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Home My WebLink AboutPermit Building 2004-12-7 . . CITY OF SPRIr'H.Jt<l~LJJ Building/Combination Permit PERMIT NO: COM2004-01302 ISSUED: 12/07/2004 APPLIED: 10/21/2004 EXPIRES: 07/20/2005 VALUE: $ 25,872.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3958 PINYON ST ASSESSOR'S PARCEL NO.: 1802061409700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing sfr - family/sunroom Owner: RANDY WHIDDEN Address: 3958 PINYON ST SPRINGFIELD OR 97478 Phone Number: 541-747-2259 I CONTRACTOR INFORMATION. Contractor Type General Electrical Contractor License Expiration Date KEPHART CONSTRUCTION LLC 572!}n ireS'l'0U.tQJ4/03/2006 MNB ELECTRIC INC _ , ,..,., ',on hI6219)~Mnnn Ut\\\t1IIlI9/2006 I BUILDING INFORMATION1,\es are set 1~~'~~ , , ern"', " gn 01'-1'195'2- , " ,1 v 10 tnrOU u>S b" \ # ~fS~orJ~~J1-00, ieS 01 tne rUr;otSlze: ii, uei~ht 'tJf "truc~iJri!ln COPt . the telep\'S'Q'fit 1st Floor: ,n Vn'lJ\'~l 'No e." , ',.,..non O\T-ype ofHeat:'enter. \ Ut'\',t\l NOtll'''''rl'T2nd Floor: l" -111" v n I, Wli eP!YI'Ji tne orego 332-2344). Sq Ft Basement: If.1IJI~Ty'pehter is 1-800- Sq Ft Garage/Carport Energy M: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-746-2129 541-510-9556 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN 280 I 11..... J'.LOPMENT INFORMATION , REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Urban Fringe Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: 't ~ompact: % of Lot Cove~~e: dM!l W ,Ii \S~Oi ~Q~\~t:~MIi SIi~~';, 11-\\S ?'t?-I!'~\r\R , I PUBLic IMPROW\;MENTS:,uO?: IS f\\)f\~Uu"~- CO\'J\\'J\\:.()"':-,-'~ ?'tlSld~walk Type: Fully Improved ,~'{ \\'> v" Yes" DownspoutslDrains: Storm drainage piped to curb face 38.00 0.00 20.80 Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Notes: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellines Tvpe of Construction V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcbarge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid . . l.-ll l' U.l' ~rK11'\jut<l~LD . Building/Combination Permit PERMIT NO: COM2004-01302 ISSUED: 12/07/2004 APPLIED: 10/21/2004 EXPIRES: 0712012005 VALUE: $ 25,872.00 I Vah'ation Oescril)tion , 111- $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 280.00 Value Date Calculated Total Value of Project $25,872.00 $25,872.00 10/2112004 }?PPO, Pii4.1 Amount Paid Date Paid Receipt Number 1200400000000001494 1200400000000001700 1200400000000001700 1200400000000001700 1200400000000001700 1200400000000001700 1200400000000001700 1200400000000001700 1200500000000000086 1200500000000000086 1200500000000000086 1200500000000000086 $149.66 $27.53 $19.27 $230.25 $59.00 $5.10 $101.99 $45.00 $7.80 $5.46 $15.00 $63.00 10/21104 1217/04 1217/04 1217104 1217/04 1217104 1217/04 1217/04 1120/05 1/20/05 1120105 1120/05 $729.06 Plan Reviews I Initial Review 10/2212004 10/2212004 APP SKG Plan nine Review 10/2212004 11104/2004 APP TAJ Public Works Review 10/2212004 10/25/2004 APP CAS Storm drainage piped to curb face Structural Review 10/2212004 11105/2004 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 7:00 a.m. will be made the following work day. ~rIPrlln~,nlrli"'tif\IIIJ 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. Paee 2 013 -~ . . CITY OF SPRI1'\ju.l'1~LD Building/Combination Permit PERMIT NO: COM2004-01302 ISSUED: 12/07/2004 APPLIED: 10/21/2004 EXPIRES: 07/2012005 VALUE: $ 25,872.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 any and all work performed shall be done in accordance with the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to tbe 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 tbat 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 tbe site at all times during constructIon. Owner or Contractors Signature Date Paee 3 013 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . . . J"b/Jouraal Number COM2004-0 1302 COM2004-0 1302 COM2004-0 1302 COM2004-0 1302 Payments: . Type of Payment CreditCard 1120/2005 . RECEIPT #: u..,~,A1, 'NQPI" ~. ".. '::" ....~ ~ of Springfield Official Receipt _elopment Services Department Public Works Department 1200500000000000086 Date: 01120/2005 Description Perm ServlFdr 200 amps or less Add, Alter. Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MIKE GOWINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 020967 In Person Payment Total: Page I of I 1:15:26PM Amount Due 63.00 15.00 ,5.46 7.80 $91.26 Amount Paid $91.26 $91.26 , CITY OF Sl, iNGFIELD, OREGON \ ~ . - .225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)'f~-~.o_ ELECTRICAL PERMIT APPLICATION 'f. O~/.. ~' OO....%"/~ /'0 "<......7 V~M ~ 0.,,_ ~.... City Job Number l.) I"V\ 7_ OOc.{ _ nl ..)L/ _ Date~, -~) '..1. V6.,,_ '0 ~ V/~"'" &-_ ~ 190- 3. COMPLETE H"E SCHIW - LO ".o.,,,~'l. /"- X /~c "I~ ''" _ {stl' ....." .... ~ . If "t. '" j ". . A. Ne" Residential- Single or MUltl-FaRlil)'~dwelling unit. Service Included ""'.?j"!.,.. ~", " . 1000 sq. ft. or less " 6.00 Each additional 500 sq, ft. or portion thereof 1. LOCATION f2f INSTALlATION '3Q-S ~ ~nYDl\J /80z.06Ilf 0'7700 LE94L DESCRIPTION r~esl 0<..",- c. ~ JOB DESCRIPTION FA....., \" Roo,"", A'Oo\'\-\.()~ Permits are non-trausferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALlATION ONLY SPtQINGPIC:LD Gj]1 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or . Feeder , $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 1'300 $ 63.00 117 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 Electrical Contractor ('1\ IV'~ c:::\ eL\<a.\l ~ "L 200 Amps or less ,.'0\'-.I(... I .,..'11- ~, .,. 20 1 A~t'$O 400' ~mp$J , Address .;1~'iO L.Oc..H \::N\~ ." ,~0o.i~~\npi''t6\60'ih~s ,,1\\1"" ~ S\\" 'Ii"\';) ,<:1:\. 'I'\J" ~ r ~u D.~tl.W-\ ~1)\.1i01l\:mp.~t9\IOOO Amps City..". '''''-i''''€L() Phone S 1@t\.ffi:l'Sr,,\t!'(.1) $ O\'-. ~v~-&)'SO AmpsNolts \ t>.\)\tw~\\C,'(.\) 'C.~eSOnnect Only ,..CC\w.~ () C\\'.'l \' . Supervisor License Number '-I ~ 7'-1 ":)t>,W< \ ~ C. Temporary Services or Feeders Expiration Date () I - 0 I - ZOO I Constr. Contr, Number It.. C 1 q \ Expiration Date 11- I '1 - 0 (p Signature of Supervising Electrician n1j)~ Owners Name R Pt '" () 'f L..... ') ~ \ OIX. "" 'Address 3 q s 'B '0\ V1 '1'()V\ City ~~"\"ltUA). Phone']41JiSQ . OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits \0 N AI . E . p, n'''c' 111 OU."\,,, ew teratIon or xtensJOu ",,\!;,F'dne\\ \l\w" X\ One Circuit ()O\\ \'Clo\ll he 01e9>9 _ ..e\ '$)~QO " Each AddjJ\t,l1!iI.cSl}~~t.~r.\liia; IVle'" ~ 9lj~-\j ",>{ I )". Se~a;<t~~ rRed~dleHii'1~"o",e "n", u~'3,\J\J I .: .,,\\O\llIU ~ ce\\\e1n\ 0 \"IOU~~ 0\ \"e . ~O\\e E. Mi~\\\..llillUqu_\)~'iKgJ~~ 1!'\.h\PMiI~~~~h Installation ~O br>-?- 95" ll\'Clo'i 0'0 \~o\e. '~\\'i ~o' ' puril'Q B9trPi'ilHw,e ce\\\~;e9>O\\ \)~~_'2..y.r.)$ 50.00 SignR:lul!.iJ.\~~'wg.'\\e.s ,\-'OOQ';' $ 50.00 Limited ~~~li~1 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 7.8 ~b 7f:)O 9/Z6 7% State Surcharge 10% Administrative Fcc TOTAL Shared Drive(T)/Building Forms/Electrical Permit Application I-OJ.doc