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Home My WebLink AboutPermit Electrical 2004-4-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726,3689 ELECTRICAL PERMIT APPLICATION The following prolecles submitted hes the f U I 7 LI 20nlng and does not' 0 ow ng City Job Number , Colf1 ZCO'1-00i) , Date &"urov~i. require specific land use I. iiroc;ri10N1).f;mSTfiPrW1row~;r~B 3. rCOMPflETEPEE::~cffff1)'I:-;:;''';~ZJlr'~Dr&r;,~~"$.~~ ~ili.~\l!'J.4:.".hQ,A';:'~~t..l'l:~"':i'<.':~~._"'~'I.;;;t;t',,~~~"f"o::&~y.t'J~ ~.~~.....\\;tti..~.:l'~Date~:t.:.i~~1laU.li1U':A>~ ,,~.~;,J.;,- .1~~'tfr-O't'tf#JWJiif~ 173b rA-I(LI-!Av't.711 Sr . N.::J\.,..-";%~J.;~~"'~9~.atu~~:.."m""",~",,._~J""'<''il LEGAL DESCRIPTION A. .[~,~~t;&~~t(I.t!!~!!;~:~},iigle~1:il':1.ul,tJ~fll}'!W); P~X'O\Y'~%l'.'j\~D~,. ; i70$'1-73{ Olf700 JOB DESCRIPTION sFfL Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. WCoNTIDi'crOR:iNsTAL&":'n.~ON;O.N[;. .}t~ 2. ~~...~,~'g<..J~tl;.i:.j.~J.;:-'" ~::!l.r.--........~~~,.~,t\;J Electrical Contractor Geva.~d ~I ec..\ J)o..lJde..J I?... R. cI , Address 29S1 City In -lId I . Phone ,41-25 1(, Supervisor License Number ,.? (;.5"<[ S Expiration Date /.0 -/ -0 1 Constr, Contr. Number If 7 I is Expiration Date )1-/O-o<J Signature ,of Supervising Electrician "- ..J.-( "'-4J ~ 'd Owners Name <:;.Tlh^,U;'IV' Clt~ P~L Address ?O go/( 'Zl{ beg City t::;1A&e-tVe Phone l OWNER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included 106 33 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I Z- $ 19.00 $106,00 $50,00 SO';;.....~.,""f.i~~:~'" ,,';f-~~iJ:-'\'i~.r:'"'\,,~JV'" 51V~t~{_,,::ri.,~fl.;.'J ;1\"tN-t~...-~. ~h.nl:, -;-:;] B. i~~~~J~i~f~!~~} ~!~*.!I~:1~oi~!~AJ.!e!AH~PJ'~~~~~~~~2n:~~; 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNol1s Reconnect Only $ 63,00 $ 75,00 $125.00 $163.00 $375,00 $ 50,00 i-T"V>)/\i..~"_:~~'~"'''il''''''<i~'L;.","\ "7J1'."' ",;";",,,,'iX,.,:; :,y:: )::-C~;';'~:' "'J',~~~,i<!";' ""th.rr'~.:~{~ C. U!~~~.ry~~r~!f~~..or1:F~e,d.~~~~'\.rtr,~'';;':;_~It_,>''~::''~~~~~,_~~"';' ,,;:~ Installation, Alteration or Relocation ~ . 200 AJTf~ or less I'\E Ij: il'\E 1N?'~iO,oo t~i1i'{l.\n~~ ~~I'\D<6wuP\;. E'l-I'I I'ES,\>.Ali I';) \~69,00 . llP.\S\~~~TtI{9~IiJ\ il'\~~\)().l\\j:O r\J~$100,00 . <b\.l:1.~!.~DroO&,~~..:e "B:' above, ,.' v' . D. ~f~~IJl{.~\y"~.€!!ili!g-~\jl;a:,'.;~'{F~' ~~).\;!:'i:"'J~i:'::~~i,~~~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit'3t jt99 to . ,-e 1)0 laW r~4U" . I ltil'lly . E. ~~~~~"~~~Jl~Eji~f~9~:iii~cl~It:ft'~iffiTI6ri"J ~\iciW,~\e~~:f. fHo5e'rU\~.;rCJ~~cfd'" "'-0 -'j PumRotilif.i~!2~ 001 ,0010 t\1ro,Ugh J. \~~Orm9S \ Signi~tIillh~~~~~y ob\ai'ni\coP'e~ \dl~~p.Q,oe Limi&lfl)~Qer~CWffiw~~er. tNot~;l'~~~~ l'M~~ltion Limited fle.~~9..qm""hilifllre90~ _~~\ ~,,$M\5,00 ou~~ ~~ , ,,- Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.. t&UBToTli?oF?ABOyE:~i7;".~;f~~;,k;~;'1 [:::.; ~.,.-,,~l<ij:_~ ,':r 'c6.'J~I;:,:--,.~,_~_'t;..~.7:I" "",,-~.~,..tl'~ ~....~ 1 ~ ~ 7% State Surcharge 10 ~ 10% Administrative Fee Pi ~ Ib~ ~ $ 43,00 TOTAL. Shared Drive(T:)IBuilding FonnsJEleclrical Pennit Application 1-Q3.doc . . CITY OF :srKlJ'\jlJ1<1J!.LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00074 ISSUED: 03/15/2004 APPLIED: 01/20/2004 EXPIRES: 09/22/2004 VALUE: $ 150,559.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1786 Fairhaven ASSESSOR'S PARCEL NO.: 1703273104700 Springfield TYPE OF WORK: Single Family Rcsidcncc TYPE OF USE: New Rcsidential PROJECT DESCRIPTION: SFR ,lot 11 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 'i.:... Contractor Type General Electrical Mechanical Plumbing Contractor MElLI CONSTRUCTION CO G MILLER ENTERPRISES INC MElLI BARON PLUMBING 1NC 147744 05/14/2005 BUILDING INFORMATION I W' 1\'1t. \NO\'ly.. .t \C~:. \.. t.1?1\'It. ti IS ~OI #ofStor~l \'1\1111 S\'I~\.. ,\-~S ?'i~V': '!BR Height~f\Str~~lure;o \l~Ot\hOl!.~D\S~ Est Floor: ~'lO\'llL\- . ,~_i.\O" Type ofl'.'jat: to (WaII'Heat Sq Ft 2nd Floor: Water T~J!!!,:fIW>t.~C :'i ?\..~I~ic Sq Ft Basement: Range Ty~~:{ \ ~Q Of:>; Elcctric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Impervious Surface Area: License 63771 87145 Expiration Date 02/12/2006 11/10/2004 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: I R-3 U,I V1hr 3,854 814 864 264 4 .., SETBACKS I DEVELOPMENTINFORMA TION I ._~ ,(n)J to 1a.V1 fequIM..V,'tl~ PARKING .Ofegon Ofl!.qofl n' Overlay Dist: ",-n::.N110N. ted '0'/ t\19 16et to , # Street Tre~Rilo: fules adOP 1\10Se fUle ,,~: Paved DriveIRijf tion Cenl.ef..O \\1fou9\1 0\Wl'l9'l95 \ '-lotl\lca OO~.OO, 'i'aS 0 \ e % of Lot Cov"(j\&~ 952' '/ o'otain coP . \\1e \e\ep\1O~ n In '(ou tnB f. tNote., . NotiliCa.tlO 009_0:,\~,,3. .n" cen~,~;r" 1l~111':I ,~!,.\. I PUBLIC 1MPROVE~lS,~I'Of :~~ ,,, . _\>(\(\.~~?'I.' _.- Sidewalk Type: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ~jl Pal!e 1 of4 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00074 ISSUED: 03/15/2004 APPLIED: 0112012004 EXPIRES: 09/22/2004 VALUE: $ 150,559.00 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541,726-3676 Fax 541,726-3769 Inspection Line '< I Valuation Descriotion I Description Tvne of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Dwellines V Wood Frame $92.40 1,560.00 Garaee Garaee $24.30 264.00 Total Value of Project FpPf, P~i" J Fee Description Amount Paid Date Paid Plan Review Residential $475,41 1/20/04 -Mechanical Issuance Fee- $10,00 3/15/04 + 10% Administrative Fee $103.04 3/15/04 + 70/0 State Surcharge $72.13 3/15/04 2 Baths One or Two Family $254.00 3/15/04 Addressing Assignment $31.00 3/15/04 'h_ Annexed 1979 or Before $-100.27 3/15/04 Building Permit $731.40 3/15/04 Dryer Vent $6.00 3/15/04 Exhaust Hoods $9.00 3/15/04 Minimum/Adjustment Mechanical $24.00 3/15/04 Plan Review - Planning $71.00 3/15/04 Sanitary Sewer - Improvement $326.99 3/15/04 Sanitary Sewer - Reimbursement $430.16 3/15/04 SDC MWMC Administration $10.00 3/15/04 SDC MWMC Improvement $214.23 3/15/04 SDC MWMC Reimbursement $314.63 3/15/04 SDC Sanitary/Storm Admin $78.68 3/15/04 SDC Transpo Admin $53.49 3/15/04 SDC Transpo Improvement $727.42 3/15/04 SDC Transpo Reimbursement $164.89 3/15/04 Sidewalk Permit $75.00 3/15/04 Storm Drainage Impervious Area $555.28 3/15/04 Vent Fan $6.00 3/15/04 'II. Willamalane Single Family $1,000.00 3/15/04 + 10% Administrative Fee $14.40 3/30/04 + 7% State Surcharge $10.08 3/30/04 Residence Wiring 1000 Sq Ft $106.00 3/30/04 Residence Wiring Ea AddU 500 $38.00 3/30/04 Total Amount Paid $5,811.96 Value Date Calculated $144,144.00 $6,415.20 $150,559,20 01/20/2004 01/2012004 Receipt Number 1200400000000000078 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000316 1200400000000000413 1200400000000000413 1200400000000000413 1200400000000000413 Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00074 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/2212004 VALUE: $ 150,559.00 . {, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 01/30/2004 I Plan Reviews I 01/30/2004 APP LLH Plan nine Review 01/30/2004 EMM 03/01/2004 APP Public Works Review 01/30/2004 SB 0210512004 APP '" Structural Review 01/30/2004 DLM 03/09/2004 APP Received plot plan this morning. Okay to process. No occupancy until conditions of the DU Site Plan Review for the subdivision have been met or a Site Plan Review Modification dccision has bcen issucd. PLEASE VERIFY IN THE FIELD THAT THE PORCH AWNING DOES NOT OVERHANG P.U.E. Scc documcnts for plan revicw comments. 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. I Rpnlli~nsnp.('tions I 18 Sidcwalk - Curbsidc: After forms arc crcctcd but prior to placcmcnt of concretc. 6 Erosion/Grading Inspcction: Aftcr all crosion mcasurcs arc in place. 20 Ufer Elcctrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 9 Footing: Aftcr trcnches are excavated. 10 Foundation: Aftcr forms are erected but prior to concrete placement. 12 Post and Bcam: Prior to tloor insulation or decking. '." 8 Floor Insulation: Prior to dccking. 16 Shear Wall Nailing: Before covering sheathing with finish materials. II Framing Inspcction: Prior to cover and after all rough in inspections have been approved. 22 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 21 Uridcrtloor Plumbing: Prior to insulation or decking. 14 Rough Plumbing: Prior to cover and including required testing. 17 Shower Pan. Prior to covering and including rcquired tcsting. 23 Water Linc: Prior to filling trcnch and including rcquircd tcsting. 15 Sanitary Scwcr Linc: Prior to filling trench and including requircd testing. 19 Storm Sewer Line: Prior to filling trcnch. 3 Final Plumbing: Whcn all plumbing work is complete. 13 Rough Mechanical: Prior to Cover 2 Final Mechanical: Whcn all mcchanical work is complete. 7 Firewall: Located and constructcd according to plans. 24 Rough Electric: Prior to Cover ,~ 25 Electric Scrvice: Approval required prior to utility company energizing servicc. 26 Final Electric: When all electrical work is complete. Paee 3 of 4 . . CITY OF ;SrK1j~ld'U.LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00074 ISSUED: 03/15/2004 APPLIED: 01/20/2004 EXPIRES: 09/22/2004 VALUE: $ 150,559.00 225 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 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 Ii,' ~, Pa2e 4 of 4 225 Fifth ,street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00074 COM2004,00074 COM2004-00074 COM2004-00074 Payments: Type of Payment Check " ~.'~"'.i. ~: ~.~".~ ,,, Receipt #: 1200400000000000413 Description + 7% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Received By djb t.::heck 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 I:S8:S2PM : Amount Paid Item Total: 10.08 14.40 106.00 38.00 $168.48 How Received In Person Payment Total: Amount Paid $168.48 $168.48 . .