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Home My WebLink AboutPermit Electrical 2004-4-1 r 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C/>vvtzaOl{ -ooobb. Date 1. Wi!oCAfibN'oF:INs;iAUJ'Al1oN~;.{i;:""",:-~ ~~',\"';O..J..ll;;i<i.I:,;,~~,~~,.;;:..,. '~~hl~'~."l~ $-+ '73.~ ~\ r '" ,4-o/ErI LEGAL DESCRIPTION 1703,7-73f JOB DESCRIPTION o Lflo-o ~F(L Permits are non-transferable and expire if work is not started witbin 180 days of issuance or if work is Suspended for 180 days. If.CONTRAtTokm.STAL..'.IMTION,1(jNLY 1 2. ~~Wl~~\ '<-w/..;H:;..... ?->""..-\"'I:~7,r;.t......\l~_H..,....:-1 Electrical Contractor Qeva. v-cl . C)-e c..1 Address 2'Z5'<! JkU1 de.u K QJ City _ s-, ,j2 / cJ Phone ,<!/-2:>96 Supervisor License Number .-'5 {,S <-IS Expiration Date /6 ~/ - 6 cJ Constr. Contr. Number 2', J 1S Expiration Date /1 - /0 -C>." Signature of Supervising Electrician "- /-tCJ~- Owners Name s: -,- Ii ('''{&.I, Dt--9Av\L 7.-460'6" Address ,pO del Y City ~E/Ve- 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 The following project as submit1~<l ha~ the followlno zOning, and does not require specific land use ~.proval. J j'./) . ,~M"'::::'1:'~ .''Y~..'~' :'I'::':"':~'''7tt~7''.;.'~ _.-::..~~~7:"7+~''7:'h:.r.~:~t;'l";.-~'i 3. \iCOMPLETE'FEE'SC~ll'l1~ ~..:~~... "'''u ",,,,,.,..,,,,,.,,,!T,~ ~-'-"""""'''''D';;tt'''".~'''o-''' . ~ ""~"'"',,=t,'"O:!f_'l;ol l1.N~i:!~-"'io;"~:;'~3if"k1..Hn{jnz_9a~Signatur91''"'.:''':'''': -=.....:'..~...; t) ,C, -..J.-.'f ",1 A. . ~~.~6~j\i,~~)\t~~1. f':S,i~gle;~tl\:~lI~~~~,~~~ll}:"P~~'!i~v~I.l.i.~~~~li!~\~~ 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 $106.00 lob 3D I z $ 19.00 $50.00 ~t, - ~ 4..~.." 1" .;:. - "'..-'" 1ft ,,~. :ti: ..:.. .~tI\.i. l' ~./l .. - j B. 1i'Services:or1Feederst:;}Installation,;Alterations or Reloc'ntion: ,.. 'Q~~"'''''''~'(:l:!'IJ.:'o ,...: "!\"". ",-JO',"'.~'''l ''''~:-''-':"'''''''''-'''~Jf'l::.!- 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 $163,00 Over 1000 AmpsN~lts $375.00 Reconnect Only A I ENTION:uregon Ir$l'So~(lUlres you to !?~I~w rules ~~oplea ~y the Oregon Utility- C. n:l~p'o/...~y,~rrtja~~b'f?F~tmF\t.~!i'~'fflO~~~9}~!\r1s~r!or1. ~,n'eP;R952'001~0010.tKroO.11 u}\'A'9St:i ,,'" , 'I ,g -00 Installation, AllM~o;(\ll-'R~ial{atillAain copieS of the rules I 200 Amps or less calling the cen~er. (NO~~O!o6telePhone 201 A t 400nAumber for th", '-'. "'ljU' r tuibl Noullcanon mps 0 mps ~ ,. _ _ _ 69.00 401 Amps to 600 Amps --'--. -. ". '-~$166~'34L", Oye~600 Amps .?r 100_0 Volts see :'B" above, f.?';,~:""""",~-,';"'-""'-A"~ "'>-c'" -,.,.~".~.. y- .~- ",.,.... "\"4' ~,' ,''11>\;-< ~..... ")~ D. LB~ancli'Circui(~ ~-,.'''':'' ~_:~, ,1':>:;,. ""; ~.',,,,,' .. _l_'-b~" ;~'i.v-< L..~.....-- .,_,...~..,._.....,l. .0, r",,", ',,,' ....l'J:'-"'..~ ......-.- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. M~7~'ahe6~~~(S~~fi~e/fe-e~e~'.n6fi~~~d.~o~-1~~i;r~;~lr:iio,i_'J, "" .- -.. -,'.. . - -,. >~ -":,., tWO~~' '-.. '. ..- t.tICt', cY-l'IRc \1' ili ,. ,p~~r'\W.~.i~~II.LL \-lIS PcQM\i \S tSQio.oo 81 H5\1trreBOO~R" MIOCt't:11 FOR$ 50.00 t t~t?R:l~~t&~ $ 25,00 &&f-(~ 8~~~I?,\',~\QP.al . $ 45.00 Minimfm Electric Permit Inspection Fee is $45.00 + Surcharges ~:;:'~';1:.:'i':' ;:a:~'~ '. ._-,....t;:.~'.I:._~..._.~, ,.~:~~.~ ~ 4. ",SURTOTAl;'OF:4BOYE'".. 'L ';;J.,r,.;' ,i r. ..~",..~~,~.... .0 '_~'i;',.."\''f"J....''''~ ~ j."-... -":\~~.'...l,. ~.~'" "------.(~\~,.".. ~....,",~."""""'~-,'~- 7% State Surcharge 10% Administrative Fee l'itf /()~ IIf !!..::- Ibg~ TOTAL Shared Drive(T:)/Building Fanns/Electrical Pennit ApplicOltion I-QJ.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: COM2004-00066 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/2212004 VALUE: $ 146,124.00 SITE ADDRESS: 1733 Fairhaven ASSESSOR'S PARCEL NO.: 1703273104100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR -lot 5 Fairhaven Type "X" bldg. plan Owner: ST VINCENT DEPAUL SOCIETY OF LANE C Address: PO BOX 24608 EUGENE OR 97402 Phone Number: 541-687-5820 ", Contractor Type General Electrical Mechanical Plumbing Contractor MEILI CONSTRUCTION CO G MILLER ENTERPRISES INC MEILI BARON PLUMBING INC Phone 541-485-1417 541-741-2596 541-485-14I7 541-935-1081 r i\-\E WOfl.~ ~1n1ICf:. _; I"~ \ ~)(PIfl.E 1.;- 'f" Mni . I PUBLIC IMPRO~iJ;~N<r~:j~; UNGER i\-\\5 \'~~~D'rOR i\U \ [1V' ,,-- \Sid~~ ~~NO . Fully Improved . CQWlWlENCEO 10'0. ype. Curbside 5' Yes ll-N'i ~ 80 Oi\'i B~nspoutsmrains: Curb and Gutter Intrusion of footings, eaves or any othet 'Portion of proposed structure into easement area is prohibited. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS ~, Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: -, 17.00 1.50 12.00 10.00 I CONTRACTOR INFORMATION , License 63771 87145 Expiration Date 02/12/2008 1lI1OJ2004 147744 05/14/2005 BUILDING INFORMATION' I R-3 U-l VN # of Stories: 2 Lot Size: Height of Structure 21.00 Sq Ft /db1llPor: Type of Heat: Wall Heat eQ-slj3Ft 'Iletlitil90r: Water Type: ~I.cl'ri~ ( O~.!r;J1iBas~~t: Range TY)le~'\"ION..O(e~""ljl~e le'tlIlFe.GlR;!~Carport Energy;l'liili. \.lIeS aOO? \~I'~q (\.I ~j1N1Sffi!'[.. 5 \ \0110'" (. (\ ce('.\e(. ,0 \n(O\.l~"i'BI'WlVlob'S~1tfface Area: _/"_0.\\0 _.. _nO t. __"",AS J-"..non I DEVELOP1\iE;~;">l,..~:ufAlflIeN'l;l~i.e', \ne ~~\;\ica\\O\\ 0090. f" - 'ne ce/'.'!! nO(\ l..l\ili"!,?,"'A~QUIRED PARKING lIi(\9 \ e O(e" ':'."-'2.-,.- Overlay Drsf-:.nnel \O( \n .. ,.., "p-(\(\" '0 Total: # Street Tl'l\e~Kqd:- .-" Handicapped: Paved Drive Rqd: Yes Compact: 264 3,990 782 786 3 % of Lot Coverage: Pal!e I of4 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction , . Dwellinl!s Garal!e V Wood Frame Garal!e " Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fe.... + 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 Addtl 500 -~ Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00066 ISSUED: 03/15/2004 APPLIED: 01/20/2004 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 0I/20/2004 0I/20/2004 Total Value of Project Fpp<. PiiILI Amount Paid $466.96 $5.00 $3.50 $50.00 $10.00 $101.74 $71.22 $254.00 $31.00 $-144.82 $718.40 $6.00 $9.00 $12.00 $71.00 $292.57 $384.88 $10.00 $2 I 4.23 $314.63 $71.II $53.03 $727.42 $164.89 $75.00 $519.03 $18.00 $1,000.00 $14.40 $10.08 $106.00 $38.00 $5,678.27 Date Paid Receipt Number I/20/04 2/2/04 2/2/04 2/2/04 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 3/30/04 3/30/04 3/30/04 3/30/04 1200400000000000078 I200400000000000147 1200400000000000147 1200400000000000147 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 12004000000000003I3 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000313 1200400000000000410 1200400000000000410 12004000000000004IO 1200400000000000410 Pal!e 2 of4 . Status . CITY OF SPRINGFIELD Building/Combination Permit Issued PERMIT NO: COM2004-00066 ISSUED: 03/15/2004 APPLIED: 01120/2004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Initial Review I Plan Reviews I 01129/2004 01129/2004 WE LLH Hold. No plot plan submitted 01130/2004 01130/2004 APP LLH Received plot plan this morning. Okay to process 01130/2004 03/0512004 APP EMM No second story windows permitted facing east. No Occupancy allowed until conditions of the DU Site Plan have been met or Site Plan Review Modification decision issued. 01130/2004 02/0712004 APP VRJ 01130/2004 03/09/2004 APP RJB Plannine 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. 19 8 21 IO 11 I4 9 12 24 5 6 . 13 1 23 22 I7 25 18 20 4 16 3 15 7 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. 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 noor insulation or decking. Floor Insulation: Prior to decking. 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. Undernoor Plumbing: Prior to insulation or decking. Undernoor 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 all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 Status Issued PERMIT NO: COM20/U.IlIlIl/:/: ISSUED: U3/15/1.UU<Ij APPLIED: 01/2012004 EXPIRES: 09/22/2004 VALUE: $ 146,124.00 225 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 bereon 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 COM2004-00066 COM2004-00066 COM2004-00066 COM2004-00066 Payments: Type of Payment Check "Wil'~~."'-~.'.'",.........-..,i... "':A!;- ~ ~: .......,.,...-_".._.... "'_~.':,o ; Ileceipt#: 1200400000000000410 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 Officiallleceipt Development Services Department Public Works Department Date: 03/30/2004 1:54:18PM Amount Paid Item Total: 10.08 14.40 106.00 38.00 $168.48 How Received Amount Paid In Person Payment Total: $168.48 $168.48 . .