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Home My WebLink AboutPermit Electrical 2005-7-20 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54])726-3753 . FA'!l.~q)~26-3(j89 zonIng ELECTRI914L PERMIT APPLICATION City Job Nu~L/ - O~I Date '7- d, 0 - ~ tJ"l;J. ]. 'I..qc;A1J.Il.>Mf.>liny~'!~I..lJttrl!ll!J 3. (;5/'.""""'.~}'3y--.'."S:~~ LEGAL DESCRIPTION !7()3 3.5 :;;3 dO 700 JOB {)ESCRIPTION ~~m2~~~de;;"~ not started within ]80 days of issuance or if work is Suspended for ]80 days. 2. Electrical Contractor tle/I'> ;; 5-10 7 Address .It) &L 'l~1.L Phone &\{t ~2S-4J (j Supervisor License Number & 1 Y'- S /D/DI/lJlt I j{)9f(Ptj J / /L/ /0'7 , , City Expiration Date Constr. Contr, Number Expiration Date Signature of Supervising Electrician iJj)~ ~ ownersNameJn);1) fOji-PJcL Address(acSl /. $T .s+I2,o +-- C~//Z? ~JrX Phone ?5D .~ / 679 OWN~R I~LLATION 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 "It:> u\reS V~(}~O Feeder N: Oregon law. '\ on Utility t) . t '.., reQ'; .' " '.'"d\'\ B'~19~!.~~j;1~(:atiol1: , ' . O/i.R952.001...," .' , oQ 200 ~ri?~~;_001-001? th~~;f of the tOBI~ bY{d :;:;-- 10 u -.1IWOl. ~ obtain C ...Jr.m::\e 201 ~~ '\!}W"-II'flJ> 'Not~: the te~v:!w: 401 Amp~iIll:I.>(){U~psenter. \ "tHin' N($titi~~O" ",crnITl'd' ~ Oregon - ~ 601 Am~mWBOfj2fri ~\S 1_80Q::332-234'in-63.00 Over 1000 AmpsN e $375.00' Reconnect Only $ 50.00 C. Installation, Alteration or Relocation 200 AmpS 'or less,:' $ 50.00 . '.-'1 201 Amp~'~!~O~tP:J?-s;T SHALL ~;~P:~!: I~ q~.~WO~!f. 40 1 Amp~, to .60.Q ~mp!? 0 U r Ii U- r: R 1" U I (' 0 r: [$ .J001rtlO, 1\ I n T ,.,L . ! 'U' ~ILL I~ L "....... I .:..nfVII Iv....... Over 600 Arp s d,OQO N' 6lts1 see " D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3.00 /6 cJTJ -6' E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges K, OV .s . Cf f:' . -7' kG Jfic; I. ;;){r/ 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03,doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00951 COM2004-00951 COM2004-00951 COM2004-00951 J>ayments: Type of Payment GreditCard " ;t " ~, 7/20/2005 RECEIPT #: 3200500000000000442 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BARBARA COFFMAN Received By nJm Check Number Batch Number Page 1 of 1 015503 City of Springfield Official Receipt velopment Services Department Public Works Department Date: 07/20/2005 Item Total: Authorization Number How Received 015503 In Person Payment Total: 1:49:44PM Amount Due 63.00 15.00 5.46 7.80 , $91.26 Amount Paid $91.26 $91.26 , ~~~\~~~~~~'~'~~"'"'*'-'"-"- . ' \', Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 07/20/2005 APPLIED: 08/02/2004 EXPIRES: 0112012006 VALUE: $ 17,496.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6511ST ST ASSESSOR'S PARCEL NO.: 1703352300700 Springfield TYPE OF WORK: Garage Contractor Type General Electrical Plumbing Contractor OWNER DELLS ELECTRIC OWNER TYPE OF USE: New Residential on law requires you. ~O : -:--:-,:~.rTlnN', Oreg d 'v €~':'3nn IItI\lW t~\lOW rules adoPte~h%\~@~et9~~47-1579 l'...\otitication ce~t~~1 0 through OAR 952~OO~y. in OAR 952-00 ,-~ht~in copies 01 the rul~~_ 009U. wU \I...., ' (N te: tne 1t:J1l;;ti"J~I- I CONTRACTOR INFQ&N1Ag-I()NV,nte~'e o~ Utility Noti1icatlon number IVI \' e. 0 _~OO-332-2344). ' Lic~er IS Expiration Date Phone PROJECT DESCRIPTION: garage .~' Owner: FAIRFIELD JOHN A .' Address: 651 W 1ST SPRINGFIELD OR 97477 ,- , 109864 01114/2007 541-935-2154 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type , Secondary Construction Type: # of Bedrooms: VN # of Stories: 1 Lot Size: Height of Structure 15.00 Sq Ft Ist Floor: Type ofHeat:~JT~C\E: Sq Ft 2nd Floor: Water Type: ~HIS PERMIT SHALL E)~q!~t~~s~w~Ii,t;'ORK Range Type: l'HORIZED UNDER 1 ~,.,F~R~fv~~,e/fSap;pJrt Energy Path: AU Sg~t O\~her:F~R . .ro,f.\F,f,MENCED nn IS AEh\,\llJOI~tU Sprmkled BUlldmgl n/a' Occu}Tanf Loa : ^ ~IV ~ on n^V pl=Rlnn 720 U-l I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 10.00 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Yes Storm to weep hole in curb Downspouts/Drains: Curb and Gutter , Notes: Pal!e 1 of 3 Status Issued CITY OF SPRI1~(jFIELD' Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 07/20/2005 APPLIED: 08/02/2004 EXPIRES: 0112012006 VALUE: $ 17,496.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion 1 Description Garal!e Tvpe of Construction Garal!e $ Per Sq Ft or multiplier $24.30 Square Footage or Bid Amount 720.00 Value Date Calculated Total Value of Project $17,496.00 $17,496.00 08/0212004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $110.37 8/2/04 2200400000000000999 + 10% Administrative Fee $21.48 8/20/04 1200400000000001246 + 7% State Surcharge $15.04 8/20/04 1200400000000001246 Garage/Carport $169.80 8/20/04 1200400000000001246 Plan Review Minor - Planning $59.00 8/20/04 1200400000000001246 SDC Sanitary/Storm Admin $12.90 8/20/04 1200400000000001246 Storm Drainage Impervious Area $257.92 8/20/04 1200400000000001246 Storm Sewer - Ist 50 Feet $45.00 8/20/04 1200400000000001246 + 10% Administrative Fee $7.80 7/20/05 3200500000000000442 + 7% State Surcharge $5.46 7/20/05 3200500000000000442 Add, Alter, Extend Circ Ea Add $15.00 7/20/05 3200500000000000442 Perm Serv/Fdr 200 amps or less $63.00 7/20/05 3200500000000000442 Total Amount Paid $782.77 I Plan Reviews I Initial Review 08/03/2004 08/04/2004 APP LLH Planninl! Review 08/04/2004 08/06/2004 WE TAJ The owner needs to record a deed restriction to tie both tax lot 600 and 700 together as a single development site or he can shift the garage 2' toward 1st Street to maintain a minimum rear setback of 10'. Contact Liz Miller 726-2301 regarding this. The property is zoned and designated HDR. No Site Plan Review is required per exception in Article 31. Called John Fairfield and left message on 8/6/04. LM Site plan revised to reflect 10' rear setback for garage. tara 8/19/04 Plannine Review 08/13/2004 08/13/2004 APP EMM Owner has decided to move garage forward 2 feet. Public Works Review 08/04/2004 08/04/2004 APP MS Structural Review 08/04/2004 08/19/2004 APP DLM Pal!e 2 of 3 Status Issued , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 07/20/2005 APPLIED: 08/02/2004 EXPIRES: 01/2012006 VALUE: $ 17,496.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. I Reouired Insoections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspect~r. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover 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 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. , ~\~C&- ~ ~~~cSL- Owner ~ontractors Signature I ~~O--O ~ r{::J~ Date Pal!e 3 of 3