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Home My WebLink AboutPermit Electrical 2004-4-1 ,.',!i:,,^o,'" ,', '.'C)T'T'V AF'S: iTI.TGFIE,T;D "Q,REGON"" .' '1 11;' '<, r"~;,-"~'",;,.\~..~\~-,~,:;'J!"vJ'l''''.l.t~\3I . .1..r~XJ..l~ L ,\:.} -i'''':'~ .,....~.~., ~...'\~';,I.k~ ..,~~'Q....; '{.r-;;.e~"':-'.::;';~\5.: ...\ ~".:.:...\\..~: <','..';: ..'( " 'I".i:\'-; .. ~k I"; ,.'~~.\',,,.,,,,~'.)\ "1.',!, 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: 1541 1726-1hRa, sub~itted has the following The following profller . T I d use ELECTRICAL PERMIT APPLICATION zoning, and does not require speCllC an City Job Number COrn ZOOLf -COO7 S' Date approval., l\)/2... - 1. g'L~:O'''CA' '.q~T'""r"O' "J\i,'O-"F..'-~'l"~~S~~UWl'I''''''''O''N' "T~.",'~,,,,.. ,"" . r\i';""""..."_"",~"""""_".;,~~...,",,:;-,,,,,,,,,=--!-{,",,\:::,o~ .K~'l ~u.k~~L~~.."~~l~~_',,, ~<'-.... ..:_~~...~:~, Jf..tS\tv~ 3. ~9J1!~~Z~:;6if:~c.~~~~~qI~1~i~:~~"~_;'~~SM II 9 I? FA-I (2ttAvt7! <;,,- AuthOrized Signature . :N~[~6't'.r:'7f'r-€D)'-~I-c1';t;~~J~;:::,&n:::7~:rr~~~~~~i:: ;~~~'~'fJi~~:;:~t~1 A.. [N!~::,~~~.I,~~~_~~~ngle..P!}~f~,~~~~,~!l~~lU2' g.e.r d,~~'~I!~ry~~~~J!~;'~ LEGAL DESCRIPTION '703 z,731 0'-1600 JOB DESCRIPTION Sf(2.. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . ~CONiRA'CTbR!INST..'-AliiA.Ti(),k:ciF,i"f/YJ. 2. lVy.oi;;{~J.b~''l:{;;,"~".'':. ,. '~1" '..-',"ri-~"~~~''''(~-', .~. Electrical Contractor Ge~vd' ~JecT Address .3751 Ha.<./de..J B... R-d. City ~,j:lIJ c, Phone I</J~2.5?( Supervisor License Number 3 {, S; 15 Expiration Date /6 - / -0 1 Constr, Contr, Number %'71 ~S Expiration Date II - JD -0 ~ Signature of Supervising Electrician /( ~ d . Owners Name 5>T ,jJ(v(.eVr 0c PA-"-L '2L1f:::,o'jf Address pol$. 0 /C City E:::'lA Cri:7V' ~ Phone OWNER 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 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 / L $106,00 lOb 3F $ 19,00 $50.00 B. ~Sei~:i~e~or7FeA~d~~~-~'~ ,iri~ta'lifti~~r~-I;i~ ticiri~,o;: R~lot~~'tiO~: ~~. :' 'J s;~~":-;",..r_"'""'!n.~ '"tQ~;;! ""fl:;",~, .,:.~r.;'h"~:;;r..~'t>."').;,.""" _;m.':':'~\..'; ...,,;, ~: - .", 200 Amps or less , 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVoltS Reconnect Only $ 63,00 $ 75,00 $125.00 $163,00 $375,00 $ 50,00 c~ r:reifip'o~~~y;~Sef,{;ic~s .'of~ F:eed~r~:;":.:::~"Lj~f~~;.~~ q,~t.{}..,.~:;it';~~.~:?'\i~;'~~ ~;4,\~"""'-'-' "'~"""""~"'~4~ "","'-""--"'''_\;.'oliI:---~;;,tt~~l",............~ Installation, Alteration or Relocation 200 Am.r.~ ~Iei~:' _, r ~ ~,~OR" . 201 Amp\;Q,H 1t~\WIt SI'IP-LL C"I"~'?[\;>'~I'f5r9.\8lNO \ 401 AmiY'llAJ 18'~ UNOER ,\'\1 '[JDt'~OP(9l). . o~~~~~'i" ,:~,~~~~J~~~:~~?~~<,~., ,"",~" .,. ,...""..,~, D, ,BrancH" f,cuif(\"Op.:'4\""1')~" 'fli:..' ';'''ft'C''''' ".".".."" ,";..',,,> ~~'" ,;..lJ"U;";- ,,~,"':"~!.....;:~'-':-'" .~. ,-- ,'-,'l:""l~'_.' ~,.1'''-~ New Alteration or Extension Per Panel One Circuit ,$ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3,00 E~ ~~Fi. i.)a~~!t.u., ~~lg~;:l~~t.f~~er)~~~~~~4~~):*~~.~~~I'I~~~ ," ~ . - ._~ Pump or irrigation ,0 egO" laW reqUlre~y~~~y Signl,Q!i!llii~i\fi?M~;p\ed by \he oregv$'~t'~or" Limi@U<E<ier~~~1m!~lTtIOSe ru\e~ ~~95il.l()O Lim'it&il~~~c;lW~60 \",rougn ';hM~WS \ Minimu~&ffi~nu1lfl_~~f~~~'~~OJ.~,~\l~arges . 'fj."".9.. ~-<JJ\no tl~~'cen\.~:A ~.'.' 'IlItllity. ,N.otif,ca\,on 'I 4 \ SURHH'}ILvO 'A,B~gon -' ",...,' "'I I U . r.: -~,.. '~~"-.uR'\be'rJ'J:;~~~:,'~'c,,-~i~~?~2Ml.c;~ -, , .... '" - o 'if 7% State Surcha~g~' I D_ 'U'l_O 10% Administrative Fee -, Ib'6~ TOTAL Shared Drive(T:)f8uilding FonnsJElectrical Permit Application 1-Q3.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: COM2004-00075 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 SITE ADDRESS: 1798 Fairhaven ASSESSOR'S PARCEL NO.: 1703273104600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR -lot 10 Fairhaven " ,. Owner: ST VINCENT DEPAUL SOCIETY OF LANE C Address: PO BOX 24608 EUGENE OR 97402 Phone Number: 541-687-5820 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MElLI CONSTRUCTION CO G MILLER ENTERPRISES INC MElLI BARON PLUMBING INC Phone 541-485-1417 541-741-2596 541-485-1417 541-935-1081 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: >, .. SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: t'\ Notes: Yes 28.00 (as ':IOU to \ _", <egU\ . 1I;\i'" I PUBLIC IMPROVI!;M&~\I:S\...o(a~~~~ t\"l9 o(e;;~'sat 10(' r". (U195 Mopt iai!WiliiNula~ '" 952.00 Fullv Improved \0110"" . (I C9n\~' t\"l(ou9"f'O" \"Ia (UI9S \ Curbside 5' Yes ~otilicet\05"-oo~.C6'~nsp,\!"I~DfiliJsi' n\"lO(l(J:urb and Gutter "", 9 ~ bt9.\(I \"19 ta at' , \(10 '(OU ('(\9.':1 0 (~",o\a', \ "'o\iliCa\\O(l 0090. ca(l\9 . lIt\I\\':I '" calli(lg \\"19 \\"Ia 0(9<;10(1 .,.,???-/l./l.). ~be( lo( ,_ . -p(\(\. ' nU ,.. ..-~....- 15,00 15.00 5.00 2.60 0.00 License 63771 87145 Expiration Date 02112/2006 11110/2004 147744 05/14/2005 BUILDING INFORMATION I I R-3 U-I VN # of Stories: 2 Lot Size: Height of Structure 21.50 Sq Ft I st Floor: Type of Heat: Wall Heat Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft ,(;arage/Carport Energy Path: pat~ 1~\'Ic ~~bther: ,n11{',~:, _ rUr,.\ l c'1.l'~c ~~M\\ \!y~iOUS Surface Area: I DEvJioPMiN~i'Nm~1h\b'i'i\~()~~U tv.' . f\\\ltIU1J. cU G\'\ rJ t. REQUIRED PARKING ~&iA\'I'f.~~f\'i I'c\\I()U, # ~~~~lft~es Rqd: Paved Drive Rqd: 3,760 800 768 264 3 Total: Handicapped: Compact: % of Lot Coverage: Pa2e I of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726-3769 Inspection Line ", ,". Description Dwellines Garaee Tvpe of Construction V Wood Frame Garaee 'l" Fee Description -Mechanical Issuance Fee- + 1 0% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Annexed 1979 or Before Building Permit Deposit Dryer Vent Exhaust Hoods Minimum/Adjustment Mechanical Plan Review - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer, Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimhursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family Return, Deposit + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtJ 500 '~,;. Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00075 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,512.00 264,00 Value Date Calculated $139,708.80 $6,415,20 $146,124.00 01/20/2004 01/20/2004 Total Value of Project Fpp< tiWIJ Amount Paid $10.00 $101.74 $71.22 $254.00 $31.00 $,100.27 $718.40 $58.50 $6.00 $9.00 $12.00 $71.00 $466.96 $292.57 $384.88 $10.00 $214.23 $314.63 $72.13 $54.01 $727.42 $164.89 $75.00 $514,39 $18.00 $1,000.00 $-58.50 $14.40 $10.08 $106.00 $38.00 $5,661.68 Date Paid Receipt Number 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/22/04 3/30/04 3/30/04 3/30/04 3/30/04 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000326 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 1200400000000000315 VOUCHER #74159 1200400000000000414 1200400000000000414 1200400000000000414 1200400000000000414 Paee 2 of 4 ~ " . . . U 1 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00075 ISSUED: 03/15/2004 APPLIED: 01/20/2004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line Initial Review I Plan Reviews I 01/30/2004 01/30/2004 APP LLH Received plot plan this morning. Okay to process 01/30/2004 03/03/2004 APP EMM No second story windows allowed facing east. No occupancy allowcd until all conditions of the DU Site Plan for subdivision have been met or Site Plan Revicw Modification decision has been issued. 01/30/2004 02108/2004 APP VRJ 01/30/2004 Plan nine Review Public Works Review Structural Review 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. .. " 18 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 6 Erosion/Grading Inspection: After all erosion measures are in place. 20 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 9 Footing: After trenches are excavated. 10 Foundation: After forms are erectcd but prior to concrete placement. 13 Post and Beam: Prior to noor insulation or decking. 8 Floor Insulation: Prior to decking. 17 Shear Wall Nailing: Before covering sheathing with finish materials, 11 Framing Inspcction: Prior to cover and after all rough in inspections have been approved. 23 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. 7 Firewall: Located and constructed according to plans. 12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 22 Undernoor Plumbing: Prior to insulation or decking. 21 Undernoor Drain: Prior to cover or placement of concrete. 15 Rough Plumbing: Prior to cover and including required testing. 24 Water Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including rcquired tcsting. 19 Storm Sewer Line: Prior to filling trench. 3 Final Plumbing: When all plumbing work is complete, 14 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. " ~ Paee30f4 . . CITY OF ~rKll~t.Nt<.,LD Building/Combination Permit PERMIT NO: COM2004-00075 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 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 herehy 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 Paee 4 of 4 " '. 225 Fifth Stree~? Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00075 COM2004-00075 COM2004-00075 COM2004,00075 Payments: Type of Payment Check ,;~ ~ Receipt #: 1200400000000000414 Description + 7% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Received By djb Check Number Batch Number Authorization Number Paid By ST VINCENT DEPAUL 44309 ,.;. City of Springfield Official Receipt Development Services Department Public Works Department ~ Date: 03/30/2004 1:59:56PM Item Total: -, Amount Paid 10.08 14.40 106,00 38,00 $168.48 Amount Paid $168.48 $168.48 . How Received In Person Payment Total: .