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Home My WebLink AboutPermit Electrical 2003-12-22 . " ,r>:, ' . CITY'bF S.. )INGFIELD, OREGON' (', . '.-' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~ (5~1~726-3689 ELECTRICAL PERMIT APPLICATION DOing City Job Number CoIM 'ZOo:3 - 003'-{<;!; Date ~/O 3 ::,I::orized Signature s submitted has the following require specific land use (l~ 11iL- 7..'2--0 ~ ~0 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with ."\: ",""' _ '" ~ .......... Service or Feeder Permit Owners Name ~rr /-'\~D Address 10 '-{ ( II! ~~ , <- 51-- E. Miscellaneous (Service/feeder not included) -Each Installation ,.....,,, I HI~ I-'tKMl1 ~HALL tXI-'ItiE IF THE WORK City SP \ - I \hl_'Tlit'Vlfl~r; 1;~Ir;~p nil) PERMlf\'tl'~~\Jprrigation $ 50.00 COMMENCED OR IS ABANDONED ~iY~Outline Lighting $ 50.00 OWNER INST ALLA T!.m'y 180 DAY PERIOD. Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fcc is $45.00 + Surcharges I. LOCATION OF INSTALLATION /641 c)(7VV\~'-'- 'S-\-- LEGAL DESCRIPTION 17D32-bL{ ( IDOOI-{ JOB DESCRIPTION SiA B I- L( c ((2..c.v..~ ~ Permits arc non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number [! ~ n.) [,,':, ~ . I Expiration Date '0" l ,. '" . Constr. Contr. Number " ...' 'I,ll Expiration Date i..Ju-; . Signature of Supervising Electrician \lU". The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signatu~fl ~. Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A. Ne,,: Residential- Single or Multi-Family per dwelling unit. 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 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b3 , ,', C. Temporary Servic.es or Feeders 'f '~'I \ Ii-'\. ,.-~~tl,n~": ~~ .... r Il.ln_sta'lation; AIt~rati~~ .or::~elocation . 200 Amp~ ~r less, $ 50.00 " ' ' , 201 Ampsto 400Amps'. '. $ 69.00 ,.40fAmpsto 600 Amps' 1 $100.00 " '.. ..' -., ,., , Over 600 Amps or 1000 Volts see "B.' above. , ...' .'.~, - .- -. '" D., Branch Circuits ~ " ,,; ... ~. $ 43.00 L{ $ 3.00 f7 4. SUBTOTAL OF ABOVE ry<) 52'> 75'= 7J ?7~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)!Building Fonns/Electrical Pcnnit Application 1-o3.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1041 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703264110004 PROJECT DESCRIPTION: Shed . Ll1 f OF ~rK11'1ld<IJi,LD Building/Combination Permit PERMIT NO: COM2003-00848 ISSUED: 10/02/2003 APPLIED: 09/03/2003 EXPIRES: 06/19/2004 VALUE: $ 5,712.00 Springfield TYPE OF WORK: Accessory Building Owner: ARD JEFF W Address: 1041 OLYMPIC ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: ,,' .' '\. . Notes: .., TYPE OF USE: New Residential I BUILDING INFORMA nON, # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I"' I .' .(",- '1["';',.1 .~C "....... . . ...\ ~~' Phone Number: 541-741-8062 I CONTRACTOR INFORMATION , License U-I VN Expiration Date Phone Lot Size: 14.50 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 240 . ~ I . J ~. . , . .. tor (~'l I" "\. ' I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I "L' Ill, ". .,. '\ .... . '1- ~ LJ\ ,Ill j'. . '\.,~ " "~~"i" '-' Cr,l, ..,'.,. nUll'. ~:;':' \. I " ~' -'i~. . ... '\ ~ ~ ,", ,"j .. . , .~. "'r '~ , ....... '"\li1 .. " . \.' ~ ~ I ~ . - ' .' .' .:\ ,,., .J ./. Pal!e 1 of3 N~iJf~~rT~'RALL EXPIRE IF lHE WORK l~U ownspoutsIDraino, lHIS PERMlllS NOl AUlHUt\ILtU'ul-.uI-n COMMENCED OR IS ABANDONED FOR ANY 180 OAY PERIOD. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Initial Review Plan nine Review Public Works Review . 09/04/2003 09/05/2003 09/05/2003 . Ll1 f OF ~rKlj~ul'1Ji,L1J Building/Combination Permit PERMIT NO: COM2003-00848 ISSUED: 10/02/2003 APPLIED: 09/03/2003 EXPIRES: 06/19/2004 VALUE: $ 5,712.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,712.00 Value Date Calculated Total Value of Project $5,712.00 $5,712.00 09/03/2003 F pp< Pl\ilLI Amount Paid Date Paid Receipt Number $49.53 $12.12 $8.48 $76.20 $3.48 $69.60 $45.00 $7.50 $5.25 $12.00 $63.00 9/3/03 1012/03 1012/03 10/2/03 10/2/03 10/2/03 1012/03 12/19/03 12/19/03 12/19/03 12/19/03 1200200000000002050 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002633 1200200000000002633 1200200000000002633 1200200000000002633 $352.16 I Plan Reviews I 09/05/2003 09/17/2003 APP LLH APP TAJ Height of shed cannot exceed height of house. 9/11/03 - Contacted applicant and they informed me they plan to take storm drainage to the street. -MS 09108/2003 APP MS High ground water table and solis conditions (SDC: 32-coburg-Land Complex at 100%) do not facilitate a drywell. PW's will not approve dryweIl. Contacted applicant 9:30 9/8/2003. Applicant plans to contact Steve Graham regarding reclaimation of water. I have told applicant that PW would like them to go to the street. Waiting for Information from Steve and applicant. PW has been passed onto Matt. Paee 2 00 . . CITY OF SPRI1'l\.d'IJj,LD Building/Combination Permit PERMIT NO: COM2003-00848 ISSUED: 10/0212003 APPLIED: 09/03/2003 EXPIRES: 06/19/2004 VALUE: $ 5,712.00 Status. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/05/2003 09/29/2003 APP DLM See documents for plan review comments. 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. L.Rp.ouirp.d Insnp.ction'lj I Foundation: After forms arc erected but prior to concrete placement. 2 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 3 Final Building: After all required Inspections have been requested and approved and the building is complete. 4 Storm Sewer Line: Prior to filllng trench. 5 Rough Electric: Prior to Cover 6 Electric Service: Approval required prior to utility company energizing service. 7 Final Electric: When all electrical work is complete. 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 wlIl 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 wlIl 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. Owner or Contractors Signature Date Paee30f3 225 Fifth StreeC Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00848 COM2003-00848 COM2003-00848 COM2003-00848 Payments: Type of Payment CreditCard Paid By JEFF ARD ~~. Receipt #: 1200200000000002633 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb l:heck Number Batch Number Authorization Number 000254 117 I 42 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/19/2003 8:41:45AM Amount Paid Item Total: 63.00 12.00 5.25 7.50 $87.75 How Received In Person Payment Total: Amount Paid $87.75 $87.75 . .