HomeMy WebLinkAboutPermit Electrical 2004-8-5
Dec-19-01 04:46P
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ELECTRICAL PERMIT APPUCA nON
· _uCitYJOhN~ ~~..(1)Ef})lJ
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" 3: COMPIErE =~0'_.1?uc." EBELOW. .
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I. L.QS:~~()"'''JoW\\-I:4TJ.O''h'''''''- .,'. O",,;-"(10{:r% .
- l ~1 ( " 1.1l..\l."t-fo' V .~ A. New Re.\id~inJ..Singlc OT 6.. ,,~t ".... .
l\.lullt'Fnmll{llcI!; dwelling..Q,W>-">'l .
LE~A~R/l'TWN I In "0 S~nj5~ In ded::9 Vir,. ..;"(1~
\ . )().:J o:1..Xl..L___JXI.'.t.) "&(1 8- I Jl5mfc/~M" /, Sum
Stg"", - S' c..''-.... 1",,(10qo....
JOBD~~:'3l\.,i(lO AMd.(l,(JtW~~~:~ti~:m~oovr,. :0 $106.011'''6 "q
~ sq'I'P-Y.rj~p, N" 0<0,' .". ,,: . .....'U'l, ~ '-('\1.
Perolils arc non-uunsfemble and e.'C.pire the L r.... .,' -" ,;:.' _ ~... .i -, 00 .,
if work is not started \vithin 180 da\<'S En lll\iH'irlif'd~Honi:\or'l~'~; U~' 1.IL .~, .r ,0"~ ~,' 'H~
ofissl1ance or if work is suspended'for Mllduifit:~lIiag:mter. 'j hoss rules ar,,:'''l !ot\n
180 days. ~w~1-001 0 throuQh OM 5.lljQOO!ll:.-
0090. You may obtain copies of the rules by
2. CONTRACTOR INSTALLATlOlll ONLY B. scrvic~Jfil!i!ti~1t celll~~ tNote: the telephone -
EJeclricalC-..__. r.Qf)U) \ I~\~ i(..R~ror '1i"€O'feOgon Utility Notification
, \ All I",/' Center is 1-800-332-2344). -:l i)
Addr~ AI Q IJ::..:.....b:I \ .' \:..;- 200 lUDJl5 or Joss . ,:., ~ $ 63.00 I 0.'1.0
~' ,..~,"- '1" 20lampslo400amps '.$75.00
City ." Phone~-f~;~__.: ::::::::::s ~~~'.:
Snpe1V Lir:x:ng: Num,bcr !i..1..,'1;3::J: ., "'.9ver 1000 ampsI\'1lIts $37>.00
',: " . "',', '__'~:'.....: . 1l<:connettOnlv $50.00
E:'P~ Date~{) .; O/J:'(1/:( .~'_. __.,. : .. ~~ - .
Constr~OIltT.N~ber j.tj9'~.~"1:';<~:': ~--;~tr~.' ~ oti';~'rEXPlRE IF
. .? -'."' - ..-",. '. AU1HORllED UNDER T THE WORK
_' ExpimionDalc_I.?J I..~ -:-.as,,-,"-.: ':' - :':ZOO.ffllll HIS P~!lC1I(, "^
.: '",- ':. ....2Qh!lllll'itl' OR IS A~,I/Q: M:rIVtJT
. . . --,'Signol!Jn ofS, . __ ,.., iDg E1eclriciaa .:" ~-:(Ol'," , PERIOD. ==silRY.06orr-
>:.:;., : '-idii:' . ,.. Qver6008DljJsor100lh..hs.... ". C
:....',:.. ........:..' ',. A ~ "8"aho,,, :c. .,___
. "-. ,.:/J _ ~
, . ~..4;.0 . D. BJ'OIlCh ciiCiiits
. . .".:.:o..m;.:, ~';"'i. '. I U:' New.-~on or li~1tDSion Per PaaeI'
",' ..~:.~~...\l\t\tij, V\. __ Oni:cirt:ui~ , -$43.00
..;,o~()a\MO;ir~:c ~"'~;;';""I~onitbSetvice.. . "Ad)
>J..-'. \ .."~.--::. or~....~.. -B$3.00 ~
" ,''<--OWNERDfSTALLATION.- '__.-';'-, ' ':. ,,"~' ,',
;:,",TheinstaDalionisbeingmade..., . L MislzL.: :"." f,l.'- ..:~._:.rnolinduded)
,":,::'propeny I oWn wbich isllot :......,~,..'.__:. : :Eacldnstilllation,
. ." '.: for saJe."IOase'or rent. " . ~-or inigaiion . '
~i"" LightiD8
Limiied EriorgyIRes
:,1.DFd Energy/Comm
..
225 FIFTH STREET .
'. '. SPRlNGFlELD, OREGON 97477 .
INSPECTION REQUEST: 726-3769 .
.OfFlCE: 726-3759
'. ":. OlYn..... Signatn...:
$50.00
$50.00
$25.00
$45.00
\ ~'. ~\)\9<\.
v~\o\
~tin;nniM i:kctric """;'il Inspection Fcc i. S45.QO + SurChQ5S
4. SUBTOTAL OF ABOVE' 8').
7% State Surchar-ge \Q. ~
(()~o Acbnini5lrath.c Pet ai, .rv
10\.\ q
TOTAL
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00526
ISSUED: 08/05/2004
APPLIED: 05/05/2004
EXPIRES: 02/05/2005
VALUE: $ 75,306.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 748 GRANITE PL
ASSESSOR'S PARCEL NO,: 1703341211200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Guest Room & BathroomlLaundry addition (with studio above).
Residential
I\.TTr-l\ITtr>."I. ("t..,..........,......... I~\~I rCnllil",:)C: \/('\11 tn
Owner: MARVIN ROBERT J TE follo~ rules adopt~d by the Oregon Utility
Address: 748 GRANITE PL SPRINGFIELD O~~~'!\?;'btion Center. Those rules are set forth
: _ ..... II. r"'\ ('\~ro rH'\1 r\(,1" thrr.., .nh nAt:t Q"?~()n1..
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
.- - -
I co~~~rj~~o~~.ff6~~ft~:~~~~ebY
Contractor number for the. Or~~.4}j,lity N~lQb"fr~~ron Date
CAROLYN KRANZLER Center IS 1-llCj'(j-~f:s:!-23421).
VAN NORTWICK CONST INC
MAG ELECTRIC INC
MARS HALLS INC
DOUGS PLUMBING 1NC
149834
25790
110163
12/13/2005
12123/2005
1112412005
Phone
541-302-1923
343-5156
541-461-0387
541-747-7445
541-688-3385
BUILDING INFORMATION I
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water T)\p'e: E' Gas Sq Ft Basement:
Range T~MTlC . Gas Sg Ft Gara~e/Carport
Energy palh\S PERMIT SH'PathrIXPIPSiiIFt"ijl~eWORK
Sprinkled1illlildlDgiZED UNC.vs lHIS oEcH.p.\1itlfld'u@:T
815
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
.....,...I~~..,.....',.....rn nn In A""^~ln[Vl""[' "'('In
....~.:....~,.~~OJ ....... ...... ...... ...~e'il_c. . l;.
I DEVELOPMENlJMl'l'Il~A'TIONIID.
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
28.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
30.90
24.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description .
Tvpe of Construction
Dwellings
V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Fixture
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00526
ISSUED: 08/05/2004
APPLIED: 05/05/2004
EXPIRES: 02/05/2005
VALUE: $ 75,306.00 .
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
815.00
Value
Date Calculated
Total Value of Project
$75,306,00
$75,306.00
05/05/2004
1<'~"., P..i,t I
1111
Amount Paid
Date Paid
Receipt Number
$306.83
$10.00
$68.81
$48.16
$472.05
$6,00
$56.00
$12,00
$30.00
$4,00
$12.00
$71,00
$45.00
$103.26
$135,84
$19.79
$156.75
$6.00
$45.00
$8,70
$6.09
$24.00
$63.00
5/5/04
7/12/04
7/12104
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7112104
7/12/04
7/12104
8/5/04
8/5/04
8/5/04
8/5/04
2200400000000000486
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
1200400000000001068
2200400000000001007
2200400000000001007
2200400000000001007
2200400000000001007
$1,710.28
I Plan Reviews I
Initial Review 05/05/2004 05/05/2004 OK RJB
Planning Review 05/05/2004 05/17/2004 APP TAJ
Public Works Review 05/05/2004 05/13/2004 APP VRJ
Structural Review 05/05/2004 05/21/2004 OK RJB
Page 2 of 4
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.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00526
ISSUED: 08/05/2004
APPLIED: 05/05/2004
EXPIRES: 02/05/2005
VALUE: $ 75,306.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Structural Review
05/27/2004
OS/2112004
APP DLM
Called Architect to advise of
approval and ask for contractor
information. Received name of
general contractor on 5/25/2004.
Called contractor for names of
major subcontractors on 5/24 and
again on 5/27. dim
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.
L....BsaIIirllllrl I n ~,nllllrtiolll.l
ErosionlGrading Inspection: After all erosion measures are in place.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor 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.
Wall1nsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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 building is complete.
Underl100r 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.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Underl100r Gas, After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Page 3 of4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00526
ISSUED: 08/05/2004
APPLIED: 05/05/2004
EXPIRES: 02/05/2005
VALUE: $ 75,306.00
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.
1 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
-..: ~D{"UJ ~C4~ Q.)" l N ,---, ?; / S-/ 2cro <-f-
Owner or Contractors Signatu~e Date
Page 4 of 4