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Home My WebLink AboutPermit Electrical 2005-1-10 (2) 225 FtIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541 '-3689 '>\ ~ (\) ELECTRICAL PERMIT APPLICATION ~o.,~ 'o~ City Job Number CO/.N\"Z..OCl.\_O() ~b4 Date I--{O - 0 S- ~ ,.ot<';:'~1 <';/. V/ 0' ~~... ~re"~:;;'::ri>'I'VR'T.""''E:11filit'...... "':~-, "~=:~.. .~"i:I:ir1f:f,r'i;llilf''' 3. ~~j\:.~,~~!'~~L.~.._\~:,-):.': ^' ~ ~~\:'4''''''''' , '-. ,~<~"'.... .~.~" .', "?~!~:rl$f~S:~ . , ~'~j,I;W~.,-.-::;t"'aJi"~ ' ,~. ' ,",".' . ~wh~a .." ~ ~'O",<I' - <1i'~'~':'.!i""'':'f'i':'"''~\'fq,{YFYf.?<;~~f'~~{~~~'~~''''';~~~~lJ 'r.~i~' "<;'iF'W~jf:;~~~~i7fi~1iJ~ A. ~,'NeW:i'RCSldcntlal\i:'1SI C~O~l\,"'U] :.F;aIJU~ r~,d~vclhn mmt.\'>1'.I, itloJ.:A'\;,jJ\'~~U.i;;:....",:iI'~!~'",~':""~~""'''''':':' ~;;'$ 1,.'~ :'(~..1QJ.3&'''''r1.l:l'~ ';~"tt:~t.:~ Service Included IS' I, ~O C}.bc.Q><I'~ 1000 sq. ft. or less _ '\!. ~ ~ $ ~'09. . portion thereof 19.05 ~ Each Manufact'd Home or ~ ' Modular Dwelling Service or \. )-sO.OO Feeder , I"..~'. ..~l'!1'.....rb. . "'''''''''''''';; r",ii!!$.",~:'~'':'j&.~rf;'~~.:i?m:t'''!.i. B ~'~S"j.ll'tf, *?~~~E'fm~a~ f{*"'~~~t.~r;lI~tiil.\t1t~', il<'ilJ.!,... 2 ,,' ''1<1.'' 'W' AVO,' '," ,(IX' j\!], ,. ,0',I.."2v~",,.,.r..; , . l~er:VICeS?()r:~ e~ evS'v'" sta a otl~~rej' .. '. ~ '!",. .~.. - ' ":~ ' . '.... . "I' ,~ ' ~~.:8J~~~~tlir~~'" 1 ~ ,." .',!' ~ ,,,,~:"lf. ~ ," . > Electrical Contractor to- S f./e('.J.n'c...-..:;;;?{..,. , Address L() & X ) if ~d fp ftrJJ 601 Amp'to 1000 Amp, 4~9ljS ,\q sa 1m a4l' ' , .... ' ,. ~OO-Zg6 ~'c/O ut } 0 -0 / -0'1 .'OO-Gg6~v.md-iRh\?*"SI-~\\~:Qt.ReJooa;ilom" .. OJ 9~ltl o.l9llW'J "'Vlt""!t:..-l~ 30 U a \4lJO! \as~~~s or. tc ~91dOP8 sellU N.oU~ o 7 7 ~!I!ln ~~~~&~~ 0 :NoUN3Lll'l a J 0\ nol\~~J)!'mps ~ 0 Amps I - - 08 WrJ~~-- '~"""'''''-'-''''''''''''_'''''''''A_''''I''I'''-'''''''''1''''''''''~~'''''(''"'!''Y''''~ >0' " ".'lI'ftfj" ,'^. '.' ',...'.'-. '...". ...." '" '.' .'.' '''''.. .,." '.'.'. ", ~ " ...,..'..... .... '..""....'.'."",..-,..'.'.... ~" r.lI":'l'A'" Z\.1\'~..cn:;~,.,.1\TS1'A'T~;T"'A'~~'1\ri'''''!''',...''''..,.~ 1. ~ ~Q,tit11 ~c,.l~V~;\!)L',:4.u'~,1 .' ~~. ~ tJJ.i~:"rr?'~'{;;J....:f".'<A~y,~" , ;L:05.,,'lJliIIll:U~M....~~~~~",,~" \ 'tiili,~likj\~t;:..~l;:,.~ (o+lo~INOU j Jb S' I LEGAL DESCRIPTION 1703 2733 o S'"7CC JOB DESCRIPTION 12.e-Q.u.(:~ ,. S1A6~ W/Ocfl.+C IjA2-TE-I\- PC9\. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Supervisor, License Number Expiration Date Constr. Contr. Number Expiration Date ~gnature of Supervising Electrician ,~f)~ E City ..00V\ "" ~ s-lfia... k:-s Co lIo-wood Allt Phone 726 - 0773 Owners Name , Address I bs-I SfFL~ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Ov.'Ilers Signature: Inspection Request: 726-3769 " 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps I $ 63.00 $ 75.00 $125.00 $163,00 $375.00 $ 50.00 t3 $ 50.00 $ 69.60 $100.00 Over 600 Amps or 1000 Volts see "B" above, fjjI.'!'l..'f.~~.r,1iI"~,.;' i:~"l:l'__"~ . '1!<t""'.' """'''''1!:h". ":\'ill'f:;;t?I' D. ~~Brancly:, "Ircu ,,~tr'\' ' . t ~}, . ;""1~,' ""!~":.;!i::~ " 1-<i.~:'I'.t '''''I,:,:,~,~ r~.,G"....~~:~__,."" ",.~... "A' ~"'J' ,. :trti;~"}'t'.il1A _ ..~_1;.:~..i~.l:~13:Y:::::m..:w..:;~, ".:.~," " " ,b:.' -fti1\;;t;t'll!ltJ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with NOII~E~rFeederPermit $ 3.00 W~~...':~~11~~~Rmr~~'6~.- "_WWJWa~~'fE. l'~~I~t~I(itm~ AUn}feJ~'ltnv&~~~~~ddj;lA'rH: ;,tJ&l.i&:,)l";.!.\..i'>~ C(P~mIbEo"nlllfi~ti'o~ IS ABANDONED FOR $ 50.00 At$YgrV~tBm."eYLlPgH?ihrgD. $ 50.00 Limited Energy/ResidentiaI $ 25.00 Limited Energy/Commercial $ 45.00 $ 43.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges F!',:l,~.",.._.,"T'')!'".i,,~.tW.''' w"",.""c.''''''''''''%~'' rl'"~'I"'.. ""..."..llC.." . ,> ~"..:.,:f/~...~'1~;\>. >"'q;., ~S"'''""fJ. .~.~..,:\..,>&:fi1t.~<'<;lt"...~l~ ~'>'f"<'~" ',~" t";-..." ~)i " '> 4. !r~S,UBTQTi,;. I.!@~~O; : <t;,.;;;iN-d!2('," \3,' ~::;J,i~jlli~:iil,~;1'l:1..~(1:1~,i;~'"!ttsit1iiti.WJ)~~~1? 'j,,!,' 6 '-(4/ bJo 73?!.. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 1'()3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00964 ISSUED: 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/11/2005 VALUE: $ 4,000.00 Status ,Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1651 COTTONWOOD AVE ASSESSOR'S PARCEL NO.: 1703273305700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Patio cover- Owner: STARKS YVONNE Address: 1651 COTTONWOOD AVE SPRINGFIELD OR 97477 '-\~ \p .D11~ LH I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor ABRACADABRA CONSTRUCTION INC C & SELECTRIC License 104904 3849 Expiration Date 03/03/2006 09/0112008 Phone 541-343-6761 541-741-2236 VN BUILDING/INFQRMAUOl)lI, Jalua~ l. ~'!lB:JIJ!l?N Al!l!ln u05aJQ 84l JOl Jaqwr[IJ.. #,0!)StoJ;les:a4, 'a'o ) "a a 6 J..;"m1SlZe: '~L. ':jUvl<:l! +. + N ~ lU :> a4l UfJ.lB''- I\,-Height ,0 S~~u~!u)je r '~q'J<t 1st Floor: U ::>01' IJ d saluO:> ure'qo new nOli Cf)J.'An... ..Ty.Be..gf e :' . + n ~tt"Ml..md Floor: - ~W[~p Q 45nOJ41 0 ~OO- ~OO-GS6 ~F\JBasement: 4 iih~~ Hfl!~r.lnJ aS041 :Ialua~ UORBr,gijlPt<<;arage/Carport f,.WJlg~Cp~ a4l f,.q paldope salnJ ~(lit Other: CYPlW~IDgHd~ u06aJO iflJOllN3m';bpant Load: I DEVELOPMENT INFORMATION I 288 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 10.00 Street Improvements: Storm Sewer Available: Special Instruction: Yes Storm sewer to existing I PUBLIC:~~iIm:~M\l:S!l EXPIRE IF 1 Ht vvvnR _.... '.'-~ ..... t'l .. MIl" \5 N01 ,. ..~ NO R 1~c, PER AU1HORIZED U tdeDw~k';[Yine:i OR IS AB IN JUNtO nJI COMMENCED PERIOD Downspouts/Drains: ANY 180 DAY . Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of3 _<G.Q9Jit1"''''I:a.Q . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00964 ISSUED: 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/11/2005 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Patio/Porch Use Bid Amount $1.00 4,000.00 $4,000.00 $4,000.00 08/0412004 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $39.39 8/4/04 1200400000000001185 + 10% Administrative Fee $10.56 9/16/04 1200400000000001353 + 7% State Surcharge $7.39 9/16/04 1200400000000001353 Building Permit $60.60 9/16/04 1200400000000001353 Plan Review Minor - Planning $59.00 9/16/04 1200400000000001353 SDC Sanitary/Storm Admin $5.21 9/16/04 1200400000000001353 Storm Drainage Impervious Area $104.16 9/16/04 1200400000000001353 Storm Sewer - 1st 50 Feet $45.00 9/16/04 1200400000000001353 + 10% Administrative Fee $6.30 1/11/05 2200500000000000036 + 7% State Surcharge $4.41 1/11/05 2200500000000000036 Perm ServlFdr 200 amps or less $63.00 1/11/05 2200500000000000036 Total Amount Paid $405.02 I Plan Reviews I Initial Review 08/05/2004 08/05/2004 APP SKG Planninl! Review 08/05/2004 08/15/2004 APP EMM No sl:ale listed on plans! 10' Minimum street side ,and rear yard setbncks. 30 maximum height allowed. Public Works Review 08/05/2004 08/06/2004 APP MS Storm drainage to go to existing (splash blocks). - MS Structural Review 08/05/2004 08/20/2004 APP DLM See documents for plan review comments To Request an inspection call the 24 hour recording at 726-3769. All inspectioIll 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. Footing: After trenches are excavated. . Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and tile building is complete. Storm Sewer Line: Prior to filling trench. Electric Service: Approval required prior to utility company energizing service. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit , PERMIT NO: COM2004-00964 ISSUED: 09/16/2004 APPLIED: 08/04/2004 EXPIRES: 07/11/2005 VALUE: $ 4,000.00 By signature, I state and agree, that I have carefully examined the completed application and dlo hereby certify that all information hereon is true and correct, and I further certify that any and all work performed !:hall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to th,e work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community S'ervices 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 eal~h address is readable from the street, that the permit card is located at the front of the property, and the approved set of plan:~ will remain on the site at all times during construction., Owner or Contractors Signature Pae:e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-1!6-3759 Phone . Jiity of Springfield Official Receipt Wvelopment Services Department Public Works Department RECEIPT #: 2200500000000000036 Date: 1~1/11/2005 1:11:42PM Job/Journal Number COM2004-00964 COM2004-00964 COM2004-00964 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Payments: Type of Payment Paid By CreditCard MELLISA GEHRKE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 301153 In Person Payment Total: Amount Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73.71 ~ ' 1/11/2005 Page 1 of 1