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Home My WebLink AboutPermit Electrical 2004-4-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX; ('40726,3689 b"" '.' Tfie ,clITowlrig prolecf 8S su milled hes the following ELECTRICAL PERMIT APPLICATION zoning, and does not require specific lend use . City Job Number [OWlwo4- oD073 Date '"!-prova!. I r-.{C . _~ ~J 1. ~ocA::fioN1)F1NSTAPrWlroN;ff~~~ 3. ~cOMpiEmFMi&'c~flf~~~~.!:f7.ii~~"",7~~ii.\i:'r. ~~~~.:.3.Q..il"llt<~"'~Mli,A!.~..il~~1;;;;e-J<~it~p..~J.:~ ~.""_"'~'c':r.".~:i1\~~~:~~~g:~::-::loi~~'~~~:i~l:,:.t>'cp)~.T:mf]i1 17'60 FA I (L l-Mv'eN' ":::,., A..!:N~f~~~~'~J~iilf~~1ifit~W~a~~i~~~. .. .'(.;"~~'):l~",~"",~~,~""C'.i'.I'~'.;...j~~I.,....~~.u.~~~~~m Service Included LEGAL DESCRIPTION 170:;''Z-,'31 04g-00 JOB DESCRIPTION ~F{L PermitS are non,transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days" W:CO.-NT.1fiA7Ji'tJii.\fNSf;tfi"ff"'.TI.'~J(fm;l%!~ 2. lf~~~1rS;:;~~~f.:!.~jU'iiAhY'rK~Kdlt:;.~ Electrical Contractor G e Y<1 vd c!: /-e d Address .395 <j !-Irt-"d~l $ ~ Rei City ~ t I d Phone 7'-/J - 2S '16 Supervisor License Number .36 S'</..5 Expiration Date /0 ~ / - 0 <j Expiration Date R7/15 /1-/0-01 Conslf, Conlf, Number Signature of Supervising Electrician \ ~~~ a Owners Name SoT J""c.&- + Address Po gOx . r City /:::'lA.G-e7J /; Dd?AJ Z4bQ8 Phone OWNER INSTALLATION The installation is being made on property I own which is not jot.ended for sale, lease or rent. Owners Signature: Inspection Request: 726,3769 "-'.'\.' 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 jOb 'jg $106,00 $ 19,00 $50.00 B. fsft1i~@':;F~W~~~.1i~tmliti~~~~l~h~~o'f.}R";;rG~~iti-ori:~.~'~ ~~.-.;.;~~,.i5l.~~tilI:Oibil};1i:~"~lihi~~~j:,,~l3:;f.i~...~~,n:.wW 200 Amps or less $ 63,00 20 I Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 . . UI[,eS yOU !O_ . A-rfE~m.p!~t%i'~~~~~~~J~~~~~~~ folloW rules a h< se rules are se . o,joti'icJ"U!l!Iit1D~~ilttR~8U'g\~~lilIi2-00 """"'1l.1\f\'\;$101 0,;.., '''0' the rules t$ 50 00 . In OAr<-'OU mp. ~~sin COpies ' 0090. 2tl:l\AffiP!;YtJ>4tl~:\mte: the telepnoll" $ 69,00 cal\l~IJAHlPf~~~~ Utility Notltlcallu, '$ 100,00 . nu~I1Q~Ampi ()rR06G~tfs~t~" above, ... . '. . D ~l'B>"'~'~Ii;r'''~~~'t'~ ~Jl!;",5&"!,ill'i'?J;:'K1-""~1';;~:2'lW~ ''::'~''!'i1l~ . ~~~,~~~:.:;~fiti#:~~~~,:"}~"'!'~~;:":~'4:m.Ji;~i'~&1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 E. rNiif%~riii~~t~~~f[.;/rll'det,~T1~~. ~JWI!~t~i~ "'N01(C~:=:~""'- ""'~XP\RE~'1HE~'ORK==-~. . Pu'W~i~J S\'\f'\,~L E IS :':!'t~,~lT iSJP<QA' . SigIJ(\lQIj\OOlqjili1JgNDtR 1\-\^"'~J'lr[\ F~?'O,OO Lim~<@fEh~.Q~ti\;\!\B" u ,,~- $ 25,00 Lim#i'trW~~fuj;M~lkID, $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges eil,.j;~"",y"~,~,;,,,""".:'ti'""'''',~'''~ "'~,'" '~~"""'''','''. ~J 4. 'liSUBTOTAE,OEIABOVEk; >,,,;;i"i;t,;;,,.l""",c,,f'E\" iW S"f ~1S~M v<~'l?~~~l5t~t~1\'tJ;~.-,,1J;~}ft*-'-;;t:t~1ft~ , 7% State Surcharge 10% Administrative Fee ,/'-/0 ,oo'i 1'10 JM~ TOTAL Shared Drive(T:)/Building Forms/Electric;:).1 Permit ApplictJtion I-03.doc ~;. .... . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00073 ISSUED: 03/15/2004 APPLIED: 01/2012004 EXPIRES: 09/2212004 VALUE: $ 146,658.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1780 Fairhaven ASSESSOR'S PARCEL NO.: 1703273104800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR -lot 12 Fairhaven Type "X" bldg. plan l~ 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 Contractor License Expiration Date Phone General MElLI CONSTRUCTION CO 63771 02112/2006 541-485-1417 Electrical G MILLER ENTERPRISES INC 87145 11/10/2004 541-741-2596. Mechanical MElLI 541-485-1417 Plumbing BARON PLUMBING INC 147744 05/14/2005 541-935-1081 3 BUILDING INFORMATION I ..",,,,,,, """'1 Height of Str~ct~Il'gO(\ \a'l'l t~b~1!90r&j f~ Floor: Txpe l'ffiell'tl.O lao p')"tI{jl~l\~ at8SiPF d Floor: iWai'€~ .T~I!ll'a.oOP \\'IosEI~W:16I'f\ s.l> &fement: \RJ.~g~~~R~a{'.\a~~O\l'l~!~eli'ic \ t\'l6l!IFf.~arage/Carport \@iI\l ath;)O~'O. .,1 l\co~1i ? \"oM~her: 5i:' ptal(\ '\'Ia t8 ~.. . l'\ 1(\ 01' f(\a.~ O. 'Not8'. \ ,,'dWwa\\Rlus Surface Area: d' 'IoU _rt'At. \ , ..."IVY' I DEVELOi>MEN!fTJiFGRM'Ano~.:in?,?3AL\1' '..U r ",' (\utn .~' ~ .._,.- '" REQUIRED PARKING 3,771 800 768 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U,I VN 'i> 264 SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 14.00 2.00 0.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 28.00 Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: -'r ~, -'ll l~ \"noll , I PUBLl~"il\1~irci~~V'~~~~RMI1- IS N01 .' THORIIED UI'lUl: ";d""'ll!li1~' Fullv Improved ,t>.U I NCED OR IS ,t>.e,t>.;.-",t1r . Yes COMME ^" PERIOD. DownspoutslDrains: AN'/160 0", Curbside 5' Curb and Gutter ',j, Notes: Paee I of4 Status Issued '~i'; 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee '~ Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Annexed 1979 or Before Building Permit Dryer Vent Exhaust Hoods Minimum/Adjustment Mechanical Plan Review - Planning 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 Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 \;'"' Total Amount Paid '" . . CITY OF SPRIN\Jl'1I!.LD Building/Combination Permit PERMIT NO: COM2004-00073 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/22/2004 VALUE: $ 146,658.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,512.00 286.00 Value Date Calculated $139,708.80 $6,949.80 $146,658.60 01/20/2004 01/20/2004 Total Value of Project f(pp< Pqitl J Amount Paid $466.96 $10.00 $101.74 $71,22 $254.00 $31.00 $-100.27 $718.40 $6.00 $9.00 $12.00 $71.00 $292.57 $384.88 $10.00 $214.23 $314.63 $75.44 $53.74 $727.42 $164.89 $75.00 $575.29 $18.00 $1,000.00 $14.40 $10.08 $106.00 $38.00 $5,725.62 Date Paid Receipt Number 1/20/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/1 5/04 3/1 5/04 3/1 5/04 3/1 5/04 3/1 5/04 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 3/1 5/04 3/1 5/04 3/1 5/04 3/15/04 3/30/04 3/30/04 3/30/04 3/30/04 1200400000000000078 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000317 1200400000000000412 1200400000000000412 1200400000000000412 1200400000000000412 Paee 2 of 4 ,~ " . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00073 ISSUED: 03/15/2004 APPLIED: 01/20/2004 EXPIRES: 09/22/2004 VALUE: $ 146,658.00 225 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 permitted facing west. No occupancy allowed until conditions of the DU Site Plan have been completed or Site Plan Modification decision is approved and issued. 01/30/2004 02108/2004 APP VRJ 01/30/2004 03/0912004 APP RJB Plannin!! 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. I Rpnllirprlln~ 17 Sidewalk - Curbside: After forms arc erected but prior to placement of concrete. 19 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 8 Footing: After trenches arc excavated. 9 Foundation: After forms are erected but prior to concrete placement. '~ 12 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 16 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have heen approved. 22 Wall Insulation: Prior to cover. '4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. 6 Firewall: Located and constructed according to plans. II Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. I Final Building: After all required inspections have been requested and approved and the building Is complete. 21 Underfloor Plumbing: Prior to insulation or decking. 20 Underfloor Drain: Prior to cover or placement of concrete. 14 Rough Plumbing: Prior to cover and including required testing. 23 Water Line: Prior to filling trench and including required testing. IS Sanitary Sewer Line: Prior to filling trench and Including required testing. 18 Storm Sewer Line: Prior to filling trench. 3 Final Plumbing: When all plumbing work is complete. v, 13 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 24 Rough Electric: Prior to Cover 25 Electric Service: Approval required prior to utility company energizing service. 26 Final Electric: When all electrical work is complete. Pa!!e 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00073 ISSUED: 03/15/2004 APPLIED: 01/20/2004 EXPIRES: 09/22/2004 VALUE: $ 146,658.00 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 descrihed 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 readahle 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 '" , Pa!!e 4 of 4 ~i1 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00073 COM2004-00073 COM2004-00073 COM2004-00073 Payments: Type of Payment Check Wit:~.,~. ,~.,,:7=."'- ....." ,- '. >. ; "-:A!.:', . ;"---~ I -~........"'-,;"'---- -...- .. ;.- Receipt #: 1200400000000000412 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 Offidal Receipt Development Services Department Public Works Department: Date: 03/30/2004 1:57:19PM Amount Paid 10.08 14.40 106.00 38.00 $168.48 Item Total: How Ret:eived Amount Paid In Person Payment Total: $168.48 $168.48 . .