HomeMy WebLinkAboutPermit Electrical 2003-12-17
ject as submitted has the followino
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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-. . ~-;;:)
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"f:,<.,"~~- ~\:) Installation, Alteration or Relocation
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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
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JOB DESCRIPTION
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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;
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'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