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Home My WebLink AboutPermit Electrical 2004-5-13 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · F:m&t&:~~~gm>assuti01ittedhasthe . ELECTRICAL PEMfIT APPLICATION ~~~:~'afnd does not require specific land usetng City Job Number COm2D04-~3i Date Zoning L.-b(t.- 1. LOCA1'ION OFINSTALLf11'ION;<' 3. C,.'.,OllIPLEl'EJifJ1:E :,u1'Et?CLEBE1{;nAT .5-1 B ..-oE S 07 t'c-..-tle'1 {Aav ';;e.nv e- ~",' Authorized Sjgnatu~e '" ,',,' ,,' 'c:rr J I t " ,.,. , LEGAL DESCRIPT\ON A.' .New~e,sidential:;, Single orj\'lul!i-Family per dwelling unit. f(~~I-{~e.. l~O~'L\ ()Il(() Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular DwelliIlg S.ervice OJ; i ~ FeeIi1rTiE'tf'\ON: oregon law rectu res Vo~ ~0.00 ..J~i~l/.\t'r~les?d9~1ecl Q~:tb~ ()reg on, ptlllty ,. .' B.>f~~t~~~I4lD~~.___lilsliBa_A\r~M1J~ Relocation: "'I;~' ""tn:\ b5'li:O 0'-01'\)\'10' 'throl1g' h OA'R952...001- l~l\V) "'~ \.;;J t!:.. - ~ Electrical Contractor f.)AVII} .:5~ C/(' (:;t.eq1uc,?'-C. 2~pll{gOl~y obtain copies of the ru~~~ 201.u.ffi$1g>ttoo~r. (Note: the teleph~~.oo 401 ~~6f&oo~~regon Utility NotlTlc%llq~.oo 601 Amps toG~6~Affip\-800-332-~~tfltJ. $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps . Over 600~Amps or 1000 Volts see ':B" above. Signature of Supervising Electrician D.. :,;}~r~~,~chCirCu~!s'L ~~ /' ~ 'i~ ";~i1~MtYi . ~fMrl gX~MEni~oTRE\~Ot3k t -. J I ;~G~~ ~~~~li\ tr;b~iPJiij.Mn I~ NUl $ 43.00 t\n l,i A Q J. oJl'!lllJlfg~ 'I.. OOd~~l1illDNED FOR II $ 3.00 Owners Name -\..U1UV- \J::\.\ eeL I \l\!Y 'j SO DAY PERlOD, ~ " ~:S~I \~~ E.;~~;;;:::"~f~de"9\mCIUd~)~~E~Ch In,~Uation OWNER INSTALLATION Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Ivlt~ ftr kl'~ /-c:audt r~ v ~'ej Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ",' ,,'..' ...,.......: " ,,' , 'c" -, .,' ',,'- ,-,: :: .:.1':'" . CONTRACTOR iNSTALLATIONONLY 2. "'. , '" ,'.:'.:"J.,., : ',iii, Address jJ,t/, g c ~ "2 s-<3' '2... City eZ/6 EJ-I.t::- Phone 4rrS- 158.5 S- Supervisor License Number ?/..I/" ..12 ...J Expiration Date 1/2 /c;q Constr. Contr. Number /5'8'/77 Expiration Date //o~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~t}9 S:P~~ftJlGw~tE:LQ' $106.00 $ 19.00 c. Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 Lr3 _ r_c 3 '3 ~ cc: Minimum Electric Permit Inspection Fee is $45.00 + Surcharges f L T:( ..: > : ~~::;: '::. 7 ft. c~ 5_ 32 7_ ~C> '8' ~ _ '" '2. 4. SUBTOTAL OFABOVE -:,.:i:'...:. ,,<o;{:'];"--,.:,', ;<', 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electlical Permit Application 1-03.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 11/12/2004 VALUE: $ 19,450.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 507 V ALLEY VIEW AVE ASSESSOR'S PARCEL NO.: 1803022101100 Springfield TYPE OF WORK: Single Family Residence Contractor Type General Electrical Contractor ALAN A CODDINGTON DAVID STUCK ELECTRIC LLC TYPE OF USE: Remodel Residential AI II:NTlON: Oregon law requires you' ') foffow rutes adooted bv thp nr~~nn lit;!;",. Notification C~e~II~le$4liE5UtJ332 In OAR 952-001-0010 through OAR 952-()0'- 0090. You may obtain r.nnip~ nf tho ro liM ,. . =- the center. (Note: the telephone J I CONTRACTOR INFORMAiJj for the Oregon Utility Notifjc~tion Center 131-800-332-2344.\ License EXpIratIon Date phone 41499 02/1612006 541-484-1886 158177 01/01/2006 541-485-8855 PROJECT DESCRIPTION: Remodel Owner: DAVID BEL YEA Address: 507 VALLEY VIEW AVE SPRINGFIELD OR 97477 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION. mnTt't: REQUIRED PARKING Overlay DistlHIS PERMIT SHALL EXPIRE IF .f.tl~YVORK # Street TreeA~1iblORIZED UNDER THIS PERillIJi1UgJd: Paved Drive 8@tMMENCED OR IS ABANDONfi:QJiPRt: % of Lot Co~rHet80 DAY PERIOD. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Fixture Pellet Stove/Insert Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Planninl! Review Public Works Review Revised Plan Review - Str Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 11/12/2004 VALUE: $ 19,450.00 $1.00 19,450.00 $19,450.00 $19,450.00 03/26/2004 Total Value of Project ~ Amount Paid Date Paid Receipt Number $120.51 3/26/04 1200400000000000391 $10.00 4/16/04 1200400000000000494 $29.54 4/16/04 1200400000000000494 $20.68 4/16/04 1200400000000000494 $185.40 4/16/04 1200400000000000494 $18.00 4/16/04 1200400000000000494 $56.00 4/16/04 1200400000000000494 $30.00 4/16/04 1200400000000000494 $6.00 4/16/04 1200400000000000494 $7.60 5/12/04 1200400000000000717 $5.32 5/12/04 1200400000000000717 $43.00 5/12/04 1200400000000000717 $33.00 5/12/04 1200400000000000717 03/29/2004 03/29/2004 03/29/2004 $565.05 I Plan Reviews I 03/29/2004 APP LLH 04/02/2004 APP TAJ 03/31/2004 APP VRJ 04/21/2004 APP DLM No Planning Review required. No change in plumbing fixtures or impervious surface. Engineer revised connection detail of steel side plates for ridge beam at exterior masonry wall. See Documents for comments to this revision. See Documents for plan review comment. 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. 04/21/2004 03/29/2004 04/14/2004 APP DLM 6 Footing: After trenches are excavated. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Drywall: Prior to taping. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Underslab Plumbing: Prior to filling the trench and including required testing. 11 Rough Plumbing: Prior to cover and including required testing. Pal!e 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 11/12/2004 VALUE: $ 19,450.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 4 Final Plumbing: When all plumbing work is complete. 9 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 10 Rough Mechanical: Prior to Cover 2 Final Gas: When all gas work is complete. 3 Final Mechanical: When all mechanical work is complete. S Freestanding Pellet Stove: After installation. 13 Rough Electric: Prior to Cover 14 Final Electric: When all electrical work is complete. 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 Divisio'n, 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. A/ /~4 S-ft./cf' . - Owner or Contractors Signature Date Paee 3 of3 22rFif~h Street ,pririgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 Payments: Type of Payment Check 5/12/2004 RECEIPT #: ~~ .n~ty of Springfield Official Receipt ~velopment Services Department Public Works Department 1200400000000000717 Date: 05/12/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAVID STUCK ELECTRIC LLC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 1114 In Person Payment Total: Page I of I 9:09:56AM Amount Due 43.00 33.00 5.32 7.60 $88.92 Amount Paid $88.92 $88.92