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HomeMy WebLinkAboutPermit Electrical 2006-6-1 Date ZON L-D2- INITIALS f\JVV'\ DA TE (0 -01 - u.,e. SOURCE IVYL{J ~f2...\.Y):> (0,-1-0& 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number -C /;)~2/)2j ~ - CJt:)!#- . . ..'~. .- _. .;:. . ".. '., '. . ,. ,..,' ;', . ._ n.:", .," ,. > ~ ~ x .~-.:: ,," .~:/,:, >,..., ,..~;~.'" > .;0:;~. '(- I.", LO~Ar,qN OFIN$TALJ4TIOl'!;:,':<:.'::"::" ~c;/):"';J;ZJ;;!J;;;"7Z r J 2- LV~,J2-4 , LEGAL DESCRIPTION /2;02- /)0 JOB DESCRIPTION CMCHIlJ' ,t7JJz tf~~ avtl, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2.,!.Cie~g~IgJi~.!~~i11i;:1!Ji?'iu'9~,~~L ., Electrical~ntractor Address . '" ~ / / City Supervisor License Number ~~~~Ya~'i~2hate' ~!_!I\I I ~',nmH:~~lNnR~ I r 110 icnlVlll -,...- -... ,_.. .. - . AUTHORIZED UN R THIS PERMI S I\IOT Gonsl:1'o Gontr-Nu enS 1\ q (\' i\lnni\lrn rn lJOIVlrVICI\!u"cLJ on I . .~, ...- -' ,[- ~ - "\ El\NY 1.80DD,~\, PERIOD. XplratlOn , e Signature of Supervising Electrician Owners Name zA-(' je-;-ttJEIIL~. Address ;gge AQ#q1~ ,fl?/~ City 0~711 Phone ~ -2h 12J OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent~ xown~~~ Inspection Request: 726-3769 ."".,}:..'J::; ",.., ,,-':'.:.: .;, <v '::,,;;~~.}~:,;\.;:,:....,:,::,,<:. " :~'.:~.;;f:'.r<. .;:;;::; :':',,: "',\.'~" ,....~:.,. "-v,~t..."<,.~".,:..,,,,,,~~. >r"",':........~.~.(~ "' ""(:;':'" 3. \d6~iPLETE FEESCHEDULEBELOlV;'{' A. L.~~~~';i~~1~i~1~~r~'~i~'~i;.?EH;i,i~2~~',~;}~,~'~~ar~~JF~i~~:4~~~}~~}~, Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 :;.:;:'-":.< ,;::>"~',,'i~:~,::', ;;':;'~':~:~. /<~"> .:';'f-:>$-\'~4\}r>~.;;;r': \; ~""/;}~,:.~", (: ':::'r::~'-x';,>::: :~';';:~ .,<.<\~ " .; r} ;:",.'-::~ ,l<:, ;:;>.>_:::-;.. ~.' j;' ":'~-'';~'I~'';.~:~:.:~;n.;)~...; _,t!:!"': B. '>Se'rviCe.s. or Fiede'rs'~JristaJILlti<in;<Altel;atio'ns'()r Rei 0 c'':lt ion: >t'{ ~~':::,_,,;;;/~),<,_-:-:;,,~';k' :~ '2,~;;3;i\:, ~<~ ';:;',,:"""ii-.:', .~~:.'~A~f;. ::,~,L...,'. .;1:~';":.- :L.".~:';",:~',;~.,;,,~;~' " ,.~:,~.} .:::.,,~ ::-.':.-~~..'.:: ::, . ~ ~~ ,':,..,:.~:.;:...~',~' ...,':~~" 200 Amps or less $ 63,00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps . $.1 63,Ofb ,+" Ov r 1000 AMlEv"'T'ON: Oregorllctvv I C;~l$~:yf dO ~. :,- e .f 0 ts d to' '~\~I': 81 eClC)'l I Ul'''I~1 Reconnect Only'JW rules a op d.l uy ,$ 5'0.000, .'M:h Notification Center. Ti IU:;'C; I U1es are :;",t : -, _. c. ~;T~riiJj~,arfr;s'\~Y1~~lIBi~~g~~': iQ~~"c~~t~~~t~:~~t~, ~~ ,^,;""""C'~6b9'O',#Vdb'm'a'fiabtar(1' '" I . f:tt:1~ rth"'''l.b)t,c,J;:, '.'c..-; . . . II' ".. tbe r;r.n+p.r. (Note: the telephone Installation, Altet'ihlOn or Relocation UA'I't N tTcation r;lumber for the Oregon L11 Y 0 I I 200 Amps or less Center is 1-e0r;- ?'3')-2~{~.QjQO 201 Amps to 400 Amps $ 69,00 '40 I Amps to 600 Amps $100.00 Over 600 D. New Alteration or Extension Per Panel One Circuit I~ $ 43,00 Each Additional Circuit or with J Service or Feeder Permit $ 3,00 4?~ .7CJ-O .' :~ ' ~1~;' ;~-;,?>~.,. ~}. >~<';.': ,....':..'~...~~. '~':':<":: ~;C^:'~';":.,-;! ".' ~.;..: . ';~'<'~':',,' ~.;: ;', \;i'~:' ,....-~ ,'., ;.~..,:.^ ,.". . -.', '. ',~, " .'. '." : -.:- , .' ., ,. E. >MiscellaIle?"us (Sei'vice/feedet liofiilcludec!j ':"Each I~lsbllation' ,,,,",_:.;,~ .,..\.~..;':..: ..-:...'""~::",,t,;.~~';""" ,::.:,,;~.,.p-;...~., ,,:':.~";; " ;~~~ .'. :,:- ....,_~:...i;: .,~_~.>:, .,;~,* ,.', . "'~';___'.:.'~,:..,...' . .. ..',,' '.J !:~L~;.' 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. ;(SU13't6TAi()FIi30vE"~<2;,;:j:, ';:...; . . ' . .;;:':~ /. .:'<~:" ':,'.>~',:",~>i,t; :~: 'i,<> i~:':, : i:.":;:,;,:,:...::; ,.: ,'.;'~ --,!,",,; ,~.;~,..';.','~' ',:>,'i-< . . ".,;" %/J{) 3. <E? ~ 4. 6-0 , , c: ~ 2-fJ 8% State Surcharge 10% Administrative Fee TOTAL - I Shared Drive(T:)/Building FonTIs/Electrical Pennit Application I-06.doc . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00144 ISSUED: 04/0312006 APPLIED: 02/0612006 EXPIRES: 11/2612006 VALUE: $ 21,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 890 ALDRIDGE PL ASSESSOR'S PARCEL NO.: 1802061204324 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: garage conversion Owner: ZAC DETWEILER Address: 890 ALDRIDGE PL SPRINGFIELD OR 97478 Phone Number: 541-686-2698 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VN # 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: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Pal!:e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Garal!e Conver. Garal!e Fee Description Plan Review Residential + 10% Administrative Fee + 8% State Surcharge Building Permit + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Planninl! Review Public Works Review Structural Review CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00144 ISSUED: 04/03/2006 APPLIED: 02/06/2006 EXPIRES: 11/26/2006 VALUE: $ 21,900.00 I Valuation DescriPtion' $ Per Sq Ft or multiplier $73.00 Square Footage or Bid Amount 300.00 Value Date Calculated Total Value of Project $21,900.00 $21,900.00 02/06/2006 ~ Amount Paid Date Paid Receipt Number $130.65 2/6/06 1200600000000000119 $20.10 4/3/06 1200600000000000399 $16.08 4/3/06 1200600000000000399 $201.00 4/3/06 1200600000000000399 $4.60 6/1/06 2200600000000000707 $3.68 6/1/06 2200600000000000707 $43.00 6/1/06 2200600000000000707 $3.00 6/1/06 2200600000000000707 02/08/2006 02/08/2006 02/08/2006 $422.11 I Plan Reviews I 02/08/2006 APP SKG APP TAJ 02/09/2006 APP CAS 03/27/2006 OK RJB No Planning Issues. No sdc fee interior remodel only no new fixtures 2/9/2006 CAS 02/08/2006 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. l..ReouireCUnsnections 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. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00144 ISSUED: 04/03/2006 APPLIED: 02/06/2006 EXPIRES: 11/26/2006 VALUE: $ 21,900.00 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 co uctio. , Owner ~etors Slgnatnre Pa2e 3 of3 10-/-0 Date 225 F~ft\t Street Springfield, Oregon 97477 541-726-3759 Phone r:*v of Springfield Official Receipt /elopment Services Department Public Works Department Job/Journal Number COM2006-00] 44 COM2006-00] 44 COM2006-00] 44 COM2006-00] 44 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000000707 Date: 06/0112006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + ] 0% Administrative Fee Paid By ZAC DETWEILER Item Total: Check Number Authorization Received By Batch Number Number How Received dim 463579 In Person Payment Total: Page] of] 11 :47:25AM Amount Due 43,00 3,00 3.68 4,60 $54.28 Amount Paid $54.28 $54.28 6/]/2006