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Home My WebLink AboutPermit Electrical 2004-12-22 ""., A 225 FIlfTH STREET. SPRINGFIELD, o'R 97477 . PH:(541)726-3753 · FAX: (541)72~3~-g,~~@'O ELECTRICAL PERMIT APPliCATION, <::> ;o'Ot.~: z' . /Z~2Z (/ ~ ~/.,~ City Job Number COVVl z.ooy _ 0/'377 Date . -O'---f -s'v. '@ ,0'0;:-<:>"- ~f) \.'~ 0eS) 9:' 3. ~~~~j~~'l~m:~ii"--'i>.J 1.\', ~.., LEGAL DESCRIPTION /70 L '~/l{ 3 A. "':~l:"'{<"'7''''';''~~::''+J.i:~;~,,:,,;~.:?:c~~;::~!*,:?~....}~"".~,_<(" n~ 1.,..: :.." (flN{QliJ:J!l!lSTJl}LEATIQ'. . . . 'C' ~_. ,j,...,;;r"""b~"'~"""-"" ;"""~'~~Tr~-"":"(' '.':r... ;'~".~;"""'"''~''''' """"",0""", -" 5> f'f~~~"(' A J 02-10 ( JOB DESCRIPTION 1000 sq. ft. or less Jn .00 > Eft. ill c..e- PftNt-~ ,i '2- L( 1Lu. \' K :::o~d:~~~~ 500 sq. ft. or ~.o Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is An~e~'tf;g~~9i~ergrqUirec: w" . t^ $5 .00 Suspended for 180 days. . . ""'--; . '-- ,olio ru es ado An jl' f , . ". .;;~ Notif& :;ectricw Contr.l_ acl'l" "~tJt~<:~v~..~ 1~~~2s of the ~~~ro~$ 63.00 o R callirz@l ~}QlaEit400 .Qmpte: the tele,~hnne.- $ 75.00 Address r, 0 \ (; 7 ~,( I/, t:' numl40r fQn~s>C80egoo-pSJtility Notificrltinn $125.00 - 60p.mi\~rtbs1~~2-2344). $163.00 City z: e.~ P,\;J e/ Phone~ 3 S - 5'30 S Over 1000 AmpsNolts $375.00 J Reconnect Only $ 50.00 Supervisor License Number '5 g l'l <;; Expiration Date 1 0 I (J \ ( ?-OO / c. ) -'" I Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see ''Bn above. D. $ 50.00 $ 69.00 $100.00 Constr. Contr. Number C1 9 (OJ OJ Expiration Date h- 20 ~ ?--OO$? New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with , J J / C f Service or Feeder Permit Owners Name Ill/flU-solC-5 rA-W\,\ V Address ~OVS'- I~/t~ h.,",-c.r~L ( f{rtn~[}~:"~;' ili~~~i!~!{S~tti~~?!r City f:::v--&6"'7'\1"'e Phone ThiS PER%lwrof-irrigation $ 50.00 AUTHORst~bu1trt4LIlig:ht(rgRE IF THE 'A'''r,' $ 50.00 Il.cn IJiI/fli=p.;ru' ... nUIl/\ OWNER INSTALLATION COivi/'1t-jLum1eo Ener-gy/1<.esi8'ent[~~fV/IT 1<;' n,,,.,. $ 25.00 , l. I!vt.Ve M IS.LJ D H,,"""'" _ \j -'U I The in,stallation is being made on property I own whicIl~NY 180LLy~ye~~~(f'~....uetGl!iEO FO~ $ 45.00 IS not Intended for sale, lease or rent. Minimum Electric P~rmit Inspection Fee is $45.00 + Surcharges Sign\\ Of:t: ffie~__ ......, $ 43.00 2 $ 3.00 b :':'f.~'~;":-:'- liIffstal ,...~:/v,,~t;<~:-::;,;;:TF';-':" ,,'c Owners Signature: 4. ~r~i~~g~i~:'"'~!:~;!::,)' 67 if 8J 690 8o~ 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Orive(T:)lBuilding 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 . / CITY OF SPRINGFIELD. Building/Combination Perinit PERMIT NO: COM2004-01377 ISSUED: 12/03/2004 APPLIED: 11/05/2004 EXPIRES: 06/22/2005 VALUE: $ 11,567.00 SITE ADDRESS: 3545 OREGON AVE ASSESSOR'S PARCEL NO.: 1702314302101 Springfield TYPE OF WORK: Garage TYPE OF USE: PROJECT DESCRIPTION: Replace existing storage bldg with 1 car garage New Residential Owner: MARGOLIS FAMILY LIMITED PARTNERSHIP Address: 3045 WINTERCREEK DR EUGENE OR 97405 Contractor License LARRY KENT COOPER 109780 DEANS ELE~~<;:"I"t..I' ()rp.oon law require~9GI9, ~o, , 'f~~~~ r IMJWHJN6llNF'6- ~ I' "'N 'L~~~h . Notification en '.th hOAR 952-001- . OAR 952-0fljbf)~Il~sro~g . b 1 ~-d9o You m~etgJtt1m Sii1llftarQtthe rUlesV~o " ~MP,~an$ID\e: the telepho~ vIfa1hng t~~ lM~@ri~ Utility Notification numberc~~gefIM>e~332-2344). Energy Path: ' Sprinkled Building: Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description I CONTRACTOR INFORMATION. Expiration Date 11/06/2005 06/20/2008 ' Phone 541-302-5852 541-935-5303 n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 476 Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: 2 Handicapped: Compact: 61.60 Overlay Dist: 5.00 # Street Trees Rqd: Paved Drive Rqd: 27.60 % of Lot Coverage: 20.00 0.00 I PUBLIC IMPROVEMENTS I Fully Improved NOTiCE: Sidewalk Type: Yes THIS PERMIT SHALL EXPlfilmlnspb\ft~IDt.liH\s: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ' ANY 180 DAY PERIOD. Curbside 5' To Storm Sewer I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated ,Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:COM2004-01377 ISSUED: 12/03/2004 APPLIED: 11/05/2004 EXPIRES: 06/22/2005 VALUE: $ 11,567.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garal!e Garal!e $24.30 476.00 $11,566.80 $11,566.80 11/05/2004 Total Value of Project ~ Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Garage/Carport Plan Review Minor - Planning Storm Sewer - 1st 50 Feet , + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid , Date Paid $79.95 $16.80 $11.76 $123.00 $59.00 $45.00 $6.90 $4.83 $6.00 $63.00 11/5/04 12/3/04 12/3/04 12/3/04 12/3/04 12/3/04 12/22/04 12/22/04 12/22/04, 12/22/04 Receipt Number 1200400000000001580 1200400000000001689 . ,1200400000000001689 1200400000000001689 1200400000000001689 1200400000000001689 1200400000000001777 1200400000000001777 1200400000000001777 1200400000000001777 Total Amount Paid Initial Review Planninl! Review 11/08/2004 11/09/2004 $416.24 Plan Reviews , 11/09/2004 APP , LLH 11/29/2004 APP TAJ 11/15/2004 APP CAS 11/24/2004 APP DLM Setbacks based on Parcell of Sub2004-00039 which is not complete yet. Tie into 4" storm drain line per owner direction 11/15/2004 CAS See documents for plan review comments. Public Works Review 11/09/2004 Structural Review 11/09/2004 To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:0,0 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~eouireCUnsnections I , Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Hold Downs Installed: Sp'ecial Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all require~ inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Pal!e 2 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: COM2004-01377 ISSUED: 12/03/2004 APPLIED: 11/05/2004 EXPIRES: 06/22/2005 VALUE: $ 11,567.00 Electric Service: Approval required prior to utility company energizing service. Final Electric: When aU 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. Owner or Contractors Signature Pal!e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 54i-726-3759 Phone Job/Journal Number COM2004-0l377 COM2004-0l377 COM2004-0l377 COM2004-0l377 Payments: Type of Payment Check 12/22/2004 RECEIPT #: r'~v of Springfield Official Receipt Jelopment Services Department Public Works Department 1200400000000001777 Date: 12/22/2004 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MARGOLIS FAMILY LTD PARTNERSHIP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6468 In Person Payment Total: Page 1 of 1 10:40:58AM Amount Due 63.00 6.00 4.83 6,90 $80.73 Amount Paid $80.73 $80.73