The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-10-18 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)72~1~9/'o ;0 "" ~ ELECTRICAL PERMIT APPLICATION, ' ;o"'ot-~ <';~~/;. City Job Numb~.I'lTU -(cn9'ti Date \ 0 L1zJ.~ (j() '-!- .'.:''''. .: ~ ';':;%0, 1. :?iOCAT!ON ()~' INSTALLAliON'" 3.;@ijirfHi~F~~~~~~.: l~ ~Ldfv:~~;q~~~ ~'10'~ch~ ~/;. & &~ A. ~:~~~ Resi'dentiai>~SiIiglc or';;'illti-F Olfj .~Jt~<?~~;;~i~it:';;~;;1\' '(...',. . .,.. ' ',. 7.: ...,,,. ,.' ; :~.::;~'O~" .;, ..:~0 Service Included ~~ otv.. is'19 ~ LEGAL DESClUPTION \lC~ 23 l.V~ \ ;\~(JO JOB DESClUPTION~: ~V) ;~'L' I V(tflill JFf\ Permits a en-transferable and expire if work is not starte thin 180 days of issuance or if work is Suspended for 180 days. 2.r~qlirRAq,rc5R:o/S'{ALiATIONOrJ~Y . \_".Y.>.l~ ',,;"",d.. f., ,~. "~,~",,,,,,,~,:,,,";.._,l~.~..,~...J,,,,,....,,",,'., .~l~ ~ ~ . ~ :......_. .-",. 'l.". "., ...... ,"'" ~.' . ^ Electrical Contractor D.. \I e rS i C \' e A .f::./ (' C'\-(':ill..1 c:.s Address 9, C). f2.D)<... L( C)S Y I( City ~. q 7L.{04 Phone L-f~L.{ - ~ C) 1 ~ Supervisor License Number 3 ~ 9.3 L {; A- Expiration Date 10 I ( Il"\::; Constr. Contr. Number I Y Y In '6 S Expiration Date l.o I;)., i lQ~ If Sift1j;fJt;j -~ Owners Nam~i ~!....(P'/.6 JX\( ~ fY\(f)1+ m.v~ Phone 74Y - ~lQ(CO ~ ) Address D 20 City ~ -....., " 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 1000 sq. ft. or less Each additional 500 sq, ft, or portion th~r~~~t.J~J Qr,-<jO!113.W rr-r:! ~jll'S \!~'. .0 Each Manpfa9!,;d fIQme oi'~;j cy 1118 OiCC;On UillrL Mod~La:,R~#tiA~fflW: Ciii10se rJles are sel fort~ Fee~~r OAR 952-001-0010 thrOlJ\,3\ I OMl-95z-~q- B.~,ts~~ *PiJ~~sOl>ifl~~a)1~Hhes~l \!1~ ~ules:Prt~i~~~l~'~?~~: r,;'\'l~""~alling tha"center. ..(Note: ~e te~~~WO?ij"i"';<,",h;;""": '4':,:"G,; 200 Arii\IlIfO~ws!or the Oregon Utility Not'fic!f~8~ 201 Amps to 4oe9ffiltTsis 1-800-332.-2344).$ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 '''''~'l;~,:<--,:,:", , "-' , ,... ~~':t,f': ";~'i":'(,,:.~.:>' >:",' _ ,,'\."" C. > c.... ,P;narfSer"lc~~orF~~ders.3;,: , ."~.~,;-lK<,,,>.~:,*~~"""<"'''''''''^'': ,,"'>'~"';"" "'~..."'~"" .."',.........,......".;..<;<....., ^ -'~~.1..~>R~.I\':\T SHP,LL EXPIRE IF THE Iost.ill .;rti f,', t~fatlon~r"'ReloCQPrnM\T IS NOT -P,~lH K LeU UI"'JUdl-rrn0 . 200cm~~v~\~~tD OR IS ABANOOI\lED Fooo.OO 201Wf' mf~l~IOD. $ 69.00 401l)tmps to 60) Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. ;ii!/,.,'"........ ".' ..... D. ;:i~i:i.nchCircuits . ~.'l':""" .:..t..1~~ '...;~\.~,.of.. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Petmit $ 43.00 $ 3.00 (r'<:"::,:~-~~, '_' _' ;","," .',. ~'~.. ,..i!\-;:.dt~1;:7,,'); E..1Yliscellaneous (Service/feeder not included).i-Each Inst~U~ti?Il: ._,~".;;t._~^'-" ,..' . "o":",~,,,..,"o .. .. . ,~.." ....~. ".- h."....."""'..,~"',.,~'-..."'''~-'''M'iii< Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25,00 $ 45.00 d-e.~ ) Minimum Electric Permit Inspection Fee is $45.00 + Surcharges QJ<.J. (jO 45. CO i>. }5 ;'~.~L~~..'~; " .. 4. {~Sl.TBTOTALOF ABOVE ~,~~,. .,~r" .' '(,_ "" ..- 7% State Surcharge 10% Administrative Fee 4 ./':;0 ~~~. (pS TOTAL Shared Drive(T:)/Building Fonns/Electncal Pennit Application I-03,doc CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00589 ISSUED: 10/18/2004 APPLIED: 05/18/2004 EXPIRES: 04/1812005 VALUE: $ 237,420.00 Status: Issued SITE ADDRESS: 820 Mint Meadow Way ASSESSOR'S PARCEL NO.: 1703234312200 Springfield TYPE OF TYPEOF USE: PROJECT DESCRIPTION: River Glen lot 154 - SFR Owner: FUTURE B INC Address: PO BOX 7425 EUGENE OR 97408 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 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U-l VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 2 23.00 Forced Air Gas Gas Gas Path 1 nla 3 I DEVELOPMENT INFORMATION. Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 39.00 7.50 7.30 33.70 30.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: !pUBLIC IMPROVEMENTSI Single Family Residence New Residential Phone Number: 541-744-2660 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 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,089 329 576 1 Yes 23.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Storm Sewer Available: Special Instruction: Sidewalk Type: Fully Improved Curbside 5' Yes Downspouts/Drains Curb and Gutter Survey Required. Intrusion of footings, eaves or any other portion of the structure into easement area is prohibited. Street Notes: 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 Garage Dwellings Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1998 Appliance Vent 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 AddU 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 WilIamalane Single Family + 10% Administrative Fee CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00589 ISSUED: 10/18/2004 APPLIED: 05/18/2004 EXPIRES: 04/18/2005 VALUE: $ 237,420.00 I Valuation Description I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,418.00 576.00 Value Date Calculated $223,423.20 $13,996.80 $237,420.00 05/18/2004 05/18/2004 Total Value of Project Fees Paid I Amount Paid $659.20 $10.00 $164.02 $114.81 $306.00 $31.00 $-19.17 $6.00 $1,014.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $76.00 $499.09 $656.56 $10.00 $214.23 $314.63 $141.95 $51.54 $727.42 $164.89 $75.00 $1,302.10 $50.00 $24.00 $1,000.00 $4.50 Date Paid Receipt N urn ber 5/18/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 10/18/04 2 of 4 1200400000000000753 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000001305 CITY OF SPRINGFIELD" Building/Combination Permit Status: Issued PERMIT NO: COM2004-00589 ISSUED: 10/18/2004 APPLIED: 05/18/2004 EXPIRES: 04/1812005 VALUE: $ 237,420.00 225 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 $20.00 10/18/04 10/18/04 10/18/04 2200400000000001305 2200400000000001305 2200400000000001305 Total Amount $7,926.07 Structural Review Plan Reviews I 05/18/2004 05/18/2004 OK RJB 05/18/2004 06/04/2004 APP TAJ 05/18/2004 06/02/2004 APP VRJ Survey Required. Intrusion of footings, eaves or any other portion of the structure into easement area i! prohibited. Entire driveway including wings needs to be located within property lines. 05/18/2004 06/04/2004 APP TCM Initial Review Planning Review Public Works Review 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 . Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. 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 mling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: COM2004-00589 ISSUED: 10/18/2004 APPLIED: 05/18/2004 EXPIRES: 04/18/2005 VALUE: $ 237,420.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certity 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 perm it 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. ~ en\" ",', (.' ~ ._~_,;;QJ.._ '~"'\ Y\ f Q rx\, \ ~ ~ ~ Owner or Contrac~s Signature \ a I U,:;) Ocr fJ""--- Date 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,....~ty of Springfield Official Receipt ~velopment Services Department Public Works Department ; Job/Journal Number COM2004-00589 COM2004-00589 CO \12004-00589 cn\12004-00589 Payments: Type of Payment CreditCard 10/18/2004 RECEIPT #: 2200400000000001305 Date: 10/18/2004 Description Low Voltage - Residential Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By ALLEN WOOSTER Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 005942 Phone Payment Total: Page I of I 11:12:02AM Amount Due 25.00 20.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65