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Home My WebLink AboutPermit Building 2004-8-3 [ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00594 ISSUED: 06/08/2004 APPLIED: 05/19/2004 EXPIRES: 02/03/2005 VALUE: $ 17,690.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5996 G ST ASSESSOR'S PARCEL NO,: .1702342200400 Springfield TYPE OF WORK: Shop TYPE OF USE: New Residential PROJECT DESCRIPTION: Detached shop. See plan review notes for conditionsofsecondary electrical se'rvice. Total: H~~ped: ' "\~ ' , Z.4'~~t. \t ~\\ '\ ~ ~\. \:.~ ~ ?t.~ ~~~ "u t..'!'~' ,{~ c;~~ .~S' ,,~'\ ~(\"t.~ , . PUBLIC IMPRO'" - \) ~~~ \~ t\'Op..~ , ;\ x.\)~~~~s:)\}T '. Fully Improved ' ' ~\J ~~t.~<;; ~- ype, ' CO \ 'Ot) \) DownspoutslDrains: Storm to existing outfalls to street as per ~'1nitted plans. Existing 2nd driveway, ' ", Owner: LANE RONALD L & V ALARIE D Address: 5996 G ST SPRINGFIELD OR 97478 .~- Contractor Type General Electrical , Plumbing Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 12.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: \~ Notes: Paee 1 of3 Phone Number: 541-747-3027,' Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 728 .;,,.., REQUIRED PARKING Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garal!e Garal!e Fee Description Plan Review Residential + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Review Planninl! Review Public Works Review Revised Plan Review - Str CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00594 ISSUED: 06/08/2004 APPLIED: 05/19/2004 EXPIRES: 02/03/2005 VALUE: $ 17,690,00 I Valuation Description I $ Per Sq Ft or multiplier $24.30 Square Footage or Bid Amount 728.00 Value Date Calculated Total Value of Project '$17,690.40 $17,690.40 05/19/2004 ~ Amount Paid Date Paid Receipt Number $110,37 5/19/04 1200400000000000762 $4,90 6/8/04 1200400000000000868 $21.48 6/8/04 1200400000000000868 $3.43 6/8/04 1200400000000000868 $15.04 6/8/04 1200400000000000868 $43,00 6/8/04 1200400000000000868 $6,00 6/8/04 1200400000000000868 $169.80 6/8/04 1200400000000000868 $71.00 6/8/04 1200400000000000868 $13.92 6/8/04 1200400000000000868 $278.40 6/8/04 1200400000000000868 $45.00 6/8/04 1200400000000000868 $6.30 8/3/04 1200400000000001172 $4.41 8/3/04 1200400000000001172 $63.00 8/3/04 1200400000000001172 OS/21/2004 OS/21/2004 $856,05 I Plan Reviews I OS/21/2004 APP LLH 06/03/2004 APP TAJ 06/02/2004 APP VRJ 08/03/2004 OK DJB Secondary electrical service allowed with provision that a sign or placcard is placed clearly and visibl) on primary service at house indicating the shop has its own electricalservice and panel located at the shop building. A letter of agreement concerning USE and restrictions is on file in the address file for this property. DB 080304 Entrance to the garage must be at least 18' from the street side property line, OS/21/2004 08/03/2004 Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination' Permit PERMIT NO: COM2004-00594 ISSUED: 06/08/2004 APPLIED: 05/19/2004 EXPIRES: 02/03/2005 VALUE: $ 17,690,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review OS/21/2004 06/07/2004 OK 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. l Reouired Insoections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to fIlling trench, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa2e 3 of 3 225 Fifth Street Spririgfield, Oregon 97477 541-726-3759 Phone ,..'..y of Springfield Official Receipt . velopment Services Department Public Works Department Job/Journal Number COM2004-00594 COM2004-00594 COM2004-00594 Payments: Type of Payment Check 8/3/2004 RECEIPT #: 1200400000000001172 Date: 08/03/2004 Description Perm Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By RONALD LANE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1123 In Person Payment Total: Page 1 of 1 lO:Ol:04AM Amount Due 63.00 4.41 6.30 $73,71 Amount Paid $73.71 $73,71 To: City of Springfield In regard to a second electric;al service to the address of 5996 G Street. I under~tand that this new service cannot be used for a corpmercial business or for an additional resident. The additional service is to be used for my private shop and will not be used a business or a residence. In addition if this property is the new owner cannot use this shop for a commercial business or additional residence. Owner: Ron Lane ~/ ~AA 5-3-0 'Y -- --- -----. ---- - ~- - ---- -- --- --< - .~-- ---- - STATE OF OREGON, } L-A ss. C:ounty of __________~~____________________________~_ On ------1\~_':l9_S~_____)_.L_k.9..~~1____.., before me personally appeared --~-Q~___f::~~_~:..____________ DATE ---------------------------------------------------------------------------------------------------------------------------------------, whose identity was established to my satisfaction, and who executed the foregoing instrument, acknowledging to me that the same was executed freely and voluntarily. IN TESTIMONY WHEREOF, I have hereunto set my h:~...'!-n:%ed my official seal on the date-firs rit~n above. , .sEP":..' 1 {/~~o;:z---~-~-c>-~s-------~------- j IOTARYPUBUC-OREGOI M". ~-- /7-0 . COMMISSION NO. 343148 Y commISSIOn expIres -------------------------------------- "'''''"~....~~ EllPIRES fBlRl1ARY 19, IlO5 . ..~t -. Wu ---JIIii'.......e:...}....-....:"..:~.D_~..a_r_ __.. . ORM No. 23 - ACKNOWLEDGMENT, INDIVIDUAL EB COPYRIGHT 2001 STEVE~S-NESS LAW PUBUSHING CO" PORTLAND, OR 9720' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~3689 ELECTRICAL PERMIT APPLICATION -<Iv!, ~t& City Job Number COWl zooL( _ CO S"7f.{ Date ~o'l~ &0' (\ ~~ ~\)t _~ \~ "\ :\\ \~ ~ 200 Amps or less ~i-~\'" ~\:.~~ ~~~ 201 Amps to 400 Amps G. _ ~\\~\..~~ ~~\S J~\\~\:.'V 401 Amps to 600 Amps ~~'\\t~~~\\ ~~l\)'(.~ ~~~~ - 601 Amps to 1000 Amps '\~\S \> ~~\~~ ()~ \,~\'\. Over 1000 AmpsNolts ~'U'~ ~\:.~~'(.~ ~r..'<' Reconnect Only ~~~ ~~~~ / Supervisor License N~ir \: '~ Expiration Date ~ ~ / Constr. Contr. Numberl) J / I Expiration Date 1. LEGAL DESCRIPTION \70Z'Sl.{ZZ JOB DESCRIPTION D<Jt{OO Z~J. ~ S'k~ , 5tEr..t'-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 Address City Signature of Supervising Electrician Owners Name ?c """- Address 5 <7 / b City ::> .p Ie' \) L.&--r/C= b- S\- Phone -;x..r- 7 ~ 3d 2.7 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. ;;z'"' ~ (};v,' 4 Inspection Request: 726-3769 3. 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 $1~ ~ '" ,,~ $ 19.00 $50.00 I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 bJ c. $ 43.00 Pump or irrigation Sign/OutltJrii,Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4, b3 .L( 'I ( bJc> /57.1 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03,doc