HomeMy WebLinkAboutPermit Electrical 2003-3-24
" '225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FA)fh~g~pl6.-~"RQc'as SUb"tt . 'd' h h"."":
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ELECTRICAL PERNIIT APPLICATION ' zoning, and does not requi~E specific land use -
, . 0 / L-II" :;pproval.
City Job Number \...~O(Y1 )'/)1) )~ -D13.."77Date 'i~ 2.-! 0-,06:> Zoning l)")/L
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LEGAL'DESCRIPTION
1'1 0 '"L ') 1 If V 0 I 'L 0 '"3
JOB DESCRlPTION
,
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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.
Electrical Contractor 0 tV J/ tr(L..
Address 'if 1 E1 (.A?1 ~, "...,
City ~ ff()
Phone "} V7 Y8t.(5
Supervisor License Number
Expiration Date
Constr. ContI'. Number
Expiration Date
Signature of Supervising Electrician
Owners Name D~~) flu IJ G-S
Address t)l1 t-- c:.AN d'1-U &1
City ~,~ PO Phone 1L/'VI'l~
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
'~
.:
f)~~A
............ -
Inspection Request: 726-3769
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3.
Service Included
/
1000 s'q. ft. or less
, Each additional 500 sq. ft. or
portion thereof
, ArTE '>!liOi\LI...lleQIJ{, ,a"" i'eqUlre~ you [0
follR! ~f~l~~))1fh!e~etwe Oregon Utility
Notif ~ gN Cfen<f&P.gIl\~s~1illes are set forth
in OA 2- 01-0 throu hOAR 952-001-
OOBO
ca
numb.1J3Affi\Jstl3f3IQ~egon Utility Notification
20 I Aill'pllfJ ifoo'~~'j',-s'332-2344).
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/V olts
ReCOllilect Only
$106.00
$ 19.00
$50.00
$ 63.00
$ 75,00
$125.00
$163.00
$375,00
$ 50.00
NO!.I
THIS P L X HE WORK
AU TH OO(l(()iml B.l!ftqtji<<~ qr~fl't;gtIN OT
COMMBNtWli)s@RI4SABANDONED FDR
ANY 110 &AV>~Rro(},mps
40 I Amps to 600 Amps
$ 50,00
$ 69.00
$100.00
D.
New Alteration or Extension Per Panel
One Circuit ~' $ 43.00
Each Additional Circuit or with
Service or Feeder Pelmit
4~-
C5L)
3-
'1-
$ 3.00
E.
Pump or inig,ation $ 50.00
SignlOutlin~ Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited E!lergy/Commercial $ 45.00
Minimum Electric Permit In~pection Fee is $45.00 + Surcharges
4.
$,~
4 . C-.::>C'J
t.., -. 1
L -5 . ,-::I,. -J.....
53 -"6 2-
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FonTIs/Electrical PenTIit 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: COM2002-01377
ISSUED: 02/12/2003
APPLIED: 12/16/2002
EXPIRES: 08/12/2003
VALUE: $ 21,362.00
SITE ADDRESS: 5738 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702334401203
Springfield TYPE OF
Single Family Residence
TYPE OF USE:
Remodel
Residential
PROJECT DESCRIPTION: Bath, Bedroom, & Garage Addition
Owner: HOWES DANIEL L & LINDA L
Address: 5738 CAMELLIA ST SPRINGFIELD OR 97478
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NOTICE: . " . ~!'- ~ -' - , - . ..
MIT SHALL EXPIRE IF<nl~~OR ~F0RMATION . . ,... .
THIS PER . ,'. " ' . ..
-l\h!.TJJf'\RIZ!:A Ill\ml=~ ~S PERMIT IS NOT, .. T.'.' ~I~ ",- .. E-" '. . D'
Contractol"'lJ' Y'Pe' ~ontt'acto !\mni\l!=n I=m~ :)~;: i. ' r)11 T";;lce!ls~_, :xprration ate
Owner COMMENCIitbWk~ E~'L'&,'UNDA L ro--":-.: ~'v r,'.., " .., '"
ANY l~U Ul-\l t"c.nluu.
Phone
BUILDING INFORMATION .' '" ';-~.:,~ :'
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Vrimary Construction Type
Secondary Construction
# of Bedrooms:
R-3
U-l
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
1 Lot Size: 12,430
15.00 Sq Ft 1st Floor: 176
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 420
Path 1 Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Yes
17.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
28.00
10.00
16.00
42.00
7.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
3
IPUBLIC IMPROVEMENTS.
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Fully Improved Curbside 5'
Yes Downspouts/Drains Curb and Gutter
New roof gutters to drain to curb. May utilize existing roof drain system if in good condition and
inspector give approval in field.
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01377
ISSUED: 02/12/2003
APPLIED: 12/16/2002
EXPIRES: 08/12/2003
VALUE: $ 21,362.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellinl.!:s
Garal.!:e
Garal.!:e
V Wood Frame
Garal.!:e
Garal.!:e
$74.60
$19.60
$19.60
176.00
308.00
112.00
Total Value of Project
l Fees Paid I
$13,129.60
$6,036.80
$2,195.20
$21,361.60
02/03/2003
02/03/2003
02/03/2003
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $110.37 12/16/02 1200200000000000411
-Mechanical Issuance Fee- $10.00 2/12/03 1200200000000000684
+ 10% Administrative Fee $34.70 2/12/03 1200200000000000684
+ 7% State Surcharge $24.29 2/12/03 1200200000000000684
Building Permit $201.00 2/12/03 1200200000000000684
Fixture $56.00 2/12/03 1200200000000000684
Minimum! Adj ustment Mechanical $39.00 2/12/03 1200200000000000684
Plan Review - Planning $55.00 2/12/03 1200200000000000684
Plan Review Residential $20.28 2/12/03 1200200000000000684
Sanitary Sewer - Improvement $117.53 2/12/03 1200200000000000684
Sanitary Sewer - Reimbursement $154.63 2/12/03 1200200000000000684
SDC Sanitary/Storm Admin $24.55 2/12/03 1200200000000000684
Storm Drainage Impervious Area $218.83 2/12/03 1200200000000000684
Storm Sewer - 1st 50 Feet $45.00 2/12/03 1200200000000000684
Vent Fan $6.00 2/12/03 1200200000000000684
+ 10% Administrative Fee $4.60 3/24/03 2200200000000000634
+ 7% State Surcharge $3.22 3/24/03 2200200000000000634
Add, Alter, Extend Circ $43.00 3/24/03 2200200000000000634
Add, Alter, Extend Circ Ea Add $3.00 3/24/03 2200200000000000634
Total Amount $1,171.00
I Plan Reviews I
Initial Review 12/17/2002 12/17/2002 APP LLH
Planninl.!: Review 12/17/2002 12/26/2002 APP AJD
Public Works Review 12/17/2002 12/27/2002 APP DPE
Structural Review 12/17/2002 01/15/2003 WE DLM
Structural Review
01/17/2003
01/17/2003
10
DLM
Structural Review
01/22/2003
01/22/2003
10
DLM
Structural Review
02/03/2003
02/04/2003
APP DLM
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Contacted owner by phone. Need
clarification for drawings to
determine what applicant is trying t<
do with the building additions.
Met with owner; He will provide
additional information on the
existing structure.
Owner called with additional
information on structure.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01377
ISSUED: 02/12/2003
APPLIED: 12/1612002
EXPIRES: 08/12/2003
VALUE: $ 21,362.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Reouired Insoections .
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Post and Beam: Prior to floor insulation or decking.
4 Floor Insulation: Prior to decking.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Wall Insulation: Prior to cover.
8 Ceiling Insulation: Prior to cover.
9 Drywall: Prior to taping.
10 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Underfloor Plumbing: Prior to insulation or decking.
13 Underfloor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
15 Storm Sewer Line: Prior to filling trench.
16 Final Plumbing: When all plumbing work is complete.
17 Rough Mechanical: Prior to Cover
18 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 ail 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. /'
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Owner or Contractors Signature
Date
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