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Home My WebLink AboutPermit Electrical 2003-5-20 , ",..,n., CITY OF St 1(INGFIELD, OREGON " I .... 'It ~.-z;u.03 lL-{ 3. bGt!~~~i::r:f~~~S.q1.{!?RVL:~~BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CityJobNumber CoV1AZooJ- 60J"']. '1 Date 5-20-03 1 I EOCA%J.'cJON'OF INSfi'-irLBtfj;I(jJNfr~ .:,~ ?'r~;;~1 . L>";,..... _..-""O<"~"/';"-""'.-.. .'-',,;.,,)')J'-1,_..-.t;'i5:;,,';~,";";"-;;;':;,; <':s:tY<:"':C:::-<';igd~Miit:{~;:;;~~';fk~'vl ~.~ 45'15 DAI~t.( . l I I A. ~~~J.8~~lq~~Ji~t;~'}~ingf~~r,M~lti"Fam.i1Y per dwelling unit. ........ " .. -..- Service Included LEGAL DESCRIPTION i70z..3ZLt3 JOB DESCRIPTION k'e-- W/~t.: (.) /I ff1 /It-t?b t2 i?1 S o 7L(Oo rl,e t.3- 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 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 t~:"'"'' '. , ",.' ''41'';,,,' ."., .0';' ,..;'......;..~, ""i:'F.,'"'' ""''A:~ 5:e.aNTRACT(!)R"INSTfItE:liA"''FlON10NL~;; 2 . H j"'''':;;''''p ."-: >.t-' '~'(-.":''''~--' 'l-:' I':'" :_"~'''-t.0tl ft.; ^ ';~"'h4:r.t<...,.,~~: "^,.-,~,,:-.,,-,,.-~,.. ",c.:""L:,.., '"' .,.. ..,..,. _,,:r. 'Y.$:';:.-..o:.,"",' ~';w~~,~;.-A'; >,;). '~;;'i!k'> 'l '"~~it..<,;~ ''''-T;:&,n:i.'_-",:i:-S:r&.''H;;'X<'i~ .:~W~\d.Jti::w~Gtt~L ti.~:Fi!JtJ>':';>'--l:eillfR;>":T/\\'!:~~lr~>I' ....'::)S{F,::'; : ,"(< B. l.;:~~~v:i,c~,~'~~(r:i;f;~~tJ~!l,J~~~,lI~ti,2\~' AI~er~tions or Relocation:, t''''<<'<'<f<M'''''''''''''''''''' . '''W''~:''. L . L ,j,{. A1d~te(S !?lec.r Electrical Contractor 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Am-ps 'VU-,. Over 1000 Ampsty,oltstlCt Reconnect Only -'tuttiS PflT. : l' "'~" ,,, CfjiJt;,;<~/;!{Jlil!!$};-8blA C. ,illel,n no"rar~S~(;Yji1~1l9l(md~t.S11IIl". .. ...... ,l!', t"''''f/~7v'C. ~.:yrv. <.t.;...c=,t 100 '(f;-~ % PIRt Installation, Alteratio~r}Rpi.fifl1JOJI:/iIS PEt r/it 200 Amps or less I.. RIOL{ r.l/Nf)(}/lJ5f$.()9'1.!!J2a.~ 201 Amps to 400 Amps $"f9190 I,) No;' 401 Amps to 600 Amps $100.0~1i .. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Sf 4e3. .s f1IELL~ . Address Phone 7 f 7 ~ 0 r-I ( ~ fekJ . City SO?)'-~ Supervisor License Number /0-04- O/~3<iS Cr- f- 05 Expiration Date Constr. Contr. Number Expiration Date Over 600 Amps or 1000 Volts see "B" above. .. ",.,: ..p""-".,...........' D.=ilcIH.@ircuit Signature of Supervising Electrician ;4~ tL..~ d - ___ JV ~ Owners Name t::'a.1.A\ 1"7 ~ew Alteration or Extension Per Panel .f' 0' ;'C' , I $ 4300 '0/ ' ne, 'lfcUlt . .IVOI1/;EachJaCHtional Circuit or with ~ I __ '\. :'1} OLi.Jetvic~'%-rcf,~~cteJ:~germit ") $ 3.00 t.-/ U ~'\7'4::.Lr,)/O "i'T VI] VO >::fOr; ~~ '", .... ......;;~;~.i:~:;:.;..'~~ 'Ui,:::;i;::;',;;:<;':.;t~,'i;i;;'d' ..;,,;:::;:,!:<;i:~:".. ."i" 5' L( C. ,ED '.... , .' ce; e er.notm'i'CIUlIed)> Eachl'nstallation I q11t1), ~''f'''''''~''f'"''*F' '" ''$'',.,..{If.;'';..,..".......'.'''' ',.......... '''~6 '{) ~I} 'C:Jya;: '0 fA ~€l r. Ure t:'S j/j &r t,pu1hp6-or iriigationtolJ. lI/€ls '{)O" I 0" In $ 50.00 C ~~~O~UrneQ!:ktin .fJhO iir€l Vlllt'!,' $ 50.00 191]~6U1..:. O~ V'v.O:l.-,~ ~!:\ S:,":' _" L(r.:J~., d'E:'I OIR' 'dS """1'7 $./:'0 (fO $ 2 00 lmlte 'rfeFgyesl entia ~ v:? '/1ft, 5. v 1..0;''''' {h. "/€ll' "er. ~V Limited EneroylCDotnmefCial 1I/~_}, $ 45.00 " '8~9. . 'Y I\Ii "'1)1) 0;::: (;, Minimum Electric P~lrii\1!.g~e'cti~~(Fee'iS $45.00 + Surcharges' I', .' .":,.?'\.a~"Y;i"""'"1[!ilIl!i*::",,,':3~V~L'.:~~(~lJ.s'" ,..' " ' 4. XSfffBfEQT:i4,Jj:R(!)E%'!4'BQME;i',',f.c'i,:[f,\< ". '..,. ""'~"<~";>~''':'"''~:'"''''':'i;f"":,',;",.,,,<.:h.,,,,,,,**<'@.ii;');......,,,._&~t1,.,.:'!tl,,,is~~"m~'k),....;.:d,*,,<*~li>!(t<~~'ij."".,.".,...,!"..:..." .._..i.."."..;....,........ __"'." :I;]~1<.:~~~;qM&tAV'}:.:;ff1~@~%wi;tt~~~[~~~!i\~@Ill:>~:;\~,:;'&1kt0i...;:...:.:_ ...~~~...:. . / ~t.; 4 j C'12. 1~ Address =? 0 55 Cr- City ItA. v../$ h-- Phone " OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: > '52.. o:g. J b cr 5 "J..-,.sL bO i'J:-. 7% State Surcharge - , 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc r _"?B~';f1,g,'-iIELD~. , ~ ,. . . .. J t ... . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11/21/2003 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4595 DAISY ST ASSESSOR'S PARCEL NO.: 1702324307400 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire damage Owner: EQUITY LIMITED PARTNERSHIP Address: PO BOX 54 THURSTON OR 97482 I CONTRACTOR INFORMATION I Contractor WARRIOR CONSTRUCTION LLC L H MORRIS ELECTRIC EQUITY LIMITED PARTNERSHIP J I BUlL~FORMATIONI # of Buildings: ~ '\'9\~~ies: Primary Occupancy Group: R-3 ~~~ ~~~~bl Structure Secondary Occupancy Group: U-1~ ~ ~ <,>-@1e-ofHeat: Primary Construction Type *'~'\~ ~\)""water Type: Secondary Constructio~~\." CO ~ ~<o~ Range Type: , # of Bedrooms: ~'\" ~~~\..\) ~ (J~ f:> ~\). Energy Path: ~~~c.:~{J~~,~<v\).1 q<V~ , ~~ ~~~.;V~~ \)Y'" I DEVELOPMENT INFORMATION' SETBACKS '" to...~-4.. '\ REQUIRED PARKING r . ~\O Front yard Setback: Overlay Dist: 0S ')0 ~~{F9tal: Side 1 Setback: # Street Trees Rqd: eo..\j.'~ ~o(\ 'U \~~~icapped: Side 2 Setback: Paved Drive Rqd: \ \'3-~ '\ e O~e ~e s0,<:;'Q.rnpact: 9P' ",\ \~ eS ~ 9J~(; 'Q · % of Lot Coverag~.0\0 00'0., 0 ~\j." O~~ ~\j.vaS , ~\\U' '3-00'Q~ ,,\'(\oc.:>~o\j.~'{\ 0\ \'(\0 ~o(\~ ~ ~.....~ , "'C; . c>,~. _ .'(\, . ,..c::, ,_'A9 ^....,o I PUBLIC IMfi~N'EM'~Nis'I'()()~i,(\ co~~.\~e ..~o\"'V- , .~\V- be.. - 0'0., \.~ \,~,\i_ ~bt'" ~o\\ "'~ g ~,'3-') ~\Sldewd'k\.~y,pe;~ . Or --{O\j. ce C'I~e~ ,,(v'?>"'" ,(\ ~9J()' . ~ \'(\e \'{\eDowpjpoutslDrains: CS c~\'~ :(\0'\ e~\'O '\ ~'Oe r 0(\~ . (\\) v ,Contractor Type General Electrical Owner License 150837 01838 Expiration Date 04/21/2005 06/08/2005 Phone 541-729-8824 541-747-0811 Lot Size: SqFt 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of3 __~~5J}.~\C!l"~'~~,g \ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11121/2003 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriution I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 5/19/03 1200200000000001232 + 10% Administrative Fee $26.94 5/19/03 1200200000000001232 + 7% State Surcharge $18.86 5/19/03 1200200000000001232 Building Permit $224.40 5/19/03 1200200000000001232 Minimum/Adjustment Mechanical $33.00 5/19/03 1200200000000001232 Vent Fan $12.00 5/19/03 1200200000000001232 + 10% Administrative Fee $5.20 5/21/03 1200200000000001273 + 7% State Surcharge $3.64 5/21/03 1200200000000001273 Add, Alter, Extend Circ $43.00 5/21/03 1200200000000001273 Add, Alter, Extend Circ Ea Add $9.00 5/21/03 1200200000000001273 Total Amount Paid $386.04 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. willbe made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Ceiling Insulation: Prior to cover. 3 Drywall: Prior to taping. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Mechanical: Prior to Cover 6 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. Paee 2 of3 ___ ~"~~,M~!PIi~:.!!,f \1 ~ R ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11/21/2003 VALUE: $ 25~000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofany 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 I , 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 Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt ,~ - ~I Receipt #: 1200200000000001273 Date: 05/21/2003 Job/Journal Number COM2003-00339 COM2003-00339 < COM2003-00339 COM2003-00339 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Item Total: Amount Paid 43.00 9.00 3.64 5.20 $60.84 Payments: Type of Payment Check 60.84 $60.84 . Paid By Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid '.< . 5/21/2003 8:18:43AM Page I of 1 cReceipt.rpt