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Home My WebLink AboutPermit Electrical 2005-4-11 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)71'6r.Jo,89 ~ ~' 0 ELECTRICAL P~RMIT AP~LICATION ,- , j Ii / ~ ~:o~? City Job Number 6..JvV\ 20 0 ~ - (') 0 c.') ( ) Date 't/!lO ') ~ /' "~;:.o~0 " {c", "."','."?"',', .'" '"'.'c',,.."', ,',.,", "'c." ',,' ",,,,,~,,,,,,,,,",~,,,,,,,,,,,,"''''''', ,'7 ~""""T """.~"H' '. .'i$'-"',~'.." ' 1. OCATIO/tl. OF..INStALLATIO/tl. , 3. ':;!;"(;OM.p41i.fEE~;, DttE,Brlr~ .."'2/';';'",',,'''''''' """..,"1.;,,,1.,,,.,,,,,'"1.,,;:;""'",,,//,,,,/. ",Xt,;"Wil:i;,; , '0K""""'""*''Ji't''''''';~i1'''f''''"')l3Mt''':':>'~ti''' ,,), Hit,), "'";',, '.i";;::;?;'~;" <1 :3 / to H I'- '7 J (,,=0. 12., (L \d- ~ .. ." ~ 'iT" ~;. " .. ,_ ",_'~",% ~ ~,1 LEGAL DESCRIPTION A. sidential- Si~gle Or lV {7 () Z l 10 0 0 0 7 (,) 0 Service Included 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 I/(,.., A TTE 40 1 Amps to 600 Amps $125.00 , " " , to"ow~~P~-PJequltesyea~.;', $163.00 Phone '1 ~ ,- G' C,,..;D NotjfjcaffoR~~~~Aw>~e Oregon Utilq $375.00 ;n OAR ~2W~t~Jhose rules are Set 1, i1fI $ 50.00 0090. Yo 1-D010 throu ~. call6ig number f~~%&?lE!QM:Ui' ~ telephooe einle;181'~'2~N6mqa. 200 Amps orm~~ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. JOB DESCRIPTION LuvJVol ~) e- 0/rc.. !4-lAct-o Permits are non-transferable and e~e' if work is "i' not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor ,.f') I /J{L ~f~ G' {/;,f' f., ,. t:7 Address I '-if c;- 1.< r C. ~ lty {j;:. ..:-...._..J ; Supervisor License Number g'("] LiEA' Expiration Date I () 101 ( 2 00 <) Constr. Contr. Number ')....0- i..{q3 C (,.,2 -" Expiration Date / tJ I~ r;;; ~" Signature of Supervising Electrician - /1/----- C~:::-c"" ---:? ?(Lv~ Address -:Sf 2(0 ltA-, dv"""-- \.? r'L ,~J City S ? r~ Phone c; <(~ ~ '7 rt' '7 Owners Name AL OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SPRINGFIELD 1000 sq. ft. or less Each additiona1500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. $ 50,00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 ~~~ili~~~~iff~~j~~q~l\~;j APh1i1~tt&i!t~ilDER THIS PERr\11T IS N~tO.oo CSi~iIifllli~~ A,6ANOONED FOR $ 50.00 A~ili1i1~A~i4Th'iitial r $ 25.00 Limited Energy/Commercial $ 45,00 2--;- Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. l{ \" 3/~ If )-0 Sl~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 10/11/2005 VALUE: $ 330,873.00 SITE ADDRESS: 3180 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1702190000700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Foundation only- and Single Family Residence Owner: AL & TAWNY A PRATT Address: 1021 OLD ORCHARD LANE SPRINGFIELD OR 97477 Contractor License Expiration Date OLD FIELDS INC 129736 06/09/2006 JUNG ENTERPRISES INC 102455 \&,04/2004 STEVEN DOUGLAS JACKS~~ ""'I.. :J.:~r..J~~Qu~e~~~~YN<74/2006 BUIJl,Dl~l~fQ~O'N'ie ~~ ~fe set iort" 'o\\O\l~ ',.... enter. ~ru e R 952-001- Nbt~~'tlm:~01.001 0 thrO~gh O~he rl1~Slb:y: iHfjgtR~ruc~lij5tain COP\~~l \e~91st Floor: ~~QeolfMeroa centger~1\r~~~oti~b~d Floor: W~atli1\}!p\he OregoO UtWs'SqFt Basement: R~~Jpr the,s 1.S0o-33~44)'Sq Ft Garage/Carport Energy Pat1il~{\tef , Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Contractor Type Electrical , Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 42.00 30.00 26.00 62.00 79.00 Phone Number: 541-988-9889 I CONTRACTOR INFORMATION I Phone 541-485-6000 541-937-2688 541-683-7535 1 R-3 U-l VN 19,002 1,500 1,969 480 4 I DEVELOPMENT INFORMATION I ' REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Floodplain 3 Yes 10.00 I PUBLIC IMPROVEMENTS I Sidew$'fpt~\t. 'N~~~ AC Mat Ql\ Ct:. ~\.. 1- t'f-~\t\t: ~ml\\1 \~ \~'0 \ No \,\, t\\\'J\\\ s\'\ t)olf'~~8dp.Ul/Dl'ill~ti~ Drywell - Provide \\'\\S? \ltD \J~Dt\\ BJ:\~Da~t.Q Drywell Engineering fl,\J\r\OR D 0\\ \S fl, CO\'J\\'JIt~~f>,"l ?t\\\OD. f\~"l "\ ~G Pal!e 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!s V Wood Frame Foundation Only Use Bid Amount Garal!e Garal!e Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Foundation Permit -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning Plan ReviewIResidential Hourly Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Refund - Willamalane + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 10/11/2005 VALUE: $ 330,873.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $1.00 $24.30 Square Footage or Bid Amount 3,433.00 2,000.00 480.00 Value Date Calculated $317,209.20 $2,000.00 $11,664.00 $330,873.20 01/06/2005 01/06/2005 01/06/2005 Total Value of Project ~ Amount Paid $851.44 $4.50 $3.15 $45.00 $10.00 $197.39 $138.17 $306.00 $31.00 $6.00 $1,309.90 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $90.00 $106.00 $114.00 $32.11 $47.38 $772.49 $175.13 $642.24 $50.00 $24.00 $1,000.00 $-1,000.00 $4.50 $3.15 $25.00 $20.00 Date Paid Receipt Number 1200400000000001659 2200400000000001561 2200400000000001561 2200400000000001561 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 1200500000000000040 VOUCHER #85870 2200500000000000410 2200500000000000410 2200500000000000410 2200500000000000410 11/29/04 12/30/04 12/30/04 12/30/04 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10105 1/10/05 1/10/05 1/10105 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/10/05 1/20/05 4/11/05 4/11/05 4/11/05 4/11/05 Pal!e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2005-00015 225 Fifth Street, Springfield, OR ISSUED: 01/10/2005 541-726-3753 Phone APPLIED: 01/05/2005 541-726-3676 Fax EXPIRES: 10/11/2005 541-726-3769 Inspection Line VALUE: $ 330,873.00 Total Amount Paid $5,169.55 I Plan Reviews I Plannin2 Review 01/06/2005 01/06/2005 APP EMM Conditions of Floodplain Development need to be met before issuance (septic permit, engineered fill, etc.) Remainder of planning review done. FEMA Elevation Certificate is an Occupancy condition. Septic Permit approved. LDAP has condition for engineered fill. 12/15/2004 emm (forgoing comments transferred from original permit # COM2004-01456 dim) Public Works Review 01/06/2005 01/05/2005 APP CAS See previous permit # com2004-01456 for more info 1/5/2005 CAS Structural Review 01/06/2005 01/06/2005 WE DLM No engineering submitted. Lateral wall design requires engineering. Called designer, who said that the engineering was given to the applicnat with the drawings. Called applicant & requested the engineering documents.12/21/2004 dim (forgoing comments transferred from original permit# COM2004-01456) Received engineering from applicant 12/22/04. Found descrepancies between the engineering and the con st. drawings. Contacted designer & engineer 12/29/04 dim. Structural Review 01/06/2005 01/06/2005 APP DLM FOUNDATION ONLY - 12/30/2004 Resolved foundation descrepancies w/ engineer by phone 12/29/2004 dim. Remainder of building not approved for construction as yet. Engineer still needs to provide additional documentation regarding descrepancies between submitted engineering and construction documents for remainder of structure. 1/6/2005 dim Structural Review 01/06/2005 01/10/2005 APP DLM Received revised engineering information 1/7/04 dim Added notes from original engineering that was absent on const.dwgs. dim Pa2e 3 of5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 10/11/2005 VALUE: $ 330,873.00 225 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. ~eouire<UnSDections I Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. 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. 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pal!e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 10/1112005 VALUE: $ 330,873.00 225 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 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 Paj!e 5 of 5 225 Fifth Street ~pringfield, Oregon 97477 541-726-3759 Phone .ii:~ ,....~~y of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2005-000 15 COM2005-000 15 COM2005-00015 COM2005-000 15 Payments: , Type of Payment Cash ;; 4/11/2005 RECEIPT #: 2200500000000000410 Date: 04/11/2005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By OLDFIELDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: Page 1 of 1 8:54:37 AM Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52.65 $52.65