HomeMy WebLinkAboutPermit Electrical 2003-12-18
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.$ j:. , ,. . CITY OF SrRINGfIELD, OREGON. ' ..' '
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ct as submitted has the following
not require specific land use
2251'11' Iti STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 · FAX: (541)72tJn~~3
ELECTRICAL PERMIT APPLICATION /' / Date
City Job Number CDVllfzoo3 - 0 04 z.~ Date 11.. I 8/63
---, ( Authorized SIgnature
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E. .,Ml~c~l!aneo~~(~e,:",e~f~eder no!;!Jlcl\l~OdI;:::E,a.cl! I!'~l!l!atloll"
ATIEf~fl~~rt'~!~t)reqortra\~tJq'ulreS'}"ou~t..b'~"'k~'.h'~...~.l~~l~~
f Pump or,irrigalion1Ji'lJ by the U. 80nn UI$,50.00
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\Iu~!~0.',t!,4>'[I,ig~!ing ,'hp= -'- r~l:I" :>re ilct$50.00
l'!;\lI!-.it.ed.EnergylResidential,JU9;1 OAR ,15~fi5.00
OC"-" dE' , ,,/,-."''''-- "<,,,i~.' ,,; tho n'I-S'=4'00
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THIS PERMIT SHALL EXPIRE IF THE WG~tate Surcharge
AUTHORIZED UNDER THIS PERMIT IS l'1~Ji. Administrative Fee
COMM~~CED OR IS ABANDONED FOR
Inspection RequesP.iN~~(1'~AY PERIOD. TOTAL
Shared Drive{T:YBuilding Fonns/Ele:b.;::;ll Pcnnit Applic.1lion 1..o3,doc
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LEGAL DESCRIPTION
j70l.3lf//
JOB DESCRIPTION'
SFIl, Lav"'I/JE?~a--...
U
0/700
Permits are non-transferable and expire if work is
nQt started within 180 days of issuance or if work Is
Suspended for 180 days.
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Electrical Contractor Lyu-JJ;$ tlf.CtR~
Address f.(). ~ A
City ~\ \ C~_~ Phone '1'2k -1W1S-
Supervisor Li;;ense Number :;J.. '35'1-5
Expiration Date 10 !t:)/ I 0<(
t
Constr. Contr. Number 10 '). 3 I (",
Expiration Date 10 Jo, J 0'7
,
Sigc.M'e of Supervising Electrician
~f&mAO
Owner,Name ~ ~E~ EVMS'
Address '25 s8b)' -g\ d < f<',^" ~ ~J
Ci:/?~~-\-- IA,-/ ( PhO:' 9/ ') - s g ~ 7
971'C:
OWNER INST ALLA nON
-!be installalion is being made on property I own which
is not intended for sale, lease or rent.
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A. c~.N.ew- ~~it,kijtial'::"Sinllle,.o_(M"I!:l-I':~v.per'C1wel'ing,uriiID+'~
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Service Included
1 000 sq. ft or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
.1~"~~!~~1l1l~'t!~~~t~~;lfrf:~;';:11i:1:~'~;;~~f~'~:~~~~~t'l!~~~~!tir.!:!'}~-1;)k~~
8. j,Sirvlces' or'F..dus'.;:"Iils,lallatJolj;j"Alteril lioil,s,od~..lo". lion:.<m
~'!-j:...tL~N:'-b:,>,~"'t=;a':;Mll;.:f! ;:,~J-.;J~:iI~~:i{;:..E:..j:.',~bliw~'r~a:iliht~\;:Jjldii:'ilatil:l.:1..:Mb-
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 AmpS to 1000 Amps
Over 1000 AmpsfVollS
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
S375.oo
$ 50.00
C If'T.q'mrr.,~';'ii~". ",.l.'\.\'~"""".i:'f1"<d'~~'" . _'$'::M':1~... ""P~" .. ~
. ~,F- em ra ;. _ ~~I~ :,or,}'.ee ..er~,~ _. -:\ ,~~J~1J :1,;'. ',:.. ",:'
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Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
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D ~.'B. ",..~~ (:..4h"".,;.C' -1,.~!:;/'\~;..'!'~.!'I1~11! "'~~:\10~'. ",~ ' '..ni' lli't' . S;~..... $'- '?=i,j;};o,: .' ~'i~'
. HL~r~~\lo..~~~f5~~~~~tir:~Vltil:!'~1~~"".;j~ . ::r. _ "lilt_~':'''~~!. ';'.~:,~.
r;ew Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
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5/~-
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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: COM2003-00425
ISSUED: 10/29/2003
APPLIED: 05/30/2003
EXPIRES: 06/17/2004
VALUE: $ 184,530.00
SITE ADDRESS: 6694 Jacob Ln
ASSESSOR'S PARCEL NO.: 1702341109700
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owncr: GORDAN BRET EVANS
Address: 85865 RIDGEWAY RD PLEASANT HILL OR 97455
Phone Number: 541-746-4803
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General GORDON BRET EVANS 102721 10/20/2004 541-746-4803
Electrical STEVE HAVCK 147618 04/30/2005 541-221-2665
Mechanical PACIFIC AIR COMFORT INC 39237 03/25/2004 541-672-9510
'. Plumbing DON CLEWIS 33076 06/10/2005 541-688-1931
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
-.
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
BUILDING INFORMATION I
I
R-3
V-I
VN
# of Stories: 2
Height of Structure 31.00
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
832
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
10,800
1,059
1,196
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
18.00
5.00
7.00
80.00
45.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Floodplain
2
Yes
18.00
Total:
Handicapped:
Compact:
2
I PVBLIC IMPROVEMENTS I
Fullv Improved
Yes
Sidcwalk Type: <> 'b' d 5'
.....'lnr,'.(.'."r-'1n 1&\', reqUlresy 'ur SI e
ATT c~DownspoutslDrains: ,,0" Curb1and Guttcr
fo"O\, "~llc: al;"p\;;U oy lito ,~"~,, \::.....,
. ~.., _ 'r.:~':.) Ch"J~3 rula5 Clre s~t fort
.'m.,lcadl '.1 (,,-.. ..~r. ' 'h nAR 952-00
, OAR 9t;:? QU1-t~01 n IfjfuL;Q .
, . 1,1 ":1 C"DI8~ :'If Ihs rules I
0090 Y~u r.1, If ::J, ,-.. '.
. . "-' "''=' ~~n"ar. (r\o~'~: t:,ste!:iphone
callbmg :' '~t~1~e O' regon Ulility Notification
nurn. er I,), , ' . "
,....~~. '" I~ 1_pnn_,',::l?-2344).
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of5
\
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
';
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
-3 Baths One & Two Family
Addressing Assignment
Annexed 2000
Building Permit
Copy Ist'@ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
... Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
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
Temp Power 200 amps or less
Vent Fan
Wmamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Other Electrical Permit
. CITY VI' ~PRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00425
ISSUED: 10/29/2003
APPLIED: 05/30/2003
EXPIRES: 06/17/2004
VALUE: $ 184,530.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
2,255.00
832.00
Value
Date Calculated
$168,223.00
$16,307.20
$184,530.20
05/30/2003
05/30/2003
Total Value of Project
Fpp<. PIiILI
Amount Paid
$547.24
$10.00
$ I 44.99
$101.49
$306.00
$8.00
$- I.4 I
$841.90
$15.00
$75.00
$6.00
$9.00
$12.00
$59.00
$-30.00
$106.00
$95.00
$464.67
$611 .28
$10.00
$34.83
$332.86
$105.99
$50.70
$727.42
$164.89
$75.00
$789.24
$50.00
$24.00
$1,000.00
$4.50
$3.15
$45.00
Date Paid
Receipt Number
5/30/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
10/29/03
12/18/03
12/18/03
12/18/03
2200200000000000958
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
1200200000000002388
2200200000000001898
2200200000000001898
2200200000000001898
Paee 2 of5
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2003-00425
225 Fifth Street, Springfield, OR ISSUED: 10/29/2003
541-726-3753 Phone APPLIED: 05/30/2003
541-726-3676 Fax EXPIRES: 06/17/2004
541-726-3769 Inspection Line VALUE: $ 184,530.00
Total Amount Paid $6,798.74
I Plan Reviews ,
Initial Review 05/30/2003 ' 05/30/2003 APP LLH
Plannin!! Review 05/30/2003 08/08/2003 WE EMM Called owner left message 6/3103.
Need LDAP submittal. House is too
tall. On no build no fill line.
Developer needs to complete curb
per settlement agreement. Garage
setback must be 18' from property
line as indicated on plot plan. Also
refer to notes in red on plot plan.
Called owner on 8/15/03 and left
messge. Need to know how setback
issues will be resolved before issuing.
Plannine: Review 08/18/2003 08/18/2003 APP EMM Owner ehanged house to post and
beam in order to comply with 30'
maximum height. Owner will
shorten garage 2' to meet 18'
setback and shorten rear of house 2"
to accomodate siding and trim. No
portion of building below 8' allowed
in 5' easement. Owner will trim tsib
on rear of cantilevered second story
to accomodate gutters. No portion
of any building shall extend over the
No Build Line. See enclosed map
and Judgement of Dismissal with
easement document.
Puhlic Works Review 08/08/2003 08/1112003 WI VRJ Waiting for Site PlanlBuilding
Permit approval from Ken Vogeney.
All PW's fees and notes are attached
to permit.
Public Works Review 08/1212003 08/13/2003 APP VRJ Ken V ogeney has approved building
permit 8/12/2003.
Public Works Review 08/22/2003 08/22/2003 APP VRJ Ken V ogeney reviewed and
approved revised site plan
8/22/2003.
Structural Review 05/30/2003 06/26/2003 WE DLM See doeuments for letter requesting
add'l information.
Pa!!e 3 of5
-:"~&c-I~~,~ ~,
..' '
, . I
,.
.
. CITY OF SPRI1'i\.d'lJ!.LU
Building/Combination Permit
PERMIT NO: COM2003-00425
ISSUED: 10/29/2003
APPLIED: 05/30/2003
EXPIRES: 06/17/2004
VALUE: $ 184,530,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
07/18/2003
08/08/2003
WE DLM
Received designer's response to
request for additional information
from the designer. Submitted
information has incorrect designs
for structural members. Called
designer and requested revised
structural information that will
coordinate truss loads and
supporting beams in garage area.
Received revised calculations from
designer. Verified revised beam size
and new footings in garage.
Structural Review
08/1112003
08/11/2003
APP DLM
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 Reouired lnsnections I
I Site Inspection: To be made after excavation but prior to setting forms.
,
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to 1100r insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
II Drywall: Prior to taping.
12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underl100r Plumbing: Prior to insulation or decking.
IS Underl100r Drain: Prior to cover or placement of eoncrete.
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 Underl100r Mechanical. Prior to insulation or decking and including required testing.
22 Rough Mechanical: Prior to Cover
23 Final Meehanical: When all mechanical work is complete.
24 Temporary Electric: Approval required prior to Utility Company energizing pole.
25 Rough Electric: Prior to Cover
26 Electric Service: Approval required prior to utility company energizing service.
27 Final Electric: When all electrical work is complete.
28 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
29 Curbcut - Standard: After forms are erected but prior to placement of concrete.
Paee 4 of5
.
. Ul}' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00425
ISSUED: 10/29/2003
APPLIED: 05/30/2003
EXPIRES: 06/17/2004
VALUE: $ 184,530.00
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 ofany structure without permission ofthe 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
limes during construction.
Owner or Contractors Signature
Date
, Pal!e 5 of5
225 Fifth Street ,,;
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00425
COM2003-00425
COM2003-00425
Payments:
Type of Payment
Credi1Card
u:~~~,
IIii
Receipt #: 2200200000000001898
Description
+ 7% Slate Surcharge
+ 10% Administrative Fee
Other Electrical Permit
Paid By
GORDAN BRET EVANS
Received By
djb
Check Number
Batch Number Authorization Number
000253 922818
''City of Springfield Official Receipt
Development Services Department
Public Works Departmenf.
Date: 12/18/2003 ' 1:44:40PM'
Amount Paid
Item Total:
3.15
4.50
45.00
$52~65
How Received
[n Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.