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Home My WebLink AboutPermit Electrical 2005-6-9 . I. .' . . .;-.'.:.' '. .qTYOf SPRINGFIELD, OREGON .... r SPRINOFI . l~\~~ ~~\{! ~ t.' 'I~ '-."'" ~ .. ".,. '" "'-"'''''''' " ~2""O~:~~i~.. .. ." . ~6\f{J (:<0'" b- g--or . ~~ 0"', ~,~ 00 W-~~.,..:!'~. "'-----...~'~~~~ ~. .'-.~.~ ~ .:..~_,.~ 3. COl'rIPLETEEEEBCh ., I: ..-R-;" "'.!'",".....,...;;'!"1"~1 U!;.~"""'".==._.,.._-~..~i5"'~1i ~~~~. '"';;:'''''''<'~''''-~''''''''''' .".0 ~\ . ~v~ 1;~ ~.,o.~'l). A. ;r~;;!..~;)a~~~.i~~~I!if~r[ij~~~~~~:~-~1~~'~g;~';it;~~~1 Service Included ~f' ..225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Coil1u:rO:> -0042 7 Date Pump or irrigation $ 50.00 Sign/Outline Lighting 550.00 OWNER INST ALLA nON Limited Energy/Residential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum:EleaH~Permit Inspection Fee is 545 00 + Surcharges ;:::. D\:. It \I'~ . . ~OI\C't;;.. \-II\\.\. t'i-PlnTi:PrI<:cIoill'\='-';>1\ .., "";-,';''- ~'f""::""::7';1 DtRl'A1I S '-\-IIS ~Hls.."HULA1;-O.li'-ABOVE';:;: .. .\ ,__':..;"", 1\-11S r to ll\'lOtR I ~tl'f~....~~""'''"'';,,,, .,.,~.. . "'.' ..'t:'''Dc' 1\1l\\.\O~~~('t:r\ OR IS 1\\)I\\'lO 17% Slate Surcharge C\.lWlWIL-"-" nCD\OO I\N'l '\ B() Ol\'l n.n' 10% Administrative Fee Inspection Request: 726-3769 TOTAL R.. .. - . .. - .....-...,. .=_.~. - ." ~--~rfa 1. . LOeATiCmoE-INST,4,' i ifA.TION.~5L. :.i4ci- .'- "- .-'-~~. ,-~._. ........." -.....:._._Cl.~..:lc;~........J:!'~ 1'11.{ 7 bClrose: Jr./ LEGAL DESCRIPTION /70.,S 2'133 JOB DESCRIPTION 04. &'00 #'01\ b c.. i/Lc..v.. \' ~ Permits are Don-transferable and expire if work is nol started within 180 days of issuance or if work is Suspended for 180 days. ECONTRA.Cii.iiFmSTjI'f!r1,fiiOMONEEJl 2. ...,.;~i~'''''''''''(."~-:'~~'m""",,,,..:.:..w.~'''''=~~..'t:.;:,;'-:.l.:'''~ Electrical Contractor ~p" ...'C. \ r\ =) F\ fr+r ,( J Address :;;2 I -j=, L'(~' ,~ , .~ I..., t' .- '_--< \\}I: City 'f' L \/~ V \~, -t Phone c::')+?).I;;lC:-) Supervisor License Number .;:) Cj..-lO;j Expiration Date \ D /1"J I / ~-),OO"1 I Constr. Contr. Number \ 'I~S-;:;< Expiration Date C'.~/c.)3 /;.~t()\ Signature of Supervising Electrician o C'~ Address C'^7~t:: --:J frl?- 0 u. ,,,,L I::-k:.... II..{L(Cj DC:::"(rose- A { SPF~ City Phone Owners Signature: 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or . \0 Modular Dwelling Service or .t re(\U\f9S 'fOW:fl9 Feeder ~. legon'lI' Oltl'd"n t\h l"".,...,..,.-~ ,. . .. .J ., ..,.,.. "'~lil.. ....... B ""'S.'''';t.:-.'~.~ ~.~ <a~..." "~~~!.~...:~.!;,, . (;11 e~,,~t9; ~'. f ~locatIon.~. ,., ,o\\bW:. nC~\el, . loU9' tul9'5V" .... '" 200 A~~~~~2.Q01..oo1~ \h OO?iElS 0\ ~lb\l.lbne 201 AI\1lI {U'Wl~'1 ontain t-,...IB: tne1~{lIa\ion 401 AmIWI6QjQWO mnscentel, ~g~n Utilit'/I.oo "",IIiI' \T~ Ole c . . 601 Amps nnO (xIJIst\'\e. 1-fl.oQ-332.- 163.00 Over 1000 ~s!V~ntel IS $375.00 Reconnect Only $ 50.00 C.,lTe~po~~se;AAces:'~lt~dirs~q~~t'.':trO::-~1~~~;~~ ;."oiJ:<'_' .... -' "'-- "..,.. ___. .W.";:. .~.:,~~~~jIl<~_".~..~g~,-."c...:~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps 5 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. . D :;a;"~:clR(?';" "i:.,,';:;J.J:ra%,"'NlBiliM~""'*"l:'n"";:;r.: ""ffii,~W:l;'~"'?'::;J . ,'.. _r~~ ~~:Jrc.u!,r',(:~':~~~'.;i;tS~;iiJti~;.:.l""K~J New Alteration or Extension Per Panel . O C. . I ne If CUlt Each Additional Circuit or with Servi~e or Feeder Permit $ 43.00 1(3 IS- S- . $ 3.00 E. . ':~~~~~fr~~~.;_~~(s~ry:i~~!~~,~:~;;t::li~"~Ji.d~~1~~~lh~~;i!;ti~~ 58 lIob 580 b761::, Shared Drive(T:)lBuilding Forms/Electrical Permit Application I.03.doc . . CITY VJ< ':)t'tONuJ<1J<..LD Building/Combination Permit Status Issued PERMIT NO: COM2005-00427 ISSUED: 05/03/2005 APPLIED: 04/14/2005 EXPIRES: 12/07/2005 VALUE: $ 18,240.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1449 DELROSE AVE ASSESSOR'S PARCEL NO.: 1703243304800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: EUGENE JANOUSHEK Address: 1449 DELROSE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor License DAVID ZARZYCKI GENERAL CONTRACTlll05626 REYNOLDS ELECTRIC 17252 ROCS PLUMBING 110117 BUILDING INFORMATION I Expiration Date 04/26/2009 0210812007 01103/2006 Phone 541-688-0243 541-343-7297 541-607-8704 # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: Range,l'ype: c ,II\-- \llUI.l # of Bedrooms: t "'l\Ct:, l t'i..PIRt Ir E.f~r.gr.\O~th: ~u nCRMIi S\-li\l 1\-1\S ptRNSprinltled Building: ,..\.-\\C;rL. ",,\n~p. .............cr\P. i\\Jir\C\-\\L~~DV6~ IS i\Bi';DEVELOPMENT INFORMATION I CONlNH~ i\'{ ptRIO\). Frontyard Sethack~'{ '\ BCl \) Overlay Dist: Urban Fringe Side 1 Setback: 44.00 # Street Trees Rqd: Side 2 Setback: 30.00 Paved Drive Rqd: Rearyard Setback: 38.00 % of Lot Coverage: Solar Setbacks: 0.00 1 16.00 Electric Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 190 Path 1 nla REQUIRED PARKING Total: Handicapped: Compact: '" Il:N "CI~ - follow rule I UB~~ Street Improvements: NotitiJ;atinn ~~'::':':."''''h y ne Oregon Utility Sidewalk Type: In OA#IB5~~""""" I, ose rules are set f rth Setback 5' Storm Sewer Available: 0090 01 "il!l1 0 through OAR 9 0 DownspoutslDrains: Curb and Gutter Special Instruction: " You may obtain COpies of th 52-001. callmg the center. (No. e rules by Notes: Storm drainage into e1l91ffi~Ijl1.soo I.1Is:U.I!lfji51T ~8,';AAt!ti~lm~fj covered patio 4/18/2005 CAS Center is 1-"~""~';ry Oliflcalion vv~-2344). Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellines Tvpe of Constrnction V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Plumbing Plan Review Minor - Planning + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00427 ISSUED: 05/03/2005 APPLIED: 04/14/2005 EXPIRES: 12/07/2005 VALUE: $ 18,240.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $96.00 Square Footage or Bid Amount 190.00 Value Date Calculated Total Value of Project $18,240,00 $18,240,00 04/14/2005 Fpp<, P~ilLI Amount Paid Date Paid 4/14/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 6/8/05 6/8/05 6/8/05 6/8/05 Receipt Number 1200500000000000446 1200500000000000564 1200500000000000564 1200500000000000564 1200500000000000564 1200500000000000564 1200500000000000564 1200500000000000798 1200500000000000798 1200500000000000798 1200500000000000798 $115.44 $22.26 $15.58 $177.60 $14,00 $31.00 $59,00 $5.80 $4,06 $43,00 $15,00 $502.74 I Plan Reviews I Initial Review 04/15/2005 04/15/2005 APP LLH Plannine Review 04/15/2005 04/28/2005 APP TAJ Public Works Review 04/15/2005 04/18/2005 APP CAS No SDC existing covered patio-storm piped to curb face 4?l812005 CAS Structural Review 04/15/2005 05/02/2005 APP RJB Received truss drawings 4/28/05 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. Rpnnirprl 'n~,nprUau.LI 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. Paee 2 of3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00427 ISSUED: 05/0312005 APPLIED: 04/14/2005 EXPIRES: 12/07/2005 VALUE: $ 18,240.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Shear Wall Nailing: Before covering sheathing with finish materials. Frami~g 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. Underl100r Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover 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 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. I Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00427 COM2005-00427 COM2005-00427 COM2005-00427 Payments: Type of Payment CreditCard " l .. .' 6/812005 . RECEIPT #: 8!'~._a"""'1 Wi.'......."'......=.'........'.. ..... ,. " . ":::""11' : 1,'. l ,- m."'",'.".""" ......_' '- ..-. -., ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000798 Date: 06/08/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 043368 In Person Payment Total: Page 1 of 1 8:S7:48AM Amount Due 43.00 15.00 4.06 5.80 $67.86 Amount Paid $67.86 $67.86