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Home My WebLink AboutPermit Electrical 2004-10-18 /, ~& ;0-0 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (54l)1J6-36~0}~' ~~, ELECTRICAL PERMIT APPLICATION ~ <;01~ <;01/ <;01"0- 'l>.o City Job NumbeC,o(Y)o.cst:ilf - oo'l{)., '-!Date I O-/~r (Ja1. %0-" ~O? '0(\);9-6)(> -:D- ~ ':, ? "'<;01 6)0- \9 0.... ,r 1. ;~~~N~7 ~~~l!ON ;'" 3. COMPLE1;E FEE SCHE~,,^ ~<^o';'~\ LEGAL DESCRIPTION l;{J aA.j A. N,~: Il,,;d,nt;al ~ Singl, 0,}"ln;1 Fanl-;>:\' 'd:~~. nn;!. \ --J ()3 ~3 3 ---::? 0 0........., oS '<5 <;o1"~'0/o" I ~ ~ C>( Service Included v ,- ~ ~. '" .~: New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with B.:c> L+ Z . Service or Feeder Pemlit Owners Name ,,"L 'T Y ( m m-e VYVQ n '" .. , ' Address ~ / d~ lJ LJjq Y.uCt~ E.MiscelJaneous (Service/feeder not included).-Each Installation City ~rv' vQ::\~1 -e t't\hone Pump or irrigation $ 50.00 ~ ,. Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 JOB DESCRIPTION re moole 1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. :"'EQNiit~iTORINSTAtiATlO~ ONLY 2. '"....';,.",,';:.;; "': "-.>,. ",'",'." ,,' . .... .., Electrical Contractor Rl ),'ldefs .. [/ec+nt InC Address ICJS Mad,SarI City (lAene LI 4~S~CA~:t Phone Supervisor License Number3-:J.Cj 0 .- S Expiration Date I ()" I - ~ 0 7 ~o Constr. Contr. Number 4 'dq ( 0 Expiration Date l;;l-- [Or- D7 SignajOf Supervising Electrician ~.w.1 { (, ). ~ ---- 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 thereof . . . .l-o 0 ATTENTION: Oregon law ~c;q'J;re': VOl... ,if' , Each M1\mfaflil~tI~d1YfJ1.led by the Oregon Utility MoCW{jfifit'ti~~~~ <rIhose rules are set~ortho Fee1W OAR 952-001-001 0 throu~l, OAr.-952-dS-P. t'\non' ~ ' av obtair ~oMies of the q.lles by" ,..' . . B. ....' SevVfCt"'S .dP'Fm~e'rs - Thsa r1 tJ9n..~l~~'Uffi5Vi6'r. Relocation: 'Calhngthecenter. ,Oe.1JIl;; :~ . " , ,,, Imhpr for the Oregon Utility NotIfication 200 ANIl"'S'('1!"Tes!i ter is 1-800-302-2344). $ 63.00 201 Amps to 466eRmps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163,00 Over 1000 Amps/Volts $375.00 Reconnee,+pn1X. - $ 50,00 iHJ u u l. II.: : c.;"TJ~~1~~~J~;k~fi~1FLedd~f~R;lIFT~EvV'bRk:~ ~ ),:; " t RIZED UNDER THIS. PERMIT IS NOT Insta&'lQt~\~~W~~t$~SmY8f)NED FOR 200 l~n~~ JAQsPAY PERIOD, $ S(),OO 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over600Amps or 1000 V?lts~~e ",B" above. D. Branch Circuits . '. , . . . " .. ..,.. . ~ "l , ',,".', ).;"\: ;. $ 43,00 43.nn q , ()() ~ $ 3,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABOVE. " . .y~::0 6--&<-/ 5' -dU f/ ((J{)' g (( 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc ._S'PRt.NGIl!'II't",~~,'"..",',',. ", ....... Wl;:J& ' i .~,d~~ ... d_ .,~.__ ,__' : Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00824 ISSUED: 10/18/2004 APPLIED: 07/07/2004 EXPIRES: 04/1812005 VALUE: $ 30,020.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2727 VILLA WAY Springfi~iliTE~YPE\bF'~wm{?WBed;tcioi111 you to ASSESSOR'S PARCEL NO.: 1703233300205 fOI,'?W ~ules adopte.9 by the Oregon Utility ~otJflcam~<ml'EmSEbose AfJmtw~ set forfffsidential PROJECT DESCRIPTION: Addition to existing SFR - convertin~~GhiOO1 0 through OAR 952-001- 0090. You may obtain copies of the rlJlpc:: h}i Owner: ZIMMERMAN DARRELL J & BETTY L calling me center. (tJii>Jfte\Q~Jm@JP.h~-746-5288 Address: 2727 VILLA WAY SPRINGFIELD OR 97477 number for the Oregon Utility Notification Center is 1-800-332-2344\. I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor OWNER BUILDERS ELECTRIC INC 4296 12/10/2007 OWNER ~'i.~d~~: _ .. OWNER THIS PERMIT SHALL EXPliiE IF l_H_E,~V~:~I~ -, ':-.'_',;,..,~-..rn . "" "-'-l I i11~ ,crWJIII Iv I~V I BUILDING JNiF6RM1{TION BANDONED FOR IVlIVICI'J LVII , # o~qr~~O DAY PERIOD. 1 Height of Structure 14.50 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License Expiration Date Phone 541-485-0922 VN Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,350 240 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Path 1 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 6.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 3.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 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 Use Bid Amount V Wood Frame V Wood Frame Bid Amount Dwdlin!!s Dwellin!!s Fcc Description Plan Review Residential -i\lechanieal Issuance Fee- + 10'1., Administrative Fee + 7'Yo State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning J>lan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Srwer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review/Residential Hourly SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 7% Stale Surcharge Add, Altl'r, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00824 ISSUED: 10/18/2004 APPLIED: 07/0712004 EXPIRES: 04/18/2005 VALUE: $ 30,020.00 0 I Valuation Description I $ Per Sq Ft or multiplier $1.00 $92.40 $92.40 Square Footage or Bid Amount 2,300.00 60.00 240.00 Value Date Calculated Total Value of Project $2,300.00 $5,544.00 $22,176.00 $30,020.00 07/19/2004 09/09/2004 07/07/2004 ~ Amount Paid Date Paid Receipt Number $135.72 7/7/04 1200400000000001046 $10.00 7/30/04 3200400000000000186 $37.04 7/30/04 3200400000000000186 $25.93 7/30/04 3200400000000000186 $224.40 7/30/04 3200400000000000186 $56.00 7/30/04 3200400000000000186 $39.00 7/30/04 3200400000000000186 $59.00 7/30/04 3200400000000000186 $10.14 7/30/04 3200400000000000186 $5.30 7/30/04 3200400000000000186 $106.02 7/30/04 3200400000000000186 $45.00 7/30/04 3200400000000000186 $6.00 7/30/04 3200400000000000186 $3.51 9/9/04 1200400000000001330 $2.46 9/9/04 1200400000000001330 $35.10 9/9/04 1200400000000001330 $90.00 9/9/04 1200400000000001330 $1.18 9/9/04 1200400000000001330 $23.56 9/9/04 1200400000000001330 $5.20 10/18/04 2200400000000001304 $3.64 10/18/04 2200400000000001304 $43.00 10/18/04 2200400000000001304 $9.00 10/18/04 2200400000000001304 $976.20 I Plan Reviews I 07/08/2004 07/08/2004 APP LLH Plans Examiner --- verify heat source, it was not noted on application or plans. Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00824 ISSUED: 10/18/2004 APPLIED: 07/07/2004 EXPIRES: 04/18/2005 VALUE: $ 30,020.00 __SPRINGI"'Il!!LO ,~...,"" ,.'.'.','-,"...".~',' ~'" ~',t.". , "", , ' " . ,~ " , . ".. ", ,,~. .,' . .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 08/09/2004 APP LLH 08/09/2004 Planninl!: Review 08/09/2004 09/09/2004 APP TAJ Plannin!!: Review 07/08/2004 07/19/2004 APP TAJ Public Works Review 07/08/2004 07/13/2004 APP SB Public Worl,s Rcview 08/09/2004 08/10/2004 APP SB Structural Review 07/08/2004 07/20/2004 APP DLM Structural Review 08/09/2004 09/09/2004 APP DLM Strurtural Review 09/20/2004 09/20/2004 APP TCM Revised plan for extending footing 4'. Routing to all divisions together as a RUSH since project is underway. Revised drawing for extended footing 4'. OK wi Planning. Revised drawing for extended footing 4'. Added $23.56 to SDC. swbb Revised drawing for extended footing 4'. Received copy of septic installation permit to relocate drainfield away from the addition. 8/20/2004 dIm Revised septic system location approved by Lane County. Setbacks correct as per approved plan. 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. 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 Insu:ation: Prior to decking. 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. Underlloor Plumbing: Prior to insulation or decking. Underlloor Drain: Prior to cover or placement of concrete. Rough Plllmbing: Prior to cover and including required testing. Final Plul'1bing: When aU plumbing work is complete. Rough i\lcchanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pal!:e 3 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00824 ISSUED: 10/18/2004 APPLIED: 07/07/2004 EXPIRES: 04/18/2005 VALUE: $ 30,020.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify Ihat 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 ,;m';;';hu.)fJ (B~' ) ! ()- ! ~, 04 Oll'l:er ~r contl~-s Signature Date Pa2e 4 of 4 ~2~ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone """ty of Springfield Official Receipt _velopment Services Department Public Works Department Job/Journal Number COM2004-00824 COM2004-00824 COM2004-00824 COM2004-00824 Payments: Type of Payment CreditCard 10/18/2004 RECEIPT #: 2200400000000001304 Date: 10/18/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received BUILDER'S ELECTRIC/KELL Y nJm 037727 In Person Payment Total: Page I of 1 10:37:24AM Amount Due 43.00 9.00. 3.64 5.20 $60.84 Amount Paid $60.84 $60.84