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Home My WebLink AboutPermit Electrical 2004-10-18 \- CorALOOlf- 00 '5 8' I 225 Fu' uI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (R'l11)72~~~ 't.;.'?9 -<)I..:; . 0'-0 ELECTRICAL PERMIT APPLICATION "'9v00 (9 ~.,. %6>;9-(9(>/ City Job Numbwm l.r:Jj..J , C ~ Date l 0 !lg!2.fx1.+- '/~G 1> Qot" <ill!' IS' )-i/i017.9'f'01{J!VSTA1Lf.iT~i[ 3. C6MefI',iFEE sc:Et;~l Oi~~~ ~ mCfY\.+ (Yv.rlrJ.CYA) ....,.'.. ..'. .... ~'; '.,rc,0~~~~z"; I;~~ D;~RIP~3 I ~ %7) \:;~~:;~:=~! c~~::!. oEl>I~ -F', .H':.~..~!: JOB DESCRIPTION~' 1000 sq.:rt~ drlesS'regGi. 6. C ~ \ fI Eac~'additional 500 sq,dti.9f '\. '- "X ..y VOL,-, ,U~ portlOothereO!.:., 1 Jr. ihose I, ).19.00 Permits are no -tr nsferable and expire if work is l€a9f~aA~f-a6:t~ Hillrteidf: lough, not started with I 0 days of issuance or if work is ~~~a~~~~0pies Of l. $50 00 Suspended for 180 days. Fe6&ibng the center. (Note: the tell.:". . 'CQNTRAC'[()RINSTALLATIO/V,P!JLY . B. f~~~;rfor t~~.~r~gqg~HWl1MJr{~tit~~tibb~ '~~~I~d;~itt~~;:S;f~: 2. """'.'-'......".:.. ."." x..";",,,,;;';..:,,,,. .,..;.... I,. ,:..:0. .....0,.. . ..."''''>:.....': ,1. ..;~2,'.; Zi"kU., ,,;." cealitl'lr tS.{"S00-382';2344}," ...:J<., " .\ ,;k.".:;.d;..'0k..... ;;;",; ".\j;{j.; Electrical Contractor W~r.~J (~~ ~I(l(' \-(t,,(\\'C,S 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address Q I....... ~Q"\ L( ~5Y ~ 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City~. CPLfOY Phone t..tty- gCJl~ Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 Supervisor License Number 3 ~9.3 L[; 4 }~' ~V-"\?:.~"".:':- ~:,},':{'-; ',,::':';:;: Co ..rethporary Services or F~eders '''''':A..;_,.",,;t:>;',:,.i,';_ h"" ..+-"....' .' ," Constr. Contr. Number I Y Y l.n 1" S - Expklltion j]' to ~ 1'< ( Si~(JJJL1Jr;;~ Owners Nam~uJtu-ze is Address K 3 :2- (y\l!n-t ~ Ci~~(2, Phone .,0;.., In\tra!l~~!?~, Alteration or Relocation 20h AJps or:less $ 50.00 201',A.' 1.>.1. 'Jrl,'s'tO.\400IAm"psc...L. r,' ,', r't" it T . $ 6.9. .0. 0 0fYt'r)Rl ~'" 'I . 401 Arpp~tJ~6JAmp'sfj~ ThiS P_~'R\1:~$10q.J)0 O,r', 1 T~~dA~S!i~~ Qr Qbb, ~. "',..B.,'frit{~vti~~?PeJR.I.."..~."",...~.,.,......,..~,..,,',.,.,.'.' D,"Brancg,[Pr~&ERIOD; ....:,: ... Expiration Date J 0 II Il"'::; '..'i"'..:.-" New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 : ,-" ,co':. ,_ :'_ _ _ _ _"..., -,';"'__> ,-,'/-'-'i<li:.~r~i:r E.'lVliscellaneous (Service/feeder not included) ....Eacb.lnstaUaHon:; .-,<:.!.,1":', . . ,..-.>.,...,.,..~.......'..".,.,._!,.x..~-,,~,iJ; The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 , 5.c.> cJ Limited Energy/Residentia1 $ 25.00 n Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges d.O ~ OWNER INSTALLA nON , . .',~~~}i:. '-fs.UV 3.\S Lf.SO J:t S~ . 0S Owners Signature: 4.Sl.lBTOTALOF ABOVE 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc Status: Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00381 ISSUED: 10/18/2004 APPLIED: 04105/2004 EXPIRES: 04/18/2005 VALUE: $ 201,010.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 832 Mint Meadow Way ASSESSOR'S PARCEL NO.: 1703234312300 Springfield TYPE OF WORK: Single Family Residence ATTENTION[OPE98F trsEfequiN;~'~'" ''} PROJECT DESCRIPTION: SFR _ River Glen 4th lot 155 follow rules adopted by tl'le Orfl:j :., Ity Notification Center, Those rules ' ;~ ~I::'. forth Residential Owner: FUTURE B INC Address: PO BOX 7425 EUGENE OR 97408 ;.. JJ~:-: J:: J: 1 :J13 nl'IV\A~I, O.~ ~ .r.: c: ~ 0090, You may obtain copie%heP~ ,~4\.l}i~'Sby541-744-2660 calling the center. (Note: the teiephone "u,"L(;;, ;u, L1,v E'vl;1vlI Ul;ljl,l~ul;hv....l;vlI I CONTRACTOR INFomwMi~N-'O-332-2344). 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 05/18/2008 06/20/2008 10/04/2006 05/06/2008 Phone 541-744-2660 541-935-5303 541-741-0002 541-485-1146 BUILDING INFORMATION. 3 # of Stories:' " '. ':', ". 2 Lot Size: Height of strud'ure;' . ,_ 24.00 Sq Ft 1 st Floor: It-,i,) :.1,_....,\1\ I ~i~.~l...l. r:XPlal:~"'" .- Type of He,at: . -.'F_orcedJ ~Il' (!i.31;. 011.I- Ill' 2iq"EF1q'~li K Water Ty~e~) Illv;:'U:lI UI\jDffisTHISSIi~j~nemenJtJT Range Ty~Mrv)E'~CED OR 1{1~BAl'IJOf~tt<rflr~Carport Energy Pa'tllJY 180 DAY PEJi'~ Sq Ft mIfer: ' Sprinkled Building: n/a' Occupant Load: 9,024 1,489 556 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 496 I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 30.00 11. 70 12.60 43.40 33.90 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 21.90 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBUC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved No Sidewalk Type: Curbside 5' Curb and Gutter Downspouts/Drains: Notes: Page 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction V Wood Frame Garaee Dwellings Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Overwidth Appl Curbcut 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2004-00381 ISSUED: 10/18/2004 APPLIED: 04/05/2004 EXPIRES: 04/18/2005 VALUE: $ 201,010.00 I Valuation Description' $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,045.00 496.00 $188,958.00 $12,052.80 $201,010.80 04/0512004 04/05/2004 Value Date Calculated Total Value of Project Fees Paid' Amount Paid Date Paid Receipt Number $583.15 $10.00 $151.72 $106.20 $306.00 $31.00 $897.15 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $76.00 $516.30 $679.20 $10.00 $214.23 $314.63 $120.65 $52.82 $727.42 $164.89 $75.00 $842.74 $50.00 $24.00 $1,000.00 $4.50 $3.15 4/5/04 4/27/04 4/27/04 4127/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/2 7/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4/27/04 4127/04 4/27/04 412 7/04 4/27/04 10/18/04 10/18/04 2200400000000000321 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 1200400000000000544 3200400000000000293 3200400000000000293 Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: COM2004-00381 ISSUED: 10/18/2004 APPLIED: 04/05/2004 EXPIRES: 04/18/2005 VALUE: $ 201,010.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Low Voltage - Residential Minimum/Adjustment Electrical $25.00 $20.00 10/18/04 10/18/04 3200400000000000293 3200400000000000293 Total Amount Paid $7,320.75 I Plan Reviews I Initial Review 04/06/2004 04/08/2004 APP LLH Planning Review 04/08/2004 04/17/2004 APP TAJ Public Works Review 04/08/2004 04/14/2004 APP DJW Overwidth d/w denied. Structural Review 04/08/2004 04/26/2004 APP 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. I Reouired Insnections I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 3 of 4 2.25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone r v of Springfield Official Receipt ~ _ t'elopment Services Department Public Works Department RECEIPT #: 3200400000000000293 Date: 10/18/2004 11:55:34AM Payments: Type of Payment Paid By CreditCard ALLEN WOOSTER Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 055599 In Person Payment Total: Amount Due 25,00 20.00 3.15 4.50 $52.65 Job/Journal Number COM2004-0038I COM2004-0038I COM2004-0038I COM2004-0038I Description Low Voltage - Residential Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Amount Paid $52.65 $52.65 10/18/2004 Page I of I CITY OF SPRINGFIELD' Status: Issued Building/Combination Permit PERMIT NO: COM2004-00381 ISSUED: 10/18/2004 APPLIED: 04/05/2004 EXPIRES: 04/18/2005 VALUE: $ 201,010.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. '.~j) ~~^-(~ ~~ Owner or Contra~~rs Signature '\0) \8; 0\..( tJv- Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0038I COM2004-0038I COM2004-0038I COM2004-0038I Payments: Type of Payment CreditCard 10/18/2004 RECEIPT #: Description Low Voltage - Residential Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By ALLEN WOOSTER r-, of Springfield Official Receipt .... ,elopment Services Department Public Works Department 3200400000000000293 Date: 10/1812004 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 055599 In Person Payment Total: Page I of I 12:05:14PM Amount Due 25.00 20.00 3,15 4,50 $52.65 Amount Paid $52.65 $52.65