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Home My WebLink AboutPermit Electrical 2003-2-18 ~ ~~~"^ L'L~^w'L;:€mTh~'GFS",,~GRmTJn:r GR-EGGNi; .~ 'jL^~i ~.' '1 j'''''"n ~ '\ ,~, '\.. /- ~ , ' - ~ "' ~ "" , ~ ~ , ~, ~~' -.. - -: s submitted has the tollowing uire specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FM~(illI~li~t req ELECTRICAL PERMIT APPLICATION approvai. ~il ,,/- / Zomng I") I<f' / tJ7) \ City Job Number LOt'1llZool.- O,3>7l Date OJ-' J~/6J uate _ 0-.- 0 iJl-. , btilW";;Z;J'';;ON , i ~MPifl:iF~""?;.ww ~-4 LEGAL DESCRIPTION A. I New Residentia1- Single or Multi-Family per dwelling unit:, 1/1' ,~ --. ' , .. ' ,', ..~.. ~ 'l j 702 '.5 '1l.(1f 0((00 ServiceIncluded JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular DweIling Service or Feeder A 'b{j :s C, Ic..~;-~ Permits are non-transferable aud expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,.-- - 2. : CONTRACTOR INSTALLATION ONLY L_..._..... _ __. ,_ __ _.._..,.,_.. "'_'__'__' ,._____. .J $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNo1ts 'Reconnect Only .\ ~..,.' C. I-Te;"p~ ,,~\$~~~;'F~~d~~~-' '^..~~ 1'\\~\)~-~' -- ... '. , 1~:S'la~~ ~~atiou or Relocation ~\..\..~~~'tess $ 50.00 ". ~ S~ ~<&t ~ps to 400 Amps $ 69.00 ~,\\'V;~~~~\) \)~\)~(o\~s to 600 Amps, ~-.> i:~~o'~o ~'\~~~\)<;-\,,~\)~ ~rS;~O.~-,"P.s~.!.0.oQYoJts ~~~~t&~~~~~ ......_~.. 'r\) \)~~\\) \)~. ~ Branc~.0rcuits_ ." :-"7J.~~O<,,'iJ #~ eJ9......~._.~ C; s\ \ New Alteration or Ext$J'il~~ ~a':e~~ 0 <.,.s-~ ~0 '3 ~~ .. 0~ c &0'l\' ~ nO .O~ L{ One CrrcUlt ,~. ~,01,,'<'O _,'~ . ~ ~~\l!0~ EachAdditi.o~I'~'f:,OJttO~'eW~'fu~'- ~,e:z.0,0 '5..~'v / . ____, ~r ,A. _ Serviceof'Fee~ell11li' Rl<;)'" .~c.O .~',~~. 10 Owners Name ~A-(...e- p,.y"",,( { ~ ..~~Q-tI'til ~Via~~~'\.7J.~:~~~~~'.g,.n::J>I'" _.. Address :;::; 1M ;4 ~~ ~ ~ Z. E. ;~iiSce~%~~?~~~;~~~~.~E~Ch Installation, City Phone '7 X? - gJo Pump or i~~' ~~ ....O<"~ 0<"<; $ 50.00 Sign/Outline Lighl'fn{l.\00<" v0~~ $ 50.00 Limited Energy/R~1dentia1 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges r" .. --- . ^ -- '...~~ 4. , SUBTOTAL OF ABOVE Electrical Contractor Address City Phone Supervisor License Number "n _ ./(')'- Expiration Date J N Constr. Contr. Number D Expiration Date Signature of Supervising Electrician OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: D~ ~ & r: 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I.03.doc $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 L{~ Yt:5 I{ 'TO 57 :J2.. . ._ CITY OF ~r1Ur~t.l'IELD' Building/Combination Permit PERMIT NO: COM2002-01372 ISSUED: 01117/2003 APPLIED: 12/12/2002 EXPIRES: 07/17/2003 VALUE: $ 37,300.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6585 MAIN ST ASSESSOR'S PARCEL NO.: 1702344401100 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: AdditionIPlease check on # (NUMBER) of bedrooms for this Adult Care Facility Owner: BRYANT C DALE Address: 6585 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-736-8362 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Plumbing Contractor DALE BRYANT DALE BRYANT BRYANTCDALE DALE BRYANT License Expiration Date Phone # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: R-3 \}~'t. . ,~,y ~ ~,(\'\ BUILDING INFORM~~-lt-..\\ \~~ ~l" ,<v 'i)~" ~'-ofStoti.~'i~\.. '\~\S sJ~~~ 2 .",\)"'\\~~~(\\~'\)'\:.~ ~~'?,~: 23.00 ~ c. 'fYp~1i!mat:l. ("\. \~~~~~~~'\)\I c,~~: ~~ 541-736-8362 VNSpr Lot Size: Sq Ft 1st Floor: 424 Sq Ft 2nd Floor: 240 Sq Ft Basement: Sq Ft Garage/Carport' Sq Ft Other: Impervious Surface Area: Path 1 SETBACKS I DEVELOPMENT INFORMATION I \,.\9 ~{JI,~R PARKING (ea.\}\ t\ U\\ ' (l" Overlay Dist: 0\\ ,a.1/'l O~ifQHlI:se\ \0. 2 # Street Trees \,\..O~eg 6 ~'l \"e ~elJlUilii&~'" Paved Drive Rqd:\~\'\\\O a.60~\e\ftl90se~\} ~~acth\~s '(N % of Lot cove~1/'l ~~~~ ce\\\l~~ \"~O~~es 0\ \~:~"O\\~O\\ .; o'i.,\iCe.\~S'Z-'OO"" 0'10\0.\\\ cO . e', \"e ~o\\\ice.\' '" . <> ,., -" \"""1' (i\' '" IPUBLIC IMPROVE~~.:~.(O\l ~~ Ce\\~~~<.\O\\ ~~~/2-~I' - ce.~\'~ srd~e tjp~~' Fullv Improved \}f(\'Oe~ re\\\e'\'~' Curbside 5' Yes \\ DownspootslDrains Curb and Gutter Connect roof drains to curb weephole. May connect to existing roof drain system if existing roof drain system is in good conditions and inspector approves. 66.00 60.00 46.00 Frootyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 28.00 28,00 Street Storm Sewer Awilable: Special Instruction: Notes: 1 of 3 . Lit r OF SPRINGFIELD ~ Building/Combination Permit PERMIT NO: C0M2002-01372 ISSUED: 01117/2003 APPLIED: 12/1212002 EXPIRES: 07117/2003 VALUE: $ 37,300.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion J Description Dwellinl!s $ Per SqFt $74.60 Square Footal!e 500.00 Type of Construction V Wood Frame Total Value of Project I Fees Paid I Value $37,300.00 $37,300.00 Date Calculated 12113/2002 Fee Description Amount Paid Date Receipt Nwnber Plan Review Residential $195.29 12/12/02 2200200000000000297 + 10% Administrative Fee $34.55 1/17/03 1200200000000000569 + 7% State Surcharge $24.18 1/17/03 1200200000000000569 Building Permit $300.45 1/17/03 1200200000000000569 Plan Review - Planning $55.00 1/17/03 1200200000000000569 SDC Sanitary/Storm Admin $9.25 1/17/03 1200200000000000569 Storm Drainage Impervious Area $185.03 1/17/03 1200200000000000569 Storm Sewer - 1st 50 Feet $45.00 1/17/03 1200200000000000569 + 10% Administrative Fee $15.00 1/31/03 1200200000000000633 + 7% State Surcharge $10.50 1/31/03 1200200000000000633 Add, Alter, Extend Circ $43.00 1/31/03 1200200000000000633 Add, Alter, Extend Circ Ea Add $6.00 1/31/03 1200200000000000633 Fixture $56.00 1/31/03 1200200000000000633 Water Line - 1st 50 Feet $45.00 1/31/03 1200200000000000633 Total Amount $1,024.25 I Plan Reviews I Initial Review 12113/2002 12/13/2002 APP LLH Planninl! Review 12/13/2002 12/23/2002 APP AID Public Works Review Structural Review 12/13/2002 12113/2002 12/24/2002 01/16/2003 APP DPE APP TCM DON MOORE - Please check square footage on plans. applicant indicated addition at 500 square feet Plan review was calculated at 500 square feet. Plans indicate ovedr 600 square feet of addition. Please adjust plan review and structural page to reflect actual addition size. Greg Ferschweiler to determine if existing trees wiD count toward street tree req. 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. 2 of 3 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2002-01372 ISSUED: 01117/2003 APPLIED: 12/1212002 EXPIRFS: 07/17/2003 VALUE: $ 37,300.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I ReOllired Twrertinns J 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 4 Floor Insulation: Prior to decking. 5 Shear Wall Nailing: Before covering sheathing with finish materials. 6 Framing Inspection: Prior to cover and after all rougb in inspections have been approved. 7 Wall Insulation: Prior to cover. S Ceiling Insulation: Prior to cover. 9 Drywall: Prior to taping. 10 Storm Sewer Line: Prior to filling trench. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Rough Plumbing: Prior to cover and including required testing. 13 Water Line: Prior to filling trench and including required testing. 14 Final Plumbing: When all plumbing work is complete. 15 Rough Electric: Prior to Cover 16 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have C8refuDy examined the completed application and do hereby certify that all infonnation hereon is true and correct, and I further certify that any and all work perfonned 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 times dU5f.' g cortr'~9on. '" ____ L. (t)~ ;;U 5: / -J/- D3 Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01372 COM2002-01372 COM2002-01372 COM2002-01372 COM2002-01372 COM2002-01372 Payments: T)JIe of Payment Check Paid By Descriotion Fixture Water Line - 1st 50 Feet Add, Alter, Ex1end Circ Receipt #: 1200200000000000633 Date: 01/31/2003 Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee DALE BRYANT Received By Check Number Confirm No djb Page 1 of1 1/31/2003 - 1:09:35PM City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: How Received In Person Pavment Total: cReceipt.rpt