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Home My WebLink AboutPermit Electrical 2004-11-17 . . . I .. . SPRINGFIELD , 225 FIFTH STREET. SPRINGFIELD, OR ')7477 . PH:(54I)726-3753 . FAX: (~I)72t~;~~~ ELECTRICAL PERMIT APPUCATION . q,~.>. 0"", ' ".. '<AJIf . A7"t ~o..,/.. "'Ot &.5" . City Job Number(OI'k'Z-OO'-1 ~ "I'Z 4. 8 Date / / _ FJ ,tJ4' ;;o,,~ "~\.. -",9, v6",,. . &0' "Gt/....& t?'& 1:1"""-"'-" .-" ""'r'- _ - r- - ./r 1. :tillOCA.'1'i6N6i?ijiiSTA'i!T;4Ti(iN3fji1J'~ 3. llleoMP.."" :iiiiTE;FitEise;;;':.~:i:mDi;o .~. . -'-,~ii{.4::'\('q~.'. :,r~';t'N''''.l :l;i.- ......__.......,...,.- _ "c~~....~":,t."...,, -""".,;..'......I'.'.~-~...~,.r"'''''.~~ Ei.._....: -.- ,_--:..,.,......~_..,.:~.._n_.._'~._~.~;~ ~ ...". , .. .~t,:".I~~~ . /:;. -~~,,~'o/, IfCt./ - /t:.2 ;f/~",- ~ ,. A IfN"""R'''''if''''tiiii'tlli''s~'''''i''''''''M''r~l''~ ~;~,,~~'%1 LEGAL DESCRIPTION . K. .~m.,~,,!!!!,~..i1:_~ng~9rL,,'! J.:!'!"!'.,Y.' !!,,,!!!!!g:1!I1!_~\;;iiI tdl-2 /7032.71 I 03/00 Service Included ,I' "'" JOB DESCRIPTION 1000 sq. ft. or less '2' 00 2 1 L- Each additional 500 sq. ft. or , C;' portion thereof .2... $ 19.00 '3 D Each Manufact'd Home or Modular Dwelling Service or Feeder 7J/.Ip!~Y Permit. are non-transferable and expire If work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 ~-Ih"i~~"~~t,~...~"",~.....;~~,,,,~....~,,,,~<'l~ . '.~~.or~1r~~~~~;""~~"'h~.~:?ft~~~"""'.'"""'W'~;';h.':;~~,~...y.aa 2. iit~~P'!Q~jW~~~~9~!l~ B. rvlces:or~~~~J1L~.!!!~~~~~11.t~~....t!~~~1~\li!CJ,E!R-~,~~~~ Electrical Contractor ~(\-\-{ yy\(ly\ 8fCmc, NQJOl~trJml L [l(~IflE Ir Ti IE '1'~'00 . LYle T~~ MbT INEI'r'" '" ,r or, \ IS;j500 Address qL\"1 ~ i T L\.. Y r. DC:\'~ L(t ~l.\li\1 1W6b\l ~ps THI~ PE~~~:;5~~~2~.00 . Ii -lu CQW~q~~s ABANDpr'~81!:f,'\' $163.00 City. \li..1fX.. t\ Cy, UJhone GILl (<,-( \ ~I A~.J ~~J'Jv6iW. $375.00 Reconnect Only S 50.00 Expiration Date ,-W1D\nC:J iCJ-\- Cfl 1J. \,:>\ct \ I ([!-ZI-Oq Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician ./// /?~ &/ ./.-...._,'_" (;::::. /~1 / . Owners Name -:v a..,;.S A-.~ b- Address 4 2bO ~""'\~ Y City >i'>I~'~ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ TV "~~:~M"".'W"'",;(~rl';,.;<;:.':'r:~i..t,<t:.~~~t",:,-~;k-. ~?~~~~.tr..~tJ:."~..'.$"";_.""':l;'A~-~. c. t~Ie!!!p~.~ry.:~~~~es~o~~~.~eilers'i~~?~~~;.:ftti~~~.~~f:~.a~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" ~ \0 D'Ne~~iG::~wrl~:1!~~~~'~J,~~ One C~l\0ll~~"li ce(ltet. n th",IIoh oP-'l ?M\%S '0'1 Each ~lillftlll ~ltlf 0 ieS 0' the (19 Servic "l1l\~ obtal(l C P <r.a.till3\ll?P. - e"'? ~oU '"'' met, ~\'oIO\tl" .::;., "'oti\icat".... E. if~ctll?'~~~~~~.~~'l~~.'."Ex11;b,;'fIlitr.'Ittioit,~ ~"-'_.:;;~'t;eH6i4i\~\s t- tS3~"'~"=.::._>--"'.",;j Pump or imgation ce(lte $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Mlnlmnm Electric Permit Inspection Fee Is $45.00 + Surcharges 4. fSu.BT01trm)FJWO:VE'~~~'{:(~~~~;i"',1 ?-r/", ~~.,,~,~::;r.;-;:~"~~p'~,::,."'\~,:-:r~~~K'N\'k~'!.,.~'t-i c..- ) "--J '"7'0 7% State Surcharge I 0% Administrative Fee -Z)C>"> ~ <>2 )0 TOTAL &.- I . . CITY OF ~nul~GFIELD Building/Combination Permit PERMIT NO: COM2004-01248 ISSUED: 11105/2004 APPLIED: 10/07/2004 EXPIRES: 05/12/2005 VALUE: $ 176,817,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 182 Kaylee Ct 184 ASSESSOR'S PARCEL NO.: 1703271103100 Springfield TYPE OF WORK: Dnplex TYPE OF USE: New PROJECT DESCRIPTION: Willowhrook lot 2 - duplex, same as COM2004-01136 196/198 Kaylee ct Residential Owner: GYANENDRA PRASAD Address: 4260 DAISY ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor License Expiration Date DUANE A KNIGHT~TICE' 12112 07/10/2005 BATEMAN ELEC~RIqIN€;.A\T SHALL EXPlf't151911HE WO~~ 06/21/2008 MARSHALLS IN~:111~HO~RizED UNDER TH\S257~~I\T IS N 12123/2005 SHAD CHASAN SPRME\lrm nR IS ABANf58295J FOR 01/14/2006 - - - -- 11~IBUlliDING INFORMATION I Phone 541-726-2960 541-995-4757 541-747-7445 541-741-3553 # of Units: 2 # of Stories: 1 Lot Size: 5,331 Primary Occupancy Group: R-3 Height of Structure 16.00 Sq Ft Ist Floor: 900 Secondary Occupancy Group: U Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 216 # of Bedrooms: 2 Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: to Total: 4 # Street Tr'>'i!l:lIIIegon laW requlreSzYO\ty Handicapped: pave1ifdl-kle1{!io:'pted by the OreveS' Uti I Compact: O~~Of'HM~8fe'jlr*: Those rule~Ol911 set fO~ Notification Gel eOrO'10 through OAR 952-00 . _. n l"It:.':Ln01. ,..,__ ..,,100<:' h" J"' ~_. ." . . - .,CU\JIO,", ...' _. . I PUBLlQ-/.MpROmlMEN'fS' 'Note: the te\ephO~a calling lll" W'''- on \Side'WM~~a~lon number for theOreg _~"'2-2344). p Center IS 1-800 'lJownspoutslDrains: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 10.00 3.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa!!e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-,3676 Fax 541-726-37691nspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Plan Review Major - Planning 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 Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Totai Amount Paid Initial Review Plannine Review 10/11/2004 10/11/2004 . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2004-01248 ISSUED: 11/05/2004 APPLIED: 10/07/2004 EXPIRES: 05/12/2005 VALUE: $ 176,817,00 I Valuation Descrintion I $ Per Sq Ft or multlpller $92.40 $24.30 Square Footage or Bid Amount 1,800.00 432.00 Value Date Calculated $166,320.00 $10,497.60 $176,817.60 10/07/2004 10/07/2004 Total Value of Project Fpp< PiWIJ Amount Paid $100.00 $10.00 $137.79 $96.45 $508.00 $62.00 $815.90 $12.00 $18.00 $103.00 $621.52 $817.36 $10.00 $1,730.62 $164.06 $177.53 $136.09 $1,544.98 $350.26 $1,033.54 $24.00 $1,848.00 $25.00 $17.50 $212.00 $38.00 $10,613.60 Date Paid Receipt Number 1200400000000001446 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001581 1200400000000001633 1200400000000001633 1200400000000001633 1200400000000001633 10/7/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 li/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/18/04 11/18/04 11/18/04 11/18/04 I Plan Reviews I 10111/2004 10127/2004 APP SKG APP TAJ Needs survey because of min setbacks. Paee 2 00 _~Pr(lI~ql;J~ .. 1 .. . CITY OF ~t'Kll~ut<IELD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01248 ISSUED: 11/05/2004 APPLIED: 10/0712004 EXPIRES: 05/12/2005 VALUE: $ 176,817,00 Public Works Review 10/1112004 10/1212004 APP CAS No hook-up to City facilities until Public Improvements are accepted for Willowbrook Sub. CAS same as Structural Review 10/1112004 10/29/2004 APP DJB 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 Rp.nuirp.rI Insnp.dinn\l Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Door insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior 10 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. Final Building: After all required inspections have been requested and approved and the building is complete. UnderOoor 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 all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all eleclrical work is complete. By signalure, 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 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. Owner or Contractors Signature , . Date Paee 3 00 " 225 Fiftl} Street Springfield, Oregon 97477 541"726-3759 Phone . a~ Wir.,; a;ity of Springfield Official Receipt _evelopment Services Department Public Works Department RECEIPT #: 1200400000000001633 Date: 11/18/2004 2:26:20PM Job/Journal Number COM2004-0 1248 COM2004-01248 COM2004-01248 COM2004-01248 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 212.00 38.00 17.50 25.00 $292.50 Amount Paid Check DUANE KNIGHTS djb 5515 In Person Payment Total: $292.50 $292.50 II II 8/2004 Page I of I