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Home My WebLink AboutPermit Electrical 2005-2-22 SP~!,i~;'JC1F~E::R...O. A 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753.. FAX: (541)726-3689-0 ?\9,- <$l ", Q ELECTRICAL PERMIT APPLICATION :0.0" ~ :~, City Job Number (Of/V\ 2..00 \.-{ - D I 'Z L( z.. ' Datef O~I'~2 !t*~ ,,~ ~ v<S>.r ;/\90 3. COMPLETE FEE SCH~~(p ~ BPJ.Ol-V'o,,;"~.r<l' 0- '& "6 <5;.' 9<<.~, .,9" ~\9 ~ ~~ <I' \90- A. New Residential- Single or Mulr~Fal 'Iy . ~).sl!nit. '~ " "c. ';:\9,- "0' o~ vd' ~;. 19 '/", LOCATION OF INSTALLATION Sfl" (.:.-.1- 1. _/ gJ- As ~',./-- LEGAL DESCRIPTION 1703 ~\-rl- ( o Z- 'S() 0 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION LOL-J VofM-;IJ - J A-c S'y5TEtA/1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. Services or Feeders - Installation, Alterations or Relocation: CONI'RACTOR INSTALLATION ONLY Uc..lu( 2. . PI u; Uc;.c J .ic L/ 200 Amps or less . qu\res 'lou to 6\ql e~ lfb'fi A~gon Uti\i\y ~:T1E.N1\ ;'bo~_ettb\6'Oon{rn~ are set 1u\ tr. io\\o\JIJ r~\e Q')eJ\\ftf,s 1J'P<fe w~f1.R 95Z-G01 ' I ~\1ica\\0~0&1~ ~ tn~eSs01 toe ru\es:~ \n QA.R 95~~l~~ \oJ'. toe te\epOo~- 0090. ~o toe center. \Not~ti\iW Noti\icattan _.~ ca\\\~riffie\\\~~1~~6~3$ts~ders /__'-'~ "um center \s 1- Installation, Alteration or Relocation $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor &, ~ c/ J Phone G.g b q?? 7~ I Address City E.::, ~<> 7- Supervisor License Number Expiration Date ......",,-.. $ 50.00 $ 69.00 $100.00 200 Amps Qr less 20 I Amps to 400 Amps 40 I Amps to 600 Amps / (j ') S-~) 11/ /0 loe . ( . Constr. Contr. Number Expiration Date Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Signature of Supervising Electrician New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with ~ ~~1ij~~GQ';eeder PeAtt EXPIRE \~ 111E W$)G. 0 1\1IS PERM\1 S\1 .. . HIS PERM\1 \S 1'101 E. ~1Jirm1iW1Q.Gk ~~I:.\qfi/1Be~&Dlffi~~IPQ..a) -Each Installation O\\f\\\fIENCEO OR \S f.\ p~B-.?r1ig{f~t~~ PERIOD. $ 50.00 Signl;outline Lighting $ 50.00 Limited EnergylResidential ( $ 25.00 ?\ Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is ~ Surcharges M~ ~ U~ \ 0 Po r reF 1---1 (:, V\.< C i Z l.( II ( ft.) 0 (f C t:: ~ City V t:V'f t:-i-A- Owners Name Address Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Lj) 4. SUBTOTAL OF ABOVE Owners Signature: 3/) 'f)O 52~ 7% State Surcharge 10% Administrative Fee TOTAL Inspection Request: 726-3769 Shared Drive(T:)/Building Fonns/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: 785 Aspen Street ASSESSOR'S PARCEL NO.: 1703342102500 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01242 ISSUED: 11/29/2004 APPLIED: 10/05/2004 EXPIRES: 08/15/2005 VALUE: $ 178,374.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: SFR / 3-car garage TYPE OF USE: New Owner: SHERI PARKER Address: 24717 WOLF CREEK RD VENETA OR 97487 Residential Phone Number: 541579-8899 I CONTRACTOR INFORMATION I Contractor Licens~fes 'lfjlx\)lration Date BLONDIES PAINTING & CLEANIN<6~W\a~Jf/iU egoO Uti\ilID/07/2006 BATEMAN ELECTRICp..~Nl\O~~n pted b'JS.~f[Jr a.re set ~~'(l}h/2008 HOME COMFORT HE~1\~~I'R'"o er. 1hcBilltflf\es p..f\ 9S2..~h'5/2007 HOME COMFORT H~~1'~ttb\i&11\.<fR1~~'\ 0 t~I'Q~~~ ~ the fu\e&d?Y5/2007 1.~!"Y:)J-fr:. . . - ilw- - \ nnoHt'I I Bllf\IIJDIN~ J~RMWYl ' : the te e.r: . t\oO OO'du.. ,- the ceOtel. U 0 Uti\i\'J Not\\\ca # o~Vd9ie'br the Qrego _332.-2.3A4). Lot Size: 1\tl~~fr~t1ti'\-800 19.50 Sq Ft 1st Floor: Type of Ih'dt: Heat Pump 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: Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: .Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: 18.00 5.00 15.00 16.00 10.00 1 R-3 U-l VN 3 I DEVELOPMENT INFORMATION' Phone 541-935-7984 541-995-4757 541-345-2838 541-345-2838 6,624 1,754 671 REQUIRED PARKING 2 Paee 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 + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace 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 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01242 ISSUED: 11/29/2004 APPLIED: 10/05/2004 EXPIRES: 08/15/2005 VALUE: $ 178,374.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,754.00 671.00 Value Date Calculated $162,069.60 $16,305.30 $178,374.90 10/05/2004 10/05/2004 Total Value of Project ~ Amount Paid $534.56 $10.00 $5.00 $115.84 $3.50 $81.09 $254.00 $31.00 $6.00 $822.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $365.60 $480.80 $10.00 $865.31 $82.03 $129.15 $63.09 $772.49 $175.13 $75.00 $1,093.44 $50.00 $18.00 $1,000.00 $4.50 $3.15 Date Paid Receipt Number 10/5/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 2/15/05 2/15/05 1200400000000001440 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 120040000000000165~ 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200500000000000193 1200500000000000193 Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01242 ISSUED: 11/29/2004 APPLIED: 10/05/2004 EXPIRES: 08/15/2005 VALUE: $ 178,374.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Low Voltage - Residential Minimum/ Adj ustment Electrical , $25.00 $20.00 2/15/05 2/15/05 1200500000000000193 1200500000000000193 Total Amount Paid $7,302.08 Initial Review Planninl!: Review Public Works Review Plan Reviews , 10/0712004 10/07/2004 APP SKG 10/07/2004 10/2512004 APP TAJ 10/07/2004 10/11/2004 APP CAS IMPROVEMENT PLANS FOR PUBLIC IMPROVEMENT STATUS CONTACT RON SATHER 726-2240 10/07/2004 10/25/2004 APP TCM Structural Review 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. 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. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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. 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.' 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 Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pal!:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01242 ISSUED: 11/29/2004 APPLIED: 10/05/2004 EXPIRES: 08/15/2005 VALUE: $ 178,374.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt /elopment Services Department Public Works Department Job/Journal Number COM2004-01242 COM2004-01242 COM2004-0 1242 COM2004-01242 Payments: Type of Payment Check 2/15/2005 RECEIPT #: 1200500000000000193 Date: 02/15/2005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By M&R WOLFENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 9055 In Person Payment Total: Page 1 of 1 11:04:49AM Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52.65 $52.65