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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 ,', (~. .J.'II r-- j :'-~; ; I. 1 '~:(1',! \.-.~, J i ,/ ,.? i.: L L~~1TIq.NOIj, STALI;i\TIO '-. /"-+l-L~({''j' 'Ii..\' .' - \ ~', .; r', ELEeCAL PERIvllT APPLICATION' 1 : - .'. ,. c:;' .: i:cil)'jOh~unih~I'.' O)~ OOq~-O,) ..h " i ; ;! i' \ .' ',' : :,' " \ ", \ " . ,,' ',' .' C:::;',3.:,COMPLE1EFEESCHEI)ULEBELo\V " ,Y'). :..' ~" ,'e::!.... P ;,;.!.H>) I .,;.':o,,"\';:';.'./'<,~:~~.',., t . .J" .~ . / " - . :. ' " ,'-', , ~. i ..,' , .. ., ..,~ . .--! A. - Nbr'Rcsidcntiill-Single or-'.......-_.:~.;.. '-~ ,'" .... ;,...:.......;r.:... ';~~~ Multi-Family per dwelling unit. S. ',; I" ',~ " Scn:i~e Ineluded: : . .' ~ ~\ \",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;' .---..... . ',' "'-',Expiration D:~""': '-, ~ll}5. ,', . I J1{j~~~T~O ~ ;,,'.., i' , , , ," " ".'" ,. , . , Signatui'c'of,~uJlcrvising Electrician '- --~- 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 /\ ' r' \ \ . D. Branch CiI'cuits ) , NC):jlterat~on orl'i~tension Per'Panel One/Circuit . $50,00 $69,00 $100,00 ---:-:~ "- .ftki~ Owners N~me 3J/Mf' 10WT...<- Address.d'iUD . J/4y';(e/I'&'-cf~C;., Cit),~5'.f, Phone 1t/t -OY1~ U . . ".' OWNER INSTALLATION The 'installation is being made on property I oi\'ll which is not intended for:s<lle, lease or r~n< . " 1. ; j . $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 . 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 . . 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 . . \.-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 ~7i~~~~ Q.t6/b_ ...~" C,"n"," S.,..,. ~ S-/sJJ3 Date paee6~oJ &rMWU~