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Home My WebLink AboutPermit Electrical 2007-8-30 ... ZON LD~ INITIALS N v'-\.. DATE _ a ~ '?;l).-ul SOURCE{'\I\ _IP ?{v2---> _ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number _f', tJvv} 21i7) '7 - D /2 ~ 7 Date JOB DESCRIPTION: 1000 sq. ft. or less I!\ ~I J . : _ _ /fO. l A. . 1- +0 " l ,_~I Each additional 500 sq. ft. or l-1CV.M.%lu- t>>~.) -etl':2:S'r. pe1rYIK portion thereof Permits ar~lD-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 1. LOCATION OF INSTALLATION: , ':2;00 ,~Jnk 'St. LEGAL DESCRIPTION: \~ O~ 2>\ '3 \ 0 '~5bL) 2. Electrical Contractor {! tJA/~I~ /I F~~ U~ Address 1213~ ~AI..AN;b 'ST. City EObGpf ~ Phone 68f.3aG.. Supervisor License Number '19795 Expiration Date / D /0 I/O 7 I - ., /l/9SDQ. Constr. Contr. Number ~D -L/J'.;l ~ Expiration Date -1L! l.... / lJIIII n 7 s;gna,"'~, ;t;Z';:e ,/1' Owners Name J.i:.S>~ &/ J Address Z5 (0 S I (J-U1 'St. Gty ~~~PhO"e s43-r0i3 N~ INSTALLATION: HE WORK TH~tp~lJWfo5"I\~k~PJ~ ~~~~ff~S ~"fVhich lTffi)~t!roCVPID~~ ~~ 'rent ~~~h~~QtJ}J? IS ABANDONED FOR ;!.\NY '\ r.o DAY PERIOD. Inspection Request: 726-3769 3. A. Service Included $117.00 $ 21.00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 ~~, OD <6 E. Pump or irrigation $ 55.00 Sign/Outline Lighting , $ 55.00 Limited ihUgwJQd't!ntQregon la,,:, reqUI~s,~8~.t.u , How les ado ted by the Orc 6'ffrnlllt~ Limite~ttTf@'1~8WegWt~, Thos" rI i1A~ e;<wPforth Minimum ElfIT~A~~~~gtf0It~~lisfl'501If(R+fSuHlOll'ges 4SUB~~AT.m~"p']l;t~ihC(). . ..... .tD~ruleqbv iJ) . .... ........ ...<<<t?!iingthecenter:.. .(Note:.. tel~~h~' 8% Stateri\'ftt1~~~or the Oregon Utility Notlflcatlo~.6 ~ 10% AdmlmstratJeef1~~r is 1-800-332-2344). ~ 2TJ 5% Technology Fee ,.. lA? V TOTAL (~q,{ 3/" Shared Drive(T:)/Building Forms/Electrical Pennit AppTIcation 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 300 33RD ST ASSESSOR'S PARCEL NO.: 1702313103500 Springfield PROJECT DESCRIPTION: Interior remodel Owner: LESLIE & B BELL Address: 868 6TH ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/27/2008 VALUE: $ 35,000.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential Phone Number: 541-543-1043 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor OWNER OWNER OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 R-3 VB 3 License Expiration Date Phone 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Electric Electric Electric nent Path n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: SpectftlVtCEtion: NoteT~IS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: ,\77[ffT:':;"~. 3IGI.!~:1 ~:," -;'~.(:I. ".. YIl.- LU follow rules adc;Jtecl 'o~1 L ,l; ~'l S~:JII ~_ UI';Y ~Q.tifiQ~tjllil,f~ter. The,se (L'~'3S me set f'Jrth In LtXir9'52-b1tl-Do1 0 throuGh OAR 952-001- OO:9(hvh'spnJrt~lJ'bJlS~1 copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notificaiion Center is 1-800-332-2344). CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/27/2008 VALUE: $ 35,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 35,000.00 Value Date Calculated Description Total Value of Project $35,000.00 $35,000.00 08/21/2007 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $42.37 8/21/07 2200700000000001329 + 5% Technology Fee $21.19 8/21/07 2200700000000001329 + 8% State Surcharge $33.90 8/21/07 2200700000000001329 Building Permit $311.74 8/21/07 2200700000000001329 Fixture $112.00 8/21/07 2200700000000001329 Plan Review Residential $202.63 8/21/07 2200700000000001329 Sanitary Sewer - Improvement $244.85 8/21/07 2200700000000001329 Sanitary Sewer - Reimbursement $322.00 8/21/07 2200700000000001329 SDC Sanitary/Storm Admin $28.34 8/21/07 2200700000000001329 + 10% Administrative Fee $7.00 8/23/07 1200700000000001077 + 5% Technology Fee $3.50 8/23/07 1200700000000001077 + 8% State Surcharge $5.60 8/23/07 1200700000000001077 Perm ServIFdr 200 amps or less $70.00 8/23/07 1200700000000001077 + 10% Administrative Fee $3.20 8/30/07 2200700000000001363 + 5% Technology Fee $1.60 8/30/07 2200700000000001363 + 8% State Surcharge $2.56 8/30/07 2200700000000001363 Add, Alter, Extend Circ Ea Add $32.00 8/30/07 2200700000000001363 Total Amount Paid $1,444.48 I Plan Reviews I Plannin2 Review 08/21/2007 08/21/2007 APP TAJ No Planning issues. Public Works Review 08/21/2007 08/21/2007 APP EW Sanitary fixtures calculated for SDC's Structural Review 08/21/2007 08/21/2007 APP DLM See documents for plan review comments 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. ~eouired.Jnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pa2e 2 of3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01237 ISSUED: 08/21/2007 APPLIED: 08/21/2007 EXPIRES: 02/27/2008 VALUE: $ 35,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeCtion Line 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. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover 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 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 Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01237 COM2007-01237 COM2007-01237 COM2007-01237 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001363 Date: 08/30/2007 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CONRICH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 032981 Phone Payment Total: Page 1 of I 8:32:33AM Amount Due 32,00 1.60 2.56 3,20 $39.36 Amount Paid $39.36 $39.36 8/30/2007