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Home My WebLink AboutPermit Electrical 2003-4-21 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (54I)'1i~U9W89J project as submitted has the f II ' Ll1nmg and does t' 0 owmg ELECTRICAL PERMIT APPLICATION approval no reqUIre specific land Use :ity Job Number OJ,1-1.ZCOjCOC)/,-/ Date Lf/V~ J Zoning, l.:[)rt.. I I 1. 3. X:~S- LtJ/~iG~{)1!- (JA-r LEGAL DESCRIPTION j 7 () 3>':S 4/ L.-j JOB DESCRIPTION GAr r~ A. 0'1; 3C0 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 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. B. Electrical Contractor Ie s ctedt,'c Address (l o. 7J d)C. 2 ~y 3 3 City EUf~ .J ~~. -/)..200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 A~s ,,<P::\,,\ 601 AmP~\~~~~~ Phone b Fb...6z 3~ Ove~~~~ ~J;)\ ~~0~&Y2iYt,\0 9S~ s. 'C'l 0"e\{) 'C"\ ,\Vo~ \>-~ '<.\~0 , ~~. <,\\0 5upervisor License Number 307 J / ~~\ ~0 '().OO'C, / \>--\\ v ~J.es. 00\\\0 R)\. CO~ . ~0 O~\'\ Expiration Date 10 It 10 t/ '('\\\O~ 'i...\0'" t'$)V(.\':~~f1\,1.~'''~~~~P&\or Relocation \ .~ ~v ~ ~.~ \~ ~~ . I ~O\\\\V~ 9~ ~'()."\ 2~eb~T~~2./~~ $ 50.00 Constr. ContI'. Number 70 cY',r 9 \(\ o~c -.{ oVo ~0 cfQ~ @~~~;fd0 Amps $ 69.00 /: $\)":'j ~\\"'~ '\ ,0'<.~l:)~'<.A',inps to 600 Amps $100.00 Expiration Date / d.;/J c;/O Y ~\0-~,.'00 Cl>b~~r 600 Amps or 1000 Volts see "B" above. D. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Signature of Supervising Electrician ~ I I#' /' New Alteration or Extension Per Panel . ' ~j).,JI~ One Circuit \)~~ I $ 43.00 Y ") Each. Additional\~~\\~ Owners Name /Y'\, ICe ?! l../.5..fetJ ServIce or~ee~r ~~ $ 3.00 Add=;" _pA...s~ tJl,~~; rb/AL' 1~:t:!~>J..~~\'\i. ~'O City ~ f L () Phone 70/'7 -Y\~~:":\a.~\) F~~ ~i.gation $ 50.00 o \ :\)\,,\)~~c,t.~i~ne Lighting $ 50.00 OWNER INSTALLATION ~c,(j~~ ~~ \)~ited EnergyIResidential $ 25.00 The installation is being made on property I own whi~~i "\ Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee i~ + Surcharges Owners Signature: 4. 7% State Surcharge 10% Administrative Fee ~5fIJ ~.\~ ,4.SQ 1> 52bS- Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 825 WILLACADE CT ASSESSOR'S PARCEL NO.: 1703341408300 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00014 ISSUED: 04/07/2003 APPLIED: 01/06/2003 EXPIRES: 10/07/2003 VALUE: $ 43,918.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing SFR, remodel of existing space and exterior concrete terrace Owner: MICHAEL EYSTER Address: 825 WILLACADE CT SPRINGFIELD OR 97477 Contractor MICHAEL EYSTER KS ELECTRIC 70889 COMFORT FLOW 460 MICHAEL EYSTER o\} \0 MICHAEL EYSTER,n(\\}.\~eS '1 u,\\\\'J \ BUILDING INFO~'l1~;"':..-;;; .,e\ ~~'\ .\O\~."" ~e V) ~\}\eS X\9'fJ~ '0\ jt\tif\'S~ij~OO'Q ~ :1\~OS~\}C}" o~\"e ~'~~e: P.i6~2"16~~O\"~ \eS 0\ ~e~t~# Floor: \ ~~'f1ji#~'\# ~~r&ft~~~}e 0\~~2nd Floor: ~ ~~J?~a.'J 0 ~e~' ,~O \)\\\\\'1 ~ A~9 Ft Basement: \ ftqr~~e Ce{\ O~eQ,O'(\ fJ..~?,/l..?>A Sq Ft Garage/Carport ~ 6~~;~0~ \"e . c:. '\ JoOGpalh 1 Sq Ft Other: ,\~'oe~ r-,\e'<. \- Impervious Surface Area: '(\v ce I DEVELOPMENT INFORMATION I Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: ~1lf~~ % of Lot cO~\1'~~t', :'; 5\-\~\..~Wil?~~~~N\\\ \5 ~O\ ~u\~ ?E\\~~~ \ )~DE\\ \~~ n{'\n~t.O fO\\ I PUBLIC IMPROV~E~~'1Ct.D 0\\ \'6 ~u ' CU\'J\\Jle ,,~p\=\\\Ov. F II I d \.} '" al'\ D~~Id'ewalk Type: u y mprove ~~, \ UV Downspouts/Drains: Contractor Type General Electrical Mechanical Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 24.00 15.00 40.00 35.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-747-7578 I CONTRACTOR INFORMATION. License Expiration Date Phone 541-747-7578 541-686-6236 541-726-0100 541-747-7578 541-747-7578 12/30/2004 06/27/2003 478 VN REQUIRED PARKING 2 Pa!!e 1 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00014 ISSUED: 04/07/2003 APPLIED: 01/06/2003 EXPIRES: 10/07/2003 VALUE: $ 43,918.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' Description Bid Amount DwelIinl!s Tvpe of Construction Use Bid Amount V Wood Frame $ Per Sq Ft $1.00 $74.60 Square Footal!e 8,260.00 478.00 Value $8,260.00 $35,658.80 $43,918.80 Date Calculated 01/06/2003 01/06/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Residential $218.11 1/6/03 1200200000000000501 -Mechanical Issuance Fee- $10.00 4/7/03 1200200000000000963 + 10% Administrative Fee $4.50 4/7/03 1200200000000000963 + 7% State Surcharge $3.15 4/7/03 1200200000000000963 Appliance Vent $6.00 4/7/03 1200200000000000963 Furnace - up to 100,000 btu $12.00 4/7/03 1200200000000000963 Minimum/Adjustment Mechanical $21.00 4/7/03 1200200000000000963 Vent Fan $6.00 4/7/03 1200200000000000963 + 10% Administrative Fee $4.50 4/21/03 1200200000000001034 + 7% State Surcharge $3.15 4/21/03 1200200000000001034 Add, Alter, Extend Circ $43.00 4/21/03 1200200000000001034 Minimum/Adjustment Electrical $2.00 4/21/03 1200200000000001034 Total Amount Paid $333.41 I Plan Reviews I Initial Review PIanninl! Review Public Works Review Structural Review Structural Review 01/07/2003 01/07/2003 01/07/2003 01/07/2003 01/21/2003 01/07/2003 01/14/2002 01/21/2003 01/27/2003 01/02/2003 APP LLH APP EMM APP VRJ APP TCM OK TCM no elect. or plumbing permit issued 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. 1 Site Inspection: To be made after excavation but prior to setting forms. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 7 Wall Insulation: Prior to cover. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00014 ISSUED: 04/07/2003 APPLIED: 01/06/2003 EXPIRES: 10/0712003 VALUE: $ 43,918.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 8 Ceiling Insulation: Prior to cover. 9 Drywall: Prior to taping. 10 Final Building: After all required inspections have been requested and approved and the building is complete. 11 Rough Electric: Prior to Cover 12 Final Electric: When all electrical work is complete. 13 Rough Mechanical: Prior to Cover 14 Final Mechanical: When all mechanical 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. Owner or Contractors Signature Date Pal?:e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-000 14 COM2003-00014 COM2003-000 14 COM2003-00014 Payments: Type of Payment Check Paid By KS ELECTRIC Descrilltion + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Receipt #: 1200200000000001034 Date: 04/21/2003 Minimum! Adjustment Electrical Received By Check Number Confirm No djb Page 1 of 1 4/21/2003 9:59:26AM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 3.15 4.50 43.00 2.00 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 Payment Total: - cRcccipt.rpt