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HomeMy WebLinkAboutPermit Electrical 2003-9-18 225 FIFTH STREET SPRlNGFIELD, OREGON 97477 INSPECTION REQUEST: 726~3769 . OFFICE: 726-3759 . ELE.CAL PERMIT APPLICATION City Joh NumhereO~..'"lOd~<!?OSq4- 3. COMPLETE FEE SCHEDULE BELOW . I. LOCATION OF INSTALLATION Iz'll.( J)e:-z... ,Z-dJ€ ",,,,II . ~\o'l'\'~lf Residential-Single or .\\.6 "e~~ \e,,6 Il Multi-Famil)' per dwelling unit. LEGAL DESCRIPTION .A ,..,.._ _1l'O"'~ _9.01 Service Included: \"l 0 ';. '""Z. :; A; Il.-- D ~ ~ ..00IlI' <;:)fl-r:; ->>. 'Jl.. Items Co,! Sum ~\O~\{\y 600':1 ,,- L..-:: JOB DESCRlPTION'~~". e~6 , \ ~ 0 sq.ft. or less Av D 10 - 1-'I(orfl"E 0.<~ Each additional 500 - ______ sq. ft or portion Permits .;lre non-trans;era,~lt a~~\~\le\Il'. thereof If work IS not started wdiun 180,davs . Each Manufd Home or of issuance or if work is susp~~lded 'for Modular Dwelling 180 days'.L Service or Feeder .;?, ~~ 0" .:p i.. 2. CONTRACTOR lNS~ ~A TION ONLY B. Services or Feeders ",-4, .::y ;::.0 !:'l . .~~."- I II' AI! ,00 t'-~ _0 n~ " ":-:~" ~ nsta allan, sra,JJln~or~v 0'" 0 Electrical' Contra~or~< ~() Fr "'--/)J I AIL-Relocation: oOv. j.'li ~ OJ ....!!} ~ ~ ~~~- ~O~~0~~ Address_/~._.<~.. ~<<J 7 rfl 200 amp'6,ir'fa~'~O &~0-fl~.&(.J'?f $ 63.QO_ ci:i.'r.~' ~ . . 20 I aI;lP~ ~,?>"4 $al~s '$>"';;Soll) ~O'.,. . $ 75.00 _ City~~e-~ Phone ~g s- ,:~c!() ~~:~::tt:&,~~};,:{,~~~~ ~~~;'.~~ _ ~~~_~1;'$;'_ ~:,;,~;~:: ~'*f'J'Jll#f#';>:';i:: " ,,~,~:,'.'"'~"SSri'..>:.: Co.: ,_' ;}i.,; . . -C' '. ';[c:c'lifl)Ojft9fs9iCJjY~ces~r~~id~rs ~. ,> ~~~~iir.NUI\lb~~;Zib - q~"i C,fp ,.:, ~~"'itt~~t~~<$~!~~~1Relocation ,,-, ~ -/' '-' "~',,,,,,,,'i!':;$'-j:;,"0q, ..-. '. . Expiration Dale ., b - r.:2ZcN;;'J, , 200anlps"Qrless , $50.00 201 ~mpS'lo 400 amps ' $69.00 Over 401.10 600 amps $100.00 Over 600 amps or 1000 volts see "B" nbove $106.00 $ 19.00 $ 50.00 Signature of Supcr\'ising Electrician d6fCvft.~ , {3 D. Branch Circuits OWllcrs Name 7J Ii' 0,,"; ~. . f'.A-tIZ.e>./ vll../C-iHtot:r New Alteration or Extension Per Panel' Address l-i.4-6,.-1>1i:-L~1Z- ~\\lE.. Cil,: ~ I "'~f \~L~Phonc One Circuil $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 OWNER INSTALLATION The installation is being made on property I O\\'fi which is not intended for sale, lease or rent. Owners Signature: E. Miscellaneous (Scn'icc/feeder not included) -Each installation Pump 'or irrigation Sign/Outline Lighting Limited Ener&'YlRes Limited Energy/Comm $50.00 $50.00 ~$25.00 "Z...Spo $45.00 l\linimum Electric Permit Inspection Fcc is S45.00 + Surcharges .J f'-A? TOTAL '" C1i :- 3r.t:- Jj.-'':.-- ~2- "! 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fee , , . . CITY VI< ;snc..INGFIELD Building/Combination Permit PERMIT NO: COM2003-00594 ISSUED: 0911212003 APPLIED: 07/08/2003 EXPIRES: 03/12/2004 VALUE: $ 237,927.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1244 Delrose Dr ASSESSOR'S PARCEL NO.: 1703234409400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: BURKHART DEAN C & KAREN S Address: 1616 HASKELL ST BURLINGTON IA 52627 I CONTRAClul<.JNFORMATlON I Contractor Type General Electrical Mechanical Plumbing Contractor SOFT TECH BUILDING SYSTEMS LLC BINNS ELECTRIC CO MARS HALLS INC CHAPIN ENTERPRISES INC License Expiration Date 73762 25790 81994 06/06/2005 1212312003 05/06/2004 Phone 541 726-3922 541-687-1362 541-747-7445 541-485-1146 BUILDING INFORMATION I # of Buildings: I # of Stories: 2 Lot Size: 12,607 Primary Occupancy Group: R-3 Height of Structure 24.25 Sq Ft 1st Floor: 2,172 Secondary Occupancy Group: U-I Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 260 Primary Construction Type VN Water Type: Gas Sq Ft Basement: Secondary Construction Type: Range Type: Gas Sq Ft Garage/Carport 739 # of Bedrooms: 3 Energy Path: Path I Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Yes 23.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: 20.90 5.00 5.00 100.00 30.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter Notes: Pa!!e I of 4 "t' . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00594 ISSUED: 09/12/2003 APPLIED: 07/08/2003 EXPIRES: 03/1212004 VALUE: $ 237,927.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuatinn Descrintion I Dwellines Garaee V Wood Frame Garaee $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,432.00 739.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $220,339.20 $17,588.20 $237,927.40 07/08/2003 07/08/2003 ~ Fpp< tiWIJ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $659.20 7/8/03 1200200000000001724 -Mechanical Issuance Fee- $10.00 7/30/03 1200200000000001866 + 10% Administrative Fee $162.22 7/30/03 1200200000000001866 + 7% State Surcharge $113.55 7/30/03 1200200000000001866 3 Baths One & Two Family $306.00 7/30/03 1200200000000001866 Annexed 1998 $-21.50 7/30/03 1200200000000001866 Appliance Vent $6.00 7/30/03 1200200000000001866 Building Permit $1,014.15 7130/03 1200200000000001866 Curbcut Permit $75.00 7/30/03 1200200000000001866 Dryer Vent $6.00 7/30/03 1200200000000001866 Exhaust Hoods $9.00 7/30/03 1200200000000001866 Furnace - up to 100,000 btu $12.00 7/30/03 1200200000000001866 Heat Pump $12.00 7/30/03 1200200000000001866 Plan Review - Planning $59.00 7/30/03 1200200000000001866 PW Mull Disc - 2nd Permit $-30.00 7/30/03 1200200000000001866 Residence Wiring 1000 Sq Ft $106.00 7/30/03 1200200000000001866 Residence Wiring Ea Addtl 500 $95.00 7/30/03 1200200000000001866 Sanitary Sewer - Improvement $430.25 7/30/03 1200200000000001866 Sanitary Sewer - Reimbursement $566.00 7/30/03 1200200000000001866 SDC MWMC Administration $10.00 7/30/03 1200200000000001866 SDC MWMC Administration $109.32 7/30/03 1200200000000001866 SDC MWMC Improvement $34.83 7/30/03 1200200000000001866 SDC MWMC Reimbursement $332.86 7/30/03 1200200000000001866 SDC Transpo Admin $50.22 7/30/03 1200200000000001866 SDC Transpo Improvement $727.42 7/30/03 1200200000000001866 SDC Transpo Reimbursement $164.89 7/30/03 1200200000000001866 Sidewalk Permit $75.00 7/30/03 1200200000000001866 Storm Drainage Impervious Area $945.98 7/30/03 1200200000000001866 Temp Power 200 amps or less $50.00 7/30/03 1200200000000001866 Vent Fan $6.00 7/30/03 1200200000000001866 Willamalane Single Family $1,000.00 7/30/03 1200200000000001866 + 10% Administrative Fee $4.50 9/12103 2200200000000001518 + 7% State Surcharge $3.15 9/12/03 2200200000000001518 Low Voltage - Residential $25.00 9/12/03 2200200000000001518 Minimum/Adjustment Electrical $20.00 9/12/03 2200200000000001518 Paee 2 of 4 ,.; . . CITY OF ;SrKll~l:r1'l~LD Building/Combination Permit PERMIT NO: COM2003-00594 ISSUED: 09/12/2003 APPLIED: 07/08/2003 EXPIRES: 03/12/2004 VALUE: $ 237,927.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,149.04 I Plan Reviews I Initial Review 0710912003 07109/2003 APP LLH Planninl! Review 07109/2003 07118/2003 APP TAJ Survey required to verify side setbacks. LOMR-F case # 01-10-275A revised FEMA Oood map to allow building in this area. A tree felling permit is required if 5 or more trees 5" dbh are removed. Public Works Review 07109/2003 07110/2003 APP DJW Structural Review 07109/2003 07130/2003 OK TCM 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. IR~~ I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To he made after excavation but prior to setting forms. 4 Erosion/Grading Inspection: After all erosion measures are in place. 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection In conjunction with footing andlor foundation inspection. 6 Footing: After trenches are excavated. 7 Foundation: After forms are erected but prior to concrete placement. 8 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 9 Post and Beam: Prior to Ooor insulation or decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. II Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Walllnsulation: Prior to coyer. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Final Building: After all required inspections have heen requested and approved and the building is complete. 16 UnderOoor Plumhing: Prior to insulation or decking. 17 UnderOoor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trencb. 22 Final Plumbing: When all plumbing work is complete. 23 UnderOoor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Gas: After line Is Installed and required testing and capped If not attached to an appliance. 25 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. 26 Rough Mechanical: Prior to Cover Paee3of4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00594 ISSUED: 09/12/2003 APPLIED: 07/08/2003 EXPIRES: 03/1212004 VALUE: $ 237,927.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 27 Final Gas: When all gas work is complete. 28 Final Mechanical: When all mechanical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 30 Rough Electric: Prior to Cover 31 Electric Service: Approval required prior to utility company energizing service. 32 Final Electric: When all electrical work is complete. 33 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.~onstruction. I~-l);t~ ;:r'~~0~ v 1-. Owner or Contractors Signature I '7 -(2-- o.s Date Paee 4 of 4 225 Fifth Street Spriogfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00594 COM2003-00594 COM2003-00594 COM2003-00594 Payments: Type of Payment Check llirr~.'-:"A ._I;IAl>_"-=,~.. ..-._.-..-._ :... _;_"',"'~'c . l::"' ; , " '"'" ~,"_,~" .1 Receipt #: 2200200000000001518 Description Low Voltage - Residential Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Received By jmp Check Number Batch Number Authorization Number Paid By OLDFIELD'S WAREHOUSE 64112 City of Springfield Official Receipt; Development Services Department Public Works Department Date: 09/1212003 1I:02:26AM Amount Paid Item Total: 25.00 20.00 3.15 4.50 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65 . .