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Home My WebLink AboutPermit Electrical 2005-7-22 (2) zoning. aM m~8S mil 7'1"";-"\;7/'-- " val. c--- be:- . . .. 'fZ - ~-- ~m~.iQvl " . ..~., ~r-\...f-.J >~ J m ~d:k ..~.;, ~ . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 . . AUtri(JrlZ8 ELECTRI~ P~RMIT APPLICATION . CityJobNu~(J7JS -()cY/.s7. Date 7-:;)~ -c51txJ5 ~\Y~F:0KU~%?%;\t\2'Wl'WlY:~1iWW$DZ)\H:::::')t~~)TI';\mrnGi!m;~~:(:::~::Vj,'t-: " ,"" :oxw:n . 1 "iiJjQ(9A:CfI(})1Y:/OJJ/JNST~I1f.1.TIli)J;w j 377'i1M'{!{j~z~&;;ar;;:7'~ , LEGAL DESCRIPTION /7().$ ;}q ~ ()S8"CTD JOB DESCRJPTION ~//A~' ~~ . Permits are non-transferable and eiire i~ ~ork is ." not started within 180 days of issuance or if work is Suspended for 180 days. F%&?:,vkn0;e70N;;:':'i,,':;:+t-;U77%)Rn\;t'~:WM11fT:VUif~:::n~~n~mnT/~:2Hn7t:17?8?n't9;:::;rrK:n:(~rsn')S$ 3. 'l<COMl'LETE'PEESCHEDULE BELOl tMhdf{Gkq:26k.:.;:ktti>b\iiliF%%>S>:t\h~X)ii}tYkd:iiiliWlitkk'l?KP,aG.utb;:8bf:Jtk>t1n:/,~f:' ,"A1'it,:,,/ ::..,.t'S:.::~<.!,." ., "'J.:' . .:;"":"<0't;li<;f_w01 ,.': . ';'.Mr>:;j:<t;" 'Wi;:;>' ..:".:""'ii'Sk'r....>.~ A. ',('.N ew ResidenthiI: ,,:; Sinole.;'()rjMUlti~Ea mil ":"er~(hvellin:"Aini WbiYi,,,,'jlM\%i\t~fk::w:t:S1k:fniu.:etf:@;,t1t:::?\i;:t~'~iiUV;U:tn>tt:::):(&%::Fii~?M7~v.h.t[:\:k~b!1tBt*0KMaJ;:<~Yb~ju.,un Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 .%rrl<%:\\%,;:;:". ""'CONT. ,'N' "'i:,, ,': ..,' .'o" 2 i\ht.. :;.,::::::~,. <..:\-..ij.,":.. """,-":,:::,:,,,::""':,.,:":: . ",.,.,:,(/:,,,,,,:,/tf,%;;'1}1~~.:~40*M';"-"-:-"":':::':$'> ~:..;.::J",;-,"",= :-..-__-->---:...."..,.,.~.:'k..,.,W: p;:@rr7_11nT%i%@~jtrt~9HT;YK]TIm~VJ{::'-':nPB;E%~;~IS STALllATION'ONlJY,'" ,',:.", :., ':'fLf;:'L%W#~tfmjn1fJlt::itmHt&i~;:'~:y:iMjl' . B. City ~~A.r\.l' S;~LA...".c.L p;i.ec -h-tc .:]:\1c. 200 Amps or less 20 I Amps to400 Amps S~rJc: 51-. 401 Amps to 600 Amps 60 I Amps to 1000 Amps Phone 52 0 - (g L/ (; ~ Over 1000 AmpsIV olts Reconnect Only I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 03 Electrical Contractor Address~q~S ,. Supervisor License Number '3'2- <65'-5 gg'N?@8Wljifu11ML\:)f;T-0Wf@!$:'(',;fULnSWFt;WtnfL%: C. r'.;.Tenf"'l>ra ~'?ServiCes'.or\Feede kG::#iX$it\,,_,g';;$;,clm4IJXh,t{-8Wfu-~";"-;;:;:t;Sb::c:~:tr":""W-~>>fD\t;;: Expiration Date 7-J - 0(; Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps o~ 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 Expiration Date ! 6-1- 0'1- . Constr. Contr. Number ~8" Signature of Supervising Electrician U;~ It ~.~ ;' Each Additional Circuit or with p~ L _ . ,L 1/.0 /1" ~ '\ ,1 ~ Service or Feeder Permit OwnersName.~JJQJl ~ n< O~CA Address0:8 /' I (k;ry~./ I ZJe E. .~~~~IlS e~J~'~ii~~i,.tJ;~g:!:;~S',llii~:iii ,)t:&EL>>, ~ ~~"'~d,<,w.w.,_.%~''':i,l;;;",:\",~."""":;",::,:";,,,,,,~,,:!:":"'<<:;f!":,:<::,,,,,ill:i<:2:,,':b_:~:::,,=J City~jJ/,V Phone 7S/7-7'U'O OWNER INSTALLATION New Alteration or Extension Per Panel One Circuit $ 43.00 ,..) $ 3.00 ~ The installation is being made on property I own which is not intended for sale, lease or rent. . Pump or irrigation $ 50.00 Sign/Outline Lighting . $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. 7% State Surcharge 10% Administrative Fee t 9. ()D 0''''''___ ~\ F: 3- ~,crv /)(] .7if Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc S.DAI...r.aF.I~ - ~"!f!,~..I!i~:t~..;.l!r ~~~,' _~" '.'~_. __, ~ q ,~ . -, . " \ \. I I. I. I /; . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00437 ISSUED: 07/22/2005 APPLIED: 04/18/2005 EXPIRES: 01/22/2006 VALUE: $ 31,880.00 Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 2377 CORRAL DR Springfield TYPE OF WORK: Single Family Residence , ASSESSOR'S PARCEL NO.: 1703244305800 '~4;'hC'?-;>C'C'_ UCI~ :T,Y.P-~,OF, 'USE~oe-Ad'di'tioilel"\ Residential - 1'+VI'l IIJ /l'n u 6 v PROJECT DESCRIPTION: Addition to existing single family reside_nc~; :ci~'(')1 8 ..: 0 810 841 101 lEJqwnu ' . 11\4, ~~3/n'J ::l/~' +'1"> ~~..~!ON) '18W80 8lll 6U1I1P'l -lUt'J-c;S6 tJ\iQ 4-6~~~~15f8B~ ~~Irer.~ '(S~llfJ747-7930 1lj!lJL0l18S 81E S8/nl 8S0 . toO-c;S6 ti\tO UI ~mn U06810 841 Aq4pl d:J81U88 UOI1EOI1!lON 1M _ ~ r t 81 nnp l''''J''''' " ,.~.\. -'>OJ!.IIUl::ll Met UoB8J' " .. .....I/vl I. CONTRACTOR INFORMATION I' 0 .NOllN3UV Owner: Address: . ROBERT KOPCZENSKI 2377 CORRAL DR SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor OWNER SOURCE ELECTRICAL INC' License Expiration Date Phone 160918 07/28/2006 541-520-6466 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: , . -. : ''':. Sq Ft 2nd Floor: Water Type: ", "" .,~-~o. '1'T SHALL E)~q\F.f.Basehi~rtNORK Range Type: ThIS ~C~~\~D UNOER T~9y~,g~Mg)/ea~p'Oft Energy Path: ,l\llTHq~lL. n At~q:f~6W~_eS:FOR Sprinkled Builjlmg:;lIltNCED n/i\ IS Ol:cupant Load: "'," .. on nilV PI=RHlO. . R-3 '",",1'1 . -- I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.60 8.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe REQUIRED PARKING Total: Handicapped: , Compact: 0.00 ' . I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: .\ ." Pal!e lof 3 ", '. -~"J~~JIf.,t9', . L ;.I~, -, ~' -- . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00437 ISSUED: '07/22/2005 APPLIED: 04/18/2005 EXPIRES: 01/22/2006 VALUE: $ 31,880.00 LValuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ., , Total Value of Project ~ Amount Paid Fee Description ' Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Dryer Vent Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less . ,'> '. . Total A:mount Paid . Initial Review Plannine: Review Public Works Review 04/19/2005 04/19/2005 04/19/2005 .t., Structural Review 04/19/2005 Date Paid' Receipt Number 1200500000000000462 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 2200500000000000529 . 2200500000000000529 2200500000000000529 2200500000000000971 . ~~00500000000000971 2200500000000000971 2200500000000000971 ~ $172.48 $10.00 $35.53 $24.87 $265.35 $6.00 . $42.00 $27.00 $3.00 $59.00 $36.56 $48.08 $12.29 $161.20 $12.00 $6;90 $4.83 $6.00 : $63.00 4/18/05 5/3/05 5/3/05 5/3/05 5/3/05 ' 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 ' 5/3/05 5/3/05 7/22/05 . 7/22/05 7/22/05 7/22/05 ~ , ,', ' .1, , $996.09 "I. .' , '1 '. Plan Reviews I.' , 04/19/2005 APP 04/28/2005 APP 04/20/2005 APP ! I. , , RJB TAJ 'CAS ., .. ' l storm drainage piped to existing curb weep hole 4/20/2005 CAS , 05/02/2005 APP' . . RJB 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 7:00a.m. will be made the following work day. . ' , .' ", \. ' , ", , I 1 I, I . . . I. " Pae:e 2 of 3 -~'@,t~*~~I..~RI! , I' '- \' v' " l . _ CITY OF SPRINGFIELD Building/Combination Permit 1 Status " Issued 225 fifth Street, Springfield, OR 541-726-3753Phorie 541-726-3676 Fax 541-726-3769 Inspection Line , PERMIT NO:' COM2005-00437 ISSUED: 07/22/2005 APPLIED: ''04/18/2005'" EXPIRES: "01122/2006' VALUE: $ 31,880.00 .', .' 'I Re~uiredllInspection~ 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. ' Drywall: Prior to taping. Final Building:' After all required inspections have been requested and approved and the building is complete. UnderOoor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When. all plumbing work is complete. , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: 'W~en all electrical work is complete. " Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 aoy 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 COQ1munity Services Division, Building Safety., , I furthe'r 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 times during construction; " , ~ o?~~::s;gn:;~ (f' 0--0 ~~ 7-d~--O- f::J~ Date " , : ;', . , . . " Pa2e 3 of 3 . . '. , 225 ~.ift!t Street ' Springn~ld, Oregon 97477 541-726-37~9 Phone Job/Journal Number COM2005-00437 , COM2005-00437 COM2005-00437 COM2005-00437 Payments: Type of Payment CreditCard \ " ,. , " .. . 7/22/2005 . RECEIPT #: 2200500000000000971 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JIMMY RIGGS Received By Check Number Batch Number . ' nJm, Page 1 of I .J;lty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 07/22/2005 2:17:49PM Item Total: Authorization Number How Received Amount Due 63.00 6.00 4.83 ,6.90 $80.73 Amount Paid 142421 In Person Payment Total: , $80.73 $80.73