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Home My WebLink AboutPermit Electrical 2003-8-29 ~ CITY OF ~____lrnGFIELD, OREGON.., 0""" submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . ~t1-?t1~7~r.36li'9 require specific land use ELECTRICAL PERMIT APPLICA1JON Zoning L"DJ2.. City Job Number ~W\ZOC)J-~ Date 8-~Y~q,~ r Cl-~-~J 1. LOCA110NOFINSTALLAI1ON 3, 'COMPLETEM}'12~~MDnJ.M'" ~_ _. _u .~__.._ _ 1____ . _ ___ _ '-172- L( T/J$P6-iL ~. LEGAL DESCRIPTION 1 ~OZ.O") 13, 050'61 JOB DESCRIPTION 5 e. vc.....I '<, c. ( ILG..>-' \~ Permits are non.tr~sferable and expire if w~rk is not started within 180 days of issuance or if work is Suspended for 180 days, 2. . CONTRACTORINSTALLATIONONLY : "'_"__"_~'___ '_~ _,_u_, '_h_'_' Electrical Contractor l11t CC \ e& t'k 1 A. 0 tJ(, Address 3d- ~ I b R.~ \e.y (c,-,.:() City Phone ~ Supervisor License Number ~(J~ ~,:) Expiration Date '0/ d D4- I ./ <6'l,se~- Constr. Contr. Number-'oa- _ ~ ".i:...., Expiration Date . 1/ 1;z. bID 3 I Signature of Supervising Electrician Ep~lb94~ Owners Name A-I W~\T~1 Address ~? l( ::I ~<;.~ k> d , City <:; ? r:::: \'-" 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 . - - - . . A, ' New Residential - Single or Multi-Family per d,;'elling unit, l. _ _. _ _ _. ~_. _. _ . ~ ~. __ . Service Included 1000 sq, ft or less .. Each additional 500 sq, It, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 B, , Services or Feeders -Installation, Alterations or Relocation: !_---- - _.,~,,,-_._--..~,------------ .,-., -, ---. -,._----- ~-~ 200 Amps or less , $ 63,00 b 3 20 I Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNoIls ,,~'l<5,00 Reconnect Only . , 'I'l t",q\l\l"'~ J ~\~9190 . lagon \3 'Otegvl' \ t\ i'- -- :\nEW~'.U -. 'n't"r\ne ., -e'50\ 0___, ,.. ,- - , c. . '[!'I'i'po'raty Ser~9~'Or Fee!le~s.lleS at "'2-00' ) l $. . "IUle5 cl>.. - 1'n05'" ." Op..p>g". -Y' ',---, -, \OIIOW , ~ cen\et. ,,'\'1tOU9n e tUleS InstaUatiOlipAIteratio'n':'';r'RelocatiooOI \\1 hone ' I'lV'~'~ q<;'l-Ov' in CO\-,'-' eleOI'. 20R,A;mp'?<or Iss;;.1a'j oo\a No\e'. \ne \ . . \f;?J!)OlPfI 201'A~~s ~,o400,Am's'1\et.~. ll\iliW ''',~ $ 69,00 -'lOp ..~n \pC p Qtegon .4", '401 Amps\t'O'600~riipS\ 800.g32''-''~ $100,00 ,7;\' l!fIoe' , ,'''J is l' qv~r~,:!O Amps!il009ll. VoI~ se::. "~~b()ve,_ .. _, _ .., _ D. ! _B+ran~h ~i_~~~i~s_ _ ..._ _ _ _... _ _ _____ __ New Alteration or Extension Per Panel . One Circuit $ 43,00 Each Additional Circuit or with i\-\c \t.m?t~ c:; S[tte or Feeder Pe~l?tc It ~~~1 $ 3,00 / "i~~ Rfi~mp-~~~~~1.~\~;?c\\~1 \~~BUde~)--E~~;i~;t~i;ati-;;n~ f>.,\li\'\a?t\'i't.tr-VlQP;ISf>.,'O~~~~-- ,- ,------, .,-- C~UllI\tB9a~\O\). $ 50,00 f>.,~~~I~~llghting $ 50,00 Limited EnergylResidentiaI $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOiM. oi-MoVE L.____ __ f-- 72 5'01/ 7Zc '8''1 z ::L 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Elcclrical Pcnnit'Application I-03.doc . . CITY Vi' ~rKll'lui'u..LJJ Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: OS/22/2003 APPLIED: 04121/2003 EXPIRES: 07/10/2003 VALUE: $ 16,934.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4724 JASPER RD ASSESSOR'S PARCEL NO.: 180205\303001 Springfield TYPE OF WORK: Garage TYPE OF VSE: New Residential PROJECT DESCRIPTION: Garage Owner: WILTSEY ALBERT R & V E Address: 4724 JASPER RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION , Contractor Type General Electrical Contractor License PACIFICA WEST CORP 118983 ROB'S ELECTRIC 156678,,\),-0. I BUILDING INFORMATIOl'ii)~ 0\~~~< ,\'0-"" Ol"'~ Ie ",e .()() # ofStories:ol ~,\\'(\e ',e'" '0- <>. 9S7.;'ec.Lot Size: . "'\\v.... A '-'1 '(\).' ~..{' -V,''' Height'of Structure3 i(\ 0 i(\e I ~Sq Ft 1st Floor: ",,,\Ty'jie of:H~~t:,\'(\v,:,o\)g c. 0'" 'e"'(\O 8glFt 2nd Floor: Av\~'","" """ <,\\\.' 'e7 e' ,\' 2)." VN 1'0\ ' ,.. ~ater'Type:()\V ~O~\ ,yoe" ,\~\c. I>q Ft Basement: ~O~. "V. v 'r-v . ," ~O' 'O~., ,~.a~~f.~ype;.,'O\'O-\ ~o\e. .~\\'l 0.'1' Sq Ft Garage/Carport o\\,\c.~n.!'rgylr-!!t.h: ~el' ~ Or- 0" 'J...?,r;,o. Sq Ft Other: ~ r- 01" -(o\) ~e C.e~ oleg <$).r;,'?i Impervious Surface Area: , ......('\. _ \\, o",",p" . ~'v Expiration Date 12/0212004 08/14/2005 Phone 541-895-4682 541-686-5444 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: iI of Bedrooms: V-I 864 SETBACKS I DEVEOOPMENT.INFORMATION , ~v' ~ REQUIRED PARKING Overlay Dist: Vrban Fringe Total: 2 12.00 # Street Trees Rqd: Handicapped: Paved Drive Rqd: N Compact: 10,00 % of Lot Coverage: t. W1i/\Q; '-NO\\~ 10.00 "(\1\C~:.,..... c.1-\~\.\. t.~?~ oH\NI\\ \~ ~Q I.PVBLlCNMmO~ItJ\m~-i{"'~\~~QQ~\;;V r..:\ \ 1" I , p.,u ~UO~~t.~CL~ ~E~\O$. Sidewalk Type: p..~~ \ ~Q \) DownspoutslDrains: Storm drainage not shown on site plan. Storm drainage must go to an approved drainage system. Roof drains can go to roadside ditch. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page 1 of3 I Plan Reviews I 04/22/2003 04/28/2003 APP EMM Garage cannot be taUer than the primary structure(manufactured bome). 04/22/2003 04/30/2003 APP VRJ Storm drainage not sbown on site plan. Storm drainage must go to an approved drainage system. Assuming roof drains will go to roadside ditch. No PW permits, only SDC's for impervious surface, 04/22/2003 05/12/2003 APP TCM Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Garaee Tvpe of Construction Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Garage/Carport Perm ServlFdr 200 amps or less . Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Plan nine Review Public Works Review Structural Review . . CITY OF ~rlUl'lut<1Jj,L1J Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: OS/22/2003 APPLIED: 04/21/2003 EXPIRES: 07/10/2003 VALUE: $ 16,934.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $19.60 Square Footage or Bid Amount 864.00 Total Value of Project Value $16,934.40 $16,934.40 Date Calculated 04/21/2003 Fpp< PiLilLI Amount Paid Date Paid Receipt Number 1200200000000001036 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000001303 1200200000000002041 1200200000000002041 1200200000000002041 1200200000000002041 $105.30 $27.90 $19.53 $9.00 $162.00 $63.00 $59.00 $14.85 $296.95 $45.00 $7.20 $5.04 $9.00 $63.00 4/21/03 5/22/03 5/22/03 5/22/03 5/22/03 5/22/03 5/22/03 5/22/03 5/22/03 5/22/03 8/29/03 8/29/03 8/29/03 8/29/03 $886.77 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. . Paee 2 of3 -rz.:."" ~ . . CITY OF SrKll'lu1<lJ!..LJJ Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: 05122/2003 APPLIED: 04/21/2003 EXPIRES: 07/10/2003 VALUE: $ 16,934.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line L.Rr.ouirr.d Tnwections I 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Slab: To be made after all inslah building service equipment, conduit piping and other equipment items are In place but prior to concrete. 4 Framing Inspection: Prior to cover and after all rough in inspeetions have been approved. 5 Final Building: After all required Inspections have been requested and approved and the building is complete. 6 Storm Sewer Line: Prior to filling trench. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. 9 Eleetric Service: Approval required prior to utility company energizing service. 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 inspeetlons 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 Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00285 COM2003-00285 COM2003-00285 COM2003-00285 Payments: Type of Payment CreditCard ~-::. Wir..."'....'...'...,'..'......'.........l ...: , "^ ,..,.,'.',,<.... "..' Receipt #: 1200200000000002041 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Paid By EDWARD GUIDRY l:heck Number Received By Batch Number Authorization Number djb 000156 812582 City of Springfield Official Receipt Development Services Department, Public Works Department' Date: 08/29/2003 2:36:51PM . Amount Paid 5.04 7.20 63.00 9.00 $84.24 Item Total: How Received In Person Payment Total: Amount Paid $84,24 $84.24 . .