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Home My WebLink AboutPermit Electrical 2005-2-14 225 FIFTH STREET. SPRINc;FIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)72()-3~9 c /v ELEc..aKlCAL PERMIT APPLICATION City Job Number CL"~ 'Z-0 .;;...~ - 01' L{ I Date 1. 3. /3 <{O LEGAL DESCRIPTION /70_5. 27 35 JOB DESCRIPTION .-?.../',;It.....! c (!. ~L/'--' ~ --" c.... o~s-ac I 7 C(.LLv'- ~ h Each Manufact'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. B. Electrical Contractor E A 5 rs / Dc r.; L E C. 200 Amps or less / 201 Am~ to 400 Amps . O'J in _2 (/ ") 5' 3 f) 0 seA /" [ J 1 \. ATTEt-J:t.lPlt\l' r~. II.?ff!eqUlres Y -.:- Address ::; () "^ D IT,- I..rl~ follow ;~r~ optedbyttr~ Oregon ~ . ' otiflcatf'On ~RMp.lffi8Mmes are set forth City SPfLD CJ7Y7<g Phone _7 Y (- /yqq ~ OAR ~'!f!oWP-<O~fuY@ti~h OAR 952-001- 0090. YocrcRi~~l5l~f1 copies of the rules bV Y ? J. 7 5 ca\l~ 0 nUffiO Ceuter is 1-800-332-2344). Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 /.3 Supervisor License Number Expiration Date JO'O/- 07 Constr. Contr. Number /17 77 0 Expiration Date JO'"OI- 05 Signature of Supervising Electrician I New Alteration or Extension Per Panel ~/1 ;1 v:~ H lC~eCircuit ~ . ] 1 HiS PEf8~d~dMi~flall <fiXqn~~rWitft1E W07? Owners Name, AI!t;iV C:.HYt-ff 16,UlliCJ~rmcn<t~i~~,~{fFtr~Pl)ER\1iT l~ I~~H Address /3 00 If s P c:"7y ~ 'I C U i{'E'}S P"NY 1 '. City S ? r~ Phone ttt b - 01 ;{ l Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 '2-1 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application I-03,doc r;Lf >8tJ JLfD 1; 98 ~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01141 ISSUED: 11/0112004 APPLIED: 09/15/2004 EXPIRES: 08/14/2005 VALUE: $ 49,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1380 ASPEN ST ASSESSOR'S PARCEL NO.: 1703273308500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage, bath & covered porch addition Owner: GARRETT ALLEN K Address: 1380 ASPEN ST SPRINGFIELD OR 97477 Phone Number: 541-746-0182 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License MOIR CONSTRUCTION 41570 EAST SIDE ELECTRIC INC 117770 \! STEVE MOIR u\feS 'IOU ~ ROBERT HENRY WEHRMAN on \a\N feq~QA.'ht'\ \,)t\\\\'I 10/18/2005 -~ t.' rHeQ 'f''' cJ'H~ - \ $,..r\'\'\ P I-;BuILDjNGl.n~F~~m@N(~ ~S2-001. 'O\~~,. flon cenW" t\')fOUgn v e fu\es bY Not\'\ca~oi~td~9~? copies 01\" none Lot Size: R-3 \n O?\~\i~te.cifSt4\~t"bte: tne te\e'~\ca\\o~q Ft 1st Floor: U-l Q090. .TYI\~~f~f. n \,}tW\t'l Not\ Sq Ft 2nd Floor: VN ca\\~t%~~OfegO 0_332.-2344). Sq Ft Basement: nu~~ee f~ ,\_&0 Sq Ft Garage/Carport Ener-gy ath: Sq Ft Other: Sprinkled Building:' n/a Occupant Load: Expiration Date 02114/2006 10/04/2005 Phone 541-343-4396 541-915-9828 343-4396 541-937-8808 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 6.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: 20.70 _\ I[ \/llflR" . I PUBL\m~:OVJ;:~N~r)(?\Rt ~~~\1 \S ~Ot \S tn\~\\ CO 1\1\S P . r-"U 1\1 O\IcD \)~DUl Q",Sidew{i!k)Type: \)1\10[1 L. \S (Xvl"'N\Jv (X W\t~CtD OR D Downspouts/Drains: Storm drainage to existing CDN\ "QO Op..\{ PER\D . p..N\{ 'u 0.00 Notes: Pae:e 1 of 3 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01141 ISSUED: 11/01/2004 APPLIED: 09/1512004 EXPIRES: 08/1412005 VALUE: $ 49,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 49,000.00 Total Value of Project ~ Value Date Calculated $49,000.00 $49,000.00 09/15/2004 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $237.12 9/15/04 1200400000000001350 -Mechanical Issuance Fee- $10.00 11/1/04 1200400000000001548 + 10% Administrative Fee $46.58 11/1/04 1200400000000001548 + 7% State Surcharge $32.61 11/1/04 1200400000000001548 Appliance Vent $6.00 11/1/04 1200400000000001548 Building Permit $364.80 11/1/04 1200400000000001548 Fixture $56.00 11/1/04 1200400000000001548 Gas Outlets 1-4 $4.00 11/1/04 1200400000000001548 Minimum/Adjustment Mechanical $29.00 11/1/04 1200400000000001548 Plan Review Minor - Planning $59.00 11/1/04 1200400000000001548 SDC Sanitary/Storm Admin $10.79 11/1/04 1200400000000001548 Storm Drainage Impervious Area $215.76 11/1/04 1200400000000001548 Vent Fan $6.00 11/1/04 1200400000000001548 + 10% Administrative Fee $8.40 2/15/05 2200500000000000172 + 7% State Surcharge $5.88 2/15/05 2200500000000000172 Add, Alter, Extend Circ Ea Add $21.00 2/15/05 2200500000000000172 Perm Serv/Fdr 200 amps or less $63.00 2/15/05 2200500000000000172 Total Amount Paid $1,175.94 I Plan Reviews , Initial Review 09/16/2004 09/16/2004 APP SKG Planninl! Review 09/16/2004 09/27/2004 APP TAJ Public Works Review 09/16/2004 09/24/2004 WE MS Structural Review 09/16/2004 09/16/2004 APP DLM Pal!e 2 of 3 Must have at least 10' front setback. 9/24/2004 - Septic tank and drain field location not shown on plans. Applicant will show the location of the septic tank and drainfield on plans at building permit pickup, and verify tank and drain field are more than 10 feet from building, as per phone conversation on 9/27/2004. - MS See documents for plan review comments __S:4;?F...'ELDdJIi. .... ... ... ...,' LM;..'l. . . ~'. Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01141 ISSUED: 11/01/2004 APPLIED: 09/15/2004 EXPIRES: 08/14/2005 VALUE: $ 49,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '..;' 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 Insnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 of 3 1225 Fifth Street i .' Sptingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01141 COM2004-01141 . COM2004-01141 COM2004-01141 Payments: Type of Payment CreditCard , r ~ 2/15/2005 City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT#: 2200500000000000172 8:36:36AM Date: 02/15/2005 Description PermServ/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Due 63.00 21. 00 5.88 8.40 $98.28 Paid By ROGER KING . Item Total: Check Number Authorization Received By Batch Number Number How Received djb 035541 . In Person Payment Total: $98.28 $98.28 Amount Paid Page 1 of 1