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Home My WebLink AboutPermit Electrical 2005-1-14 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541) ELECTRICAL PERMIT APPLICATION City Job NumberCDV1A zoos-- 00 qb4 Date '~~ttr.iW"m~J.t\~~T,S' "q:"!.lf~:'i'}~~7J,"''d.'''f/i:9$'''z'r,'I~":~",,.,ti 1 : :L:iQ~' ~\6..L!V;~UB2.l:.l,~,j~i l .--:~ '''':'.1.~;+;,~r'i(~~4.:~"~ . '~~, '. ~L'~~1Uz:d~":';~(~~t.;~6~1~'4r.,:,,~,1t::)t,i~;' / b S-I Co #-ov.- vJo~ tl Ai LEGAL DESCRIPTION /7D3273'3 05700 ~~e;',r:::e~,i~7~~{E@R,'<',fNsJr~,l<,'ti!&JlL(JNi,'~,QNiJ~~i B. ~~s~vi&~~6\"'iE"rid,"~h,~~;,O,kff~1~ll!tfig3~,'mt.. '0 us',' t,'- Iit-mi~.w}},~ 2. mpttl~~>e'.ilWIMll!~~~1~~<;r>~f~';}-'::Jt1i!U~..k~:.~:zt:~1.:t;iS ~'cr:g~~..~~~~~~fC;""'~_& ,[, ,'" , '~,,' ~~U{~~ Electrical Contractor to- S Uc('.Jn'c..,.L;:;?~ / pfJ &X ) lfrzd City ;pC} f) JAr Jr) Phon, JOB DESCRIPTION Address 7f.Jj-dd30 Supervisor License Number 4~9ljC; Jo -0 /-0'/ 3~Ljq q -J- OB Expiration Date Constr, Contr, Number Expiration Date ~nature :f Supervising Electrician "-. !)~-:tJ?: Owners Name VVOV\lf\.~ s-lA-<Z.-k ~ I{/S-I G:.~L.4Dv d. City 3? F "'" Phone 7?b -077'] Address O\VNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 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 law re"\,,ires VO$1~~,OO Over toO:O\~ih'P~Qf~gc: by the Oregon Ut31W100 Reconn,5<H Orll~ adopt\hose rl1lo~ ~sat j~~ _ 'f,i,~~,jQn,geQ!er. '... ~2-001." c. r.tT~rP.'>O't!a~l~'isi~_1f1~c~;:' ~~~1i"~~~"\~fiil~ r.....~..:~.:.J.:.,U":i!7.1:.J.W.,,.,,:..;;.;.t.CtJo';ti,~ . '- - . - ~~:';a.Uol~ '0090, You may oot . the telephone Insfa]~JiRf\g'\lty~@trk itllb~tllW Notitication 200 "'WR~,tretewr the. Oregon_3M MAA\ $ 50.00 AIR ntl"t.IS 1-800 ~, 201 Amps to 'Wtt}}'Pml'jJS"' $ 69.00 ' 401 Amps to 600 Amps $100,00 Over 600 Amps or 1000 Volts see "B" above. ~iH!^""O~e.~Ql:)"..""",,,,,,,,,,~,,,,,.,, ,.~.~~. ".,.,,_. ' D >t~\1>"0""'-I'_I~} _.~"~#."~)tu~~ , ...."'~.- _~~,Y..~... . ~\ml:anc}'. "lrcUlts'~i\'i ,.." ,":',: .,:w::ti r....-A>j" ~';:,'..>f.,r.'<X;;,~{.....'-l...!'I"[~."';.:~">, :.JOlt--. .. -."" _.~~:'~'..t.l ;U;~;~!.~J.!il,G.a:~~.:r.~ ..:r_atL,~. New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additio,na ?"Circuit or with . /' !\i {(j\ ~r II rr. :-' $ .3,00.. t::> Servica'{}t1IIte&l ~f'Perr~HALL E TRt WllR~\ _,_ i}-IIS p, RM . . ",t.Y"7.' ,_~...,.. i" ',","""',;<;~, ..,;ti,\."\",r.k~, ',"'''' :f<tii!e\, 't~~r;pUI~~W!\S_' ',ilttW.: ~;\' ',i.v'(!~m;m'?'11;;1';"'\.''''7j~''R, E. ';1M.is'c.e~I" ~QU!il' . ,c~tootleit;il6't,ihClUd'e(I;:": ~2, lstallitiol1;~ """"'''','';''{>'~, """"""'\'e'~'i'''' .",.""~,,, Jh'{'f5' '~"a' " 'I.' ~" ." ,/,.,." ",'4'\,,, ",,'i< ...~';<~>l' .",~.' 0;. _"""....-'.....A"'_~ ~~ ' ~ " . '.~l ~'!.<...'N'.~..t. ...............,) 1;1, COMMEN I L. Pump O}\W~~t&qy DAY PERIOD. $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyfResidential $ 25.00 Limited Energy/Commercial $ 45.00 Min~:i;;1~~~~i;~~:;;,~;.:,::::;r~::~'=~~~B'> ~." ~?~ur'C)l ges ..-.0 4 ~i:sr;:"">~O:r"A'Y;.,r.'IoE~A7Dr.\TW'lj""" ,,",,;,,:'~f,. . """ "1," {;' ......_ . ,,,. .l:JV:.L-,' :.J..~.L1J..:J V (.l':l..{)I(J;'Y,~''''J. ... .H;.. ...l I;!J "1-\ r r~",VjCJ~:~~:.t~~(,?,J.v~Y~ltf~hiif;~'~iI'~.L~~k..'\r"" ~~~~"~~~~;; .' :;a~~.t ~ ...'_~~~tJ>.........:.;;:a_....1; ~ ....... :t~UbLl,:~ ...~i . ~~ , / ...-fl..,\! 7% State Surcharge / '- ~t? ~..v' , A~" \::I ...~ 10% Administrat~e F~' f" ~~' \ / ~(? TOTAL // ~r' ~4Z rbO 702-, g ormsfElectrical Permit 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: COM2004-00964 ISSUED: 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/18/2005 VALUE: $ 4,000.00 SITE ADDRESS: 1651 COTTONWOOD AVE ASSESSOR'S PARCEL NO.: 1703273305700 PROJECT DESCRIPTION: Patio cover- Owner: YVONNE STARKS Address: 1651 COTTONWOOD AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential 'Phone Number: 541-726-0773 I CONTRACTOR INFORMATION. Contractor ABRACADABRA CONSTRUCTION INC C & SELECTRIC Phone 541-343-6761 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10,00 10,00 Street Improvements: Storm Sewer Available: Special Instruction: License 104904 3849 Expiration Date 03/03/2006 09/01/2008 BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type ofl,!.qa'ENTION: Oregon law rer&qi~,dlFt6'or: Water Tf~mw rules adopted by the lS~'eJtt: Range ;J;~qRfcation Center. Those rul~g fi'~/fo~'marport Ene.rgy: ~~'N~L952-001-001 0 througll'\tJ~~~01. sprIDid8~~uf~~inay obtaiW~opies 9f~He:w.~E!!P~ - "'m~NO[e; LlltI LtlltltJIlVIIO I DEVELOPMEN'f'Im'~n Utility Notification :..'.... C . 1-80n>:l>:l1) 2344) 'REQUIRED PARKING , enter IS ~. . Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd:. Compact: % of Lot Coverage: 288 PUBLIC IMPROVEMENTS o G : Sidewalk Type: THIS PERMIT S~LL EXPI~JdF THE WORK AUTHORIZED UNtJ~'R'~~ ~tfft?iW IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Yes Storm sewer to existing Notes: Page 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction PatiolPorch Use Bid Amount I V aluation Descri~ioJ $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 4,000.00 Total Value of Project ~ Amount Paid Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Plan nine Review 08/05/2004 08/05/2004 Public Works Review 08/05/2004 Structural Review 08/05/2004 Date Paid $39.39 $10.56 $7.39 $60.60 $59.00 $5.21 $104.16 $45.00 $6.30 $4.41 $63.00 $0.60 $0.42 $6.00 8/4/04 9/16/04 9/16/04 9/16/04 9/16/04 9/16/04 9/16/04 9/16/04 1/11/05 1/11/05 1/11/05 1/19/05 1/19/05 1/19/05 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00964 ISSUED: 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/18/2005 VALUE: $ 4,000.00 Value Date Calculated $412.04 I Plan Reviews I 08/05/2004 08/15/2004 $4,000.00 $4,000.00 08/04/2004 Receipt Number 1200400000000001185 1200400000000001353 1200400000000001353 1200400000000001353 1200400000000001353 1200400000000001353 1200400000000001353 1200400000000001353 2200500000000000036 2200500000000000036 2200500000000000036 1200500000000000070 1200500000000000070 1200500000000000070 APP SKG APP EMM Paee 2 of3 No scale listed on plans! 10' Minimum street side and rear yard setbacks. 30 maximum height allowed. Storm drainage to go to existing (splash blocks). - MS See documents for plan review comments 08/20/2004 APP DLM 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. 08/06/2004 APP MS . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00964 ISSUED:, 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/18/2005 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Re<i]uired In\Dections I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. 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 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 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 ... . Sprmgfield, Oregon 97477 541-726-3759 Phone . U~.saEllELDf ,~ ) Jiiiily of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 1200500000000000070 Date: 01/19/2005 9:50:19AM Job/Journal Number COM2004-00964 COM2004-00964 COM2004-00964 Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By C & SELECTRIC Received By djb Item Total: Check Number Authorization Batch Number Number How Received Amount Due 6.00 0.42 0.60 $7.02 Amount Paid 11 004 In Person Payment Total: $7.02 $7.02 1/19/2005 Page I of 1