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Home My WebLink AboutPermit Electrical 2004-9-24 5 1?-w.1~ E\L t_:~ (P: i E:LO 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)7~--i~~o~,;, ~ " ;.9 ELECTRICAL PERMIT APPLICATION ()<$ll. " 0'00.0",% -1. 6' .c iS>U' 0, City Job Number C () ~ , ? "', "'J" ,. () (J c-[ n 1 Date 0 L.,\ - ,,~r' '" () ~~_ "01 <$lU'U' .~ "" '''is> "6 6'0' " 9~, '?J/.' 3. COMPL~1'E FEE SCH~p, .'.' B 01(17 ~"'t$>,/"6'0'"" ~<i>/""'t$> "' 6 :Ot$>(};'<i>U' 0- ~ OJ',6',l; A. N~w Re~i<lential:Singleor Mu~l:'anll 'weII~i;1i~ Hl" t9 .9 Service Included 1. LOCATION OFINSTALIATION ~'?-\ So- Sn- ''It'. 'F-' . LEGAL DESCRIPTION \ ~ 6 <?, 'L Co ,.~ 1'1--' ~ '''-'.'.'' r'"") v -r;. "'/ \"T') ":: ' ' -, 1 :. ' J I~ ,.r;> , .' r V \ \.C-- ..,., 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ~) .~-);') JOB DESCRIPTION 7.. ~}d, (Xl Permits are non-transferab'e and expire if work is ,.' not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. ,C()NTRf1ETOR.f:r::S1'ALLA.Tl(!tio~rL10. B.~e~I~,ces?rreeders--- Installation, Alterations or Relocation: .J:-Ct ('WLe 11'1'5 e / t' 10 /J f' H ~ he: Electrical Ccnitractor Ct €..L.. ...... {<ftlT Q 'i !k,...U q 200 Amps or less . . ." . J \ ,/\ r 201 Amps to 400 Amps Address / 2-CR L ~ (I L:[,1 J,; iiJ ji\c' l~/ 401 Amps to 600 Amps . --i ~ P iir 601 Amps to 1000 Amps City~\ilL 1.(' \ I~ Phone 1'7 f<, b ff2- Over 1000 Amps/Volts Reconnect Only $ 63,00 $ 75,00 $125.00 $163.00 $375,00 $ 50.00 Supervisor License Number ,5 q I (.., S , ' ~:{S~~\ c.T~IIl~rif:arjs~;,icesqr Feed~f~ -<\:,\<.-' \" ,. (',~) .- D I.., D l,.( t ~, ,',.<\ \,~<~ ./ \~,<_ ,',-:'.j.\. \v ;)' \\" :y(;' ')\) Constr. Contr. Number f5YI.~<:e:~~'~~):3S'''v E ' 'D '~/. "a 'iJ':"'~X.:)p:. xplratlOn ate . .t'~'v':-\4'.,JSi""~;:,,~n(.,::. r,\,' ~()'"c'.)., \.,\ ,.\:.J },SigDature OfSUP~(<,~:~~~~~~),/<.-" , (~,. ,'"\'-"--'-1 I H 6Eifi~ ^ __ __ \ \':~-y /? ' . Owners Name 0:2/" ''7,../ "--''' "" Expiration Date Installation, Alteration or Relocation ,0 200 Amps or less 0-0 ,,~~ "R 201 Amps to 400 Amp'~} '.J~'\O~",: '" 0(;0 (}'\. Go,) ..\ 401 Amps to 600 ~s'Oq; 00{~ .~'Q'\ $100.00 ,,'0 r-\ '7-.,,'0 Q)'0 if;-> O~er 600Am~~.J~~\~~~~~'~~~~~' D. Bra,l1.ch ~"i8&;s ~f'?~' .,... 'I&.If' ~rc~.. f.1~ C""c, 0'0 00:3 J'OI ';?O ,0 ~ New lVter~~n<Oi' ~e~~~~ On,r~i~Jft ,e;'.$) cP ,,0' ,0-~ ~ /~:h~dd'~~}>Si~t'&Q~~<c:'l \~ ~etvlQ~:Br~~~it0&!0"~ $ 3,00 n. _<-/,(\.'0- 0~O<:' 9J\j . It. v '-;) ,,' v 10 ^' ()..') ()' ( l'(\" r-,. .' T!' . 1 )' r__ r' E:' (1\It~'&~e~ ~r~~/feeder not included) -Each Installation , ". ,,) , .{';'~('f)' ..;;~~('.J) c:'.\9 ' ~IO r Ii' 0-1 -. 4(:1' 01. PumCp\)or<if~:~...l:()o' nU0 Phone :;J -'.. ' ,'~' ,,' "..). " l'ITI.....Hl SignlOutl~~'Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 69,00 $ 43,00 Address ':2 \ b r'\ City t,lJ--. <.' ' $ 50,00 $ 50.00 $ 25,00 $ 45,00 OWNER INSTALLATION 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 Owners Signature: 4. SUBTOTAL OF ABOVE ~~O-~t) ~\ov 'IA:A:(, 7% State Surcharge 10% Administrative Fee L Ll&: ,DO \O,OS lc\,40 lb&,d;.f) Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00799 ISSUED: 09/23/2004 APPLIED: 06/3012004 EXPIRES: 03/23/2005 VALUE: $ 181,650.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 831 S ST ASSESSOR'S PARCEL NO.: 1703261307900 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence Mimosa 2nd addtn lot 18 - SFR New Residential Owner: KONOLD GARY Address: 3169 WOLF MEADOWS LN EUGENE OR 97408 I BUILDING INFO~TION I ~\) \\ # of Units: 1 # Of.s~fres:S ~\) 1 Lot Size: Primary Occupancy Group: R-3 ~g'ht ot\<S~q~ure 19.50 Sq Ft 1st Floor: Se~ondary Occupa?cy Group: U-l x..i-~..M;p'&%~1';J Forced Air Gas, Sq Ft 2nd Floor: Primary Construction Type VN ':0~\'\' \'<W~,e~Type: Gas Sq Ft Basement: Secondary Construction TY~~~. ~'\ CO ~\)x..~ ~~)1ge Type: Electric Sq Ft <?~ge/Carport # of Bedrooms: ~~ ~x..~ l~ ~ \)~ \'~ \E~ergy Path: Path 1 SCJ...lb~~\~ ~ ....~\S ,\\)~ rx..\) <-~\j~prinkled Building: nla ....0\:~~Wt~(k. \ ,-<;'0 ....~\; ,\ 9\..- ~flJV\ ,p(J, c,e (\~', ,,?-V ..,,~\V \)\':" ~" V' :\V be...- '0' <:.,\)\'1' \ <c\) I DEVELOPMENT INFORMATION rt \'2> .;s.e ~eCf> '(j.'r'-'((-. C?J ~eCf> ~~'-\ O...eVJ 0 ~~ Se ...y;. K\ 0 ~ ~~~ PARKING ~. R,e '\~o ~C$ 0' ~e .po 20.00 Overlay Dist: ~{j ?J.OO e.... .;s....O R,eCf> ~t~J\\c, 2 5.50 # Street Trees~ <...s.e~ ve~~ X)~\~,~O ~e,~~a~apped: 15.50 Paved Drive ~ib~ ~O~ SJ~V o~'~e~O '0~~~~act: 26.00 % of Lot Covifa~~'(j. ~?:>'t; ~?J.~ ~rooe~O~ !?>,:>'t; 20.00 ~o O'?-'((-. ""'O\} e c,e e 0'" v~~~ '-A (' ~~ ,\\' 'f I PUBLIC IMPROVEMEl'fi~~~e'" ~~~,e\ ~ Sidewalk Type: Contractor Type General Electrical Mechanical Plumbing Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-342-4819 I CONTRACTOR INFORMATION I Contractor GARY KONOLD FARMERS ELECTRIC PACIFIC AIR COMFORT INC RS PLUMBING CONTRACTING License 52796 89886 39237 103816 Expiration Date 03/07/2005 03/24/2005 03/25/2006 01/0412006 Phone 541-342-4819 541-998-6772 541-672-9510 541-461-4714 7,245 1,826 532 Fully Improved Yes Downspouts/Drains: Curbside 5' Curb and Gutter Pal!e 1 of 4 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 Garal!e Dwellinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Annexed 1979 or Before Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Major - 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 Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,826.00 532.00 Total Value of Project ~ Amount Paid $540.90 $10.00 $119.72 $83.80 $254.00 $31.00 $-15.02 $832.15 $75.00 $6.00 $9.00 $12.00 $4.00 $12.00 $103.00 $-30.00 $395.83 $520.72 $10.00 $214.23 $314.63 $109.76 $53.16 $727.42 $164.89 $75.00 $925.68 $50.00 $18.00 $1,000.00 $14.40 $10.08 $106.00 $38.00 Date Paid 6/30/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 7/16/04 9/23/04 9/23/04 9/23/04 9/23/04 Pal!e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00799 ISSUED: 09/23/2004 APPLIED: 06/30/2004 EXPIRES: 03/23/2005 VALUE: $ 181,650.00 Value Date Calculated $168,722.40 $12,927.60 $181,650.00 06/30/2004 06/30/2004 Receipt Number 1200400000000001011 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 1200400000000001097 2200400000000001195 2200400000000001195 2200400000000001195 2200400000000001195 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00799 ISSUED: 09/23/2004 APPLIED: 06/30/2004 EXPIRES: 03/23/2005 VALUE: $ 181,650.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,795.35 I Plan Reviews I Initial Review 07/0112004 07/0212004 APP LLH Planninl! Review 07/02/2004 07/15/2004 APP EMM Public Works Review 07/02/2004 07/06/2004 APP MS Structural Review 07/02/2004 07/08/2004 OK 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Underfloor 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. Underfloor 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 Pal!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00799 ISSUED: 09/23/2004 APPLIED: 06/30/2004 EXPIRES: 03/23/2005 VALUE: $ 181,650.00 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~o~c~~ Pae:e 4 of 4 q--'22ro4- Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "'~~y of Springfield Official Receipt .;velopment Services Department Public Works Department Job/Journal Number COM2004-00799 COM2004-00799 COM2004-00799 COM2004-00799 Payments: Type of Payment CreditCard 9/23/2004 RECEIPT #: 2200400000000001195 Date: 09/23/2004 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By GARY KONOLD Item Tota': Check Number Authorization Received By Batch Number Number How Received Jmp 266970 In Person Payment Total: Page I of 1 10:33:53AM Amount Due 106.00 38.00 10.08 14.40 $168.48 Amount Paid $168.48 $168.48