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Home My WebLink AboutPermit Electrical 2004-4-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5%1726-3689 " . ,. e fOl/owing P' ' ' ELECTRICAL PERMIT APPLICATION ZOning, and d rOJecI as SUbmitted h appr oes not req , as the folIo I City Job Number COWl zooLi _ 00067 Date OvaL We specific land W ng Z use 1. i!i;(j'CATw'N:off.iNsfAiJI'Al1oi\("'''''' V~ 3. rgeOMPi3E'fEIj,'EE&iMi"'ui:'i~EL .-=::'" _' . t&~Tf.~~-fu'i) ~~..w.~;t,,_....,.....d'''''''''-'._~''''~''''''''~~l:'='l:J-:t,~~ ~~'i:."!l:$;.u~i1ib.i1~~.~""'~~_ -,-~.,.-_~~s..~"*t.~,,--...._._ ,,,,_:V't I 74 I FA,l'Lt+Av't:7J' <; '\ Authorized S,gnatur - -0 A.. ~~~i~'t~.ffiffi~~I~\~lfi~~ffi;;~~-;~~~'~~:~;- " -~.~~ LEGAL DESCRIPTION ~.':w..---""-"_""" .."""",,,,,,,,,,,,,,,""""","," ." ".",<.-.-...".- /70 S 27'S' OLfZOOServicelncluded JOB DESCRIPTION 1000 sq, ft, or less Each additional 500 sq, ft, or portion ther<:,o f SF{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.' t:coNTRA'CroRHNSTALiZt"iioN;!('iN7:};-;l 2. ~~.;,'~"'~.;;y't~'j:~\~~.-.,~"".~.tl Electrical Contractor G e ~....d ';:, J e. GT Address ~? 1 S <{ tf6- 'f dtt.J PI.- K cI City 5'b...p/cl Phone I <J \ -;2S? l Supervisor License Number ..~ (.<; <:.( S Expiration Date /.6- j - o'/- Constr, Contr, Number !f7/<.jS Expiration Date /1-10 - 0 <f Signature of Supervising Electrician ." /1d~ Address pc) a Cl y City Pt..l~e- bt-f',4.t.-L ZL{ bD ~ Owners Name S T Wrl(bV r Phone , OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: lnspection Request: 726-3769 I ,ob :3K $106,00 '2- $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. ~S'~1'~~~~'FeWdiis~~jntglii~ioif,~~it~1~a{j'~ri},,(;fNtelo~~1i6~::J,' ,I U~~""'.~i~.;;'-'."'~f'l ......,...."..,,J,~"'J'<,:>~~t4.:-...:'.~.,:t"'l"I,.;>>'''''.~Dl:'.~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 c. [Ifw~f~.~~{{C!J5;-~if~1j!?r:~<~{~-'1ii?M~~~;~~~ Installtlt~g~~~~I\"~W'A~r~VI'i'IE IF THE WORK 200 A~~,rl~~ZED UNDER me:: PFRM~T5lfDblOT 201 A ~ c:; \'t OR IS ABIINnnNFlJ 5Q1iID 401 AN" ~PERIOD, $100,00 Over 6 0 Amps or 1000 Volts see "B" above, O:'~'-.I~.~"'?C"'~"':_:"~~;"""-l~.t tr",~",,,""':.-;:-,,, "x~. ,.;tr.',"", 'fI')'- ~ :..i"'~' ,,"r..~.,"-"lt:l D f$.~~ncti'ClrcUlts'-l'l'.,r... q";~...-' .~' ~':l"'" ":.'~V,~~l~; -'W-'.-;n'L,,,,I . ' _._ ~".,.,...~_ 't~,,,,,,,t. -":''': ;:\_,~, ,,,:''''''.' .r .J; .' ~.:;o.-. 'T~il'l""("~ .':~-'~"..; New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 E, IrMt'''U~.i'':: 1tl:k" "~~i*,li\\WiK~,%d'AA;~W;mrl~~till!iti(jri~ ~~N'T'lt3~~rmd 0 'th~.fO'(9gonU!lhtY-=.,." .~.....,,"J ii' , 'M \mR~~~~;,eTh:se rules are s~~~~ " f!:2~V!1ro1 0 through OAH 1l!3?s~&~ I~i &R :ncr\li1'iLR'\.;~lIi!1 copies 01 me r~~500 no u. QU "Y' [Mote' toe '''''''l'li6oe Lm~~ftifi'?f{wi~fct.lf' Ut' 'I' u-"li~dllc9ll ' . .hl> f'\re..QQo illY -" MinimumJWd~0ii2114~11!'.ls.'I>'i'ifi?:!l~!l;!3~'00 + Surcharges 4. ~SUBTOT.,.~,"1"OF?ABOVE)~'4;i}~W'~~ .'~~11 1'," ":"1 "'-;~""~-..::rn:'~~......;:\~lo-~~~':' .:,~~~: t~,1t~~V~ Ii{ 'I Dol! 7% State Surcharge I --- , )u<t~ 10% Admimstrative Fee -. -- 1> Jb~~ TOTAL Shared Dlive(T:)lBuilding Fonns/Electrical Pe"llnit 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: cOM2004-00067 ISSUED: 03/15/2004 APPLIED: 0112012004 EXPIRES: 0912212004 VALUE: $ 146,124.00 SITE ADDRESS: 1741 Fairhaven ASSESSOR'S PARCEL NO,: 1703273104200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR -lot 6 Fairhaven Owner: ST VINCENT DEPAUL SOCIETY OF LANE C Address: PO BOX 24608 EUGENE OR 97402 Phone Number: 541-687-5820 I CONTRACTOR INFORMATION . ' Contractor Type Contractor License Expiration Date Phone General MElLI CONSTRUCTION CO 63771 0211212006 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 # 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: Notes: I BUILDING INFORMATION I I R-3 U-I VN # of Stories: 2 J,pt Size: Height of Structure ~~~'7.?tJ?"~ Ft 1st Floor: :r.Yi!f of Heat: 't,'f,.?\?-Wa \'\illS ~iiFt 2nd Floor: "01\Wt~"If.~~\\r>-\.\. ,\-\\S f~"'rG?-Sq Ft Basement: ,\-\\~filN'1~ut-lGt?- Bl>.t-IufJ~~irte Sq Ft GaragelCarport ).f~~'P~\)?- \S 1>: Path I Sq Ft Other: t>: GWlWltt-lCt: ,/ ?t?-\GG, Impervious Surface Area: r, _~ (\[1:, I DEVBL;opMENTlNFORMATlON I 264 4,077 800 768 3 REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: IfaS ~OU,\~ Handicapped: Paved Drive Rqd: \a.~ faC\U @fI U\I\IWCompaet: nt.r.1~'()fagofl \"9 Of sa\ tel" % of~\;rl.,..,...,age:,ad 'o~ u\/3i;jl~ '2,..00' /100\1 \as ec\OP ,,,osa f O/loof\ 95 \ ~_'.\I"MI ~~-u ::,:fI"'\\9~.. , \,\.,.",\~n ,\,\.":' ruleS , I PUB~lQlMP~O;V~EN'l'S'ln 'copies ~ \9\ap,,0~~fI IfI 0,.., ,f f'{\e.~"'- ~NCS6" \" ='\~9a\\ Fullv Improved 0090, '(ou ,,,a cefl\ef. Ofl 11f1m'J '\44 . . Yes calliflg \ f \"a Ofag(\rQ9\V\ls~buts rains: 'oefO ,~._p flU~, ~ .,...- 15,00 0.00 19.00 10.00 0.00 Curbside 5' Curb and Gutter Paee I of 4 Building/Combination Permit PERMIT NO: cOM2004-00067 ISSUED: 03/1512004 APPLIED: 0112012004 EXPIRES: 09/2212004 VALUE: $ 146,124.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Dwellines V Wood Frame $92.40 1,512,00 Garaee Garaee $24.30 264.00 Total Value of Project ~tt. FpP~, P'1IirU Fee Description Amount Paid Date Paid Plan Review Residential $466.96 1/20/04 -Mechanical Issuance Fcc-- $10.00 3/15/04 + 10% Administrative Fee $101.74 3/15/04 + 70/0 State Surcharge $71.22 3/15/04 2 Baths One or Two Family $254.00 3/15/04 Addressing Assignment $31.00 3/15/04 Annexed 1979 or Before $-144.82 3/15/04 Building Permit $718.40 3/15/04 Dryer Vent $6.00 3/15/04 Exhaust Hoods $9.00 3/15/04 MinimumlAdjustment Mechanical $12.00 3/15/04 Plan Review - Planning $71.00 3/15/04 Sanitary Sewer - Improvement $292,57 3/15/04 ~{>" Sanitary Sewer - Reimbursement $384,88 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 SanitarylStorm Admin $69.48 3/15/04 SDC Transpo Admin $53.15 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 $488.87 3/15/04 Vent Fan $18,00 3/15/04 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 Addtl 500 $38.00 3/30/04 Total Amount Paid $5,588,10 't. Paee 2 of 4 . CITY VI' ~rKll~\.JNJ:!.LD Value Date Calculated $139,708.80 $6,415.20 $146,124.00 01/20/2004 01/2012004 Receipt Number 1200400000000000078 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000314 1200400000000000411 1200400000000000411 1200400000000000411 1200400000000000411 . Status . Lt! i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00067 ISSUED: 03/15/2004 APPLIED: 0112012004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t~ Initial Review Initial Review I Plan Reviews I 01/29/2004 01/29/2004 WE LLH Hold, No plot plans suhmitted 01/30/2004 01/30/2004 APP LLH Received plot plan this morning. Okay to process. 01/30/2004 03/04/2004 APP EMM No second story windows allowed facing east.' No occupancy until conditions of the DU Site Plan have been met or Site Plan Modification decision issued and those conditions met. 01/3012004 02108/2004 APP VRJ 01/30/2004 03/09/2004 APP RJB 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. ''"' 17 19 8 9 12 7 16 10 22 4 5 11 I '" 21 20 14 23 15 18 3 13 2 6 24 25 26 I Rrn'lirrrl Tn{',n'~Ir"tWIIJ Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete, Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When aU plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Firewall: Located and constructed according to plans. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 3 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00067 ISSUED: 03/15/2004 APPLIED: 0112012004 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 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 ~. " " Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00067 COM2004-00067 COM2004-00067 COM2004-00067 Payments: Type of Payment Check TlW'BLO "~ ~,' Wil' """.'" i, & .. '. , _. " -....,.",..,-,""',-""".,,_.... " Receipt #: 1200400000000000411 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 .:55:49PM 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 . .