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Home My WebLink AboutPermit Electrical 2003-6-12 r. 7~-5~7~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 The following project as submitted has the tollowing ELECTRICAL PERMIT APPLICATl~'N I J zoning, and does not require specific land use City Job Numbe.oYYl~(Jo.3 - ffi l7 ate 6:; I d., ~r<1Sal, lb.17 - . , Zoning rL- '.',',;". ','."", " ',""," "'M'>; ";"""",;;"",,;,,,;,; 'V;", , 'V~,h,^..,;;,;;, ;.".:,..;;n;,'^,'~""7',";,'",,,' 3. ; 'COMPLE'lJItlrf,'BESCfJi:,"'l>>FLE' l11f,'I.OlAl' ;.,1(1 "- .' .-:~;'! :;,.;"i."".,;;1~:K,)s:i:'L,::;/.:<.,:j,.,~:,~:_;,:,:,::,::.",.i:.:,,;;:,;i.:::~,.:.;l;.,i,..aE_...,~~*..,;.~i:':;:-:<:._:,;::,:.,:~:.;..,:.,.,,~;",., h ""."...~:::.:.,.,._~.:;';.~,:..;;.~", :>-:t'_.' .,:ul..:..LL ~:~"~";~""'(...'.I.:,;&'~j.JJ Authorized Signature . 1. 343_~_jtvYlb.If>~{'rh. Or~\f~ SP~O LEGAL DESCRIPTION ( q D'2l q ~ .301(c(X) <;\e.CJ..u\ ; \--.-( ~ A LA.-d(' 0 r r~ v.) ; f'L JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. F,:''?Q%~}'f'r'':'-'':"-~''0i~t..{::?::;" O;'--::;V~(";':/'~-?'^~"<T%:\:t;;\';:Y>,i?0t l:'<Jf*'fQ;\,.':;<>~,~~\q('l:F 1TF~./'>r::::~ ;;.CONTRAcTOR'INSTAi.,'LATIONONI3Y", 2. :"..,;;;.:~ ..l::.L ,,,l ,i, ~^;.:.'"'>w.j,^ ,..:-, ~...,,,~,,-,^,,,oy, ,_~;.; -L"...::,,,~.:,;...,^iq..~~,, .L';'!",",,<':;:~!'''A''''_ ...~."'_"~" ..;...:. Electrical Contractor PZ.! e-..c s ~ ~ { {' J ~ \e.e.,~ cr\ {~ ~OlIC~. '-- A '!1f?S P ".~.D ,.,,~j::y~..._J9SLj<( HI0 . ivir I "ht\LL EM"IH~ It- I Ht WUHK CiAUT!iQ~If..EQ lJNDI;.a ro~ugE~ltI.s ~g17 ~ ~O~WG[LJ 3tf;1~BANOONW'rut1 ANY 180 DAY PERIOD. Supervisor License Number 311 c... L-G Expiration Date 10 / / / O'~ ~onstr. Contr. Number [If Lf l.afJ ____ Expiration Date fo/ :2- 31 K ~ \ Signr, ~ flupe1~','. loc;';cian,'l___j--- ^ l)/ j JA / ~ v ~ v' OwnersName f?~~ ~~f~- ~ Address ;::t~~S C1oCLry' lt~ Q..-\,:) City B.A&e.~ Phone Dn- OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder rr};~,:~,.:\:J:1:::i;;~':".'~~??~:w~~~i~;()~/,~J . . :~~h",~J~\Y\,,!:-,.~,.~ ~,~+1_1:-"^~~F':;>t~7~?'~&t7~~~'l-:;:7Z?; B. ~\Sel;vic~f"t9t;it~~de;:a iii/Xi} ~1(eJ~~ti(ms101;lR~ioclltiolt;s ,~~ -.' , : '.'~":"} ~:.~f ':.:r:: ,..~,,:\,- .~,.".. :,~..!,.,~:~:,:..~:::):,.; ,:.~~ :r/ t, '....1.. " .;..;,/,,:,:,:s:~ .. ~~rl~~'..,.~~~~< '. , f\,\OltiiG.:..ilOd C8!lte!. ,('\)~..:;: ._~I ' .j ., ~ ;:" . 200 Am~~I~J.~~~ 9fj~.OCH'O'i n ~.r'"!"O'I(': $,63:00:',~. :. 201 AmpsjtR.,~OO\AlIlP.SI~\I nb~~;'l ,..,r~:r'~ "$7S-.00':'.~:~ vv~v. . _h., II -'J V_" -.. . 401 Amps to"}ill9.':,~..JP.P~3 cent:.')~. !\'\' ,,:::: '::-.r$~:2'5:06'<~ ' 601 Amps ~qt1,QQ~;\:rhpst:T~ 0!~q::l ! 1"I::\'$i~3.0(r'; . .,l-_-",-'''''''' .~\ ; Over 1000 AmpsNdlts)T"iP' C ' . . "$375.00 Reconnect Only $ 50.00 $50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 :JScP Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. if S QSl.. -. J..;F ~1 l-{2Q 5:J! ~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application l-03.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000001053 Date: 06/12/2003 'Job/Journal Number COM2003-00178 COM2003-00 178 COM2003-00178 COM2003-00178 Description Minimum! Adjustment Electrical Low Voltage - Residential + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 20.00 25.00 3.15 4.50 $52.65 Payments: ~rype of Payment Check Paid By DIVERSIFIED ELECTRONICS Received By nJm Check Number Confirm No How Received In Person Payment Total: Amount Paid 52.65 $52.65 6/12/2003 11:5l:44AM Page 1 of 1 cReccipt.rpt Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 12/1212003 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -">1M fHClUlie5 ''1Uv.'.. """",,'r:,~qIUI'll.VIV:::l-" '1-. o~""r.\onUlllil.Y SITE ADDRESS:, ~ 'J4?~c.A\!l!liIeside Drive iori" ASSESS()R~SIiPA'~ci~fJ?:ThtK02t94~076iYo se~ 0(\' NoU1iGa~~~ ~~j -l"'01 0 through OAR 95 - \ PROJEc(I\DESGRIPTIOr~:t .SFR'p'les 01 the rules . ". ~. . 0) all' I",U e 0090. You may _:M t!\.lntP.: the te\ephO~ _._ . c~l\inQ lll~ ...."'...-. , Utility NOllllvCl.U...... Owner. S.~Q,hTt('T.Q~@]~la90n ~ ",,.,,,1\\ Address: n282:35.(Ct~~~'kA:~ntD33EU6ENE OR 97402 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: NOTICE: THIS PERMIT SHAll t:)(PIRr: Ir: TW~ 'AlC'flr: AUTHORIZED UNDEp.hbfd~..~~tn ~N~-3998 COMMENCED OR IS ABANDONED FOR 11t\IV 1 Qn I}^\{ p~n~2C. I CONTRACTOR INFORMATION' New Residential Contractor Type Contractor License Expiration Date Phone General JORDAN CONSTRUCTION Electrical DEANS ELECTRIC 99579 06/20/2004 541-935-5303 Mechanical COMFORT FLOW 460 06/27/2003 541-726-0100 Owner SCOTT JORDAN 541-688-3998 Plumbing FRANK ROMERO 40892 12/20/2003 541-935-3263 BUILDING INFORMATION. 3 # of Stories: 2 Height of Structure 24.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 5,575 815 1,047 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 480 SETBACKS I DEVELOPMENT INFORMATION' Rearyard Setback: Solar Setbacks: Yes 23.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: 18.00 5.00 8.00 36.00 36.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Curbside 5' To Storm Sewer Downspouts/Drains: Notes: Pal!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1997 Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WilIamalane Single Family + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/ Adj ustment Electrical I Valuation Descriotion I $ Per Sq Ft $74.60 $19.60 Square Footal!e 1,862.00 480.00 Total Value of Project ~ Amount Paid Date Paid $471.19 $10.00 $130.79 $91.55 $306.00 $8.00 $-18.73 $6.00 $724.90 $75.00 $6.00 $9.00 $15.00 $4.00 $59.00 $-30.00 $106.00 $57.00 $402.96 $530.16 $10.00 $34.83 $332.86 $84.19 $50.24 $709.81 $160.87 $75.00 $525.93 $50.00 $24.00 $1,000.00 $4.50 $3.15 $25.00 $20.00 3/17/03 4128/03 4/28/03 4/28/03 4/28/03 4/28/03 4128/03 4128/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4128/03 4128/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4/28/03 4128/03 4128/03 4/28/03 4/28/03 4128/03 4/28/03 4/28/03 4/28/03 6/12/03 6/12/03 6/12/03 6/12/03 Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 12/12/2003 VALUE: $ 148,313.00 Value $138,905.20 $9,408.00 $148,313.20 Date Calculated 03/17/2003 03/17/2003 Receipt Number 1200200000000000839 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000000780 2200200000000001053 2200200000000001053 2200200000000001053 2200200000000001053 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 12/12/2003 VALUE: $ 148,313.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,074.20 I Plan Reviews ,I Initial Review Planninl! Review Public Works Review Structural Review 03/18/2003 03/18/2003 03/18/2003 03/18/2003 03/18/2003 03/2112003 04/02/2003 03/3112003 APP APP APP OK LLH EMM DJW 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. ~eollirerUnsnections I 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Underfloor Plumbing: Prior to insulation or decking. 17 Underfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 Underfloor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 25 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 26 Rough Mechanical: Prior to Cover 27 Final Gas: When all gas work is complete. 28 Final Mechanical: When all mechanical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 30 Rough Electric: Prior to Cover 31 Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 32 Low Voltage: Prior to cover. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00178 ISSUED: 06/12/2003 APPLIED: 03/17/2003 EXPIRES: 12/12/2003 VALUE: $ 148,313.00 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 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 during construction. ~~ ~f0- Owner or Contractors Signature Pal!e 4 of 4 {;/; 7-/ O~ . Date