The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-11-24 . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 'tt d has the following ELECTRICAL PERMIT APPLICATION /. / The following project as sUb,ml e ecific land use City Job Number c."3 _ 0 i 0 4'1 Date i 1/ Z VI 0 ~ zoning, and does not reqUire sp Ci~"proval, lA>{\- 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 ~~l'~~~M\1 SHAll EXP\~ ORIZED UNDER 1HIS OR AU1H -HO[O I)R \S ABANDcmt.QJt~S'urcharge ;~~\~\~Q DAY PE.R\OD. 10% Administrative Fee Inspection Request: 726-3769 TOTAL 1. LEGAL DESCRIPTION J 703J53Lf JOB DESCRIPTION \"2-c:-C-OA//V e-C T lX)700 s.t:!LVl C.C 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. Electrical Contractor ~ r t;lx.G7tIC Address f 170 JJ 287ft :Y t City:;P It, vJb F/t!lJJPhone 141- ~ 2/3 , ' Supervisor License Number ?4-~-S Expiration Date (b- ( ~ () ~ Constr. Contr. Number 12."117- ExpirationDate S- r2l--b-S... ~h r " Signature of Supervising Electrician l:~:!~~~-'=O~~~L stJ3 S Address c. sf-- 3vS- - 1f7)/ City c~f/~ Phone OWNER INSTALLA nON Owners Signature: 3. A. 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. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 5>-0 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" abo D. $ 50.00 $ 69.00 $100.00 ~r'~",,/ {'J ,;:. o.t~v~', " . ~(~~ :"'t!1t or New AlterahonVot;~Exrell~UH!,Per:J?~neHU~.:)) d'" ,): ' , .,~\,.f""',:rti~;:' \,..en,'"'' ' Q!1i.l ,);)~:.d( One CIrculll.ih,_ " "0" (I th~~\UCh$lf3.00 ' :.n;\,~q~"\',../.~001_:"",, ,'.A' .-... I"\'....~:~_ '-1'~::-~ Each AddIfiElnal CIrCUIt or ,W.Itht'~;:l t~')')'~. '. .,-, . " . ~fuo"''' \I",' "".IS\ J~.'" , . $ "3'00'"1nl"\"~ ServIceOF\F.eeoer-Penillt ,. ... ''''~~'''\'-:','L-"' ;J,"J..~ . ....~ "'='~l' ~;.... . \' ....~-- 'f' t' f' ~" I~~~q I.: :... u'V . . ~l.:'~"..l :'\~""~1 !!':!1.:0' ~ E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 50 SSD s-cJO f~8~ Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01044 ISSUED: 11/12/2003 APPLIED: 10/14/2003 EXPIRES: OS/24/2004 VALUE: $ 9,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-,726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 303 S C St ASSESSOR'S PARCEL NO.: 1703353400700 Springfield TYPE OF WORK: Foundation New Residential Owner: LAURA FOUMAL Address: 1750 WASHINGTON ST EUGENE OR 97401 Phone Number: 541-345-4751 I CONTRACTOR INFORMATION. Contractor Type General Electrical Plumbing Contractor OWNER ALERT ELECTRIC INC SPECIALTY PLUMBING CO License Expiration Date Phone 12772 102974 OS/22/2005 11/21/2003 541-747-2213 541-686-4191 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 980 R':'3 "" SETBACKS I DEVELOPMENT INFORMATION l REQUIRED PARKING Front yard Setback: . Side 1 Setback: Side 2 Setback: 10.00 32.00 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 3 Total: Handicapped: Compact: 2 Rearyard Setback: Solar Setbacks: \0' of Lot Coverage: 0.00 ,~p'S 'J~~\\\\\'J. . \'3-~ '(e<.b~el;iQBl.crCJMPROVEMENTS I 0'\'0 \I(;\ec;' b"" \ Street Improvements: .O'(eQ) C. 'Q'J '(\}\e1Q>~~ ';I.eS ",.C'\~. ~e Se:0 ~. e '(\} e Storm Sewer Av.ai!alile: '3-c.O~ ,\'(\0 <.0\}Q) 0\ \~ 01(;\0'0, ~ Special Inst'r~fi'6n: \WS r",St'&\n.sew~r tt.o;'drl.inag~~~itch'O-\\O "'. ...\ ,v v'O' ~'- cv~ X''C# :\,\\'- ~\O~... \0'\'0 OVO, i$\ ~e"'\l. ~O Notes: \0 .~\c'3-'\:. S?.~a ~ 0'O~ ~o 0\~\\'l ?Jf:t0;" ~o\\ ~~ 9 ~ ~-o: 'O'\'o\e'(' (\0(\ 37,,:7-- (\ O. ..;{O ......e C; O'(e~ "".~('3 '\ 90. (\ \\, ~':(\e 11 ~'v 00 ';I.\\'\'o':J \0'( \; ..\S \~ , c'O- X)e<. _('';,(>' (\ $ <,!:\, (' ,l" 29.90 NOTICE: Sidewalk Type: THIS PERMllp~M.clu&~li1iDskF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR , ANY 180 DAY PERIOD. 't Pal!:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01044 ISSUED: 11/12/2003 APPLIED: 10/14/2003 EXPIRES: OS/24/2004 VALUE: $ 9,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 9,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $9,000.00 $9,000.00 10/1412003 ~ Fee Description Amount Paid Date Paid Receipt Number Curbcut - Overwidth Appl $35.00 10/14/03 1200200000000002314 Encroachment Permit $120.00 10/14/03 1200200000000002314 Plan Review Residential $64.74 10/14/03 1200200000000002313 + 10% Adniinistrative Fee $29.36 11/12/03 1200200000000002449 + 7% State Surcharge $20.55 11/12/03 1200200000000002449 Addressil1lg Assignment $8.00 11/12/03 1200200000000002449 Building Permit $99.60 11/12/03 1200200000000002449 '., Moved Structure Plumbing Conn $45.00 11/12/03 1200200000000002449 Plan Review - Planning $59.00 11/12/03 1200200000000002449 Sanitary Sewer - 1st 50 Feet $45.00 11/12/03 1200200000000002449 Sanitary Sewer - Improvement $223.73 11/12/03 1200200000000002449 Sanitary Sewer - Reimbursement $294.32 11/12/03 1200200000000002449 SDC MWMC Administration $10.00 11/12/03 1200200000000002449 SDC MWMC Improvement $214.23 11/12/03 1200200000000002449 SDC MWMC Reimbursement $314.63 11/12/03 1200200000000002449 SDC Sanitary/Storm Admin $54.52 11/12/03 1200200000000002449 SDC Transpo Admin $58.57 11/12/03 1200200000000002449 SDC Transpo Improvement $727.42 11/12/03 1200200000000002449 SDC Transpo Reimbursement $164.89 11/12/03 1200200000000002449 Storm Drainage Impervious Area $312.62 11/12/03 1200200000000002449 Storm Sewer - 1st 50 Feet $45.00 11/12/03 1200200000000002449 Storm Sewer Each AddtI 10Q' $14.00 11/12/03 1200200000000002449 Water Line - 1st 50 Feet $45.00 11/12/03 1200200000000002449 Willamalane Attached (duplex) $924.00 11/12/03 1200200000000002449 + 10% Administrative Fee $5.00 11/24/03 2200200000000001797 + 7% State Surcharge $3.50 11/24/03 2200200000000001797 Service Reconnect $50.00 11/24/03 2200200000000001797 Total Amount Paid $3,987.68 I Plan Reviews I Initial Review Planninl!: Review 10/14/2003 10/14/2003 10/1412003 10/1512003 APP LLH APP TAJ This is considered a duplex because the roofs tie at the rafters and the foundations tie in. Pal!:e 2 of3 -"Ip!!H"Jl1~'!iii '- .il., i~ , ~::..-.- ~: '. ,i '.}~':-+r~,ae.-r.""f."'" ~..-; ~ ~ ~ -~ CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2003-01044 ISSUED: 11/12/2003 APPLIED: 10/14/2003 EXPIRES: OS/24/2004 VALUE: $ 9,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 10/16/2003 10/16/2003 APP VRJ 2nd driveway approved as per submitted plans, encroachment permit for new sewer tap, street cut and culvert has been applied for, storm drainage to ditch. 10/14/2003 10/1512003 APP DLM Structural Review 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 Insoections . 1 Sih~ Inspection: To be made after excavation but prior to setting forms. 2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. . 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Underfloor Drain: Prior to cover or placement of concrete. 9 Water Line: Prior to filling trench and including required testing. 10 Sanitary Sewer Line: Prior to filling trench and including required testing. 11 Storm Sewer Line: Prior to filling trench. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Electric Service: Approval required prior to utility company energizing service. 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 Pal!:e 3 of 3 225 Fifch Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1044 COM2003-0 1 044 COM2003-0 1 044 Payments: Type of Payment CreditCard .d Receipt #: 2200200000000001797 Descriplion Service Reconnect + 7% State Surcharge + 10% Administrative Fee Paid By ALERT ELECTRIC Received By djb Check Number Batch Number Authorization Number 000229 024125 City of Springfield Officia'l Receipt Development Services Department Public Works Departme.,t Date: 11/24/2003 11:58:47AM Amount Paid 50.00 3.50 5.00 $58.50 Item Total: How Received In Person Payment Total: Amount Paid $58.50 $58.50