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Home My WebLink AboutPermit Electrical 2003-1-30 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co (A.;.. '200 G -0 I :> S;g" Date DI 2 '( 6.3 ~~\)ice Included \o\\~to0I JOB DESCRIPTION \'(\0 0 ~vO sq, ft. or less j / ' , 0 '(\~~\c. \~~ Each a itional 500 sq. ft. or t10(..\.>~ {Z.f1/,f I CLe ,'f)i--\\\:~0c.\ po 'on th eof ",-J-', <."" ' Permits are non-transferable and expir~~~~'f~ not started within 180 days of iSSU~~"ifwork is Suspended for 180 days. \0\\0 ~{\o '(\0 , .I' V) VCf S" ~\S. ~ Expiration Date / (J - 0 I - 0 L( x-.<V, ~~Iation, Alteration or Relocation ~ ~ "'~~\~ps or less Constr. Contr. Number ~- / 'I (; I LjCj <J~ ~v...~ ~<<,,~) Amps to 400 Amps &'l 6 U 'v <<Y ~s ~\S 40 I Amps to 600 Amps Expiration Date 7 -- 2.. ~ - (... ",-'V, 0..." 0... ~ C:J" 'r'S:Jv' ~vr Over 600 Amps or 1000 Volts see "B" above, 0 Signature of Supervising Electrician~' -# ~ '\:)~ ~:~ ~~. D. A ;d ~. ..(:~-..;. '\V0 ,,,<.(;~,, \S~~~ ~0 ~ ~ f'o.\) " ... <,-'\.v .v IV New Alteration or Extension Per P 'eL.o r_0 o)J ",,> ~ " ,'-' ?0 :0'\' ~ ~ 0 C' . ,0~ ~0'0j ,0-~ fi.a7-' y /,.,,'" .... -..;: ,y~ ("\.~ 'ne lrcUlt .i' () ,', "& ~.J~vl;Y ~, ~~\;\: ~~ Ea,-;h Additional Circuit or wit~<> ;s-fb :y..e;:J O~ ~ '- ~o-t;;;< ',0" Service or Feeder Permit ,~O\.,:<:5~ 7"_'2" :'0 c~,j~~.:.,c:1; Own"" Nmne DAMO"'''.: "r:YEIf ,<> u ,,~ >>'-'" ~ ,0 >$> Ib30 I 5.+ City s.p F"h 1. 1630 LEGAL DESCRIPTION 170 ~S3bZ/' o LfL/OO 2. Electrical Contractor Address 2 I > s- City (i",,?eJ,,(... Phone bfb' :Jt.jyy Supervisor License Number Address Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. A. / / $106.00/0 b $ 19.00 / / $50.00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 c. $ 50.00 $ 69.00 $100.00 E. . . />~ ~0 v0 ):5 ~'lY ~ n: Pump or Im?~1>lb~ ,~o" 'i:J\)'\ ~ --3\' :#-," ~.OO SignJOut1ine?t~t~ Oj~\:- ~'b-'\ v0" C1,fb, g-,\:)'$ 50.00 Limited Ener~~~~~;S-0 ,;s-0 ;{:; $ 25.00 Limited Energy/~~~r!#l'C?>0,,0'(>~0' $ 45.00 Minimum Electric Perm~t In~~~on i/;e is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative Fee .- Il- ~ cg-7.s- I Z ~-o $1'16 2') TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.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: COM2002-01358 ISSUED: 01/06/2003 APPLIED: 12/09/2002 EXPIRES: 07/06/2003 VALUE: $ 50,000.00 SITE ADDRESS: 1630 I ST ASSESSOR'S PARCEL NO.: 1703362104400 Springfield TYPE OF Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Fire damage - replace roof trusses, sheet rock, ceiling insul, Repair Residential Owner: DAMON RAPPLEYEA Address: 32914 CHURCH RD WARREN OR 97053 I CONTRAcrOR INFORMATION' Contractor Type General Electrical Owner Contractor ROBERT SCOTT BASH ROB'S ELECTRIC DAMON RAPPLEYEA BUILDING INFORMATION' License 134654 146149 Expiration Date 06/08/2003 09/25/2004 Phone 541-726-5896 541-686-5444 Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of 0 ~ ~~ Ft Ist Floor: ~...... .... Type of Heat: & ~ -..: g;Ft4Dd Floor: Water Type: ~.::> 0'~'-1'&';BlUement: )s ~ Range Type: $ 8 : ~ ~ <S~~e/Carport ~'~ Energy Path: ~ t ~ as~t~tJler: ~ ~ f/} 0 & ai~iv~Surface Area: ,,-, ~ 0- ~ 5b :::;: '"; 0 ......:::; '?::I- f- :~~~ELOPMENT INFORMAT~~ I! ~.~ f/j ;;: ($ ~ ~ 't) 11::: :S 8 ./!! S ~QUlRED PARKING ~~~ ~~~o~~~~ E ~ !;j Overlay Dist: Q 8-~'..!::- qy -...::. ~ ~Total: ~~~ ~~~~~~~~ I..IJ ~ ~ # Street Trees d' Cl)' ~...!. '8./!! f: CP Handicapped: .::::; Q::- ~ Paved Drive Rqd: ;::: & (j s:::> ~ & 0;; Compact: ,~~~~ >~~9~o~~ ~' ~ ;::: ~ % of Lot Coveragev ~ g ~ :: ~ -::: .f!! ",.::::5cS" r-~!1:l'O)""""'o~ ,=. ~ i~.<::> .~ f? ~.~ 0: ~.~ 't cJ ~.~ ~ ~ ~ IPUBLIC IMPROVEMENT~ ~.~ 't i ~~~~~ -0 ~ ~ ~ ~ ~ ~ Sidewalk Type: ~-...Ji!S~ Storm Sewer Available: '" <:..s ~ Special Instruction: '" # of Buildings: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: VN SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Street Downspouts/Drains Notes: 1 of 3 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: COM2002-01358 ISSUED: 01106/2003 APPLIED: 12/0912002 EXPIRES: 07/06/2003 VALUE: $ 50,000.00 I Valuation Description ~ Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number + 7% State Surcharge $6.30 12/9/02 1200200000000000360 + 8% Administrative Fee $7.20 12/9/02 1200200000000000360 Demolition $45.00 12/9/02 1200200000000000360 Sanitary or Storm Sewer Cap $45.00 12/9/02 1200200000000000360 -Mechanical Issuance Fee- $10.00 1/6/03 1200200000000000495 + 10% Administrative Fee $51.37 1/6/03 1200200000000000495 + 7% State Surcharge $35.96 1/6/03 1200200000000000495 Building Permit $370.65 1/6/03 1200200000000000495 Fixture $98.00 1/6/03 1200200000000000495 Minimum/Adjustment Mechanical $45.00 1/6/03 1200200000000000495 + 10% Administrative Fee $12.50 1/29/03 1200200000000000623 + 7% State Surcharge $8.75 1/29/03 1200200000000000623 Residence Wiring 1000 Sq Ft $106.00 1/29/03 1200200000000000623 Residence Wiring Ea Addtl 500 $19.00 1/29/03 1200200000000000623 Total Amount $860.73 I Plan Reviews I Planning Review 12/09/2002 12/09/2002 APP KG No historic value per Kitti Gale 120902. db 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. LReouired Insoections I 1 Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. 2 Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. 3 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Wall Insulation: Prior to cover. 5 Ceiling Insulation: Prior to cover. 6 Drywall: Prior to taping. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 2 of 3 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2002-01358 ISSUED: 01/06/2003 APPLIED: 12/09/2002 EXPIRES: 07/0612003 VALUE: $ 50,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 8 Rough Plumbing: Prior to cover and including required testing. 9 Final Plumbing: When all plumbing work is complete. 10 Rough Mechanical: Prior to Cover 11 Final Mechanical: When all mechanical work is complete. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Rough Electric: Prior to Cover 14 Electric Service: Approval required prior to utility company energizing service. 15 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certity 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 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01358 COM2002-01358 COM2002-01358 COM2002-0 13 5 8 Payments: TWe of Payment Check Paid By Receipt #: 1200200000000000623 Date: 01129/2003 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No PACIFIC FIRE AND FLOOD djb Page 1 of 1 1/29/2003 . 8:41:14AM City of Springfield Development Services Depa.,. ~".""ent Public Works Department Official Receipt . Amount Paid 1 06.00 19.00 8.75 12.50 Line Item Total: $146.25 How Received Amount Paid In Person 146,25 $146.25 Payment Total: cReceipt.rpt