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HomeMy WebLinkAboutPermit Electrical 2003-12-17 ject as submitted has the followino s not require specific land use. - 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (Stffj7116-3689 L.::Dt2.' ELECTRICAL PERMIT APPLICATION ~ 1 Zoning _ l8 -0 City Job Number ~ "loO?, 00, i q Date (d-/~'--O,:? Date .. _____._.1d-. . ~-;;:) 1. 3. ~~~Jjj'rii~~l~igr'" .~ifg; 60S f:, trll eli ,c. r~~~ '~'v ~ "f:,<.,"~~- ~\:) Installation, Alteration or Relocation '\.' ,.~;) .." $v ~ ".,' ~~' v..~<''' J } 77 7() .~~ ..-v~~:\) I ,.,-('Iv <<;~'x{;;) ~<0~v Expiration Date 0- Q 1- ~,o.. ' ^\~ . c:j.' ~ i{)~. ''(:.v S. fS" o.'l(' ..~ ,~ ".> ('\. Ignature 0 upervlsmg",~ ~,'.. .,'~' ,,'V 0" C'\.v' ~'v.y, X' "v'V \:)' .~'V R.t~~t ~[~~~<v~ "t3' , ~'V ~'\ 'b,'\:) . Owners Name HA1f)(:;'i~~~€f( Pi:l.Jf 5 Address ~.2.2. .s~ ~; {.,tA(.1 (" PL ii,/O City f<E.Din6 ~ D Phone~) 1~ . I ( 7 .1. LEGAL DESCRIPTION \ 6 07- 0?) ?J (~ ('~"') ~ 4 d) JOB DESCRIPTION ~ (/\IY\ \0l ~k JVb 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. Electrical Contractor r:. A 5,S/t)e f LeC1KJC Address 3g).S3 BOS(AG~ GAI\JG City SP~L{) Phone 7YI-lyqq Expiration Date L17)'75' ) () -0 f - 0 y Supervisor License Number Constr. Contr. Number OWNER INSTALLATION 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 Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Vo1ts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 201 Amps to 400 Amps 401 Alnps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 " 4. Lf~-- '3.It:)' L(. C,D '7d'Vj 7% State Surcharge 10% Administrative Fee TOTAL Shared DIive(T:)/Building Fonns/Electncal Pennit 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 Permit PERMIT NO: COM2003-00718 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 103,019.00 SITE ADDRESS: 6056 Mica St ASSESSOR'S PARCEL NO.: 1802033400149 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR - same as 5990 Pumice PI COM2003-00104 Owner: HAYDEN ENTERPRISES INC Address: 2622 SW GLACIER PL STE 110 REDMOND OR 97756 New Residential I CONTRACTOR INFORMATION I I B~~GINFORMATION. ~ ~ # of Units: 1 "'~ ~~~tories: Primary Occupancy Group: R-3 ~ ~ ~~ ~~ght of Structure Secondary Occupancy Group: U~~ '<~ ~"'rype of Heat: Primary Construction Type ~p $)<::) Water Type: Secondary Construction Type: ~ ~'" <J::>~ Range Type: ' # of Bedrooms: cf ~~~ "f- Energy Path: ~. ..$:' '5 ~~ ~<;:). .,,<:] .0.;: (~_ <::) (<i$ , ~~'~ '<~~~~~~ '{ oJ I DEVELOPMENT INFORMATION' SETBAC'R~~ .;S-~ ~ ~ ~ , '" 'F d S ~ ,,~~ 00 0 I D' '\"".' " rontyar etback: \..>'-J ~ 20. ver ay 1St: " Side 1 Setback: "f- 7.50 # Street Trees Rqd: ... Side 2 Setback: 6.70 Paved Drive Rqd:" Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES THE MURPHY HARRIS COMPANY INC HOME COMFORT HEATING & AIR HOME COMFORT HEATING & AIR Rearyard Setback: Solar Setbacks: 33.60 8.00 % of Lot Coverage: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: Paee 1 of 4 License 92208 142410 84164 84164 Expiration Date 07/29/2007 04/20/2004 06/25/2007 06/2512007 Phone 541-501-4332 541-736-1292 541-345-2838 541-345-2838 1 15.00 Wall Heat 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: 400 6,374 1,032 ,.2 REQUIRED P ARKlNG Total: 2 Handicapped: Compact: , " Yes 22.40 ,'\..' '\ Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00718 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 103,019.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Dwelling:s Garag:e Tvpe of Construction V Wood Frame Garag:e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,032.00 400.00 Value Date Calculated Total Value of Project $93,499.20 $9,520.00 $103,019.20 08/08/2003 08/08/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 8/7/03 1200200000000001922 -Mechanical Issuance Fee- $10.00 9/15/03 1200200000000002132 + 10% Administrative Fee $100.27 9/15/03 1200200000000002132 + 7% State Surcharge $70.19 9/15/03 1200200000000002132 2 Baths One or Two Family $254.00 9/15/03 1200200000000002132 Addressing Assignment $8.00 9/15/03 1200200000000002132 Building Permit $578.65 9/15/03 1200200000000002132 Curbcut Permit $75.00 9/15/03 1200200000000002132 Dryer Vent $6.00 9/15/03 1200200000000002132 Exhaust Hoods $9.00 9/15/03 1200200000000002132 Minimum/Adjustment Mechanical $12.00 9/15/03 1200200000000002132 Plan Review - Planning $59.00 9/15/03 1200200000000002132 PW Mult Disc - 2nd Permit $-30.00 9/15/03 1200200000000002132 Residence Wiring 1000 Sq Ft $106.00 9/15/03 1200200000000002132 Residence Wiring Ea Addtl 500 $19.00 9/15/03 1200200000000002132 Sanitary Sewer - Improvement $344.20 9/15/03 1200200000000002132 Sanitary Sewer - Reimbursement $452.80 9/15/03 1200200000000002132 SDC MWMC Administration $10.00 9/15/03 1200200000000002132 SDC MWMC Improvement $34.83 9/15/03 1200200000000002132 SDC MWMC Reimbursement $332.86 9/15/03 1200200000000002132 SDC Sanitary/Storm Admin $81.54 9/15/03 1200200000000002132 SDC Transpo Admin $51.97 9/15/03 1200200000000002132 SDC Transpo Improvement $727.42 9/15/03 1200200000000002132 SDC Transpo Reimbursement $164.89 9/15/03 1200200000000002132 Sidewalk Permit $75.00 9/15/03 1200200000000002132 Storm Drainage Impervious Area $603.20 9/15/03 1200200000000002132 Vent Fan $18.00 9/15/03 1200200000000002132 Willamalane Single Family $1,000.00 9/15/03 1200200000000002132 + 10% Administrative Fee $4.50 12/17/03 1200200000000002619 + 7% State Surcharge $3.15 12/17/03 1200200000000002619 Other Electrical Permit $45.00 12/17/03 1200200000000002619 Total Amount Paid $5,326.47 Pag:e 2 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00718 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 103,019.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review Structural Review 08/08/2003 08/08/2003 08/08/2003 08/08/2003 I Plan Reviews I 08/08/2003 APP 08/22/2003 APP 08/12/2003 APP 08/20/2003 APP LLH TAJ VRJ DLM Same as 590 Pumice Pl. 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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 23 Rough Mechanical: Prior to Cover 24 Final Mechanical: When all mechanical work is complete. 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. Paee 3 of 4 ,-~'J;~S'~~~I; i' 'I. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00718 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 103,019.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line 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. ~~ /(;q' Owner or Contractors ~lgnature JJ.~J 7- 0 J Date Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00718 COM2003-00718 COM2003-00718 Payments: Type of Payment CreditCard Receipt#: 1200200000000002619 Description + 7% State Surcharge + 10% Administrative Fee Other Electrical Permit Paid By ROGER D KING Received By Check Number Batch Number Authorization Number Jmp 000251 017703 City of Springfield 'Official Receipt Development Services Department Public Works Department Date: 12/17/2003 10:40:27AM Amount Paid Item Total: 3.15 4.50 45.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65