HomeMy WebLinkAboutPermit Electrical 2006-6-1
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number -C /;)~2/)2j ~ - CJt:)!#-
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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
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Electrical~ntractor
Address . '"
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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
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3. \d6~iPLETE FEESCHEDULEBELOlV;'{'
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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
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B. '>Se'rviCe.s. or Fiede'rs'~JristaJILlti<in;<Altel;atio'ns'()r Rei 0 c'':lt ion: >t'{
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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~, ~~
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. . . 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
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E. >MiscellaIle?"us (Sei'vice/feedet liofiilcludec!j ':"Each I~lsbllation'
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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
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3. <E? ~
4. 6-0
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c: ~ 2-fJ
8% State Surcharge
10% Administrative Fee
TOTAL
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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