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Home My WebLink AboutPermit Electrical 2004-5-19 (2) 'II,1"1r 1O~'...1I IlL..V .t1D:U.1-rK.l['-Ulll1'~U;J"8' \,ollT Vr-:UHlnUtlf:.LlJ \f:f11"_ J;ii 225 FIFtH STREET. SPRINGFIELD, OR 97417 .. PH:(S41)726-3753 . FAXll ELECTRICAL PERMIT APPLICATION CityJob~umber COiMzoC:J..I-0030o Dote Date < 'rr,'f" In'tall.llon;Alteration or Relocation It: irlc \NO 0'" . "n\rr,t:.r If ,~~ ,\ 200 AmP~lfi'" 'rlt>-'-'- t"r -,~~,~\I\Oll' . 201 ~~\ltc\ 11 ~1 S (rr, WI':> r.:: ~Q6)" .' . 401 Am1ih~ ~p'O.\l~~ IS '~\XrlS~Vv\lOO.OO o.~~ ~~~~~~\~~~i~'l!~:~>~':~,:,,,,.,,: .~"1f;;'7'" ~<'''~'' D. ~.B, ~l'C'~~Kt !!Jti'Q,t};~tq~ "t::';;':~;::'t" ;.,'~?;;:;; :;f';;,/t~i;fi':~)~f:-~ :!(?:1[tu:iJ;,'~~f:i\i~ "' ".....~., ,\-.. "',,\'Ul&~}f:. .""" ~l;'" '. .",.""",, ~''''\''' .~'""""~~ _'L . '~H~V:~~, New Alter ion Or Extension Per PAnel: ('" Onc CirCllit I; S 43.00 (~ Each Additional CirclIit or with L i. b Service Or Feeder Permil S 3.00 OwnersNnme i3ty 1Mf::--u Fo<L~ , Address z.-s-s-b MCIV1 ~ ....,,~ ~1;imf~~'\tiW~}~i~~;i~~jj~i:~;i'ir;~lliJ~'.irRi:~~b\fijnlii'tl~~:l . Jit~ J '\YffiI ~r..:.";:"~'_~,:,_-" '....... ":'.. -...'..,'", .!~,~~,"':.'l-. _":...'l,.:d:::::1. "' -:,'-.' "'::':..~i:,,:i' ,'L", _~, City 5> :P P1J 'a\lreoT~OI'I \a'N ;6re9on ~~I irrigation : S 50.00 ,..\re,~\ ~es ~dopteo U~se tU\8S are :5~tline Lighting's 50.00 OWNER INSTAL~~~ center. 1\'1 thtOUgh oto.R n!ll!;D:i1all EnergylResidential S 25.00 The instaUation is 1t.llil~\~~~p}~-c09~ ~.1_ 01 th~e...bi!llllld Energy/Commelcial ' S 45.00 .. i'. ~ 'C)bUl"h the tel I'''-'.an IS not ontended for S\IIe~05'1fIl-V tet. ~ote: .\it'i~\l'Jeelrie Permit In,peetion Fee is S~5.00 + Surchnges O 00 1I'I~n the ~n O' renon UtI ""AAI,"";';: "'~; ,"""" tV:" ;..~". . "'. ,." "., .' 'J'q~ .':0 ;"~ wners SignnlUre: call"" rthe "~..az'~"4', '!''StmTOTAL'OPABOv.E~:.:~.:t'':'.i:';~ ::iP;;!c':. ' u Co ...:oet 10 . ",-..oO\r'o' .i\ .,:;~,;~ l'~ ';~_~'..f.<, .,:'.-', ~~..,.....~:...: ;:,~~,."...~:,. '::' (-~.o:..= ;;~r: I', ~:-~\ ~ -, I nU\" cen\et \S , u ""..,~ -~.;:.",:,~,,- -..-""., ."'-....- - .".1.'. -:': f"\'<:;'7' --..,~.=...., .. . 7% Stale Surcharge ' '5 Lf J 10% Admini,trative Fee l( tV TOTAL 57 E 1. ~t~J?;~ll9lt;,gf~~#f~,~~'f~:~!~~~~t~~ Z~b ~VI.VV\~ LEGAL DESCRIPTION 17D \,23l(l.{ no (ZZ. JOB DESCRIPTION ',,~1~ ~ C (.a.~ .4-", Permits are non-transferable And expire if work i, not ."'rled withIn 18~ day, of Issuance or If worl, Is SUJpendec1lor 180 dAy.. 2. ~gg~~2}~~~~~~-[~~l~i~ Electrical Conlrllctor j \-'\ L:::, 0 .P ( .tV 10 Address ZJ~1 ~n ~CJgl City ~y-'()1rbJchhone ,4b-4hS"L-,' '-. I' . . Supervisor License Number <.fg15 S . Expil1uion Da~ 10 - I ~ 0'+ w-'Z..rrC ID-I-O'-f t C:;:~m$tr. Contr. Number Expiration Date: Sill"atwe of Supervi,ing Electrici<1n ~. L:/ . , lriipecllon Request: 726-3769 3. A. ~~tt~~~~?K1Ht,~:~!~~'~f.'~i~,~[~~1\mtp.~i~~.. :::"L:::~1f,:iI; Scrvlce Incl~ded 1000 .q. n. or les.. S106,00 Each additionol 500 'q. ft. or . ponioll dmeof S 19.00 Each Manufacl'd Home or Modular Dwelling Service or Feeder S50.00 D. [i~~~f~tii~~l~~~!~~~~~itr~!~[J~;.~EM~~im~l~~i 200 Amps or less 20 [ Amp. to 400 Amps 40 I Amps 10 600 Amp' . 601 Amp. 10 1000 Amp' Over iOOOAmpsIVollS Reconnect Only S 63.00 S 75.00 S125.00 S163.00 S375.00 S 50,00 c: i~r1#~~f!~~~~~~g~@JK~1~{j~~j~{j1t~1YfJk7[~St~~~~n1~ Shared Oriv"e( r:YBuildins FomtvEleetrical )mrrit App)jc~tion ).o3.doc I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2556 DUMAS DR ASSESSOR'S PARCEL NO,: 1703234400122 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/19/2004 EXPIRES: 11/14/2004 VALUE: $ 38,992.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing SFR Owner: BEV MEDFORD Addre,,: 2556 DUMAS DR SPRINGFIELD OR 97477 Phone Number: 541-726-6957 I CONTRACTOR INFORMATION I Contractor Type Architect Eiectrical Contractor APAZ J K GUCKENBERGER ELECTRIC INC Expiration Date Phone 541-744-2046 04/24/2006 541-746-4656 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Con,truction Type: # of Bedrooms: Vlhr Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: 5.40 0.00 License 45129 BUILDING INFORMATION I R-3 # of Stories: I Lot Size: Height of Structure 14.50 Sq Ft 1st Fioor: 422 Type of Heat: Forced Air Elect Sq Ft 2nd Fioor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garaj:~rt Energy Path: Path I Sq J',~'t: ~\Oi Sprinkled Buildin~: ... nla '- c'1-~WnPAll~'Ao\\it~~ _....,-r1". ....d~\ .,e'" Ot'J'\\ ~')Q. I DEVELOPMENT lfffGWl1I9N'I\\)t.?' ~~~\)O~'t.V" .!I' "~ir\\)"\~-t.\) O?' \S REQUIRED PARKING Overiay Dist: ~OW-W-t.~~~~R'Ii'Fth~~' Total: # Street Trees Rf!\~i \ ~\) Handicapped: Paved Drive Rqd:' Compact: % of Lot Coverage: 21.80 \O~l' Oregon laW ~i~ROVEMENTS I liENi "". 'the~I\';.'1 Street ImprovellienWrules adoPte~.Lr"">tJ$.r set10rlll 10\\0. enter, f''''''''- '/'. . ('. 952-001- Storm Sewer +''tl\~\On C -0010 through leS bY Special Instru~fi'l!11\P. 952-001 btain copies ot the ru one 0090 '(au ('(lay 0 lNote' the teleph . Notes: cailing the center. on Utility NotiticatiOn _, ,...hl}r tor the ore~^~/)344). 1 'centel''''';. - I Valuation Descrintion I Description . _ Tvpe of Con,truction Sidewalk Type: DownspoutslDrains: Setback 5' To Storm Sewer $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!' V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adju,tment Mechanicai Not Covered Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - ht 50 Feet Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initiai Review Planninl! Review Planninl! Review Public Work, Review Structural Review 03/22/2004 03/23/2004 04/30/2004 03123/2004 03/23/2004 . Amount Paid $199,10 $10,00 $43,83 $30.68 $306.30 $42.00 $24.00 $15,00 $71.00 $6.15 $122.96 $45.00 $6,00 $4,90 $3.43 $43.00 $6.00 $979,35 $92.40 Total Value of Project Fpp< PililLI I Plan Reviews I 03123/2004 04/30/2004 03/24/2004 04/07/2004 Date Paid 3/19/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/18/04 5/18/04 S/18/04 5/18/04 APP LLH WI APP TAJ APP SB WE DLM Pal!e 2 of3 . Lll:r' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/19/2004 EXPIRES: 11/14/2004 VALUE: $ 38,992,00 422,00 $38,992.80 $38,992.80 03/19/2004 Receipt Number 1200400000000000351 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 1200400000000000759 1200400000000000759 1200400000000000759 1200400000000000759 Do not issue permit until the property line adjustment on the property is recorded (SUB2004-00009), Final recorded PLA ,urvey received on 4/30/04. The PLA SUB2004-00009 is complete. Outside city limit,. Needs note from Lane County to add bedroom and bathroom to septic system? Need additional information from architect and engineer to complete the plan review. See documents for letter to architect. . . CITY OF ~rK1I"I\jn]<;LD Building/Combination Permit Status Issued PERMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/19/2004 EXPIRES: 11/14/2004 VALUE: $ 38,992.00 225 Fifth Street, Springfieid, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 04/28/2004 05/14/2004 APP DLM Received revised drawings and calculations responding to reque't from architect. Still waiting for calculations on snow build-up in existing and new roofs. 4/28/2004 dim Received revised information from engineer 5/12/04 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. I Rf'nui~f'ctions I 7 Footing: After trenches are excavated, 8 Foundation: After forms are erected but prior to concrete placement. II Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 13 Shear Wall Nailing: Before covering sheathing with finish materials, 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 19 Wall Insuiation: Prior to cover, 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete, 16 Underfloor Drain: Prior to cover or piacement of concrete. 10 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insuiation or decking. 14 Shower Pan, Prior to covering and including required testing, 15 Storm Sewer Line: Prior to filling trench. 3 Final Plumbing: When all plumbing work is complete. 12 Rough Mechanicai: Prior to Cover 2 Final Mechanical: When all mechanical work i, compiete, 17 Underfloor Mechanical. Prior to insuiation or decking and including required testing. 20 Rough Electric: Prior to Cover 21 Final Eiectric: When all electrical work is complete. By ,ignature, 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 Springfieid 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 in'pection, are reque'ted at the proper time, that each address is readable from the street, that the permit card i, located at the front of the property, and the approved set of plans will remain on the ,ite at all times during construction. Owner or Contractors Signature Date Pal!e 3 00 225 Fifth Street Springlreld, Oregon 97477 54i-726-3759 Phone . .f~;~"~.~~.I?>__,...m,. '.;.. 1&:. , ~--~ : j WJJ ' ~.,.~_._, ..' ) JiiilY of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 1200400000000000759 Date: 05/18/2004 2:1I:44PM Job/Journal Number COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of rayment raid By CreditCard JEFFREY GUCKENBERGER lIem Total: Check Number AuthoriZation Received By Batch Number Number How Received djb 000386 0635iO In Person Payment Total: Amount Due 43.00 6.00 3.43 4.90 $57,33 Amount Paid $57.33 $57.33 5/i8/2004 Page 1 of 1