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Home My WebLink AboutPermit Electrical 2005-2-7 I , A SPRINGFIELD -:Sell ;?"\ 0., 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541j726-368~'O 't a . '/-' ELECTRICAL PERMIT APPLICATION ~. ~~ ~/ " City Job Number' CDVV\-z.004 - OIl.{ 9 ) Date 2- - 7 ~ \eIl ? 1. ~~:q5~ti~1Y:Qf:;f1~~t1i?~fjJ2lif{Ji.~~:~~E~ 3. ~:Fl!fi~1;#1;fFjJ~qi!ER2~",~" ~'.~4l.vl." 97'3. S ~ +- " ~\ ~<l''%0' ;" ../ ,.:,,~.;.~..,,:,.._.. .;::";V '-',' i~~>~ ,_.,", :;':'~"":' y:",:':~ '}."~'_ ,::,.~':;~,;::"_h;:';;;'>: .'; "~>--~:", .:,~: _ '~..;i; """<'F;~;~ -?".:.:r~-~'~i~':' :;' _ ',:'," A'i::::~:t~~~~~:~iX~~~~~~~~^b Each additional 500 sq. ft. or .-,~ ' -? <7 portion thereof ~ 19. 0 .::::. 6 Permits are,non-transferable and expire if work is Each Manufact'd Home or .r not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder E''':c~1~~~7~~~ ~~:P::;:--~ou~"~'~---~~:-"~"'-~' Address 31..g &3 d \ VU~r:-.J IoN'. or~~~forn=S\ Uti\i\y $125.00 .' I r sur c:\ ted oy \ne \ forth \..JA _ d,~ ClO/) 1~}lI\es a ~~r~~~~~_~e 001- '$163.00 City ~X hone ~~ce~~,oOffit~~~952.' $375.00 - . OAR 952-00"\RQ~onne~ 01 the fU\es '0'1 $ 50.00 I~090. 'loll may obt~:,~{~o~e:J~~^t~\ephO~e Supervisor License Number 3.3_1J) ,<) calling th~~~d~'~iW.~~ number tor the. . 00-332.-2$4 · Expiration Date /1) - I - 0 ~ Gentlfb~&~a~ion, Alteration or Relocation LEGAL DESCRIPTION 170 '3. z.bt 3 o lSbOc) JOB DESCRIPTION SFR- Constr. Contr, Number @ T'6P3 6 Expiration Date J'nCl.rr h ''L. t..f ..:.. O~ Signature of Supervising Electrician ~tJj~{, Owners Name G-ft~ ~old , Address "3/ b 9 ~J 6/f- flIIc+-bvlS. City ~~~ Phone OVVNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. ~~~~~~~'Si?~~(~";;",.,, $ 50,00 $ 69.00 $100.00 ~e~t:\lteration or Extension Pe1~~~~ORK li~O<9h'e'elr€ln~ S\-\P\LL E)(P\Rt \F ~rl'" \C !\\fY'($ 43.00 i\-\IEam:A\!~~VO\l~~~[rlIil\Q1-~wHiiRwll \ ~,." AU~~tWPe\~!'-[~~~~R ~~"P-\5M'mONED FOR $ 3.00 ~O\d\M~NC" . ~f'I""~" '''','',' "''''''', c.'.,,',..."'..", ,.,..,,, ,'...,'" 'I" '...,...... ",'f .,.,.,--'-"'" '... w ~r.-- "'::, , " -~--___'j i':\:;i<Z<J :'....'~ :00' _ :~.~~ ':E. A:::::::':. . ?,';7..'''<:'':t~', r,;<-;::..'..,:,., !'"'t';', ~V'_/ -..t;~\' ^ ~..-. : ^-:.~" :'" .,i'J~~ijJln, ,'.'.. ',,' 'ce/fe,t;der not inCluded) -Each Installation f\ \ \3. . 'n." ~~',_v'-.<,";' ";;'w,.::ts_;-.r.>,,,:~l.;."":'~^>:.('(2i..,):::::!~;.:x_:.,:i,,~)1'~ .",L::;;.~Li;:v>"" ,_""..L.':'~.7.".~_,...~",.~x.~$.' "'::;. ....:3:.:;.._._~,.,.;..".~, ~:.",,:,. "" -':. ..~ . -' Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. S~~~E1f~~~~g~r)~;~?":"Y}~"'~'.T;;:Y:~i jl{L( ;0 (;) g- I LI if u Ibg_"b 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-03,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 973 S ST ASSESSOR'S PARCEL NO.: 1703261308600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01495 ISSUED: 01103/2005 APPLIED: 12/07/2004 EXPIRES: 08/03/2005 VALUE: $ 157,291.00 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Mimosa park 2nd lot 25 - SFR, same as COM2004-00790 5029 Forsythia Owner: GARY KONOLD Address: 3169 WOLF MEADOWS EUGENE OR 97408 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.30 17.00 8.00 22.50 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 342-3762 I CONTRACTOR INFORMATION I 3 I DEVELOPMENT INFORMATION I Phone 541-342-4819 541-998-6772 541-672-9510 541-461-4714 7,841 1,575 484 REQUIRED PARKING 2 Total: Handicapped: Compact: Notes: Storm drainage piped to curb face 12/15/2004 CAS Contractor License Expiration Date GARY KONOLD 52796 03/07/2005 FARMERS ELECTRIC ATTENTION: oreJq~Mw requires ym1~005 PACIFIC AIR COMFORT l~l~w rules adopt'Efc: the Oregon tift / 006 RS PLUMBING CONTRi\<;:,J,;mGtinn rt:>ntt:>r ~ ~ R rIll.,,,! ",r.... lIP,. 006 I BUI~ llil1!~~ugh OAR 952-001.. 0090. You may ot5taiii'COpies of the rules by # oOO<<~the center. (Note: thd telepn~e: Hmtl~~regon utfr~Notifioclttol1t Floor: Type ofHf@~nter is 1-800~t2S44).Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Overlay Dist: # Street Trees Rqd: 2 Paved Drive Rqd: Yes ~~crrT1,<ig ~!>verage: 26.90 THIS PERMIT SHALL EXPIRE IF THE WORK !\' 'J!: I '1;.1' 1..'" b'i.!..!'" . I H 10 t-' t ti IVIII 10 I~ U I PUBLI "1Vl,~" ~~ ;-; ~1 BANDONED FOR Fully Improved ANY 180 DAY PERIOD. Sidewalk Type: Yes Downspouts/Drains: Pal!e 1 of 4 Curbside 5' Curb and Gutter CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01495 ISSUED: 01/03/2005 APPLIED: 12/07/2004 EXPIRES: 08/03/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!s Garal!e ( V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,575.00 484.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $145,530.00 $11,761.20 $157,291.20 12/07/2004 12/07/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 12/7/04 1200400000000001705 -Mechanical Issuance Fee- $10.00 1/3/05 2200500000000000001 + 10% Administrative Fee $111.52 1/3/05 2200500000000000001 + 7% State Surcharge $78.06 1/3/05 2200500000000000001 2 Baths One or Two Family $254.00 1/3/05 2200500000000000001 Addressing Assignment $31.00 1/3/05 2200500000000000001 Building Permit $754.15 1/3/05 '2200500000000000001 Curbcut Permit $75.00 1/3/05 2200500000000000001 Dryer Vent $6.00 1/3/05 2200500000000000001 Exhaust Hoods $9.00 1/3/05 2200500000000000001 Furnace - up to 100,000 btu $12.00 1/3/05 2200500000000000001 Heat Pump $12.00 1/3/05 2200500000000000001 Plan Review Major - Planning $103.00 1/3/05 2200500000000000001 Sanitary Sewer - Improvement $365.60 1/3/05 2200500000000000001 Sanitary Sewer - Reimbursement $480.80 1/3/05 2200500000000000001 SDC MWMC Administration $10.00 1/3/05 2200500000000000001 SDC MWMC Improvement $865.31 1/3/05 2200500000000000001 SDC MWMC Reimbursement $82.03 1/3/05 2200500000000000001 SDC Sanitary/Storm Admin $112.54 1/3/05 2200500000000000001 SDC,Transpo Admin. $64.89 1/3/05 2200500000000000001 SDC Transpo Improvement $772.49 1/3/05 2200500000000000001 SDC Transpo Reimbursement $175.13 1/3/05 2200500000000000001 Storm Drainage Impervious Area $797.17 1/3/05 2200500000000000001 Temp Power 200 amps or less $50.00 1/3/05 2200500000000000001 Vent Fan $18.00 1/3/05 2200500000000000001 Willamalane Single Family $1,000.00 1/3/05 2200500000000000001 + 10% Administrative Fee $14.40 2/7/05 1200500000000000164 + 7% State Surcharge $10.08 2/7/05 1200500000000000164 Residence Wiring 1000 Sq Ft $106.00 2/7/05 1200500000000000164 Residence Wiring Ea Addtl 500 $38.00 2/7/05 1200500000000000164 Total Amount Paid $6,518.17 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01495 ISSUED: 01103/2005 APPLIED: 12/07/2004 EXPIRES: 08/0312005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review PlanniDl?: Review Public Works Review 12/08/2004 12/08/2004 12/08/2004 I Plan Reviews I 12/08/2004 APP 12/17/2004 APP 12/15/2004 APP SKG TAJ CAS Storm drainage piped to curb face. 12/15/2004 CAS Structural Review 12/08/2004 12/27/2004 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. 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. Final Electric: When all electrical work is complete. 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. Underfloor Drain: Prior to cover or placement of concrete. 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. Rough Mechanical: Prior to Cover 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. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01495 ISSUED: 01103/2005 APPLIED: 12/07/2004 EXPIRES: 08/03/2005 VALUE: $ 157,291.00 225 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 Pa2e 4 of 4 225 Fifth Street Spri~gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department Job/Journal Number COM2004-0 1495 COM2004-01495 COM2004-01495 COM2004-01495 Payments: Type of Payment CreditCard 2/7/2005 RECEIPT #: 1200500000000000164 Date: 02/07/2005 Description + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge Paid By GARY KONOLD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 063980 In Person Payment Total: Page 1 of 1 2:40:57PM Amount Due 14.40 106.00 38,00 10,08 $168.48 Amount Paid $168.48 $168.48