPLIED: 07/21/2006 EXPIRES: 07/22/2007 VALUE: $ 17,520.00 $73.00 240.00 $17,520.00 07/21/2006 Total Value of Project $17,520.00 ~ Amount Paid Date Paid Receipt Number $110.37 7/21/06 1200600000000001126 $10.00 9/1/06 1200600000000001365 $31.58 9/1/06 1200600000000001365 $25.26 9/1/06 1200600000000001365 $169.80 9/1/06 1200600000000001365 $56.00 9/1/06 1200600000000001365 $39.00 9/1/06 1200600000000001365 $45.00 9/1/06 12Q0600000000001365 $158.32 9/1/06 1200600000000001365 $208.21 9/1/06 1200600000000001365 $18.33 9/1/06 1200600000000001365 $6.00 9/1/06 1200600000000001365 $8.70 1/30/07 1200700000000000094 $4.35 1/30/07 1200700000000000094 $6.96 1/30/07 1200700000000000094 $24.00 1/30/07 1200700000000000094 $63.00 1/30/07 1200700000000000094 $984.88 I Plan Reviews I 07/24/2006 07/25/2006 07/25/2006 07/25/2006 07/25/2006 07/31/2006 07/25/2006 08/31/2006 No Planning Issues APP LLH APP T AJ APP JLP APP DLM To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouireCUnsnections I 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. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00921 ISSUED: 09/01/2006 APPLIED: 07/21/2006 EXPIRES: 07/22/2007 VALUE: $ 17,520.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 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 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 all times during construction. Owner or Contractors Signature Date Paee 3 of 3 225 Fi,fth Street Springfield, Oregon 97477 541-726-3759 Phone Cj4-<, of Springfield Official Receipt i :lopment Services Department Public Works Department Job/Journal Number COM2006-00921 COM2006-00921 COM2006-00921 COM2006-00921 COM2006-00921 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000094 Date: 01130/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROSS & AGNES LINE Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 6692 In Person Payment Total: Page 1 of 1 3:42:59PM Amount Due 63.00 24.00 4.35 6.96 8.70 $107.01 Amount Paid $107.01 $107.01 1/30/2007