HomeMy WebLinkAboutPermit Electrical 2004-8-13
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225 rU'.n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541).p6\689 ~O'-:l~~~;~~ ''';~
ELECI'RlCALPERMIT AP~CATION (.:~ ~~~j-~'9-~ ~ "
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City Job Number ~ 2../Jl), - 0 t'J 7 f,( Date ~ / ..?lf1, ~ ~o~~:~~(.:6
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1. ',LOCATION,OFINSTALIATIONic' ",'.';if';: 3. ti<COMPLETRFEE-8CHEDl:Jl;;l!;',6J ()' 2l":;;:,,,,;.?&.'fli"i~J"!J"~
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LEGAL DESCRIPTION A. td~JJX<;~,,~~?l\~~!!.!:~~1kl\;l'.j}.$.!X~,,",..._,~ !.~~lh',"q'~::~
..b T g' Lt.Jd:t'n:.?.;(/{ /.)tic W..-f' -3 ' Service Included i1'., ~
JOB DESCRIPTION . 1000 sq. ft. or less -Z 12 00
OM ;If J..--Y ~~:o~:~:~ 500 sq. ft.or 2- ]'8
Permits are non-transferable and expire if work is Each Manufact'd Home or
;, not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
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Electrical Contractor . Ea1e1!1MJ!J 51-.
Address 1-4-7 3 I JZ, Y'LA J?/J f;( J 1:.,
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City )(AAr'J I "'(~ t'Jl-yhone qq 51 - 7/5/>7
Supervisor License Number :::lrrJo G S
Expiration Date /1')-/ - /9 4-
c.~}$
-~!t?1 'i (I
'-21 ~Oi?
Constr. Contr. Number? 2 -/71+t:.
Expiration Date / /? -/ - r:; ~
Signature of Supervising Electrician
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Owners Name .& y .......; L.~.-(U . /0. A r Ai)
Address dUo 7VI-7<'''' (:r:
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City J;I1, r-J Phone
.OWNER INSTALLATION
!he in1t!1!lW..~i~\1~j9l! 'RA~;,9'amg~r~g~~Wfh .
IS nolli\leh!h!'li 1ftlrI!lMc!;'r~~Qr r~J;lL 0 Ut'\'
follow rules adoptee DY me regon Ilty
oWINBt8igii!\\m;Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952,001-
0090. You may obtain copies of the rules by
calling the center. (Note: me telepnone
number for the Oregon Utility Notification
Inspection ReC(l\!'Il'ei7~~-332-2344).
$50.00
KJt;1,tf'I1r:r~~~itFk?r'~~f.:'i~~mW;:.i:;l~$i~"'+.~~:':S;W~,~75rI~,t::r.:z'T~~:
B. 0~~l~~~9...tte.!2~gftl~~!l~,!~~~~=~:4.\.~~~;r1J
200 Amps or less
.201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
-~.;
$ 75.00
$125.00
S163.00
$375.00
$ 50.00
- ,-
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InstaUation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
Sloo.oo
Over 600 Amps or I 000 Volts see "B" above,
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D. !~Branch~-Circuits'~~~-~ .... '~~;'i-"''';;;,-..j; !r'~?,d~1:~~',,~ -~f";~;.j".,,
';"'~~I~~~_' .~.,,,...,...-....I\;~,_..;o'iC~'!> .~...
, New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. '~'m~iili1i~u1~s:iRig~ma~Bffiir;i{Ji~"~jifi;}CN~i1iilltirii~
~~""""'''.'''''~~NoflcE:''';-.'!.:n~~''''''~.':~<I:ic.~lUilAJJ~'~'~
PumporirrigatiYlllIS PERMIT Sl'hLL ["~~~I~lL~ "h_
S'gnlO tl. L'~h' ,'" }~^I m: vvunl\
I u me 'lr.ltm210RIZED U.'~'~ ~I i' ' I~' -
, . MUIT. l'UL.11 I j Ill:> I~UI
LlIDlted EnergylResllleotiahED 0'" I" "" . . 00 f""
vUI'JIIVICIVv .1 v h.uf. 1~5 un
Limited Energy~~'MlS\5~AY PEf1I~~.. $ 4 .0
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
w~~,,~-,:;nr..'"'ti;,,\f.;:'-r.<.-~\7:S~"i..;."fM:1n'W~4..'""-W~";3;l
4. !'i'SUBTOTAL'OF'ABOVE'~',,* -~~<,,,~l:"';o.f.'!;.,,jJ
~:;.: ~~~,,:.e;JH;ti~.~1;f~"'.t;~1ti.\'J.t~f~~!:~~~3:"!11i'f;'a
7% State Surcharge
I 0% Administrative Fee
Z.5"fJ 0()
/ 7, Fa
?\<TV
'/ <;.")..5'0
TOTAL
,
2,25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00781
COM2004-00781
COM2004-00781
COM2004.0078I
Payments:
Type of Paymeut
Check
8/13/2004
.
RECEIPT #:
.~
.y of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
, .
1200400000000001217
Descrlptiou
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SUSAN E KNIGHTS
Received By
dim
Page I of 1
Date: 08/13/2004
Item Total:
Check Number Authorlzatlou
Batch Number Number How Received
5197
In Person
Payment Total:
2:30:33PM
Amount Due
212.00
38.00
17.50
25.00
$292.50
Amoout Paid
$292.50
$292.50
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
. . CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00781
ISSUED: 07/13/2004
APPLIED: 06/25/2004
EXPIRES: 01/22/2005
VALUE: $ 181,680.00
SITE ADDRESS: 167 Kaylee Ct 169 Springfield TYPE OF WORK: Duplex
ASSESSOR'S PARCEL NO.: WILLOWBROOK SUB L
PROJECT DESCRIPTION: Willow Brook lot 8 - duplex
Owner: GY ANENDRA PRASAD
Address: 4260 DAISY ST SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Mechanical
Plumhing
TYPE OF USE:
I CONTRACTOR INFORMATION I
Contractor
DUANE A KNIGHTS
BATEMAN ELECTRIC INC
MARSHALLS INC
SHAD CHASAN SURRETT
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
12112
151911
25790
158295
BUILDING INFORMATION I
2
R-3
U-l
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
1
15.00
Electric
Electric
Electric
Path 1
n/a
, DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Fullv Improved
Yes
Paee 1 of 4
New
Residential
Expiration Date
07/10/2005
06/21/2008
12/23/2005
01/14/2006
Phone
541-726-2960
541-995-4757
541-747-7445
541-741-3553
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,187
920
240
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
-~Gf~.~g~l~ .
I '.
. --
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 70/0 State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Plan Review Major - Planning
PW Mull Disc - 2nd Permit
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
Willamalane Attached (duplex)
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,840.00
480.00
Total Value of Project
Fpp< PiiaJ
Amount Paid
$540.90
$10.00
$144.42
5101.09
$508.00
$62.00
$832.15
$75.00
$12.00
$18.00
$103.00
$-30.00
$585.14
$769.76
$10.00
$428.46
$629.26
$142.78
$112.79
$1,454.83
$329.78
$75.00
$904.22
$50.00
$24.00
$1,848.00
$25.00
$17.50
$212.00
$38.00
$10,033.08
Date Paid
6/25/04
7/13/04
7/13/04
7/13/04
7113/04
7113/04
7/13/04
7113/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
7/13/04
8/13/04
8/13/04
8/13/04
8/13/04
Paee 2 of 4
.
UJ r OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00781
ISSUED: 07/13/2004
APPLl~D: 06/25/2004
EXPIRES: 01/22/2005
VALUE: $ 181,680,00
,
Value
Date Calculated
$170,016.00
$11,664.00
$181,680.00
06/25/2004
06/25/2004
Receipt Number
2200400000000000856
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001076
1200400000000001217
1200400000000001217
1200400000000001217
1200400000000001217
.
.
CITY OF ~r1Ul~ld<lt<.,LU
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00781
ISSUED: 07/13/2004
APPLIED: 06/25/2004
EXPIRES: 01/2212005
VALUE: $ 181,680,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Initial Review
Plannin!! Review
06/30/2004
06/30/2004
I Plan Reviews I
06/30/2004 OK
07/09/2004 APP
RJB
EMM
Patios in rear shall not be covered.
Will not meet setback or coverage
requirement. Lots are at maximum
coverage percentage. No additional
covered structures permitted on lots,
including sheds.
7/2/2004 - As builts not yet accepted.
No hookup to sanitary sewer until
as-builts are accepted. Contact
Pogue Engineering for sanitary
sewer location. - MAS
Puhlic Works Review
06/30/2004
07/02/2004 APP
MS
Structural Review
06/30/2004
07/07/2004
OK
RJB
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 1;lpm.lrA.I TnonAPHnno ~
llr~
Curbcut - Standard: After forms are erected hut prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: After all erosion measures are in place.
Vfer 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 fioor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Firewall: Located and constructed according to plans.
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 huilding is complete.
Vnderfioor Plumbing: Prior to insulation or decking.
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 aU plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Ele~tric: Approval required prior to Utility Company energizing pole.
Pa!!e30f4
e
.
CITY OF SPRI1'ild'IJ!,LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00781
ISSUED: 07/1312004
APPLIED: 06/25/2004
EXPIRES: 01/22/2005
VALUE: $ 181,680,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Rough Electric: Prior to Cover
. Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, 1 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 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.
d..<- <"->''- C!~ ( ~""~/?P..fL./
Owner or Contra~tor~ sq;;!ature .
cF-/~ ,-O/-'
Date
Pal!e 4 of 4