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Home My WebLink AboutPermit Electrical 2003-7-24 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-375'h~fo1).~i~a~Jd~~a1~mitted hasthefollowing ELECTRICAL PERltfIT APPLICATION zOning, and does not require specific land use approvaL 0 City Job Number [OI4l1'Z.oos - DO /23 Date c) 72. 203 -; I ' ttJlfL- " ~gn n9 '1-clJI-o? 3. COMPLErJ/iR'fiF'EEB€fl-EIXJTE Ij'tfL,u fJl <:::f"tJ AuthOrized Signature - Electrical Contractor C\; .J e...rS-: C ; eol r-J €.C+-cOG\, \' t~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps ~ Over 1000 AmpsNol~\)~\),\ , Reconnect Only "\~~ f:> ~ ". ,.~~~...~~.~~ C. Tem~~~~~~* ~r Feeders ~\,\, '\~ ~~~ ~~. ~ ln~~o~\'.lleration or Relocation ~~'\ ~~~~~~~ ~~b~ ~€SS $ 50.00 Constr. Contr. Number I L{ L./ lo ~5 -<,!-S ~\)~ ~~ A~O 400 Amps $ 69,00 " J- ' ~\:0'\~~~ 4~mpst0600Amps $100,00 Expiration Date w; 3/0~ ("'~ \9;)~ ( , ~" ',' L----- ' J ~'\ Over600 A~PS, ~r I 000 Volts see "B," above. ::n!ign ~ ofSu e si El .", ~ D, Branch CirCUIts ,,\0 O~ .~~ ' /' ;OJo.- New Alteration or'Extensio~~~P~\~{\.. , J.U One Circuit eo..'>S q/bO~ q/b' 00 $ 43,00 ~- Each Additional Cir,:\~re..e~ ,*,'0 ct!-"C ",.~ C, I, ~ rJ_- ';( -r- Service or FeedeA.&emJi~ ..~~#bot~ ..~'4I~3.00 Owners Name I V'- '"'l"",. L l.) ...J...-t L- , .O~0\/)0t> '0'" '\ ~ 0' ~ ~~O ~O~ Address P () E G,)\" '7 Lj Z s;- E. Misc~'i~lS ~l~n~~~ -Each Installation , ,~\ etOfi. ~0(,.' ~ CO~ "~ ~ . ~'n~~~~~I{)l\~'Q'~'\" ~O'0~~~~n)-.bc' $ 50,00 ~~~~J!t~~ ~e'" ~o~ ~~q; $ 50,00 T.;~~~~,r..,^,~ ~d ro{;'j~S I $25.00 ;)500 ~ or ~O"" ~FfJ ~~_L '\" L~te..L.ClSnPJ:t\.Oi~~'A~e~~t&i $ 45.00 ~~ ~'\<<"~~ ~li:'j -, - - Minimum 'i:leat~r~nspection Fee is $45.00 + Surcharges ~y. . 4. SUBTOTAL CJ.F ABOVE/ L-I S ~ ~.15 '{SO J{ S;)jo5 L LOCAI10N OF INSTALLA110N 9/ ,~lL'nt t\.\eM~JW \Uo..uc' SPj:'(} LEGAL DESCRIPTION i 703 2343. 2>~~.\-'-f Pf'0 l.0 ;("L 13/00 JOB DESCRIPTION LovJ VoI4~E , 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. CONTRACTOR INSTALLATIONONLY Address p. G. b ~~ '-Ios~t City LVS' 9 'Ie..{ O\.f Phone y ~ 4 ~ <1 Ol 't Supervisor License Number 3~ 9 ~ Lr;-14 Expiration Date / (:) (( (OS l City t--l/\.. G- Phone OWNER INST ALLA nON 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. New Residentj~lI - Single or Multi-Family per dn'eHing unit. Service Included 1000 sq. ft or less Each additional 500 sq. ft or pOliion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75,00 $125,00 $163.00 $375,00 $ 50.00 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)lBuilding Fonns/Electrical Pennit Application I-03,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00123 ISSUED: 03/21/2003 APPLIED: 02/28/2003 EXPIRES: 01/22/2004 VALUE: $ 147,243.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 913 Mint Meadow Way ASSESSOR'S PARCEL NO.: 1703234313100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: FUTURE B INC Address: PO BOX 7425 EUGENE OR 97401 Phone Number: 541-744-2660 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor FUTURE B INC DEANS ELECTRIC JUNG ENTERPRISES INC CHAPIN ENTERPRISES INC License 36499 99579 102455 81994 Expiration Date 05/18/2004 06/2012004 10/04/2004 05/06/2004 Phone 541-744-2660 541-935-5303 541-741-0002 541-485-1146 BUILDING INFORMATION. Storm Sewer Available: Special Instruction: # of Stories' .~~~:~~cture ~~<v:i~~~ ; \, <v~ ~S~ ath: ~~~ ~ -<\. ~~<v ~ ' q JJ.Y' ,<r ~\'\J ~~\ ~ -.s ~LOPMENT INFORMATION I SETBACKS ,,~~S ~;~\..~,->x..\) ~q<(,'<"- \0 REQUIRED PARKING Front yard Setback: '\: ~~'\~~~~ Overlay Dist: 0S'iOV.:{~~" Total: 2 Side 1 Setback: '->~~"\ 1\'!>~O # Street Trees Rqd: (00..V.$ ~~ 'U 1\. \O%andicapped: Side 2 Setback: ~~ 11.00 Paved Drive Rqd: 0(\ \'a-~'(\e o'~<se ~~'Z...()Q::{mpact: Rearyard Setback: 25.00 % of Lot cov~~~~~e6 '0'1 ~0 '($\~~~ '(\),\fb!> 0 Solar Setbacks: 35.00 ~i\O ",60~ ~'(\O ~o\)(j'(\ 0\ \~ n'(\O~. 0(\ -< v ~ I ..."- " ~ 01'(' ell ,,'(\, . a,<<:J ..fl.0T' , _",\"1. ct~' J'p'- .,~~ ~tll~ CoJ ~1O' ~"'- I PUBLI . ~~ ~~<' ~0\0".~~\'i ~O be'" , ~\,.... ~~ 0-'i ~0'('~~U\~~~~. Fully Improved ~O O~~ OV (\\ G# (0~::1>~ . No \'(1. ~~O.~ ~~0 <<,e? \~spouts/Drains: () c~'\~ ~ \0'( ~0'( \<:' ~'()0 Ce<' <'~ # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Vlhr Street Improvements: Curbside 5' Curb and Gutter Notes: Pal!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!s Garal!e V Wood Frame Garal!e Fee Description + 10% Administrative Fee + 7% State Surcharge Plan Review Residential Temp Power 200 amps or less -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curb cut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family + 10% Administrative Fee I Valuation Descriotion I $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 1,834.00 532.00 Total Value of Project ~ Amount Paid $5.00 $3.50 $469.07 $50.00 $10.00 $121.47 $85.03 $254.00 $8.00 $721.65 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $106.00 $57.00 $352.59 $463.89 $10.00 $34.83 $332.86 $84.65 $50.60 $709.81 $160.87 $75.00 $640.14 $18.00 $1,000.00 $4.50 Date Paid 2/28/03 2/28/03 2/28/03 2/28/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 3/21/03 7/23/03 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00123 ISSUED: 03/21/2003 APPLIED: 02/28/2003 EXPIRES: 01/22/2004 VALUE: $ 147,243.00 Value Date Calculated $136,816.40 $10,427.20 $147,243.60 02/28/2003 02/28/2003 Receipt Number 2200200000000000539 2200200000000000539 2200200000000000539 2200200000000000539 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000000863 1200200000000001808 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00123 ISSUED: 03/21/2003 APPLIED: 02/28/2003 EXPIRES: 01/2212004 VALUE: $ 147,243.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $3.15 $25.00 $2'0.00 7/23/03 7/23/03 7/23/03 1200200000000001808 1200200000000001808 1200200000000001808 Total Amount Paid $6,038.61 Plan Reviews I Initial Review 02/28/2003 02/28/2003 OK RJB PlanniDl! Review 02/28/2003 03/07/2003 APP AID Public Works Review 02/28/2003 03/11/2003 APP DJW Structural Review 02/28/2003 03/11/2003 OK TCM 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 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Final Building: After aU required inspections have been requested and approved and the building is complete. 12 Vnderfloor Plumbing: Prior to insulation or decking. 13 Vnderfloor Drain: Prior to cover or placement of concrete. 14 Rough Plumbing: Prior to cover and including required testing. 15 Water Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Final Plumbing: When aU plumbing work is complete. 19 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 21 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 22 Rough Mechanical: Prior to Cover 23 Final Gas: When aU gas work is complete. 24 Final Mechanical: When all mechanical work is complete. 25 Rough Electric: Prior to Cover 26 Temporary Electric: Approval required prior to Utility Company energizing pole. 27 Electric Service: Approval required prior to utility company energizing service. 28 Final Electric: When all electrical work is complete. 29 Sidewalk ~ Curbside: After forms are erected but prior to placement of concrete. Pal!:e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00123 ISSUED: 03/21/2003 APPLIED: 02/2812003 EXPIRES: 01/22/2004 VALUE: $ 147,243.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 30 Curbcut - Standard: After forms are erected but prior to placement of concrete. 31 Low Voltage: Prior to cover. 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 Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'Job/Journal Number COM2003-00 123 COM2003-00 123 COM2003-00 123 COM2003-00l23 Payments: Type of Payment Check Reccipt#: 1200200000000001808 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By DIVERSIFIED ELECTRONICS Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/2312003 8:31:12AM' Amount Paid Item Total: 3.15 4,50 25.00 20.00 $52.65 How Received In Person Payment Total: Amount Paid $52,65 $52.65