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Home My WebLink AboutPermit Electrical 2004-9-24 -S P"0?l t); CJ. 91 E:iL;C' .--~ f'C".l"b P ~ iA L W \ 12- \ f--!:(", /0. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-36~l}'o ~\9-,- /fa '?/" 0 ELECTRICAL PERMIT APPLICATION ;orot.'a? rs4,. City Job Number CO~ 2..uO~"'- C~l q 0 Date V ~ - ~ ~- 0 ~ <;)";}>.or .,,~ ~ '<) 9,:' 0-",' , oo?, is>1S' <9" 3. COMPLETE FEE SCH~(; H$L01-?o/~1S' ~ /' IS' &, is>Q '0 ~ >' r, ~;.~;. <;;>~ ' '::y c9 "@ A. Ne'Y Residential....Single orMulti-Fa ~ ,~r~ unit. \ ~.l!'~ Service Included '0 /(> ~ ~&-,- <;:).)( '2 o~ 1000 sq. ft or less ~ \.'1 1 0 ~~ 00 Each additional 500 sq. ft. or portion thereof 7-_ ~ 0 ~:~~;(J Each Manufact'd Home or ~ Modular Dwelling Service or $50,00 Feeder JOB DESCRIPTION 1. LOCATION OFINSTALLAl'lON 5 0 -ZC1 C=O\L5''-( '\ \-\ \ A. 'DR\ \l S . LEGAL DESCRIPTION l~ Oc- 0 [\ 2?- 0 '2..S OC) Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 days. City~j UVI,,-\-t, M ({~Phon' ?'/ (U,'~?z /;'",,(( ..\~~ , ,<,':.:\ \,<', Supervisor License Numberrt\ (;,15.t,:l.4.~'(A\.J . _./ . "'. "...,\..J ! 1\' /.:....'. r..?'.\' '\. ':>(.-'\ Ct' 1 {',,-' ,~""",""J Constr. Cottr. NUmber" e~1~i~) ( ~~~ ~::: ~: ~~~ Amp~:;)\() ~ ~~:~~ ,,- ,\ /____- 401 Amps to 600 AfflPs~ $100.00 E . . D '?;l_ 2 --f".(-" r;" -,\' xplratlOn ate \~.- -- c. -:J Over 600 A~,()i.~eod,~eitst~)~:W above. S,ignature of SuperVising Electrician D. B~a~E~~k~~,~~(Q~~:.J~~%(;~ i: '.' ',~'i . ~ ~~;nt~r~~~i~r\~f~i~~~~t~~~J ~""fl , )vf / "r I ," ;."; .\".;.. ,r,'O) \~j' ;,..;.::.. \ . (A--.Jx/{,{l '.... ?r tv ),/L~A) ~/~1"<?r~~~~?-~ti'~'\Y':;P:/~ ,;;:-.c< \ ) ~/,.'.Ea,c~~~(;tiJlo~~l:.~l\~S~~w':~",C'\' '- G.. . 1,.(, VS~tv1~;Or ~~~er f!e!:\,lllt! . ,,;/rJ $ 3.00 Owners Name :zf\Ii2-c. ,,'-.of'-lO\.._ b, "'<;(!;~,,);.~ J /y"'c:,}, ;sbt; _ ..:., '. ,"J", <'0\., 0\ 'i( .' ~.0 ~ i f.J Address '3 (b~ WOL~ fl\.s= f.\t>OC9->'$., Cl\.l<, C~;: 4\11~~ij~~~~~~ice;feed~rnot incl~ded) -Each Installation City EJGj- i'-~E Phone Stt\~ :?JttL -4B\~';)~~;~'~~~: $ 50.00 S~Outline Lighting $ 50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45.00 2 "CO!VTRACTOR INSTALL1,!:IR~ O~fr. B. Se~~:ice~or Feeders-InstaUation, Alterations or Relocation: 'Jl\" I. tk') T&\J t/'I ['.- ;, . '\ ' J. Electricat t-o~dctg;e (: {;/.,t c.et-{'17,1(''vT''-eh, (h .H{; /t'-200 Amps or less ", " ",' I' (\ 201 Amps to 400 Amps Address Cj 2<<t) {;, ~ 0 (UUQ.()"{'Ec f=<c~/' 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375,00 $ 50.00 C. Temporary Services or Feeders Expiration Dat7, Installation, Alteration or Relocation $ 43.00 OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. SUBTOTAL OF ABOVE Inspection Request: 726-3769 TOTAL l4l\ ,00 10,09, l Q ..tl...O l lc l('). ~ b ;j C3-j K ~-\ ~__O('I 7% State Surcharge 10% Administrative Fee Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application I.03.doc -~~ Status Issued CITY OF SPRIN\J111ELU Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 09/23/2004 APPLIED: 06/28/2004 EXPIRES: 03/23/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5029 Forsythia Dr ASSESSOR'S PARCEL NO.: 1802042202500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Amb Lis lot 6 - SFR Owner: GARY KONOLD Address: 3169 WOLF MEADOWS EUGENE OR 97408 Phone Number: 342-3762 I CONTRACTOR INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Contractor ~ GARY KONOLD ~\J~\J'\ FARMERSELE~€b~ PACIFIC. ~ Am i~~~INC RS PLU~~'RACTING \" v '<'-('" ~ I . ~~\,; ~ ~ ~~\j I BUILDING INFORMATION' . ~. ~ S ~<\)S ~<Q ,0 # of Units: ~\~~~ ~ \S ~ ~,(\~. # of Stories: ~ov. ~~ ~ot Size: Primary Oc~~\~ ~(~:.\~,<\) <:J'X<<..~-3 Height of Structure '~~?l~~:\.'O~,Ft 1st Floor: Secondary OcNP.~~ '~~ U-1 Type of Heat: \~o.':.~~~ ~~~t 2nd Floor: Primary Constr&:'f\o.,~~~~ VN Water Type: ,'b-~ e '-J!;~&:~~<?l~ ~Sii Jht Basement: Secondary constrbt't'~4 Type: Range Type: ~O~ 'Q~ ~~ \~0 O~ ((:oflJ -I; ~q"th(';arage/Carport # of Bedrooms: ~ 3 Energy Pa~~\0 ~flJO x:--0C3 ~~a~r e-flJl~ Other: Sprinkl~'Bu~~.~ ~o R~T~flJ ~~&jccupant Load: ,-<.~ ~ 'lJ ,.'\0... <;:) r~ ..... l"\ ,~. I DEVEL~~"roii.- -p.~" ..t ffI~' ~~\;'i~ .. ,~~~,1~ ~. ;00;) ,0\ ,&,v'lJ C?>~ ~'O- flJ~ 0(,.0 ~<;:)\:f O~~~v. "S'flJ C; "S'flJ 'f.> '\' # Sttl6e~~~~~\ ~rQ" Paved ~ri~~ (t~<:' % of Lot C~"i-age: License 52796 89886 39237 103816 Expiration Date 03/07/2005 03/2412005 03/25/2006 01104/2006 Phone 541-342-4819 541-998-6772 541-672-9510 541-461-4714 Contractor Type General Electrical Mechanical Plumbing 7,440 1,575 484 18.30 11.90 5.30 45.00 0.00 2 Yes 27.60 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: . Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Curbside 5' Curb and Gutter 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 09/23/2004 APPLIED: 06/28/2004 EXPIRES: 03/23/2005 VALUE: $ 157,291.00 I Valuation Descriotion , Dwellin2s Gara2e V Wood Frame Gara2e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,575.00 484.00 Value Date Calculated Description Type of Construction Total Value of Project $145,530.00 $11,761.20 $157,291.20 06/28/2004 06/28/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $490.20 6/28/04 1200400000000000995 -Mechanical Issuance Fee- $10.00 7/16/04 1200400000000001098 + 10% Administrative Fee $111.52 7/16/04 1200400000000001098 + 7% State Surcharge $78.06 7/16/04 1200400000000001098 2 Baths One or Two Family $254.00 7/16/04 1200400000000001098 Addressing Assignment $31.00 7/16/04 1200400000000001098 Annexed 1979 or Before $-79.29 7/16/04 1200400000000001098 Building Permit $754.15 7/16/04 1200400000000001098 Curbcut Permit $75.00 7/16/04 1200400000000001098 Dryer Vent $6.00 7/16/04 1200400000000001098 Exhaust Hoods $9.00 7/16/04 1200400000000001098 Furnace - up to 100,000 btu $12.00 7/16/04 1200400000000001098 Heat Pump $12.00 7/16/04 1200400000000001098 Plan Review Major - Planning $103.00 7/16/04 1200400000000001098 PW Mult Disc - 2nd Permit $-30.00 7/16/04 1200400000000001098 Sanitary Sewer - Improvement $344.20 7/16/04 1200400000000001098 Sanitary Sewer - Reimbursement $452.80 7/16/04 1200400000000001098 SDC MWMC Administration $10.00 7/16/04 1200400000000001098 SDC MWMC Improvement $214.23 7/16/04 1200400000000001098 SDC MWMC Reimbursement $314.63 7/16/04 1200400000000001098 SDC Sanitary/Storm Admin $96.18 7/16/04 1200400000000001098 SDC Transpo Admin $52.76 7/16/04 1200400000000001098 SDC Transpo Improvement $727.42 7/16/04 1200400000000001098 SDC Transpo Reimbursement $164.89 7/16/04 1200400000000001098 Sidewalk Permit $75.00 7/16/04 1200400000000001098 Storm Drainage Impervious Area $829.84 7/16/04 1200400000000001098 Temp Power 200 amps or less $50.00 7/16/04 1200400000000001098 Vent Fan $18.00 7/16/04 1200400000000001098 Willamalane Single Family $1,000.00 7/16/04 1200400000000001098 + 10% Administrative Fee $14.40 9/23/04 2200400000000001196 + 7% State Surcharge $10.08 9/23/04 2200400000000001196 Residence Wiring 1000 Sq Ft $106.00 9/23/04 2200400000000001196 Residence Wiring Ea Addtl 500 $38.00 9/23/04 2200400000000001196 Total Amount Paid $6,355.07 Pa2;e 2 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 09/23/2004 APPLIED: 06/28/2004 EXPIRES: 03/23/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Structural Review 06/30/2004 06/30/2004 06/30/2004 06/30/2004 I Plan Reviews I 06/30/2004 OK 07/1512004 APP 07/02/2004 APP 07/07/2004 OK RJB TAJ MS RJB 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pa2e 3 of 4 '-$~G:.:"'l~'.' ,..',...... WiL. --.- .' , ~,.\ ~ .. "- .'---._"""._..._~. -.. ....._'", CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 09/23/2004 APPLIED: 06/28/2004 EXPIRES: 03/23/2005 VALUE: $ 157,291.00 225 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. ownernrc~:~~~ q~23""c4- I Date Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C'ity of Springfield Official Receipt t'elopment Services Department Public Works Department RECEIPT #: 2200400000000001196 Date: 09/23/2004 10:42:57AM Job/Journal Number COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard GARY KONOLD Item Total: Check Number Authorization Received By Batch Number Number How Received Jmp 266970 In Person Payment Total: Amount Due 106,00 38.00 10,08 14.40 $168.48 Amount Paid $168.48 $168.48 9/23/2004 Page 1 of 1