HomeMy WebLinkAboutPermit Electrical 2003-5-6
',/:.' r ~225 FIFTH STREET:' e\ , c', i '
, .SPRINGFiELD, OREGON 974771 '. ;j I
... i 1NSP,'EcTION REQtWST 726,3769':,; I
I \ ". ,I O~FI,CE: 7?6-37.59,': 1 ,J,'Ll ,',
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.; r', ELEeCAL PERIvllT APPLICATION'
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C:::;',3.:,COMPLE1EFEESCHEI)ULEBELo\V " ,Y'). :..' ~"
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. .--! A. - Nbr'Rcsidcntiill-Single or-'.......-_.:~.;.. '-~ ,'" .... ;,...:.......;r.:... ';~~~
Multi-Family per dwelling unit. S. ',;
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Scn:i~e Ineluded: : . .'
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\",e 10 ->~e Items Cost Sum'
"f\'lJ.s \'3-'(\0 :f ';
JOB DESCRIPTION, ->'O~'\\~~ec'I\C1000 s r less $106,00
\Ii b.J \~ 1 c'! ',..\-; b 1'\ & ~~ ~o.->,<e ~ E, dditi I 500 . ,~;
I\: t\Q. ^,u, 0\ W '
j ~\'(\<;)"es(\ ft ortlO ",<'-.-~
Permits nre non-transferable n~~.!'-~?r",,6 60 ....0 reof ^ $ 19,00' : .~"~
,fwork ,s not'started within 180z.obI~~~~\ ,(\9 ,/ \0 nnllfd Home or ;' ~
of issuance or if\vork is suspelldea~or 7,..of'i lodular Dwelling l . "~:~ "" ; < ~'I'!-~
, A,--,181\f!,av,'s s'N:.ur'egon law requires you ". ,~\-><e . Service or Feeder / ,.;. -.'~; $ 5000 ,"':~.':
. fO;;~:;'I~~dQ'ntP.rlb~thllorea~~~tirt~'e6""9(\V . . (-','\ '. "','--,'-- , :.''":;
N 'f:LtCONTRACTOR INSTALLAT10 I 'I B. Sernces 01' Feeders, ""
otllca Ion venter. I nose lUlt:::. '" t:, -I U ( . '. i ..
. OA 0 a<;'l on' nr\1 () ttl's... 1110&i'l '5' "!Hl'711 \ r> Installahon, Alteratlons or
In Electrical ContraeJor ') W~\\~. c < :P.~.\\[, I '-- Relocation: /' 'aOIB~M\\fO 09.L ANV ':
0090. You ma".ootaln.GUp,t:::. 1,)' """ 'UI"" U).. '.' ". . . ." 'W " . .
, cali!aijMh~f.6'J~rt1~~.e: r> ,I~' i ( 0: ?/~. . . 200' ., BOta~NoaN\fe\f St~~,,~?$Nl\lP%3'
number,t?flhe o,re,~.orf t~l~ I OtlTlCSi! on-N.'". 201 t~ )~ID iJ/N~ SIH~l:l3a, ", ~~7i.~p,l.. . .......
C,ty lrp.Jcl,\,Offi'~'\~:3PhonCl4([l,.3 .;: d1 S '1 .' .,401).1M MiI:;=>>:IO-a#.jj!HldX3 TI\fHS lfV$) haoltti:-:":
. ; 0 \ \ " / /l " 601 ampsJo 1000 amps ~SI~.bbON.
Supervisor LieensclNlIInber Li!lY, ' '\', '. : ~ Over,lOOO amps/volts $375,00 . -.
, ., . . . / '
\):'D ;1.'D'3., " " , Reconnect Only '.. ; " " $..5,0,0.0 .
'Expiratioil Date ,- - _ .' . ',' ~ ~ , ' '
i~~nstr~con':; N;l~ber) o'Q8lv llL 'c, i:;,:;~,:~;:;~~slt:~'~:i~~':;~:i:~;,tjO;'
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"'-',Expiration D:~""': '-, ~ll}5.
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Signatui'c'of,~uJlcrvising Electrician
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200 amps or. less
. 20 I amps to 400 amps
'----O.v~~ 40 1 to 600 amps
Over 600 amps or 1000 volts see
"B" (lbove -...._'-~-'-...',: j
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D. Branch CiI'cuits ) ,
NC):jlterat~on orl'i~tension Per'Panel
One/Circuit .
$50,00
$69,00
$100,00
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Owners N~me 3J/Mf' 10WT...<-
Address.d'iUD . J/4y';(e/I'&'-cf~C;.,
Cit),~5'.f, Phone 1t/t -OY1~
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OWNER INSTALLATION
The 'installation is being made on
property I oi\'ll which is not intended
for:s<lle, lease or r~n<
.
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$43,00
Each Additional Circuit or with Service ., ./ /
or.Fecd~r Permit. '.. U $ 3,00 fLh-'
;.-
>,
Owners Sign:lture:
E. NIis,ce'lIaneous(Scl'Yicelfecder not includcd) .
-Each installation . "
Pllmp'tir irrigntion . $50,00._
Sign/Olltline Lightilig $50,00.
Limited Ellergym:es $25,00
. Limited Energr/Comm . . $45;aO"c--
,
, .
,
::i:i:;:~E;:~':::::::Sflecti()n Fcc is S45'O~~~lrc~s .
70/0 State Surcharuc Q..:::)
'8% Adminis;raiiv~ Fc~ . ,- . C;o
TOTAL ~ ,C\:),
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
, 02-00966-0 I
02-00966-0 I
02-00966-0 I
02-00966-01
ia ments: '
!ype or Payment
Check '
.
515/2003
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 2200200000000000808
Description
, Add, Alter, Extend Circ ~a Add
Perm ServlFdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid My
DELL'S ELECTRIC
Received Hy
njm
2:34:20PM
Date: 05/0512003
!lem Total:
t..:beck Number l:onllrm No
How Received
. In Person
Payment Total:
Page I of I
Amount Paid
66.00
63.00
9,03
12.90
$15U.93
Amount Paid
150.93
$15U.93
cRec:eipt.rpt
.
.
CITY OF ~rK1f\iuJ<lJ'.,LU
Building/Combination Permit
PERMIT NO: 02-00966-01
ISSUED: 05/05/2003
APPLIED: 08/12/2002
EXPIRES: 11105/2003
VALUE: $ 137,438.20
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2160 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1703240000400
Spr
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Land Use: Single Family Dwelling, Zoning: LOR, Garage and room addition
ATTEN1ION:Oregon laIN re~UIr~~ !~,~,,~~. NOnCE:
tOIlOW rUlt::~ C;lUVt-fU:;;U V1 ,...... .... -;:-)- - .. I HIt) PI:HMIT SHAI I I=YDlo..C IF TJ.lC
OwneK 'f;,S-""n!i~'!!1~rJ~'. Those rules are set forti '1'1ttIne-Nlllnllet. 't~41)~&46l.iW39
Addresl?tl2160 Ha~i1en BridgetRd"uSpri!9gfieldsOR,(jI7477 AUTHORIZED UNDER THIS PERMIT IS NOT
in OAH 9tlZ-UU I-VV Iv III \:I" ,.., v ";' _-:. ~. r.nMMI=Nr.l=n nI~ I~ ~R~Mnmlcn enD
0090 YOU may UUldll I "'V"'''~ v' ".- . -,-- -,
cailing the center. (Note: the tel'I'ICONTRACTOR INFOR~tJ.;l~~ WAY PERIOD.
number forthe Oregon Utility No'....vv..-..
Contractor TYP-~ntereontfact(fr2-2344). License Expiration Date
General John Fairfield
Electrical Shane Roberts
Mechanical Shane Roberts
Owner Shane Roberts
Plumbing Shane Roberts
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U-l
VN
# of Stories: 2
Height of Structure 23.00
Type of Heat: Forced Air Elect
Water Type:
Range Type:
Energy Path: Path 1
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
, DEVELOPMENT INFORMATION I
Residential
Phone
(541) 747-1579
(541) 746-0439
(541) 746-0439
(541) 746-0439
(541) 746-0439
45,303
1,000
747
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Setbaek:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Floodplain
Yes
6.00
25.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Sidewalk Type:
DownspoutslDrains:
Notes:
Paeelof6
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
Fee Description
Residential Plan Check
+ 5% San & Storm Admin Fee
+ 7% State Surcharge
+ 8% Administrative Fee
Branch Circuits W/O Feeder or
Building Permit
Dryer Vent
Hood and Exhaust
Mechanical Issuance
Minimum Mechanical Permit
Minimum Plumbing Permit Fee
Number of Fixtures
One to Four Outlets
Plan ReviewlResidential Hourly
Planning Plan Review
Storm Drainage Impervious Area
Vent Fan to One Duct
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Ene;ineerine-Res
.
.
Ul y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00966-01
ISSUED: 05/05/2003
APPLIED: 08/12/2002
EXPIRES: 11/05/2003
VALUE: $ 137,438.20
I Valuation Descrintion I
$ Per Sq Ft
$74.60
$19.60
Square Footaee
1,691.00
576.00
Total Value of Project
Value
$126,148.60
$11,289.60
$137,438.20
Date Calculated
11/25/2002
11/25/2002
I Fpp.. PwaJ
Amount Paid
Date Pai
Receipt Number
$342.32
$16.96
$48.24
$55.13
$64.00
$689.15
$6.00
$9.00
$10.00
$14.00
$3.00
$42.00
$4.00
$225.00
$55.00
$339.11
$12.00
$12.90
$9.03
$66.00
$63.00
8/12/02
11/26/02
11/26/02
11/26/02
11/26/02
11/26/02
11/26102
11/26/02
11/26102
11/26/02
11/26102
11/26/02
11/26/02
11/26/02
11/26/02
11/26/02
11/26/02
515/03
515/03
515/03
515/03
10256
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
1200200000000000301
2200200000000000808
2200200000000000808
2200200000000000808
2200200000000000808
$2,085.84
I Plan Reviews I
09111/2002
Appr VJ
SDC's reviewed as request of
applicant. Credit given for
driveway impervious surface, SDC
fees re-calulated.
Paee 2 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review-Res
.
08/13/2002
Appr LH
Paee30f6
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CITY OF ~rK1r\iul'lJ'.,LU
Building/Combination Permit
PERMIT NO: 02-00966-01
ISSUED: 05/05/2003
APPLIED: 08/12/2002
EXPIRES: 11/05/2003
VALUE: $ 137,438.20
Assumption made on heat source of
forced air electric. No indication
made on plans and no indication
made of wall heaters, so I have
indicated that a continuation of
forced air electric heating for the
addition. If this is incorrect, please
change heat source and charge
permits accordingly.
. . CITY OF ~rK1NGFIELD
Building/Combination Permit
Status Issued PERMIT NO: 02-00966-01
225 Fifth Street, Springfield, OR ISSUED: 05/05/2003
541-726-3753 Phone APPLIED: 08/12/2002
541-726-3676 Fax EXPIRES: 11/05/2003
541-726-3769 Inspection Line VALUE: $ 137,438.20
Plannine-Res 09/06/2002 Appr AD Property is located in a Flood Plain.
Contacted applicant 8/15/02 to turn
in a Floodway Development
Application. Applicant submitted
FDA and the building permit has
been placed on hold until FDA is
processed and a decision is issued.
Approval was issued 'with the
following conditions:
Condition of Approval 1 : The finish
floor elevation for the room addition
must be at least 454 ft.
(approximately 7" above the finish
floor elevation of the existing
single-family home).
Condition of Approval 2: The finish
floor elevation for the garage may b(
below the base flood elevation,
provided at least two vents, each
equaling one-s.f. in size are
furnished on opposite ends of the
garage to permit the unimpeded
flow of water through the garage.
Condition of Approval 3: All
electrical components and
mechanical equipment are required
to be elevated to at least one-foot
above the base flood elevation.
Condition of Approval 4: The
applieant must submit a copy of an
additional elevation certificate for
the room and garage additions to th,
Building Division after the finish
floor elevation for each has been
established.
Condition of ApprovalS: The
applicant must keep all records
pertaining to this Section available
for inspection.
Revised Plan Review - Str 11/25/2002 11/25/2002 APP DLM Revised Plans - use hourly plan
review fee.
Revised Plan Review - Str 01127/2003 Revised drawings include bay
window and septic location
Revised Plans Received/Ro 01127/2003 APP LLH
Structural Review 02103/2003
Paee 4 of6
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L11 l' OF ~rK1r\iunJ'.,LD
Status
Issued
Building/Combination Permit
PERMIT NO: 02-00966-01
ISSUED: 05/0512003
APPLIED: 08/12/2002
EXPIRES: 11/05/2003
VALUE: $ 137,438.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
02/03/2003
02/03/2003
OK TCM
CIO approved subject T JT
manufactures approval.
Called contractor. Requested
additional information on stair and
floor at 2nd level off family room.
Contractor advised stairs to upper
level being eliminated. Prohlem
solved. dim
Structural-Res
09/16/2002
Wait DM
Structural-Res
09/18/2002
Appr OM
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.
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Post and Beam: Prior to floor insulation or decking.
4 Drywall: Prior to taping.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Ceiling Insulation: Prior to cover.
7 Site Inspection: To be made after excavation but prior to setting forms.
8 Storm Sewer Line: Prior to filling trench.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Floor Insulation: Prior to decking.
12 Underfloor Plumbing: Prior to insulation or decking.
13 Rough Plumbing: Prior to cover and including required testing.
14 Final Plumbing: When all plumbing work is complete.
15 Underfloor Mechanical. Prior to insulation or decking and including required testing.
16 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
17 Rough Mechanical: Prior to Cover
18 Final Gas: When all gas work is complete.
19 Final Mechanical: When all mechanical work is complete.
20 Rough Electric: Prior to Cover
21 Final Electric: When all electrical work is complete.
22 Shear Wall Nailing: Before covering sheathing with finish materials.
23 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
24 Rough Electric: Prior to Cover
25 Final Electric: When all electrical work is complete.
Paee 5 of6
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\.-11 f VI< ;:'rKlfliuI<IELD
Status
Issued
Building/Combination Permit
PERMIT NO: 02-00966-01
ISSUED: 05/05/2003
APPLIED: 08/12/2002
EXPIRES: 11/05/2003
VALUE: $ 137,438.20
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.
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
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