HomeMy WebLinkAboutPermit Electrical 2004-4-29
as submitted has the following
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~~!J~9j88<.f'ot require specific land use
ELECTRICAL PERMIT APPLIC4-TION i../).., L"_ Zoning L-\)~
City Job Number eolt)lJ;:J~'-{ - dOOS'-I Date ~/o L( Oate, y.-?50 .olf J
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LEGAL DESCRIPTION,p-O (
170Z- 19'33 oaf.)
JOB DESCRIPTION II
Lo~.J V 0 (1,1 ~t--
" .
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
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
$50.00
B.
Electrical Contractor 0 (' J e,fS I' ~ if r1 .s.k: r!-r'\""\ () ic..S 200 Amps or less
201 Amps to 400 Amps
Address P.O. eO)l... Lfa 546' 401 Amps to 600 Amps
601 Amps to 1000 Amps
City b~. Oil Q7l/0o/ Phone '-18''1 - CJD7~ Over 1000 AmpsNolts
Reconnect Only
("""",,'V" ~
Owners Name ~v\..~ . I/) V\. ~ ~
Address "3 'I { ~ ~ k uv
City S (? ~ D Phone Pump or irrigation $ 50,00
NOTICE: L,~' Sign/Outline Lighting $ 50.00
OWNER INSTALLA1f~~ PERMIT SHALL EXPIRE IF TH8J.MO~nergy/Residential / $ 25.00
The installation is beingAiJiBet~rij~Q~~Jlklb~ PERMITI1SuWQlTEnergy/Commercial _ $ :'5.00
is not intended for sale, (5:~M~CED OR IS ABANDO~Qi&Q~ Electric Permit Inspection Fee i('$45:~urcharges
ANY 180 DAY PERIOD.
Supervisor License Number 3lrto'S L {;, t4
10/ II o.~
Expiration Date
Constr. Contr. Number ILflfiI2iS
Expiration Date
(p I J.3/D 'f
N.
II
I
/;
./
Signature of Supervising Electrician
Owners Signature:
Inspection Request: 726-3769
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteratioifiiielocation
I
200 Amps or less $ 50.00
2o:r?;;mpsTtO)f~o@~" law requires youl~9.00
40Ii~pSJt1@~oo:WiB~ by the Oregon utiMW>o.oo
b.:.v...'~..}.i..~. i..2. "..C. e...~t . Joe rul~s ,.ra set forth
il~.....".;.'.,~"""f:N. ~..R~..., ,1~.'.~."~. :.PJ. b~... ·
D. ....* . <:frC-IJl
Gt.. \:7';" OUTTl(1.y
NelYam~:tt1~mrte4~M3t:l,,~~~phone
o~oofor the Oregon Utility Notificatip~.OO
Each AddiG1:wtelfiisJ.ti9~-4!~J.
Service or Feeder Permit
$ 3.00
E.
Z~
4.
tlJ
3/)
yso
s2~
7% State Surcharge
10% Administrative Fee
i
/
Shared Dlive(T:)/Building Fonns/Electrical Pel1nit Application I-03.doc
TOTAL
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00054
ISSUED: 02/25/2004
APPLIED: 01115/2004
EXPIRES: 10/29/2004
VALUE: $ 99,999.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2955 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702193300801
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Remodel
Residential
. PROJECT DESCRIPTION: Remodel existing sfr
Owner: DUKES & DUKES CONSTRUCTION CO
Address: 3418 PARKER LN SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Type Contractor License Expiration Date Phone
General OWNER'
Electrical EASTSIDE ELECTRIC INC 117770 10/04/2005 541-915-9828
Mechanical HOME COMFORT HEATING & AIR 84164 06/25/2007 541-345-2838
Plumbing DON CLEWIS 33076 06/10/2007 541-688-1931
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
2
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
87,057
1,688
939
697
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: ATTENTION: Oregon law ~you to
# Street Trees R!'qdow rules aefo,.t =, J by the Ol~aJtDlY=
Pave,d Drive ~dtification Center. Those ruJe~emPge~forth
% of Lot CovJfl.~R 952-001-o0!g.fIlrough OAR 952-001-
00'96. You may obtain copies of the rules by
r::lllinn tno I"ontor 't-'nt.o' th.o t.ol.o...h^......
- f" ,
I PUBLIC IMPROVEMEl.~I~Or the Oregon Utility Notification
enter is 1-AOn-332-2344).
surewalJ{ Type:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
42.00
67.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instructio)l{)T1 C E:
THIS PERMIT SHAll EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Downspouts/Drains:
~ ...;.."
Pa!!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00054
ISSUED: 02/25/2004
APPLIED: 01/15/2004 '
EXPIRES: 10/29/2004
VALUE: $ 99,999.00
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
$1.00
$92.40
$1.00
Bid Amount
Dwellinl!s
Patio/Porch
Tvpe of Construction
Use Bid Amount
V Wood Frame
Use Bid Amount
Square Footage
or Bid Amount
37,565.00
627.00
4,500.00
Value
Date Calculated
$37,565.00
$57,934.80
$4,500.00
$99,999.80
02/18/2004
02/1812004
02/18/2004
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $367.67 1/15/04 1200400000000000062
-Mechanical Issuance Fee- $10.00 2/25/04 1200400000000000244
+ 10% Administrative Fee $95.47 2/25/04 1200400000000000244
+ 7% State Surcharge $66.83 . 2/25/04 1200400000000000244
Air Handling Unit Up to 10,000 $8.00 2/25/04 1200400000000000244
Building Permit $565.65 2/25/04 1200400000000000244
Fixture $112.00 2/25/04 1200400000000000244
Furnace - up to 100,000 btu $12.00 2/25/04 1200400000000000244
Minimum/Adjustment Mechanical $1.00 2/25/04 1200400000000000244
Plan Review - Planning $59.00 2/25/04 1200400000000000244
Residence Wiring 1000 Sq Ft $106.00 2/25/04 1200400000000000244
Residence Wiring Ea Addtl 500 $76.00 2/25/04 1200400000000000244
SDC Sanitary/Storm Admin $3.74 2/25/04 1200400000000000244
Storm Drainage Impervious Area $74.82 2/25/04 1200400000000000244
Temp Power 200 amps or less $50.00 2/25/04 1200400000000000244
Vent Fan $24.00 2/25/04 1200400000000000244
+ 10% Administrative Fee $4.50 4/29/04 1200400000000000571
+ 7% State Surcharge $3.15 4/29/04 1200400000000000571
Low Voltage - Residential $25.00 4/29/04 1200400000000000571
Minimum/Adjustment Electrical $20.00 4/29/04 1200400000000000571
Total Amount Paid $1,684.83
I Plan Reviews I
Initial Review
Planninl! Review
01/15/2004
01/15/2004
01/15/2004
01/30/2004
Planninl! Review
Public Works Review
02/04/2004
01/15/2004
02/04/2004
01/28/2004
Structural Review
01/15/2004
01/30/2004
APP RJB
WE TAJ
Called the Dukes today to request
front setback info. Plans not to
scale. Left a message on their
machine. tara
APP TAJ
APP VRJ
SDC fees for impervious surface
only.
APP 'RJB
Pal!e 2 of 3
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Status
Issued
CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-00054
ISSUED: 02/25/2004
APPLIED: 01/15/2004
EXPIRES: 10/29/2004
VALUE: $ 99,999.00
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.
LReouired Insoections .
8 Footing: After trenches are excavated.
9 Foundation: After forms are erected but prior to concrete placement.
12 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
18 Wall Insulation: Prior to cover.
5 Ceiling Insulation: Prior to cover.
6 Drywall: Prior to taping.
1 Final Building: After all required inspections have been requested and approved and the building is complete.
11 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
17 Underfloor Plumbing: Prior to insulation or decking.
15 Rough Plumbing: Prior to cover and including required testing.
16 Storm Sewer Line: Prior to filling trench.
4 Final Plumbing: When all plumbing work is complete.
14 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is complete.
13 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
19 Low Voltage: Prior to cover.
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 ofthe 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 aUhe 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
Pa!!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'-':ty of Springfield Official Receipt
;velopment Services Department
,Public Works Department
RECEIPT #:
1200400000000000571
Date: 04/29/2004
11:14:08AM
Job/Journal Number
COM2004-00054
COM2004-00054
COM2004-00054
COM2004-00054
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Payments:
Type of Payment Paid By
CreditCard ALLAN WOOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DID 000369 015338 In Person
Payment Total:
Amount Due
3.15
4.50
25.00
20.00
$52.65
Amount Paid
$52.65
$52.65
4/29/2004
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