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Home My WebLink AboutPermit Electrical 2003-1-21 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELEL, _ .JCAL PERMIT APPLICATION City Job Number (':) ./- c':. / c~;,t-/- c. '/ 3, COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION ~,<5"77 C-)SP/C'-<.oy ~/./e A. New Residential-Single or Multi-Family per dwelling unit. " ~\C,,8>el"ice Included: .' 0\0 r:: (J 5 $\"" \ $5~ .' (,(\"'. '.'0.:\\0 \\\'\.-:" \\\c. :\,\'1\\ L-:('lSG . """'~ JOB DESCRIPTION , "0 ~> J',' 1900"5q.f1. or less 5' F ee-j"/j;)E'",-e..-C'--e_I""\I,;\!(~:: i';;' . ()/ Each.addihonal500 1'"\"- <~' 3-\\6 '-''"~,?':'= .. ..,sC(ftof,llcwtion Permits .are non-transf~ra~l~~b\~,,~p!rg,,'.(\'.: ' ~ 9 'i, . \ t!lercbf If work IS not started wltlun'180 days" ,\;'~. ~'Each Manufd Home or of issuance or if work is suspended for n ,:< Modular Dwelling 180 days. 01"" ..,Jl ,::,1,:'.0 Service or Feeder LEGAL DESCRIPTION I '/(5.2.1'7'9.5 L) j-~i';i t.) - , . \"'-'\ 2, CONTRACTOR INSTALLATION ONLY B. Serviees or Feeders Installation, Alterations or Relocation: Electrical' Contractor Address City Phone Supervisor Licensc Number Expiration Date Constr Contr, Number Expiration Date Signature of Supenising Electrician . I j/ Owners N ame ~.?zS [Y&:;e .1/71....;.;/ D. Branch Circuits Nc\\ Alteration or Extension Per Pancl Ad d ress;;i-r ~.ej- sr7% J%' One Circuit Items Cost Sum I $106,00 /l(. (.";;C.... ~~.3 "-7- . -. (') . Ct.- $ 19,00 $ 50.00 $ 63,00 $ 75.00 $125,00 $163,00 $375,00 $ 50,00 $50.00 $69,00 $100.00 p,c:\t,.$43,OO Cit,S~7""iCr;"'::Lt') Phone :;J.3? -/ 7c"5- OWNER INSTALLATION . ,', ',.f\:\: The installation is being made on E. Mis.~dnt~e~~JSe1 property I o\-vn which is not intended \.,:;~a&h t.~ for sale, lease or rent. ~, If: . $50,00 (;~~ .. ~___ .___;~!ri~:;~~~:::l ~m~ ~~~~ Minimum Electric PCl"mit Inspection Fee is 545.00 + Surcharges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fee TOTAL 4" '/-, ,7 , /r') (.>t,. .P II L// #' /:5' t" E( #/' S;V}. 14- " , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01021-01 ISSUED: 10/02/2002 APPLIED: 08/23/2002 EXPIRES: 04/11/2003 VALUE: $ 132,420.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3577 OSPREY Dr ASSESSOR'S PARCEL NO.: 1702194305400 Spr TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Lot: 111, Subdivision: Ambleside, Land Use: Single Family Dwelling, Zoning: LDR, Owner: Tom Wirfs Enterprises Inc Address: Po Box 237 Springfield OR 97477 Phone Number: (541) 747-8704 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Owner Plumbing Contractor TOM WIRFS ENTERPRISES INC Bills Electric Home Comfort Heating & Air Conditio Tom Wirfs Enterprises Inc HOME COMFORT HEATING & AIR License . 32947 Expiration Date 06/2912004 84164 06/2512003 Phone 541-747-8704 (541) 687-1851 (541) 345-2838 (541) 747-8704 541-345-2838 I BUILDING INFORMATION I \0 # of Buildings: 1 ~~~~~s: Primary Occupancy Group: R-3 eA~\~0 ~1~~.. Secondary Occupancy U,!~~ O~efS~'a. ~~J.t: Primary Construction Type ~0~r<<'0 ~'b a:~"? Secondary Construction ~9~~eo'VJ ,;f.I0~~ ~O : # of Bedrooms: ~-<...\O '/).~v-~ ~~~~#~~ ~tfiJ~ ~~ ~~etOce~~\o. c:P~~ .r<<'e~~~ 'O~:~;~~O~~:~~~~~~NT INFORMATION I SETBAC~ Ot-~ ..J.OU~ e~~ O~~ REQUIRED PARKING .~ BO. .J\~ r<<'0 '\~ '-"\P.~~ Front yard Setback: oC:S #'V"O ~'O~ e,\tb Overlay Dist: Hillside i \~'m t..$\\ Side 1 Setback: ~f;\-oe (j0~~ # Street Trees ~-A'\\t ~ ~a\'iI~ped: Side 2 Setback: ~ Paved Drive R~t~. Cb~~~~ ~~~ ~~~~~'o~t: Rearyard Setback: % of Lot ~~\~~~\S\~ ~~$~~~~~'UO~ Solar Setbacks: 20.00 \"'\~ o~t~'v nO \~ I" ~ \"'(~Q{' (t.~ v{'...~~. IPUBLIC IMPROV~()1>ll V~{. F II I d ~ Sidewalk Type: u y mprove 1 21.00 10rced Air Electric Electric Electric Path 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,650 476 Street Curbside 5' Downspouts/Drains Curb and Gutter Applicant can take storm to private storm line along 36th Court if they can get fall, if not to the street. Storm Sewer Available: Special Instruction: Notes: 1 of 4 ,.- Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description Residential Plan Check + 7% State Surcharge + 8% Administrative Fee 2nd Driveway/Overwidth Appl Fe 8% Administrative Fee - Mechan 8% Administrative Fee - Plumbi 8% Building Administrative Fee Address Assignment Building Permit Dryer Vent Hood and Exhaust Less than 100,000 BTU Mechanical Issuance Multiple Permit Discount - 2nd MWMC Administrative Fee New Curbcut New Sidewalk One to Four Outlets Planning Plan Review Property Annexed 1997 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Residential - Improvement Residential - Reimbursement Residential- Single Family - Residential Improvement MWMC Residential Sanitary MWMC S.F. Residence - Willamalane Sanitary Sewer SDC Improvement Sanitary Sewer SDC Reimburseme SDC Administrative Fee State Surcharge - Mechanical State Surcharge - Plumbing State Surcharge For Building P Temp Power 200 amps or less Two Bathrooms Vent Fan to One Duct + 7% State Surcharge CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-01021-01 ISSUED: 10/02/2002 APPLIED: 08/23/2002 EXPIRES: 04/11/2003 VALUE: $ 132,420.00 I Valuation Descrivtion I $ Per Sq Ft Square Footal!:e Value Date Calculated Total Value of Project I Fees Paid I Amount Paid Date Receipt Number $437.39 $14.91 $17.04 $35.00 $3.92 $20.32 $53.83 $8.00 $672.90 $6.00 $9.00 $12.00 $10.00 $-30.00 $10.00 $75.00 $75.00 $4.00 $55.00 $-18.19 $106.00 $57.00 $709.81 $160.87 $1,055.67 $34.83 $332.86 $1,000.00 $335.80 $441.80 $153.17 $3.43 $17.78 $47.10 $50.00 $254.00 $18.00 $11.41 8/23/02 10/2/02 10/2/02 10/2/02 10/2/02 10/2/02 1012/02 10/2/02 10/2/02 10/2/02 10/2/02 10/2/02 10/2/02 1012/02 1012/02 10/2/02 10/2/02 10/2102 10/2/02 1012/02 10/2/02 10/2102 10/2/02 10/2/02 1012/02 1012/02 10/2/02 10/2102 10/2/02 10/2/02 10/2/02 1012/02 1012/02 10/2/02 10/2/02 10/2/02 10/2/02 12/30/02 2 of 4 10400 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 2200200000000000001 1200200000000000478 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: 02-01021-01 ISSUED: 10/02/2002 APPLIED: 08/2312002 EXPIRES: 04/11/2003 VALUE: $ 132,420.00 + 8% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $13.04 $106.00 $57.00 12/30/02 12/30/02 12/30/02 1200200000000000478 1200200000000000478 1200200000000000478 Total Amount $6,436.69 I Plan Reviews I Enl!:ineerinl!:-Res 09/03/2002 Wait VJ Plans show a 30 foot driveway. Applicant has not applied for overwidth driveway. Left message with office and faxed a copy of overwidth application 6:04 pm 9/3/02. Applicant must complete and sign and overwidth application prior to BUILDING PERMIT ISSUANCE. The application must have an attached drawing that is separate from the BP. Enl!:ineerinl!:-Res 09/11/2002 Appr V J Initial Review-Res Planninl!:-Res Structural-Res 08/27/2002 08/30/2002 09/09/2002 Appr KW Appr AD Appr TM 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 Required Insvections I 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Rough Plumbing: Prior to cover and including required testing. 12 Water Line: Prior to filling trench and including required testing. 13 Sanitary Sewer Line: Prior to filling trench and including required testing. 14 Storm Sewer Line: Prior to filling trench. 15 Final Plumbing: When all plumbing work is complete. 16 Underfloor Mechanical. Prior to insulation or decking and including required testing. 17 Rough Mechanical: Prior to Cover 18 Final Mechanical: When all mechanical work is complete. 19 Temporary Electric: Approval required prior to Utility Company energizing pole. 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: 02-01021-01 ISSUED: 10/02/2002 APPLIED: 08/23/2002 EXPIRES: 04/11/2003 VALUE: $ 132,420.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 20 Rough Electric: Prior to Cover 21 Final Electric: When all electrical work is complete. 22 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 23 Sidewalk - Setback: After forms are erected but prior to placement of concrete. 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 ail 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number 02-01021-01 02-01021-01 02-01021-01 02-01021-01 Payments: Type of Payment Check Paid By Description Residence Wiring 1000 Sq Ft Receipt #: 1200200000000000478 Date: 12/3012002 Residence Wiring Ea Addtl 500 + 7% State Surcharge + 8% Administrative Fee ELAINE BARNHART Received By Check Number Confirm No djb Page I of 1 12/30/2002 3:05:21PM, City of Springfield Development Services Department Public Works Department Official Receipt -- Amount Paid 106,00 57,00 11.41 13.04 Line Item Total: $187.45 How Received Amount Paid In Person 187.45 $187.45 Payment Total: ., cReceipt.rpt