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Home My WebLink AboutPermit Electrical 2005-2-15 225 FIFTH STREET. SPRINbA'JJ!.LD, OR 97477 · PH:(541)726-3753 · FAX: (54n~~ ~.o 0 ~ ELECTRICAL PERMIT APPUCATlON ',~.'- :O"'ot-".9 ~~~".9 City Job Number ((,M1? oD '-( - 0 I Z <..{ 2 Date Z,-I '-5 - 0 ') O~ ~/ 0' (X.o"'o, , _ __' ' ' I'/> 0 "'& 1.'LiJCAiiO)\teji.ilVSTALB\pQl~"iW;~ 3. '[ljOli!I'~~~::f:_i':~}r::;:.C? . L~~o~~~~~~- ~~;~~ \u::~;~*~~'. 0'$ ~.~J1rilV); JOB DESCRIPTION ~OOO sq. ft. or 1 te~\}' got' \)t\\\\t~ .00 vU'e ~h.P 1.:.' /J ~:-':;Aa lfAetO~? fa set w" ~ ~ ] g S (-=- rL ,..~ ~esoi.~:t"ose tu\eS a: g.~2 · ~ Permits are non-transferable and expire if work is 'o\\O't'~~~ij\fRl~<I O':e (U\eS l)l ~ not started witbin 180 days of issuance or if work is tlo\\{\C l~~~~9\ ~e?\'\One Suspended for 180 days. \t\ Ol\fF a'l O'ot O\a.. ~ \e o'Uf\~ $50.00 _ ...... ."",~"""",.~,,,,-~'.''''''''~~7-'''-:'7:"'.,.7 ~."".,- ~:. ~}!.- .,~ ~._",.,... .".~,~-_..- 2. CONTJiAciqil,f1v~A1.!Pi J.;2~fi~ . - ~\~ ',,~:""~~~,jt!~~~~~i~r:~~~?~>~~?~:,". ;1 E \p, /'>1, ,,(,~~\tnoob~ ....~\~ess\$ Ele~~~~;~~~c:or(:';':~; :'.~' l ~" ~(] ^'DfJ8"1'1 l,..){ \ "~' 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only Addr i.~~.i '.-1' "/-) \ T', !'~"">'\' I \ ess ; \.../ I \ 1",../ V I ,1,....>".... .~' t' 1 r~) CiJ u,{(i1 D n 0'+t~J,Phone 0i0 ~ - ~ \'i ~ v ., Supervisor License Number rJ D D0 S Expiration Date \ D - \ - b G..? \ c:; \ ("'t ' .:::; \ ..It 1 La .~'1_\.- 0 <t Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~/~..,. ~ / . Own"" Name ~A It- '<:OIL ,A.",,,,,, t" S. Address '2. i.{ { ( I uJ'.;;t felL. t.d City V L-'iA. t':;'# Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SPR1NQFtE1.D~,;;,;,,;:;;r:': ~ '<1 !' ~'!i $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Installation, Alteratiou or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 D OV~.~~Vic\\itx'~~~~":'f . \B~~'.. 'fr1f\\~;;';"" ... ,".~~. NeW~t\tJr~)iOf)smQ ~~~\~t:O fOR oneltA~~iMt~Ct:O O~ $ 43.00 ~~~~~~}~~t . . $ 3.00 7o:;t'-'i"i}~'f??'_..:~-,:._::-,:'r:~::?::',:--:-.'7,: _' ',_ ".1"_';-.-.:'....-' .,,-,.' ~~,' - -<~-:..":,-, E.l\1~~~~~J1~,u.s'<,~e.Tcel:feeder,Jl?~ incllided~-=~~chinstalia~on Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges '....7-' ,~.'r";~-~~-\~~-,7, -: ,-~, ~,' ,c- :,':.0: ,){t-.:. --.~.T/--->'-~,-:~~'~~;-._::' ;-~'~?~~'- :',:' ,'--_:-:':>'-:; ", 4. S~Ol.VMJOVE;~.',~:~~ ":. ," i .~.~G...~~L~...,;.;...: l.:_ ..~~ ..:.."':-::- :. - :..;.~ ~~~&:~,~-.:...~~. ..~~ .: 7% State Surcharge 10% Administrative Fee /4 Lf TOTAL 100 [f {'140 fbg~ ,rro '" '"' ., .J!_~ _ r...__1C'1...--:...,,11>,.,.,..,;t A",,,Hr~tinn 1.03.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01242 ISSUED: 11/29/2004 APPLIED: 10/0512004 EXPIRES: 08/15/2005 VALUE: $ 178,374.00 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 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR / 3-car garage Owner: SHERI PARKER Address: 24717 WOLF CREEK RD VENETA OR 97487 Phone Number: 541579-8899 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date BLONDIES PAINTING & CLEANING SERVI 121641 09/07/2006 BATEMAN ELECTRIC INC 151911 06/21/2008 HOME COMFORT HEATING & AIR 84164 e uires '/Q}6)2>s/2007 HOME COMFORT HEATING ~ Al'~~.~~regiS~M~...r" ~reQon \d~~~~1~007 I BUILDING INEORMiTiQN.~~ ru\es are ~~;~OO-1. I j\ti.O\) \..Je\ \lV" ~ 0 throUgn O~R r \es '0'1 #',of~t~~!eJS2-00~ -00 in copies pi tntoV\~~~: mi~"irO!fJ8~~Utte:>'ota No~..~oe te\9P'WJ~\floor: TYi\\J~!\tMatlne centefH~at.f\tJU\..wNQ;PW~nd Floor: WateF'TYBfir ior tne Qre9R f_'!fS\!-234~~ Ft Basement: Range~pe: center is 1-82 ectric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-935-7984 541-995-4757 541-345-2838 541-345-2838 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 6,624 1,754 671 3 I DEVELOPMENT INFORMATION. REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: 4 Handicapped' Paved Drive ~l\~rnCE: I~)(PIRE IPliA6.aWfJRK % of Lot Cov,~'g PERMI! s\-V3k6o- HIS PERM\1 IS NOi AUTHORIZE?r U~~~: ~RC\NDONED FOR I PUBLIC IMPROVEMEN'T~~~:~~~y PE'RIOD. /"\I~' .!!IU . F II I d Sidewalk Type: u y mprove Curbside 5' Yes Downspouts/Drains: Curb and Gutter NO SEWER HOOK UP OR OCCUPANCY UNTIL ACCEPTANCE OF PUBLIC IMPROVEMENT PLANS FOR PUBLIC IMPROVEMENT STATUS CONTACT RON SATHER LDAP REQUlRERXiCJl4JCK WITH VIRGINIA--CAS 18.00 5.00 15.00 16.00 10.00 2 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2: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 Garae:e DweJliD!!s Garae: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 + 10% Administrative Fee CITY OF SPRI~(jJ1IELD . 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 Description 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 10/0512004 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 $14.40 Date Paid Receipt Number 1200400000000001440 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200400000000001658 1200500000000000193 1200500000000000195 10/5/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 11/29/04 2/15/05 2/15/05 Pae:e 2 of 4 ,_$.f?A.JH...,....~. . "'lm..o.. .. . Ii. .'. ,.... '..... 'Wi: · ,..-,.,..... . , . , i 'i ._..,......,-""'..~ .~.. ...._,...,~ 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 + 7% State Surcharge + 7% State Surcharge Low Voltage - Residential Minimum! Adjustment Electrical Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $3.15 $10.08 $25.00 $20.00 $106.00 $38.00 2/15/05 2/15/05 2/15/05 2/15/05 2/15/05 2/15/05 1200500000000000193 1200500000000000195 1200500000000000193 1200500000000000193 1200500000000000195 1200500000000000195 Total Amount Paid $7,470.56 Initial Review Plannin\?: Review Public Works Review I Plan Reviews I 10/07/2004 10/07/2004 APP SKG 10/07/2004 10/25/2004 APP TAJ 10/07/2004 10/11/2004 APP CAS IMPROVEMENT PLANS FOR PUBLIC IMPROVEMENT STATUS CONTACT RON SATHER 726-2240 10/0712004 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. UeouiredJnsnections , 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 ~equired 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. Pa\?: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 Rough Mechanical: Prior to Cover Final Cas: 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 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 Service~ 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2004-01242 COM2004-01242 COM2004-01242 COM2004-01242 Payments: Type of Payment Check 2/15/2005 RECEIPT #: 1200500000000000195 Date: 02/15/2005 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 + 7% State Surcharge + 10% Administrative Fee Paid By PARKER HOMES INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5296 In Person Payment Total: Page 1 of 1 1:16:26PM Amount Due 106.00 38.00 10.08 14.40 $168.48 Amount Paid $168.48 $168.48