The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-1-27 00 Q . ( ) {' " . CITY OF S_,LINGFIELD, OREGON '~~,"~tl~;:~~.:;~, as submittad has the following t require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . F,('j/,r'&"4'6726-3689 L1>t2- ELECTRICAL PERMIT APPliCATION Zoning \_~ ~O~ City Job Number Lou-1'l:007.- OIZS-E;, Date i/J-l!D3 Date """'-W Muthorized Signatur.:. 'I '\\1 I. I LOCA110N OF fNSTALLATION (07 }..I .\rM' niLl" nr:,IC LEGAL DESCRIPTION /702.3trf/ I L{ 70 0 JOB DESCRIPTION . S, D1' LU'1"4-:u \: AuriA ('y Prf.u.l.....<.- t vvc --0 yt'<.t"lu..rrt Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for I 80 days. 2. I'CONTRA~ORIN$TAL~rIONONLYI /' Electrical Contractor ,DIVERSIFIED ELECTRONICS Address PO. '801- 'i051.()( City GufJe.1'A- '17'1oy Phone '11{4- 'lol&' Supervisor License Number "~77 UP Expiration Date I D / I 10,1.., Constr. Contr. Number J '-/ I.j (" g~ EXPirationl::p, J (" ~ DLf :"~U::1'~m- Owners Name VWt'I.0L ~LL( I'D I .LO.jJI. u Address Co 7.J.1 JD..<:c\h,,' Or. \1(, City SPFO Phone qS:,- LI/'?2 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: Inspection Request: 726.3769 3. I COMPLETE FEE SCH};,J)ULEBELOW , . . ' . . I A. I NewRhidential-'Si;lgle or:J\1ulli'Fami!yperdwelli,;g.u~it.' I Service Included 1000 sq. ft. or less Each addi1ional 500 sq. ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder . $ 106.00 $ 19.00 $50.00 B. LS~rvic~s'or Fee~er~. -:. I;lstanatlim,.Nteratijl'lS:or Relocation:. 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. kTemp~rirj'~~~~.\l~d'.;?~~~\1' :\' IOI'l,.OlegU1.. ;'"e OlegulO ~\ \ort\'> p.,\n:.l'lnstalJi.l!~\l'A\~~ag~m'1.rsR~i~aJ~~O~ - \o\l~1/V ~UB~~pIl~f,il~~~OU9"Op.,f\ 9~:.\l'\S \:l) $ 50.00 No\i\\ca.i#P....rJl~O{)~~es 0\ \"e ':'nl'le $ 69.00 in op.,f\~Bu~~.s~~S~~.. \"e ~\~~,.~\iOn $100.00 009c~i\~~~QSe~~m;~f~1~:.,~b~V~;.c> .f. n' nr'lliifr'IIW&C'I'",,'il\ll\Q'i.... , " , .!"f,.",,,.., ,,' "U""~~,l1B& ....,.. ". .." ..... ....'.. New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or w;th Service or Feeder Permit $ 3.00 . . I '1 E. l i\fu,t.llan~olls' (Service/feeder 1I0tin~lu.iI~d) ,.:.hi;h hlstallaHon I Pump or irrigation . _ _.\1: 'I.j\ljf.i(J.OO ~j8b10htlj,;e Lighti~g.lL E'l..PI?E \~ ::,'; 'S ~Q.O:.OO ., ".~ >)I:P.N\\ i " .' _"' -\-lIS pt.n"'" . IJ)mlted Eilergy.)RSNt!".!!!1B1 _ .,"n ~Q~ 25.00 ;t5$J L.".'Tt1-JOERILc/r> .,~ ""I.NO\J"L-~' $4500 Iml tAl nefUV \J~ommerctal)t\ . t..J\\:.Nc" v,.. Minim.rn\lMeetric~;-e'r.miEi',j~Qction Fee is $45.00 + Surcharges 0 hMY IOU 1:).. ~' 4. e~V!,rliT~Q.FfBOVE;' ~ ~ 7% Slate Surcharge :II 3~ 10% Administrative Fee I.{)O TOTAL <;'~ (,':) Shared Drive(T:)/Building FonnsIElechical Permit Application l-Q3.doc r . . Lll f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01256 ISSUED: 11/25/2002 APPLIED: 10/31/2002 EXPIRFS: 07/16/2003 VALUE: $ 164,111.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6721 Jacob Ln ASSESSOR'S PARCEL NO.: 1702341114700 Springfield TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: DAVE POKlVITAS Address: 37519 WALLACE CREEK RD SPRINGFIELD OR 'T/477 Phone Number: 541-953.4182 Phone Number: 541-953-4182 Phone Number: 541.953-4182 Phone Number: 541.741-8072 I CONTRAcrOR INFORMATION I Contractor Type General Electrical Owner Role Type Null Contractor License VINCE JAMES BURROUGHS 147979 DIVERSIFIED ELECTRONICS INC 144685 ~ DAVE POKIVITAS ~\:;'?\ VINCE JAMES BURROUGHS ~<: \~ \~~ IS ~\)\ I BUILDING INRORMATdON10 'i-\:;'" \v\.' :\ ';),.' '" \" ~\J'" 1 ~t;;j'\ 'i'Xit~~StoJij~'I:: \\'Q\\~ I R-3 '\'0\"::> c,~el~!it\llf0\\ \:\:;\). 22.50 U-I \\'0'\~~el};W~R' Forced Air Gas VN \'\:;\"~Iltl't)Type: Gas VN \\~'{Range Type: Electrie 3 Energy Patb: Path 1 Expiration Date 06/04/2003 06/23/2004 Phone 541 -953-4 I 82 541-484-9078 541-953-4182 54 I -953-4182 # of Buildings: Primary Oceupancy Group: Secondary Occupancy P'rimary Construetion Type Secondary Construction # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface Area: 10,818 1,965 894 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMA nON-IIOU \?" 0.\)"- \j\\\\'" ~ \~\f-l ~e ~e9Pr. _0\ \O~ OverIay,.Dj~~Or. 1'j\X\eO s~~Hilgml1l\)'\' #~\'\f:'l'f.it~o~e~ Xi se ~u\e Op...~ 9 ~~s 'o'J ~Ip (~<LoJ)i! ~~q(J~~X\tOu~X\ 0\ \X\e ~Slr.e \O\\~~<<it.:Co~~llveW~eil c09\e~X\e \0'i\RO~\\O~ ~\o\\\\C 9~'l..JV o'Ow.\\ ~o\e'. ~o\ll " \~ "l>.~ ..~~'1 _."'{.~ .,,,\\\\'1_./1.'1. iPU~A1ci- WitROV~~;.i.).?J?J'l..t-J ...,- e' ''"' ~\'o . . F II 1 d ,\~'O Col:l\e SIdewalk Type: u V mprove r.v ~ Curbside 5' Yes Downspouts/Drains Curb and Gutter Complete and submit overwidth driveway permit. Approval is required before permit can be issued. 11.00 52.00 10.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 16.00 10.00 Street Storm Sewer Available: Special Instruction: Notes: 1 of 4 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Dwellines Caraee Type of Construction V Wood Frame Caraee $ Per Sq Ft $74.60 $19.60 Square Footage 1,965.00 894.00 Total Value of Project I Fees Paid I . CITY OF SPRINGFu,LU Building/Combination Permit PERMIT NO: COM2002-01256 ISSUED: 11/25/2002 APPLIED: 10/31/2002 EXPIRES: 07/16/2003 VALUE: $ 164,111.00 Value $146,589.00 $17,522.40 $164,111.40 Date Calculated 10/31/2002 10/31/2002 Fee Description Amount Paid Date Receipt Number Plan Review Residential $504.99 10/31/02 1200200000000000168 -Mechanical Issuance Fee- $10.00 11/25102 1200200000000000295 + 5% San & Storm Admin Fee $173.48 11/25/02 1200200000000000295 2 Baths One or Two Family $254.00 11/25/02 1200200000000000295 Addressing Assignment $8.00 11/25/02 1200200000000000295 Building Permit $776.90 11/25/02 1200200000000000295 Curbcut - Overwidth Appl $35.00 11/25/02 1200200000000000295 Curbcut Permit $75.00 11/25/02 1200200000000000295 Dryer Vent $6.00 11/25102 1200200000000000295 Exhaust Hoods $9.00 11/25/02 1200200000000000295 Furnace - up to 100,000 btu $12.00 11/25/02 1200200000000000295 Cas Fireplace $15.00 11/25/02 1200200000000000295 Cas Outlets 1-4 $4.00 11/25/02 1200200000000000295 Plan Review. Planning $55.00 11/25/02 1200200000000000295 PW Mult Disc - 2nd Permit $-30.00 11/25102 1200200000000000295 Sanitary Sewer - Improvement $402.96 11/25/02 1200200000000000295 Sanitary Sewer - Reimbursement $530.16 11/25/02 1200200000000000295 SDC MWMC Administration $10.00 11/25/02 1200200000000000295 SDC MWMC Improvement $34.83 11/25/02 1200200000000000295 SDC Sanitary Reimbursement $-1.41 11/25/02 1200200000000000295 SDC Sanitary/Storm Admin $124.65 11/25/02 1200200000000000295 SDC Transpo Admin $48.83 11/25/02 1200200000000000295 SDC Transpo Improvement $709.81 11/25/02 1200200000000000295 SDC Transpo Reimbursement $ I 60.87 11/25/02 1200200000000000295 Sidewalk Permit $75.00 11/25/02 1200200000000000295 Storm Drainage Impervious Area $1,289.44 11/25/02 1200200000000000295 Temp Power 200 amps or less $50.00 11/25/02 1200200000000000295 Vent Fan $18.00 11/25/02 1200200000000000295 WillamaIane Single Family $1,000.00 11/25/02 1200200000000000295 + 10% Administrative Fee $4.50 1/27/03 1200200000000000610 + 7% State Surcharge $3.15 1/27/03 1200200000000000610 Low Voltage - Residential $25.00 1/27/03 1200200000000000610 Minimum/Adjustment Electrical $20.00 1/27/03 1200200000000000610 Total Amount $6,414.16 2 of 4 . . CITY OF SPRL~lrN~LU Building/Combination Permit PERMIT NO: COM2002-01256 ISSUED: 1112512002 APPLIED: 10/31/2002 EXPIRES: 07/16/2003 VALUE: $ 164,111.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin!! Review Public Works Review 11/01/2002 11/01/2002 11/01/2002 I Plan Reviews I 11/01/2002 APP 11/05/2002 APP LLH AJD Complete overwidth driveway permit before issuing permit Structural Review 11/01/2002 OK DPE 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. ~ Reouired Insnections I 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to Ooor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to eover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 UnderOoor Plumbing: Prior to insulation or decking. 15 UnderOoor Drain: Prior to cover or placement of eonerete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 UnderOoor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 24 Rough Mechanical: Prior to Cover 2S Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing service. 29 Final Electric: When all electrical work is complete. 30 Low Voltage: Prior to cover. 3 of 4 . . CITY OF SPRINGFIELD -\-'.j Building/Combination Permit PERMIT NO: COM2002-01256 ISSUED: 11/25/2002 APPLIED: 1013112002 EXPIRES: 07/16/2003 VALUE: $ 164,111.00 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 inspeetions 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01256 COM2002.01256 COM2002.01256 COM2002-01256 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000610 Date: 01/27/2003 Description Low Voltage. Residential Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Received By Cbeck Number Confirm No DIVERSIFIED ELECTRONICS djb Page I of I 1/27/2003 1:15:03PM City of Springfield Development Services Department ' Public Works Department Official Receipt . Amount Paid 25.00 20.00 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person . Payment Total: 52.65 $52.65 cReceiptrpt