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HomeMy WebLinkAboutPermit Electrical 2003-12-17 ;!!c",~-~:1C; nfLJ!E.<> as submitted has the following J8S n01, require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3'689ng ELECTRICAL PERMIT APPLICATION t\. p..-..-.-...... City Job Number COmLorr?' oOll1 Date I"}/*()~ :':1'U1J'€ '--"-'- ht>rc. \~ -( ~ . 0 3 C-h~ 1. 3. b03l( Ih/CA LEGAL DESCRIPTION (~02. O~ 3~OD {SO JOB DESCRIPTION C~\pl't.k ym 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)6 fLee 1KJC Address 3 g).5" 3 BOS(A G ~ GANG City SP~l.{} Phone 7YI-IY1Q ,'<- Supervisor License Number L17).tJ"5\\ -<.'0'" ,~)'~ ) h ~,'AtJ.' .'l... Expiration Date v -.9 '''~p~{r ,,.'0' "'.-: ," \,' . _{? '\. (' ~<..' '. '<(,.. v Constr. Contr. Number "",\..J"k'Y' }$11) ';!.?'. '. ..' \" . ':.;)Y:'" Expiration~ite ~~0 ~,:,;f..~7~~ ~/- 0 <i ~~ ~\::-\ ".:~\..). \)'. ..~;.;' S. ...C\ "",,~-"\.' '(\')Ec,x";.. . 19mt~~~!>0~~FVl.S1i1g. 'l,.'ctnCIan '\.....::-- ~">;:,, ~'v \J~ 1 ~~f. i"0 JJ. hVI '7'" 1), IVV''<j Owners Name H A 'r dX-/'J ENrE 1: Pi. IJ( S Address 36..)). ).y", (;.{A ()(f.. It -::It)JO City R~-Q)~6/.J D Phone ))~. '.I7:l -, " 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/V olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 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. y <; - "J, . I C) l_\ - c:.. () ~").v5 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Petmit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00717 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: . $ 121,411.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6034 MICA ST ASSESSOR'S PARCEL NO.: 1802033400150 TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR - same as 1823 S 61st St COM2003-00522 New Residential Owner: HAYDEN ENTERPRISES INC Address: 2622 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION I , Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES THE MURPHY HARRIS COMPANY INC HOME COMFORT HEATING & AIR HOME COMFORT H~ATING & AIR License 92208 142410 84164 84164 Expiration Date 07/29/2007 04/20/2004 06/25/2007 06/25/2007 Phone 541-501-4332 541-736-1292 541-345-2838 541-345-2838 ";... ~,- ~~'B,~lLDING INFORMATION I ~~~ # of Units: !~ -t:::- '-';. ~<<:.-# of Stories: Primary Occupancy Group: -R-~ 'X:-~ ~ <<.. Height of Structure Secondary Occupancy Group: ~"U:~~ ~ Type of Heat: Primary Construction Type 'v<8~~st~<::) Water Type: Secondary Construction Ty~ ~ ~~ Range Type: # of Bedrooms: . ~ C:) ~ ~ ~~. Energy Path: ~. ~ 'S ~ ~ .1,\<:; <~ ..~<y ^o <::) _0~ ~... '< ~ ~v 'V.. '<.. ~ ~ ~y ~ ~ SETB~t'~ ~ ~<:j , ~ \:)~ ",CO Front yard Setback: '-.) .;{, 19.90 Side 1 Setback: ~ 9.00 Side 2 Setback: 5.60 Rearyard Setback: Solar Setbacks: 31.90 15.00 Lot Size: ,...... Sq.FJt lst\Floor: 'oj -:-'" ... S'q~ F.t;fnd~Floor: '1(..-' -- ~' ~ Electric ,,~S(1~Ft B1iseltien't: ~ ~ - v:,v ..., Electric'7~"8q Ff.'Garage/Carport ...'"' O' ;.. '" /'">,," <1..",' ~- '!\' Path\1 0 S.q'Ft;(;)tl!er:~O ~o '{o-:-." 0.'" ill."",' ^ 0.;. ~ ,"'-' Nmpervious;;Sur.face Area: ....0 ,-)"i,0 ,& _ 0' ",0' ~..:~' I DEVELOPMENT INFORMA TlON~'I' :'~~)~,,~O~ i{'-.~~....\~-. ~,' , C)..... () ~. ,,~{)...\)! . 0"- 0-,(1;" ~ .~G S?~'RE.:~UIREDPARKING t-..~ ,,; Qj ~~ ,j) f1>.':- .~ v J:v Overlay Dist: /~. ~qp (Jb ,8 ':S)'.,,v ~ ~ .....o~ ,,~Total: 2 ; C(.' ,v., \.:)'V 0 1:f' eVJ ~\) # Street Trees l~q(l~ . 0' ~1' r;}. ~ 10' 2:l Handicapped: Paved Drive llijd:P, v~ O;<OV r$' h eto, . (;~...:: Compact: ,0;..~:5<' O\;> .;S-v:t,es_{ v % of Lot Cover~g~:' O"f' ~ ~Cb ~~9.~0' .... R>C)' ~ 0' Cr' "CS r7f ,..'$) ~. I PUBLIC IMPROVEMENTS I <:' 1 18.00 Wall Heat 5,599 1,235 400 Street Improvements: Storm Sewer Available: Special Instruction: AC Mat, Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Page 1 of.4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00717 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 121,411.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwelline:s Garae:e V Wood Frame Garae:e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,235.00 400.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $111,891.00 $9,520.00 $121,411.00 08/08/2003 08/08/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 8/7/03 1200200000000001922 + 10% Administrative Fee $113.02 9/24/03 1200200000000002201 + 7% State Surcharge $79.11 9/24/03 1200200000000002201 2 Baths One or Two Family $254.00 9/24/03 1200200000000002201 Addressing Assignment $8.00 9/24/03 1200200000000002201 Building Permit $637.15 9/24/03 1200200000000002201 Curbcut Permit $75.00 9/24/03 1200200000000002201 Dryer Vent $6.00 9/24/03 1200200000000002201 Exhaust Hoods $9.00 9/24/03 1200200000000002201 Minimum/Adjustment Mechanical $12.00 9/24/03 1200200000000002201 Plan Review - Planning $59.00 9/24/03 1200200000000002201 PW Mult Disc - 2nd Permit $-30.00 9/24/03 1200200000000002201 Residence Wiring 1000 Sq Ft $106.00 9/24/03 1200200000000002201 Residence Wiring Ea Addtl 500 $38.00 9/24/03 1200200000000002201 Sanitary Sewer - Improvement $361.41 9/24/03 1200200000000002201 Sanitary Sewer - Reimbursement $475.44 9/24/03 1200200000000002201 SDC MWMC Administration $10.00 9/24/03 1200200000000002201 SDC MWMC Improvement $34.83 9/24/03 1200200000000002201 SDC MWMC Reimbursement $332.86 9/24/03 1200200000000002201 SDC Sanitary/Storm Admin $87.61 9/24/03 1200200000000002201 SDC Transpo Admin $51.62 9/24/03 1200200000000002201 SDC Transpo Improvement $727.42 9/24/03 1200200000000002201 SDC Transpo Reimbursement $164.89 9/24/03 1200200000000002201 Sidewalk Permit $75.00 9/24/03 1200200000000002201 Storm Drainage Impervious Area $677.73 9/24/03 1200200000000002201 Temp Power 200 amps or less $50.00 9/24/03 1200200000000002201 Vent Fan $18.00 9/24/03 1200200000000002201 WiIlamalane Single Family $1,000.00 9/24/03 1200200000000002201 -Mechanical Issuance Fee- $10.00 11/4/03 1200200000000002420 + 10% Administrative Fee $4.50 12/17/03 1200200000000002618 + 7% State Surcharge $3.15 12/17/03 1200200000000002618 Other Electrical Permit $45.00 12/17/03 1200200000000002618 Total Amount Paid $5,595.74 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00717 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/1712004 VALUE: $ 121,411.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Structural Review 08/08/2003 08/08/2003 08/0812003 08/08/2003 I Plan Reviews I 08/08/2003 APP 08/21/2003 APP 08/14/2003 APP 08/1912003 APP LLH TAJ VRJ RJB 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 Erosion/Grading Inspection: After all erosion measures are in place. 4 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. '11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Vnderfloor Plumbing: Prior to insulation or decking. 17 Vnderfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Mechanical: Prior to Cover 25 Final Mechanical: When all mechanical work is complete. 26 Temporary Electric: Approval required prior to Utility Company energizing pole. 27 Rough Electric: Prior to Cover 28 Final Electric: When all electrical work is complete. Pal!e 3 of 4 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: COM2003-00717 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 121,411.00 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. ~)-1 ~ Owner or Contractors Signature Pal!e 4 of 4 ))~/7'o'J Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00717 COM2003-00717 COM2003-00717 Payments: Type of Payment CreditCard Receipt #: 1200200000000002618 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 017129 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/17/2003 10:34:13AM Amount Paid 3.15 4.50 45.00 $52.65 Item Total: How Received In Person Payment Total: Amount Paid $52.65 $52.65