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Home My WebLink AboutPermit Electrical 2000-5-1 ~ , . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 \~tP \j 1. LOCATION OF INSTALLATION It P"3 lJ J;.~r-II.\ ~ LEGAL D~CRIPTION 0' I/:. 00 1'Q-() ~ Ql. ':f "3 I J JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. Address City Supervisor License "'" ~ ~ Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name _R tlvu $+ppvp,'^,< Address J _ _ 1\ 7""""-'-' City Phone ~( ... 04~2 OVNER INSTALLATION The installation is being made on property I own which is not,intended for sale, lease or rent. ~ Signatu~ V)~ --------------~----------------------~ DATE: ~~'"27~ RECEIPT 11: ~ ~~ RECEIVED BY: //:./?'~ '~(/ - ~t-- SP,tl'FIELD ELECTRICAL PERMIT APPLICATION City Job Number OO-OOD~q-O{ 3. COMPLETE FEE SCHEDULE BELOll A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum lOOO sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 ,$ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 ' 201 amps to 400 amps $ 60.00 401 amps to 600 amps $lOO.OO 60l amps to 1000 amps $130.00 Over lOOO amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or lOOO volts $ 40.00 $ 55.00 $ 80.00 see "B" a'!i'OVe D. Branch Circui ts .- New, Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with Service or Feeder Permit ~ $ 35.00 ':?~~ $ 2.00 ~ t?"' E. Miscellaneous (Service/feeder not ,included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting ~ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE "'39 ,~ 7% State Surcharge :2_?2 3% Administrative Fee / ./ -;;- TOTAL L,;'2 . "9e? i, r - ~ SPRINQFIELD ~- 225 North Fifth Street Springfield, OR 97477 . . Page 1 of 3 TRANS#:Ol-0001908 DATE:MAY 25 2000 AMT RECD:2 $ 445.92 CHANGE: CASHIER: 004 I Job# 00-00629-01 I CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00629-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1183 W Fairview Dr Spr Assessors Map#: 17032731 Lot: Block: Addition: Owner: Address: Scope Of Work: Bedroom Contractor Type General Contr Electrical Contr Tax Lot #: 01500 Subdivision: Ron Stephens 1183 W Fairview Dr Phone Number: 541-741-0432 Springfield, OR 97477 Value: $38,998 City/StatelZip: Addition Contractor Ron Stephens 1183 W Fairview Dr, Springfield, OR 97477 Ron Stephens 1183 W Fairview Dr, Springfield, OR 97477 Registration # Expiration Date Phone 541-741-0432 541-741-0432 Office Use Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: Quad Area: 1 RNW # Of Units: Constr. Type: (VN) Wood Frame Water Heater: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Wall Heat Sq. Footage: 560 To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day, Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Rough Electrical Required Inspections I Buildinq -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking, - Prior to cover. - Before covering sheathing with finish materials, - Prior to cover. - Prior to Cover - Prior to taping, - When all required inspections have been approved and the building is complete, Electrical -Prior to cover, , ~ . I Job# 00-00629-01 I . Page 2 of 3 , ~ Final Electrical Required Inspections I Electrical - When all electrical work is complete, Street Improvement: Fully Improved Curb Cut?D Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 0010010000:00 AM Special Instructions: Other Utilities: Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: o 48 To Curb and Gutter 6 00100100 00:00 AM May connect to existing roof drain system if it exsits and is in good conditic Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 3: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: nla Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: nla Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: 560 Accessory: # Of Stories: 1 Current Units: Census Code: Does not apply Height (feet): 18 Proposed Units: Total:560 Fee Paid On Receipt# Plan Check 04/28/2000 1414 ValuelQuantity Fee Amount Residential Plan Check Total Plan Check 38,998 $151.78 $151.78 Buildinll 05/25/2000 0001908 05/25/2000 0001908 05/25/2000 0001908 38,998 $233_50 $16,35 $7_01 $256.86 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Branch Circuits W/O Feeder or Service Electrical 05/25/2000 0001908 3 $39,00 '. . Job# 00-00629-01 . Page 3 of 3 v' -, Fee Paid On Receipt# Electrical OS/25/2000 0001908 OS/25/2000 0001908 OS/25/2000 0001908 Value/Quantity Fee Amount Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical $,00 $2,73 $1,17 $42,90 Residential- Single Family - Storm SDC Administrative Fee Total System Development Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res System Development OS/25/2000 0001908 OS/25/2000 0001908 600 $139.20 $6,96 $146.16 $597.70 Checked By Lisa Hopper Dennis Ernst AlWard Wendy Stanley Date Completed 05/01/2000 05/05/2000 05/03/2000 05/05/2000 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 701,055 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 ( '1:;'ID~~ -;;;: '" .. .""" ';m.. ',ri", ro",,,"""'". 5 . <: 'i-on Signature Date