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Home My WebLink AboutPermit Electrical 2004-6-22 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number L C;k'IA., ?~)C') ~,- () 0 J 'I ~ Date b - Z 2 -0 '-( 1. 3. A. /;rbtlOI~913ojec' as subrgitleclhaSi-th!'i.t.qjl~..'t'ing l;.I,n;h~ ",'m{}f7\",,<;. not requi~espdEHit'l&mMf~ approval J....\YfZ-!000 sq. ft. or less . ~ zonlng;tj-;h agditi~Ml 5.OD..sq. ft. or S,K- Date Co'~ ?yOVr1o ion thereof Permits are non-transferable and exJiillttlifrilll'm"lSbnature _~ ,h M,anufact'd Home or i' not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder LEGAL DESCRIPTION 17CSZbrJ JOB DESCRIPTION ! $106.00 /u~ '3 $ 19,00 5"7 $50.00 200 Amps or less 20 I Amps to 400 Amps Address q"'l.", c.. 3 Gtl Un. J.l)fI\p .eJ 401 Amps to 600 Amps ~IO\) \0 u\~eS ., 0\\\\\'1 \. 8fi1 601 Amps to \~Q&~tn'ps g.or< ,_r\'(\ City ,,-JWJ6Tt t.JJ.-i 'Phone 6',{ 199@ 6712. ove!oq~'AW;i.\w~lg~e a~e se\ ~(\\' --tl\N..nn.ee.t.~Er~, ~\}\eS ? 9'6'2- \\'J ,,~~;;;9.av,,- ~,<\Ose ~ o po; ~\j\~r", '0\\0"'~ t\o\~fJ; 9~ ' 0'0"\ ~o\e'. " ~o'l: ' $\ ON ~~51)'t~~\OOt~~~M~~Qation orJaO. \~~ ~!~ Q~eg. O-'3'3~- -.J ~Yr- .~.,6~~. ~,COo t'\$~~e$}fflo Amps 40 I Amps to 600 Amps Supervisor License Number .?C? I b .s ) /) - (- '{) Lf Constr. Contr. Number ~r ~ 'd {. Expiration Date 03 1 Z'I I () 6>- I' Signature of Supervising Electrician Expiration Date X~//t~1k ~ . } Owners Name G-f\-(l.~l !Cc.~c> } d Address >( b <"I {1i..J ( f- ft1 (;.cA- ~ u- ~ City ev\G-GV<:=::- Phone OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. pumpllgptt~\1 SH"'ll EXP~E t:Q,,^il>T5l$OM01 S' n/O 'e JciO'J\t4!;;h\ UNDER 1\ \\v P -., t1: sQ)rrf\ Ig rrot"ttCU!>' S ABhNOONE~ f W Limite f.Ji~~&aOO \ $ 25.00 Limited ~~er~Q&~~&~\OD. $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative Fee TOTAL /63 IllI! /6.10 I c; 0 ,7.!- Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 11/17/2004 VALUE: $ 181,368.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 848 S ST ASSESSOR'S PARCEL NO.: 1703261309500 SPRINGFIE TYPE OF WORK: Single Family Residence REQUIRED PARKING Overlay Dist: Total:, ~ 2 # Street Trees Rqd: 2 ~,,-aMi..~\ed: Paved Drive Rqd: FIl\~f{. \T ~dfi~o. % OfLOt-:~OV{ft~. ~ CO~~\..\lf~\\\~ Vt~~ fQ~ ." ~U\~.~~~~n U~O~~ h9\~~~t)N I PUBLIC IMPROV~E~Ct~ U~~\t)~. . C\)~ t\~ \>~' Fullv Improved ~~'i \~ '''SIdewalk Type: No Downspouts/Drains: TYPE OF USE: PROJECT DESCRIPTION: New SFR Owner: GARY KONOLD Address: 3169 WOLF MEADOWS EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor ~.. License OWNER ~,- ~\\\'I FARMERS ELEC~a" oteQO:Se\':i081\86 PACIFI~m;~ tU\e9e.t~9&'t 7 RS P~lNfi~~. ....~ OP>J"'Q (U\~ 16 ~~~W~~ii~ tlO ~tib~.-dO ~O~~O~ll" ~~..~\\-~"lrr ~~\%~l\~ 1 \)\Ill\\lt\Q'- t\~ b~cture 17.00 ~l~~..dt'\t~ fHeat: Forced Air Gas ~... t;j!lP--- Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 4 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.25 5.50 5.50 39.00 12.50 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 4 New Residential Phone Number: 342-3762 Expiration Date Phone 03/24/2005 03/25/2006 01/04/2006 541-998-6772 541-672-9510 541-461-4714 Lot Size: 7,950 Sq Ft 1st Floor: 1,824 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 528 Sq Ft Other: Occupant Load: Curbside 5' Curb and Gutter "-/,~ ,e,f;n~~~l!i"'-ii"~".' ~n, ,'I. Wir' I , '- -, I' !I:.".:'.... - . 1 ,F I -,,,,,,,,=-,.,,,,,,,.,,,. ,'.,. . . .""",-,.~.,,,". Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Gara2e Dwellin2s Gara2e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 I Valuation Description I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,824.00 528.00 Total Value of Project ~ Amount Paid $540.90 $10.00 $121.22 $84.85 $254.00 $31.00 $832.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $344.20 $452.80 $10.00 $214.23 $314.63 $97.19 $54.27 $727.42 $164.89 $75.00 $800.98 $50.00 $18.00 $1,000.00 $16.30 $11.41 $106.00 $57.00 Date Paid 4/9/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 6/22/04 6/22/04 6/22/04 6/22/04 Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 11/17/2004 VALUE: $ 181,368.00 Value Date Calculated $168,537.60 $12,830.40 $181,368.00 04/09/2004 04/09/2004 Receipt Number 1200400000000000455 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000555 1200400000000000949 1200400000000000949 1200400000000000949 1200400000000000949 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 11/17/2004 VALUE: $ 181,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,562.44 Initial Review Planninl! Review Public Works Review Structural Review 04/09/2004 04/09/2004 04/09/2004 04/09/2004 I Plan Reviews I APP APP APP APP 04/23/2004 04/19/2004 04/14/2004 RJB TAJ DJW 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. ~eouirerUnsnections I Erosion/Grading Inspection: After all erosion measures are in place. Vfer Electrical Ground: Install ground rod at footing ~nd call for inspection in conjunction with footing and/or foundation inspection. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Vnderfloor 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. Vnderfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 11/17/2004 VALUE: $ 181,368.00 225 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. Owner or Contractors Signature Date Pal!e 4 of 4 225 Fifth Street Sprhi'gficld, Oregon 97477 541-726-3759 Phone t"'{ty of Springfield Official Receipt ,velopment Services Department Public Works Department Job/Journal Number COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 Payments: Type of Payment Paid By CreditCard 6/22/2004 RECEIPT #: 1200400000000000949 Date: 06/22/2004 Description . Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Item Tota': Check Number Authorization Received By Batch Number Number How Received GARY KONOLD 000417 167940 In Person Payment Total: djb . Page 1 of 1 9:21:08AM Amount Due 106.00 57,00 11.41 16.30 $190.71 Amount Paid $190.71 $190.71