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Home My WebLink AboutPermit Electrical 2003-12-17 )ect as submiHed has the following s not require specific land use u')t'L 1000-1't,Q'1 q>\~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-!~g9 ELECTRICAL PERMIT APPLICATION \ '\ . tJ :i:;, t f:- "_'.___U_"_.'''''~''''~_~''' CityJobNumber [(JlvY\'t...00; (JQ.J'11 Date l").'~'cJ7:> S'\.l:',;"fC _.____~ 3. 1. ~Ol() In; (Ii A. LEGAL DESCRIPTION ~e O'2-Q~ :S~ 00 \~ Co JOB DESCRIPTION C OTI'\ r \ ~ \-f jVf\') Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 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. 2. Electrical Contractor e A 5-rSJt)~ f LtC 1KJ( $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 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 Address 3g,lS"3 BOS(AG{ GANG City SP((l.{} Phone 7Y/-lyqq Supervisor License Number l17)' 75:;,.'*- ,\::" '-'.S\. Expiration Date ) 0 -6 (-/A~ ,~-~ c '\' '.',\ .:\'\, ~v /,.~\'.. <.;.'V Constr. Contr. Number k--A15\,JX1'ix.s> 'v. X'\'- ':;)V .~y':; ,,).,,~ .,~ Expiration Date .:-.... S ~~/~G-; ~ 0</ \~'V ~\~, . '0'-. '(-) ~' Signa~~S~~~t~~~~ ,\~,\,<,-\j~.,,~. ~ ~ <:<. ,J ' ~~. '(-,'VJfJ, lVi/tiLl \r~ / "(-~ Owners Name HA7lX:Jv t~~}6?fl.jS(S Address 3'-.2) .5: '"" ff~t ACift< ftL ?Plio City f((;J)inOf,l1) Phone 136' 117 :l 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. $ 50.00 $ 50.00 $ 25.00 $ 45.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial - -. / OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 4. L-{ S -- 6'(S L\_ c;O C;;+- LP5 7% State Surcharge 10% Administrative Fee TOTAL Inspection Request: 726-3769 Shared Dlive(T:)/Building Fonns/Electncal Pennit Application 1-03.doc CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00731 ISSUED: 12/17/2003 APPLIED: 08/07/2003 EXPIRES: 06/17/2004 VALUE: $ 121,411.00 Status Issued (' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6010 MICA ST ASSESSOR'S PARCEL NO.: 1802033400136 TYPE OF WORK: Single Family Residence Contractor License Expiration Date HAYDEN ENTERPRISES 92208 07/29/2007 THE MURPHY HARRIS COMPANY INC 142410 04/20/2004 HOME COMFORT HEATING & AIR 84164 06/25/2007 HOME COMF<?RT HEATING & AIR 84164 .,'C'Q!i(25/2007 ~\::J'<::-~ I BUILDING INFORMATION I 0~~v ~~:,O'" ~ (, ~ ~ O~ 00 ~ " A..v::-'V, ~ . & ,.,<;$ ,'?I -"Q; '0~ . #ofUnits: . ~' ~- ~ # of Stones: ,C;; (Ir.;' iI:ot,SIZ~:' r-,0 '!::- Primary Occupancy Group: ~ ~ ~-~ <<:. Height of Structure ,#t~:_OO~00 (~A:~~jfst\FfuQ.r-: Secondary Occupancy Gro~ <(~ ~ . Type of Heat: JYal~Ht.~'t)::.c-- S!I,Ft~.ilit~Jgor: Primary Construction Type) ,.:f:? ~'VN Water Type: 0R> ;:Efecfri.l;~(:$ "Sq E1~.Ba'~m. ent: ~~' .::--~ ~ (2:- ,<," ....v .~'" ':;?' ~.. ~:\' Secondary Constructio~ R~: ~~ Range Type: ..s.9 if Ele~rJc d~ ~\g:~~9t',~age/Carport # of Bedrooms: cf ~ s ~ C"... 3 Energy Path: 0'" 'l)-C? ",,0"Patb(I(~OSq~Ftptlier: ~. _~ ^ '0 ~~'V ~~~~eS;:) C:P~ ~<::J\)iJ"o/ ~. J~~rhous Surface Area: . ( , ()..~. /:>o.J _ 'V /:-<.. ~ .~ , . " r......,.,4:-, ('i: r.: $ ~ :~~~~<.y ~ '{ ~ I DEVELOPMENi'iN;FOE:M~Ti0N rl}': O~~~?~.. 'S~~'C~>$:" i"o. <:;:j ,u .~- /)....' o~ '$:.'''' ~ :,{,<' ~ ~~'V '~~O~'..J.; ~~,d-"Q' Frontyard Setb~~ 20.00 Overlay DIst: .(' r.o.Oj<::J' ~<:' ~ Cff Side 1 Setback: ~ 10.90 # Street Trees Rqg.: c,'lf;:> 5 Side 2 Setback: 9.00 Paved Drive Rqd: ~..:s TYPE OF USE:. New PROJECT DESCRIPTION: SFR - same as 1823 S 61st St COM2003-00522 Owner: HAYDEN ENTERPRISES INC'. . Address: 2622 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Residential Phone 541-501-4332 541-736-1292 541-345-2838 541-345-2838 5,914 1,235 400 REQUIRED PARKING Total: 2 Handicapped: . Compact: Rearyard Setback: Solar Setbacks: Yes 27.60 31.90 7.00 % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: Pal!e 1 of 4 Curbside 5' Curb and Gutter Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00731 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 Descriotion I Dwellinl!:s Garal!:e Tvpe of Construction V Wood Frame Garal!:e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,235.00 400.00 Value Date Calculated Description Total Value of Project $111,891.00 $9,520.00 $121,411.00 08/11/2003 08/11/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 8/7/03 1200200000000001922 -Mechanical Issuance Fee- $10.00 9/24/03 1200200000000002198 + 10% Administrative Fee $113.02 9/24/03 1200200000000002198 + 7% State Surcharge $79.11 9/24/03 1200200000000002198 2 Baths One or Two Family $254.00 9/24/03 1200200000000002198 Addressing Assignment $8.00 9/24/03 1200200000000002198 Building Permit $637.15 9/24/03 1200200000000002198 Curbcut Permit $75.00 9/24/03 1200200000000002198 Dryer Vent $6.00 9/24/03 1200200000000002198 Exhaust Hoods $9.00 9/24/03 1200200000000002198 Minimum/Adjustment Mechanical $12.00 9/24/03 1200200000000002198 Plan Review - Planning $59.00 9/24/03 1200200000000002198 PW Mult Disc - 2nd Permit $-30.00 9/24/03 1200200000000002198 Residence Wiring 1000 Sq Ft $106.00 9/24/03 1200200000000002198 Residence Wiring Ea Addtl 500 $38.00 9/24/03 1200200000000002198 Sanitary Sewer - Improvement $361.41 9/24/03 1200200000000002198 Sanitary Sewer - Reimbursement $475.44 9/24/03 1200200000000002198 SDC MWMC Administration $10.00 9/24/03 1200200000000002198 SDC MWMC Improvement $34.83 9/24/03 1200200000000002198 SDC MWMC Reimbursement $332.86 9/24/03 1200200000000002198 SDC Sanitary/Storm Admin $87.61 9/24/03 1200200000000002198 SDC Transpo Admin $51.62 9/24/03 1200200000000002198 SDC Transpo Improvement $727.42 9/24/03 1200200000000002198 SDC Transpo Reimbursement $164.89 9/24/03 1200200000000002198 Sidewalk Permit $75.00 9/24/03 1200200000000002198 Storm Drainage Impervious Area $677.73 9/24/03 1200200000000002198 Temp Power 200 amps or less $50.00 9/24/03 1200200000000002198 Vent Fan $18.00 9/24/03 1200200000000002198 WilIamalane Single Family $1,000.00 9/24/03 1200200000000002198 + 10% Administrative Fee $4.50 12/17/03 1200200000000002617 + 7% State Surcharge $3.15 12/17/03 1200200000000002617 Other Electrical Permit $45.00 12/17/03 1200200000000002617 Total Amount Paid $5,595.74 Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00731 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 Initial Review Planninl! Review Public Works Review Structural Review 08/08/2003 08/11/2003 08/11/2003 08/11/2003 I Plan Reviews I 08/11/2003 APP 08/21/2003 APP 08/14/2003 APP 08/20/2003 APP LLH TAJ VRJ DLM Same as 1823 S. 61st Street 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 after7:00 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: InstaJI ground rod at footing and caJJ 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 WaJI Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after aJJ rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 DrywaJJ: Prior to taping. 13 Hold Downs InstaJJed: 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 Temporary Electric: Approval required prior to Utility Company energizing pole. 26 Rough Electric: Prior to Cover 27 Electric Service: Approval required prior to utility company energizing service. 28 Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00731 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 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 ~ I). -I ? ~6 "3 Owner or Contractors Signature Date Pae:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00731 COM2003-00731 COM2003-00731 Payments: Type of Payment CreditCard Receipt #: 1200200000000002617 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 017713 City of Springfield Official Receipt Development Services Department Public Works Department .Date: 12/17/2003 10:27:28AM Amount Paid 3.15 4.50 45.00 $52.65 Item Total: How Received In Person Payment Total: Amount Paid $52.65 $52.65