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Home My WebLink AboutPermit Electrical 2004-8-6 ~O~. v ~.., "1).9 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541J726-368'/ 0' IXo,org,,' ~ 6> &" ELECTRICAL PERMIT APPLICATION _J)' "11j i"& <?'Ol)/.' is'l)o:~oS'oS' City Job Number cf);112Q)L(. oOLt z1) Date 0/' b 0 '--( i"~o,/~ ;f].9 r6>9(;o~60/~ &0' "'& Cil I ~'oS' 0, 3. : COMPLETl}FEE.$CHEDOfJF,J{ , 6.~&,,/;;~. 5'~ "\ :'0 1,.'':;(.: ellin" unit. " JOB DESCRIPTION iI<Aclt 0 Iii kc.- / t:ll-M A/\ Permits are non-t~nsferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder CONTRACTORINSTALaTloNo}vi-i' B..Services of'Feed~'rs::: In~tanation,,'Alterations or' Reloca tion: :.l<etrioal Contracto,O I d t'ie I J. '\ I ,I t.- 200 Amp, od", Oil \0 $ 63.00 ) 74 201 Amp~_~~R}\\\\~~'(\ $ 75.00 Address lf~ "S w - ~~ ~~o(!)~W~0\'O~\. $125.00 _L~O ~~&~'2.~O $163.00 City &, ~ Phone 'H 5-~.....; .~~~\Jl~~~~~~ $37500 \O~ $~ ~f\ c.b~~\"e \e~S\ca.\\O(\ $ 50.00 Supervisor License Number 390/ L e:-..t 0'" = ~ ~~~~~~~~~r Feeders ~ _ ~e~O rr'3'3~~7> Expiration Date' I D - (-: 2-(;i) S; ~~~~ii9, Alteration or Relocation p'- ~ Amps or less Constr. Contr. Number 1 2-q ? ~ b 1. LOCATION,OF INSTALL4.TIO;V , g;6"3 1J4'4 f 01~+dc)~ LEGAL DESCRIPTION 1703 Z3Y3 I >bcro , Expiration Date to -9 -- 2--00 G Sign'7;;'i~etri;~/~4 ./ L '-/ffiA ","' 0 "- j 'l o:ners ,ame ~A-tlte L H-i ( J Address l{76S- villI\) e- ?/AcI\ City t::-v(~c: ~ Phone 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 Service Included "<;- ".;:i A. ,.New Residential - Single or Multi-Famil 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 $50.00 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over600 AmpsorlOOO Volts see "B" above. D.~Bt~nchCirc~its~<' . ~ .'. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3.00 ">> . " , _1~~Q~~ E. Miscellaneous (Se~vice/feeder nO~iI\~~~~Ch Installation j..?\~t. ~ ~\\ \~ Pump or ~~tion 'S~~\..\.. ~ ~\~ ?t.~tQ~.OO si~1~1~l~~\nf\~\)t.~ '\ ~~\-\\)O. $ 50.00 Linrtt~~\\~~~~~~ ~ I $ 25.00 Limi$W~~~~~O · $ 45.00 Minimum I5e~r.f~~ft Inspection Fee is@O + Surcharges ~ " 4.SpBrOTAL OF AIio.ll1t Lt \" 7% State Surcharge ') / r 10% Administrative Fee 'I{ 5"'0 Sz.6r z.~ TOTAL Shared Drive(T:)/Building Fonns/Electlical Pennit Application I-03,doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00420 ISSUED: OS/28/2004 APPLIED: 04/14/2004 EXPIRES: 02/06/2005 VALUE: $ 227,463.78 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 863 Mint Meadow Way ASSESSOR'S PARCEL NO.: 1703234313600 Springfield TYPE OF WORK: Single Family Residence REQUIRED PARKING Overlay Dist: T I: 2 # Street Trees Rqd: :-E icapped: Paved Drive Rqd: " .-..-ftft t: %OfLot~~, i\lt!ese-Ao'- , ~ ')~" ~....Df. ~~..OfrI\~d'" ~yt.."...: f":AftI\Q""...-=-\1-- ..,,~~ PUBLIC IMP '~~ ~:':'\1\G09\99V' ~~fll \t\OC(\ta1~iki~!!"~ Q090.'fOU ~~~~ Curbside 5' li&\\\t\9 ~t- =-..~"'ln,,: Curb and Gutter t\Ut1\betc;en_ \$ " TYPE OF USE: PROJECT DESCRIPTION: River Glen lot 168 - SFR Owner: DANIEL HILL Address: 4765 VILLAGE PLAZA LOOP STE 20 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor License ARBOR SOUTH CONSTRUCTION INC 59993 ROSE CORPORATION 54431 COMFORT FLOW 460 SPECIALTY PLUMBING CO :1., 'Nflt\'(\ 102974 ~~\~.L ~. ~ A~nON I \\Q1\C~. ~1 s,,~\: ,\,\\ - \ fa # of Units: ~~S ~t.~\l\ ~\)~t)'t.~ ~~~~~~~ -' 2 Primary Occupancy' Grou ~1"O~\~ O~ \$ ~lmight of Structure 23.00 Secondary Occupancy Gr 'W?\~\'At.~ ~ Yt.~\O\lfype of Heat: Forced Air Gas Primary Construction Typ~~" \'O\)~ Water Type: Gas Secondary Construction Ty~\" Range Type: Gas # of Bedrooms: 3 Energy Path: Path 1 Sprinkled Building: nla Contractor Type General Electrical Mechanical Plumbing I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 5.00 5.00 23.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved No Notes: Paee 1 of 4 New Residential Phone Number: 541-913-0016 Expiration Date 04/28/2006 09/30/2004 06/27/2005 11/21/2005 Phone 541-913-0016 541-686-0905 541-726-0100 541-686-4191 Lot Size: 8,470 Sq Ft Ist Floor: 1,972 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport 676 Sq Ft Other: Occupant Load: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame V Wood Bonus Rm Garae;e Dwelline;s Dwelline;s Garae;e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Plan Review - Planning Plan Review Residential Plan ReviewIResidential Hourly 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 SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less I Valuation Description I $ Per Sq Ft or multiplier $92.40 $78.54 $24.30 Square Footage or Bid Amount 1,972.00 367.00 676.00 Total Value of Project ~ Amount Paid $576.81 $10.00 $156.17 $109.32 $254.00 $31.00 $6.00 $12.00 $981.65 $75.00 $6.00 $9.00 $12.00 $30.00 $4.00 $3.00 $71.00 $61.26 $90.00 $-30.00 $106.00 $76.00 $499.09 $656.56 $10.00 $214.23 $314.63 $135.71 $52.09 $727.42 $164.89 $75.00 $1,169.14 $50.00 Date Paid 4/14/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28104 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28104 5/28/04 5/28/04 5/28/04 Pae;e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00420 ISSUED: OS/28/2004 APPLIED: 04/14/2004 EXPIRES: 02/06/2005 VALUE: $ 227,463.78 Value Date Calculated $182,212.80 $28,824.18 $16,426.80 $227,463.78 04/14/2004 04/30/2004 04/14/2004 Receipt Number 1200400000000000478 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 2200400000000000686 ._S"PA, IN..", GFIGL.Dj4I.'".",' "'....' WiL' - ~,. -,.... '.'.--'. ',.,.--. ..' ; Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00420 ISSUED: OS/28/2004 APPLIED: 04/14/2004 EXPIRES: 02/0612005 VALUE: $ 227,463.78 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $12.00 $1,000.00 $4.50 $3.15 $25.00 $20.00 5/28/04 5/28/04 8/6104 8/6/04 8/6/04 8/6/04 2200400000000000686 2200400000000000686 1200400000000001192 1200400000000001192 1200400000000001192 1200400000000001192 Total Amount Paid $7,783.62 I Plan Reviews I Initial Review 04/15/2004 04/15/2004 APP RJB Planninl! Review 04/1512004 04/23/2004 APP TAJ Needs survey because of minimum side setbacks. Public Works Review 04/15/2004 04/19/2004 APP DJW Structural Review 04/15/2004 04/30/2004 POK TCM Refered to Don Moore for further examination concerning wall bracing. Structural Review 04/29/2004 04/29/2004 WE DLM Sent letter requesting additional information and clarification to the architect. 4/29104 dIm Structural Review 05/07/2004 05/27/2004 APP DLM Received response from architect today with calrifications and revisions.5/7 12004 dIm 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. ~eQuiredJnsnections . 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 andlor 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. Underfloor Drain: Prior to cover or placement of concrete. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00420 ISSUED: OS/28/2004 APPLIED: 04/14/2004 EXPIRES: 02/06/2005 VALUE: $ 227,463.78 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 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. 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 Pae:e 4 of 4 2~~ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ rHv of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2004-00420 COM2004-00420 COM2004-00420 COM2004-00420 Payments: Type of Payment CreditCard 8/6/2004 RECEIPT #: 1200400000000001192 Date: 08/06/2004 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By MICHAEL RIMMER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000466 006442 In Person Payment Total: Page 1 of 1 11:17:49AM Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52.65 $52.65