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Home My WebLink AboutPermit Electrical 2000-6-30 . , . .C.C ~ /:>-: . ~t.. . MAis ,~. " 8pf.jfU'''i1QI,I.' U"t ", B!fi.fg IJ.11,t ~... Vet, ....<;,,, i,' :1 -... _ fJblttlh \ ..,.]1 225 uuo STREET ,. ::(jijJ . " '~qult& ~:% hes the" ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974n __ !ig, Clflclef1C/o:OWIf1g _... INSPECTION REQUEST: 726c;~.?69~', sEti ty Job NllD\ber 00 0 0 ~ II 0 f OFFICE: 726-3759<-0 ~t'r"',u, ""V/i 1. LOCATION OFnINSTALLATION '1,4,,, 'PO JL ('0 V\ l\.h E FEE SCHEDULE BELOV LEGAL DESCRIPTION 1702.. \Q60 05.'-100 JOB DESCRIPTION uJh rJ-t'.) 11 ~ /.U--Uv{M 1 C _' Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. , 2. CONTRACTOR INSTALLATION ONLY Electrical Co~tractor 1:1 f r::: et.fl (I,. Address ~O f::;o y: I &;2,(p A ( t... q 7 ~2 ( City o{H1 V nRPhone 5q(-c,ro7'~ro2-7 Supervisor License Number ~?t d-..S /0-/-00 Constr Contr. Numberc9L{Z f s(2 /6-(-1)0 Expiration Date Expiration Date Signature of Supervising Electrician ;< ~." C-~ Ovners Nanie 12. ( I^-fJ.-.. JJ fA. { l-e V . I Address po 15'0x '2CY-{ ( City Cc::;:,t2 v A II ( ~ .Phone tzb -03.30 01lNER INSTALLATION The .installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: DATE:_. _ C>b~'Zc>D ~W>.1U II: ""~bg RECEIVED DY: "(;>R A. Items Cost I ,. ~ :l ;1 1 j esidential-Single or Multi-Family per dwelling unit. Service Included: 200 amps or less 201 amps to 400 amps O",er 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Sum I d. $ 85.00 ~s- .()O 3D. otJ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 S 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permi t. $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm $ 40.00 S 40.00 D S 20.00 ~_::;:l $ 36.00 AJ~~ /'Yf'\ c-J nl 00 5. ~UBTOTAL OF ABOVE f I 'S. ~ v ';? ~ '!'!' "P .....~213 7 % State Surcharge, ~.~~ I 3 ""0 TOTAL ~ q~ F/.p 6 ~ >-""'8 'rifted! ~l02(~~~ ,. . .- CITY VI< ISrJUl'IljI<lliLU Building/Combination Permit PERMIT NO: COM2003-00005 ISSUED: 01/21/2003 APPLIED: 01/03/2003 EXPIRES: 07/21/2003 VALUE: $ 147,724.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3422 Falcon Drive ASSESSOR'S PARCEL NO.: 1702194304200 Springfield TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: RAKOCZY WELKER ENTERPRISES INC Address: PO BOX 395 CRESWELL OR 97426 Phone Number: 541-513-2228 Phone Number: 541-513-2228 I CONTRACfO", 11,~uI<.1dATION. Contractor License RAKOCZY WELKER ENTERPRISES INC 56636 EVERYDAY ELECTRICAl!. SERVICE 136371 DEAN M SCHU~!~'lOv~~'l 133733 RAKOCZY W~Rl'E~]l~Rf..RISES INC 56636 I~~~-""'~'" '/I" f;)'-' R & S J~~::1'~""" ~\~ :"-Z::~~ '()', 103816 o~q\'d lI.e6'O~",e\\\JJBi:iII>DING\INFORMATlON I ~"\~ 'lJ.60~ ~~~ /(\\o~~ '1>0" e~~' :i.'o" # OfBUildings:~~ \~\0'" G0~~(j(j'\c.~co~'~~e\~'diSt~ries: 2 Lot Size: Primary Occupan:cy-l'G!i.qup: ,,(j'\' ",\!t~ ~'0\0' .\\~Hei2~t of 27.00 Sq Ft 1st Floor: \V '.lc..'il' <...n.v 0" ~ ,\~, ,.;;Pr f Secondary OC~8l!-.oc~ ~>J" ~'lJ.'l iW.l O~ v :z:....ype 0 Heat: 'orced Air Electric Sq Ft 2nd Floor: P'rimary Construc~ll'Typ,r) 0c0\\~~(j'~'3 Water Type: Electric Sq Ft Basement: Secondary ConsW~o~\~ ~ o\~ev\~\'~ Range Type: Electric Sq Ft Garagr6~ort # of Bedrooms: C~ :o0\~ e\\\e\ 4 Energy Path: Path I S,9 !j:t~1N. "IC\' ~~~ G C'1-?\WO~"eO\itlllf.SlM"ce Area: -... . '\ \ '" . ~C9.\''j\\' __1 IDEVELOPMEN~ro~tI~~~\~~~~Q~~U'~ ,~,\V y.G~$t:.v - Q~ \~ \>.'0 REQUIRED PARKING Overlay Disl\-\i\\'-!I\'-!It.~Ct..~ ?~~\Q~' Total: 2 # Street Tree~.c).~ \ $(} ~fl' I Handicapped: Paved Drive It<iii: Y Compact: es 22.00 Contractor Type General Electrical Mecbanical Owner Plumbing Expiration Date OS/22/2004 08/12/2005 02123/2003 01/04/2004 Phone 541-895-8606 541-607-6908 541-767-0626 541-513-2228 541-461-4714 6,137 858 994 488 SETBACKS Front yard Sethack: Side I Setback: Side 2 Setback: 18.00 7.00 5.00 Rearyard Sethack: Solar Setbacks: 44.00 62.00 % of Lot Coverage: IPUBLIC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: FullV Improved Yes Sidewalk Type: DownspoutslDrains Curbside 5' Curb and Gutter Notes: I of 4 . . CITY OF SPRIJ'<Iut<IELD Building/Combination Permit PERl\flT NO: COM2003-0000S ISSUED: 01/21/2003 APPLIED: 01/03/2003 EXPIRFS: 07/2112003 VALUE: $ 147,724.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Valuation Descriotion I Description DweIlin~s Gara~e Type of Construction V Wood Frame Gara~e $ Per Sq Ft $74.60 $19.60 Square Foota~e 1,852.00 488.00 Value $138,159.20 $9,564.80 $147,724.00 Date Calculated 01/0312003 01/0312003 Total VaJue of Project r Fees Paid I Fee Description Amonnt Paid Date Receipt Nwnber Plan Review Residential $469.07 1/3/03 1200200000000000490 -Mechanical Issuance Fee- $10.00 1/21/03 1200200000000000575 + 10% Administrative Fee $132.D7 1121/03 1200200000000000575 + 7% State Surcharge $92.45 1/21/03 1200200000000000575 3 Baths One & Two Family $306.00 1/21/03 1200200000000000575 Addressing Assignment $8.00 1/21/03 1200200000000000575 Air Handling Unit Up to 10,000 $8.00 1/21/03 1200200000000000575 Annexed 1997 $-18.94 1/21/03 1200200000000000575 Appliance Vent $6.00 1/21/03 1200200000000000575 Buildiog Permit $721.65 1/21/03 1200200000000000575 Curbcut Permit $75.00 1/21/03 1200200000000000575 Dryer Vent $6.00 1/21/03 1200200000000000575 Exhaust Hoods $9.00 1/21/03 1200200000000000575 Furnace - up to 100,000 btu $12.00 1/21/03 1200200000000000575 Gas Fireplace $30.00 1/21/03 1200200000000000575 Gas Outlets 1-4 $4.00 1/21/03 1200200000000000575 Heat Pump $12.00 1/21/03 1200200000000000575 Plan Review - Planning $59.00 1/21/03 1200200000000000575 PW Mult Disc - 2nd Permit $-30.00 1/21/03 1200200000000000575 Residence Wiring 1000 Sq Ft $106.00 1/21/03 1200200000000000575 Residence Wiring Ea Addtl 500 $38.00 1/21/03 1200200000000000575 Sanitary Sewer - Improvement $470.12 1/21/03 1200200000000000575 Sanitary Sewer - Reimbursement $618.52 1/21/03 1200200000000000575 SDC MWMC Administration $10.00 1/21/03 1200200000000000575 SDC MWMC Improvement $34.83 1/21/03 1200200000000000575 SDC MWMC Reimbursement $332.86 1/21/03 1200200000000000575 SDC Sanitary/Storm Admin $96.90 1/21/03 1200200000000000575 SDC Transpo Admin $49.61 1/21/03 1200200000000000575 SDC Transpo Improvement $709.81 1/21/03 1200200000000000575 SDC Transpo Reimbursement $160.87 1/21/03 1200200000000000575 Sidewalk Permit $75.00 1/21/03 1200200000000000575 Storm Drainage Impervious Area $612.22 1/21/03 1200200000000000575 Temp Power 200 amps or less $50.00 1/21/03 1200200000000000575 Vent Fan $12.00 1/21/03 1200200000000000575 Willamalane Single Family $1,000.00 1/21/03 1200200000000000575 Total Amount $6,288.04 2 of 4 ....:.Ii~. ...,.~...=.~..=,.....=...lM......~..........".; 'r-,"":;;2~;;'~---;_,",:"""'- ,'-- ".'..., " - ;'- .....-. , . ,,;,', ,- J'" ' t" " <> , . . . CITY OF SPRII~u~JELD Building/Combination Permit PERMIT NO: COM2003-0000S ISSUED: 01/21/2003 APPLIED: 01/03/2003 EXPIRES: 07/21/2003 VALUE: $ 147,724.00 Status: Issued 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 Strnctural Review 01/06/2003 01/06/2003 01/06/2003 01/06/2003 I Plan Reviews I 01/06/2003 APP 01/10/2003 APP 01/1312003 APP 01/1712003 APP LLH EMM DPE TCM 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 Reouired Insnl'ctions I I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Staudard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavatiou but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rougb in inspections have been approved. II WaU Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Final Building: After all required inspections have been requested and approved and the building is complete. IS UnderOoor Plumbing: Prior to insulation or decking. 16 UnderOoor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testiog. 18 Water Lioe: Prior to filling trencb and includiog required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbiog: When all plumbing work is complete. 22 UnderOoor Mecbanical. Prior to insulation or decking and including required testing. 23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 24 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. 25 Rougb Mechanical: Prior to Cover 26 Final Gas: Wben all gas work is complete. 27 Final Mechanical: Wben all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. 3 of 4 . . CITY OF SPRll~ut<JELD Building/Combination Permit PERMIT NO: COM2003-00005 ISSUED: 01121/2003 APPLIED: 01/03/2003 EXPIRFS: 07/21/2003 VALUE: $ 147,724.00 Status: Issued 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 carefuDy 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 oftbe City of Springfield and Ibe 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 a to ensure that all required inspections are requested at the proper time, that each address is readable from the street, hat he per:l.%d is located at the front of the property, and the approved set of plans will remain on the site at all tim' '. !!;~on~ / ft/~3 Owner or Contractors Sign..tu"re Date 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 C0M2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 1/21/2003 9:46:13AM City of Springfield' Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000575 Date: 01/21/2003 . Amount Paid 8,00 1,000,00 106.00 38.00 50.00 59,00 75.00 75.00 . (30.00) 612.22 618.52 470.12 160.87 709.81 332.86 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review - Planning Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement Page I 00 cReceipt.rpt 1/21/2003 9:46:13AM 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000575 Date: 01121/2003 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 SDC MWMC Improvement 34.83 . Annexed 1997 (18.94) 10.00 SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin 96.90 49.61 Building Permit 3 Baths One & Two Family 721.65 306.00 Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 12.00 Vent Fan 8.00 12.00 9.00 6.00 6.00 . COM2003-00005 COM2003-00005 Exhaust Hoods Appliance Vent COM2003-00005 Dryer Vent COM2003-00005 COM2003-00005 COM2003-00005 COM2003-00005 Gas Outlets 1-4 4.00 30.00 12.00 10.00 Gas Fireplace Heat Pump -Mechanical Issuance Fee- Page 2 of3 cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2003-00005 COM2003-00005 Payments: TWe orPayment Check Paid By + 7% State Surcharge + 10% Administrative Fee RAKOCZY WELKER ENT Receipt #: 1200200000000000575 Date: 01/21/2003 Received By Check Number Conlirm No djb Page3 of 3 1/21/2003 9:46:13AM City of Springfield Development Services Department Public Works Department Official Receipt 92.45 . 132.07 Line Item Total: $5,818.97 How Received Amount Paid In Person 5,818.97 $5,818.97 Payment Total: . cReceipt.rpt