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Home My WebLink AboutPermit Electrical 2005-10-13 ... ,&-0 ~0 ",0 0':; ~~ ~ \1>~ rl.>'e- 6~\V ~~f::J~INGFIE' ::0.\0 1> <:>,.v' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~,0 ,0 <:' ELECTRICAL PERMIT APPLICATION ~,,,Q,)00'" I. City Job Number a:>W\ ~OO '> - 00 S" ~ 7 ,,,~~0:~ ~Cl, () . ..o\:' 0-.1 1,..0 0 I. LOCATION OF INSTALl.ATION 3. COMPLETE FEE$t:HED')R' ~}i!)ijw 17t{Z ~/ra\ t" fL ,.. ." ('."" J'1,: A. New Residential- Single .or~1ulti-}~amily per dwelling unit. . CITY OF S'pRINGFIELD, OREGON \---,1 LEGAL DESCRIPTION /70') z\{"!> I 6(~OO JOB DESCRIPTION j\,J! Z C. \ rc....-.,+S Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CON1'RAC1'OR INSTALLATION ONLY Electrical Contractor S7l:.of HfIo",,- Address P.O. Bvt +I3i., City ~ Phone ~;;!I-A""-S Supervisor License Number SS=t"'JS Expiration Date 10 -/ -()/ Constr. Cantr. Number J'-/?t..IB Expiration Date L{ - So - 01-' Signature of Supervising Electrician ~ :I~ & . Owners Name J AIN\E:'"') Y\A (...(c.t:~ Address 17L( L ~::H={~O S e: .1?L ~ '>r-'1L Phone 726 - . ([g) City 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 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Sl'rvices or Feeders -Installation, Alterations or Relocation: 20'J.,.'t'l'MIOO: Oregon law rP.nuires VI$t6Y.ll0 20Idt1WlffilWP~ed by the Oreoon 1$i7~to~ 4111bttm!litl81i~~WJ?l'. Those rules are S~$~ 25~~0 6ffi OPlP;;!lQi~CI!)()1\(iIPW through OAR 9'$163:00 Ooo9'9.oqCl\P1p~y<dtstain copies 01 the n$3'f5'o'6 Rec'l?J/fffO&W~ center. (Note: the telepl$:SO'Oo number lor Ihe Oregon Utility Notlflcalion C. TemporaO't.~~~i~SS1Oalltcdtrs-2344). . Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel I One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit I $ 3.00 l(7 ~ E. ~1iscellaneons (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 NO~~utline Lighting $ 50.00 THIS-PtliR~<6H~QllrflTaI'IC'M ~25.00. AUnID8n~IiGJdN~~PEAMrT IS 00145.00 .~. mmMMi.ticmDAJl~~qQg5.00 + Snrch;rges ANY 110 OIlY PERIOD. l{ I 4. SUBTOTAL OF ABOVE ~ 3Z,Z Lf60 S"3 e.~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T;)/Building FonnslElcctrical Pennit Application 1-03.doc: . Lll l' VI' ~rK11"GFIELD Building/Combination Permit PERMIT NO: COM2005-00537 ISSUED: OS/27/2005 APPLIED: 05/06/2005 EXPIRES: 01120/2006 VALUE: $ 91,200.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1742 DELROSE PL ASSESSOR'S PARCEL NO.: 1703243101300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Owner: JAMES MCKEE Address: 1742 DELROSE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor DENNIS R MINIUM STEVE HAUCK AUTOMATIC HEAT CUSTOM PLUMBING License 62682 147618 149452 . I BUILDING INFORM~TlON I - # of Units: t\01'Cl~ ' ~~\.l ~i\t'tfs\~~~E ~"01 . Primary Occupancy Gro'W\\S Pt.Rt&13~tiOER l~iEtft~I~re Secondary Occupancy Gr~KOR'lEO \S "B~GlrJtltf:v,' Primary Construction Ty tA~t.- 0" 100 Water Type: Secondary Construction . tall 0A1 ~ 'Range Type: # of Bedrooms: Energy Path: Sprinkled Building: nla , DEVELOPMENTINFORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 16.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 10.00 0.00 Residential Phone Number: 541-726-1185 Expiration Date 12/1112005 04130/2007 10/22/2005 Phone 541-747-8495 541-221-2665 541-726-7654 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: - ,__"t", , -, law P::::4U"........ 1 . . . ,PUBLlO'IMP.R0VEMENTS" the Oregon Utility Street Improvements: tollow rul"~ auu~'- - h Yse rSlaeWiiIk~~orth Fully Improved~otitication Center. T 0 h OAR 952-~01. Storm Sewer A~ailable: Yefn OAR 952-001-0010 thro~fsob't'uPJ'I'Mm"By:.s: Special Instruction: 090 You may obtain cop \ hone o . (Note' the te ep ~llifl(1 the center. '.. N titication Notes: Storm draiuage piped to existing weep hole s7:i2I2U05ICA~e Oregon Utility 0 numo,,' u," . 1 800-332-2344). Center 15 - Pal!e 1 00 Curbside 5' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction V Wood Frame Dwellines Fee Description Plan Review Residential -Mechanical Issuance Fee-- . + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Furnace - up to 100,000 btu MinimumlAdjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' Vent Fan + 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: COM2005-00537 ISSUED: OS/27/2005 APPLIED: 05/06/2005 EXPIRES: 01120/2006 VALUE: $ 91,200.00 I Valuation Deserlntlon I 5 PerSq Ft or multiplier 596.00 Square Footage or Bid Amount 950.00 Total Value of Project Value $91,200.00 591,200.00 Date Calculated 05/06/2005 If pp< PiIilIJ Amount Paid Date Paid Receipt Number 3200500000000000182 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 1200500000000000682 2200500000000001420 2200500000000001420 2200500000000001420 2200500000000001420 $347.39 $10.00 $68.05 $47.63 $534.45 $42.00 $12.00 $27.00 $59.00 $127.96 $168.28 $31.15 $326.74 545.00 514.00 $6.00 54.60 $3.22 $43.00 $3.00 5/6/05 5/27/05 5/27/05 5/27/05 5/27105 5127/05 5127/05 5/27/05 5127/05 5127/05 5127/05 5127105 5/27/05 5/27/05 5/27/05 5/27/05 10/13/05 10/13/05 10/13/05 10113/05 $1,920.47 I Plan Reviews I Initial Review 05/09/2005 05/09/2005 APP SKG Plannine Review 05/09/2005 05/18/2005 APP TAJ Public Works Review 05/09/2005 05/1212005 APP CAS Storm drainage to existing curb weep hole 5/12/2005 CAS Structural Review 05/09/2005 05/1912005 10 LLH Forwarded plans to Jason Bush for review Structnral Review 05/19/2005 05/25/2005 APP JB Approved as noted on plans Paee 2 of3 . . CITY OF ~rKll'\ju1'1J!.LJJ Building/Combination Permit PERMIT NO: COM2005-00537 ISSUED: OS/27/2005 APPLIED: 05/06/2005 EXPIRES: 01120/2006 VALUE: $ 91,200.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~~np"tiow Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post nnd 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. Final Building: After all required Inspections have been requested and approved and the building Is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to mling trencb. Final Plumbing: Wben all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Final Mechanical: When all mechanical 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. Owner or Contractors Signature Date Pa~e3 of3 225 Fifth Street Springfreld, Oregon 97477 5.41-726-3759 Phone . .~!'.;~~.. WIL. i ~~....., ~ . .. ': 1 ; . - -" -.- -.----- -.. J~b/Journal Number COM2005-00537 COM2005-00537 COM2005-00537 COM2005-00537 Payments: Type of Payment Check \ i, " I' ,.. 10/13/2005 RECEIPT #: R.ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001420 Date: 10/13/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By DENNIS MINIUM Received By djb Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 4154 In Person Payment Total: II:I5:20AM Amount Due 3.22' 4.60 43.00 3.00 $53.82 Amount Paid $53.82 $53.82