HomeMy WebLinkAboutPermit Electrical 2003-8-20
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number 02--0035'% -0 \ Date
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
. 60] Amps to 1000 :W'ps
Over ]OO~~p~\W~
~J~9nn~t~J:Y'\ \\0(\
"anI "'eO\ es0 0
,(J _ .0,e... ui\\"'" sa.~ - ",9-0 - --
i I'l" ....-,~\ \ \0\~' .O,,\E(;\.. Ttmpo'}ary,~vices,gI'.Feeders
, ," ,,'fiO" . ~v. ~\l"" ." ' .
vol" ~ \ ..... ~\l\0'" 0 n\e\. \'fi~o\lg 0\ \'fie none
o \O~\o'o/J " n^ ce " "0' Tnstalla'tio'h, All<!nftion ol)'Relocation
- \" ') \""J '(\ lr"i""'- ~e \,- '"'Co.'''
\i"'''~ r;,'l.-V ;o1J2'oo Am~s ~ r le~\O\I'\ $ 50,00
~o f\o~ Cd ~a.'! 0 < ,\ - ~ \\~\~, 1',\
',(\0 V' -..Io\l e cen\(29J.~mps t91.12Q/,o;mps $ 69,00
OO~ \\ing \.. < \'fiE) <40 1_~ffip1>~o 600 Amps $] 00,00
ca. ~ \0' iCo ,
nu.;",e vJn\e~ Over 60Q c\mp.". orl()OO \lo]ts ,~e<:':'~B'~~b~ve,
D. , Branch Circuits
I.
LOCATION OF INSTALLA110N
2733
MlW-cou4- R~
LEGAL DESCRIPTION
/703.25"/4
JOB DESCR]PTlON
$4 C; f "5 CIIU-.A, ~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
00(00
. CONTRACTOR INSTALLATION ONLY'
2.
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr, Contr, Number
Expiration Date
Signature of Supervising Electrician
<'" Owners Name LA Nr z.. tJ A Il../)
Address -:? 71 '1 I1J A-r ( <> I.. A r'
J;/d) L II pg'te J!P; ? ,f/tlf7
City
l/
OWNER INSTALLATION
The installation is being made on property] own which
is not intended for sale, lease or rent.
own~///
'/ (/ -~
/ Inspection Request: 726-3769
. nib fOHOWlng project as submitted h~.S the following
8 -2.0 ......03 LOllIng, anO does not require speCIfiC land use
. ... .... _ .~plOvaL . .d..r-,{l..-
COMPLETE FEE SClR9JiJ'lJ1LE Bf:Lvw f)': OW ,03
. Date . . .. . q<;"j .
FlI>'JIZe.d SiuoatWQ
A. New Residential"- "lOg.. orMuJtl-t'amily per dwelling unit.
3.
Service Included
1000 sq. ft, or less $106,00
Each additional 500 sq, ft, or
portion thereof $ ] 9 OO~
Each Manufact'd Home or
Modular Dwelling Service or ' "
Feeder $50,00
- -..-.--" .-..--- '--"- - - .~---- -~
B. . Ser\'ices or Feeders --Installation, Alterations or Relocation:
1 $ 63,00
$ 75,00
$]25,00
$]63,00
$375.00
$ 50,00
b')
- -- ----;
New Alteration or Extension Per Panel
Onc Circuit $ 43,00
Each Additional Circuit or with:s: 7'
Service or Feeder Pennit E "il Ie. 'N\5\WOO
~01\C~:.. ~~I\Llt~I'~"~~MI1\S ~01 .-.-
E. :rM~CjlI!me'll~S1 er,viffll~\bRt\dt'ii,~I~"~) -Each Installation.
"t\\ -()\'sn::O \) 0t:. '31\~OO~\:U rO ....___.m.. .
PJ',},\J~~i([\&@1dd 0\\ IS 1\ $ 50,00
Sifr}i%\~~~Igiil!i!.'f\\\OO. $ 50,00
Li~~d Energy/Residentia] $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ' SUBTOTAL OF ABOVE
72
SOL{
720
, (jy''S:L
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Elcclrical Pcnnil Application l-03.doc
Status
Finaled
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: 02-00358-01
ISSUED: 09/09/2002
APPLIED: 03/29/2002
EXPIRES: 02/20/2004
VALUE: $ 41,160.00
SITE ADDRESS: 2733 Marcola Rd
ASSESSOR'S PARCEL NO.: 1703251400100
PROJECT DESCRIPTION: Garage
Spr
TYPE OF WORK: Garage
TYPE OF USE:
New
Residential
Owner: Lantz Ward
Address: 2733 Marcola Rd Springfield OR 97477
Contractor Type
General
Electrical
Plumbing
Contractor
Lantz Ward
OWNER
OWNER
# of Buildings:
Primary Occupancy Group: V-I
Secondary Occupancy Group:
Primary Construction Type I
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
155.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: (541) 988-9804
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
(541) 988-9804
\,0
.,,\). ..,,-.1
':> > 0...." ~
I BUILDING INFORMA nON 1>>\\0 0<:0 1>.."0 .
.\ \00'>'. ~fQ({, 0",0 nJ:J::J ,
?1-.... 0 A r~.. -,
# of Stories: :\'~ \'(\0 13<;:' 'I <1. qjI;ot,SiZe: 21,224
H 'h fS .C\,,' ,,~ ~". S,'o}v <>.
..g to tructure.lo '0' n\~J9.00 ~( q r,t~lst Eloor:
')"- v ~v ~. ~.. h"" .n'-
Type of Heat: ,,\,0.<'(\0 o,;}<:$, 0" -Sq?FUilil Floor:
,II' 00.... , 1(\~ '0'" \,0' .,',v-
Wate~ype:0' ~0\' C'l o~~ 1(\0 Sg'Ft Basement:
RaIi~e TiPe~(}0~ i:P" \<:0 v 0\,0'\\I.~ 'SqFt'Garage/Carport 2,100
E'~~{gy~~tli': .CC" 0'O\,0'~.~ ~0~ ~S'1j'FtOther:
\0 .;~,(j1} C!J~'/; ~'3-~ 0<:o\,0 fQCbO RJ'!J'5 Impervious Surface Area:
\('\'"..~ ., c. ('\~...N
I. DEVELOPMENlf IISEORMATlON ,
"
"'- c;()-~'OfQ' (}0'"
O I D"'~
ver ay 1St:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total:
Ha~~~ped:
,,~-;iipa~
\~' .d'o~
26.0~~~ '?-~\' 'iJ'?-
,'lI.\.." ~~v,\~ '(~~~\) ~
-- ;\ ";)" i\:.'l'" ....~'"
It' UnLJ'- udPROV ,I',lt.l;!'u" (SJI~\ I:;~\:i "- \'0'01"
:! t \ \. ~~\) "Q, \'v Q.
,\~\oJ <\\I'?-\Io {.'~lIeWl!,'8i'l'ype:
~\\' c.~,,\- '(Y,,\'
~ \)~~\. ~ ~wnspoutslDrains:
\~'l.\~
% of Lot Coverage:
Paee I of4
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
Residential Plan Check
8% Administrative Fee - Plumbi
8% Building Administrative Fee
Garage/Carport
Planning Plan Review
Residential - Single Family -
SDC Administrative Fee
State Surcharge - Plumbing
State Surcharge For Building P
Storm Sewer Footage
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00358-01
ISSUED: 09/09/2002
APPLIED: 03/2912002
EXPIRES: 02/20/2004
VALUE: $ 41,160.00
Value
Date Calculated
Total Value of Project
F ppt tIiII.I
Amount Paid
Date Paid
Receipt Number
8460
10555
10555
10555
10555
10555
10555
10555
10555
10555
1200200000000001989
1200200000000001989
1200200000000001989
1200200000000001989
I Plan Reviews ,
08/29/2002' 09/04/2002 Wait V J
Eneineerine-Res
$210.50
$4.72
$25.91
$323.85
$55.00
$374.28
$18.71
$4.13
$22.67
$59.00
$7.20
$5.04
$9.00
$63.00
3/29/02
9/9102
9/9/02
9/9/02
9/9/02
9/9/02
9/9/02
9/9/02
9/9/02
9/9/02
8/20/03
8/20/03
8/20/03
8/20/03
$1,183.01
Paee 2 of 4
SDC's cal!llated witb a credit for 72S
sq ft as determined from the
planimetric data (digitized from an
aerial). Site plan has note with
dimensions slightly larger than I wa,
able to determine. Left message
with applicant, if they have an
insurance claim or something
similar that verifies building size I
can re-calulated SDC's. Also,
applicant does not show storm
drainage on plans, DM will note in
his review.
. Lll l' Ut< ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: 02-00358-01
ISSUED: 09/0912002
APPLIED: 03/2912002
EXPIRES: 02/20/2004
VALUE: $ 41,160.00
.
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Eneineerine-Res
09/05/2002
Appr VJ
Initial Review-Res
Plannine-Res
04/02/2002
04/08/2002
Appr LH
Deni LM
Plan nine-Res
08/29/2002
Appr LM
Structural-Res
04/09/2002
Appr TM
Talked to property owner about
SDC credit, he does not have any
proof of building size, credit will be
based on planimetric data. Due to
soli conditions no drywell.
Applicant needs to take drainage to
street (talked with Steve and Tom).
Tax maps show lot 100 as 152 ft. in
length. Plot plan shows 325,
Accessory structure cannot be built
on lot without house. RLID shows
lot 2900 under same ownership and
vacant land. Garage cannot be
taller than or have more square
footage than house. Please verify
RLID shows house having 1428 sq.
ft.with attached garage of 572 sq.ft.
Totals 2000. Carport or covered
porches cannot be calculated into
square ft. Called and left message
for owner 4/8/02.
Property Line Adjustment
approved. Proposed garage now
included on lot with home. Enclosed
in file is revised Final Map. Garage
cannot be taller than or have more
square footage than primary
structure.
To Request an inspection call the 24 hour recording at 726-3769. AIl 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 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Finaled
PERMIT NO: 02-00358-01
ISSUED: 09/09/2002
APPLIED: 03/29/2002
EXPIRES: 02/20/2004
VALUE: $ 41,160.00
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 ofany 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 afthe 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
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
IiiltW=-.'.~'~"..'~.
" I
"':A!,; i
~1-._J
>..". .,_.._.T....~. ..' .h......... ..
Job/Journal Number
02-00358.0 I
02-00358-01
02-00358-01
02-00358-01
Payments:
Type of Payment
Cash
Change
Job/Journal Number
02-00358-01
02-00358-01
02-00358-01
02-00358-01
Payments:
Type of Payment
Cash
Change
Receipt #: 1200200000000001989
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
LANTZ WARD
LANTZ WARD
Received By
djb
djb
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
LANTZ WARD
LANTZ WARD
Received By
djb
djb
Check Number
Batch Number Authorization Number
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
'.
Date: 08/20/2003 1:40:30PM
Amount Paid
Item Total:
63.00
9.00
5,04
7,20
$84.24
How Received
In Person
In Person
Payment Total:
Amount Paid
$100,00
($15,76)
$84,24
Amount Paid
.
Item Total:
63,00
9,00
5.04
7,20
$84.24
How Received
Amount Paid
In Person
In Person
Payment Total:
$100.00
($15.76)
$84.24
.