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Home My WebLink AboutPermit Electrical 2005-1-11 -" '~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)7~'..~88/- ;0 -~ ~ ELECTRICAL PERMIT APPLICATION () "'o~' 9'" ~,; -I ->',,0; "'~ City Job Number Q)VV\ zoay - (:) ( ( 73 Date l<.-;:: 1{ ~ 9 '5 % ..o-q.~ . '0 u 51!' t.." ., ~,; " I' 3. COMPLEl'E FEE SbHE UI'! ~ BEEalx 0;.. 619- e5 \9" 0,;. ~..1 9'~ ~ '6l A. New Residential- Single O':~UI '-~ ~f~~lling unit. , 1:>~ / /. IS> Service Included ~ 9'''o-1>~ . k^ o~ 1000 sq. ft. or less 06.0U"i9 ~~ Each additional 500 sq. ft. or ~ - portion thereof '\.. '\ 200 Amps or less 20 I Amps to 400 Amps A TTENTI 'M11 :;Qq~gt0lOlroM1ie~ires you to tallow rul%%f~_~ ~licM1~Qp!ilgon Utility 51 cr5/~ ~msation~~rt~oo l'1RDffll~s are setforth i,-. OAR 952~gJriRQc1CbID~ugh OAR 952-lJ01* 0090. You may obtain copies of the rules by calling~e ~R1W&'raWQU\:Jh@;~iM ~umber for the Oregon Utility Notification CEf.\~'iliao\l9~~~'Relocation Over 600 Amps or 1000 Volts see "B" above. Signa~re of ising Electrician D. Branch Circuits JYJ New Alteration or Extension Per Panel .. / [~ fY( ~h<.- ~aluClE:9ne Cipr~\tl l=){PIRE IF THE WnRK '1/ I \../ a TH\~ERE~bh~tMHibntrrc' c it.h " ~ ;2' 0 \S&t\Hb\\b9U~~J;!;:\~!rf~ r'IS NOT $ 300 Owners Name ('>/../1/1<1 111/1 ,f'tcA. b~!lM -N'CE~ OR IS ABANDONED FOR . Address 2 L( 7 ( ( Wol I~ C\c.. ~0l\N 1 ffu D~~sFtl!wt@iWs (Service/feeder not !.ncluded) -Each InstaUation City vENErA Phone Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential I ~25.00 Limited Energy/Commercial l/' $ 45.00 1. LOCA110N OF INS1'ALLA110N /l>,./Z~ ; .... 7./1 LEGAL DESCRIPTION 17033LfZ-{ JOB DESCRIPTION ;/ II c tI C0/~/1..- O/gOD S r,,4 .rE /if- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Lu/,;r: If./f!:2o Address . t:- tJ, /7 f!;:/'1"r?;' City (/;?E5'u/L!?i.- '&If~. Phone Supervisor License Number Expiration Date Expiration Date & /( rf/(f) )/ ~ If) -- cJ~-- Constr. Contr. Number 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 Sc::-t<fRiJ'.:lC':<lF'ttEL,O Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 , $100.00 $ 43.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee TOTAL Shared DIive(T:)/Building Fonus/Electrical Penuit Application I-03.doc -i~ Iii: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 717 Aspen Street ASSESSOR'S PARCEL NO.: 1703342101800 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01173 ISSUED: 10/14/2004 APPLIED: 09/22/2004 EXPIRES: 07/11/2005 VALUE: $ 173,511.00 Springfield, OTYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence w/ garage Owner: PARKER HOMES Address: 24717WOLFCREEKRD VENETA OR 97487 Contractor OWNER BRYCE OLSEN 64940 04/18/2005 HOME COMFORT HEATING & AIR 84164 06/25/2007 HOME COMFORT HEATING-&)~J~~n IcMH~~uirp.~ VOl I tn06/25/2007 I. BUlr;DiNG:Il~TFt)IiM~~oN IPregon Utility . -- '''V~''~'' ov' "vI. IIIU;)t: I u~s are set forth in Ofll~Ps?o".qQs1-001 0 through OAR ~52-0Wt.size: 009Cff~gHtfl1flgt~ttiPecopies of!5Joo-ulesSllyFt 1st Floor: cavyp,e ltfClIealtCter. (Note: thEl~tetyhon~q Ft 2nd Floor: nurWiftejCJ~ Oregon Utili~lM1i1tjJicati~ Ft Basement: Ran~peis 1-800-332-~ic Sq Ft Garage/Carport Energy Path:Patli 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: 1 R-3 V-I VN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 15.00 10.00 28.00 0.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 935-7984 1 CONTRACTOR INFORMATION I License Expiration Date Phone 541-895-2355 541-345-2838 541-345-2838 7,400 1,700 410 3 I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: ~ [#\Stre~t Trees Rqd: 4 u\i') 1111\1.1;.,' Pavec:fDrive Rgd: Yes T/o')o~ff6Hdb\.~g^J:.L EXPIRE IF islsoWORK AUTHORIZED UNDER THIS PERMIT IS NOT O,",onnr"Aro n" I" '~"ID~"~";l ~~r. 'U'VllVlL...'HJL...'. Y~.iEnl~ UI~L.U I un I PVBUJv I-Mf~~'V~ -. Sidewalk Type: FullV Improved Yes Curbside 5' Curb and Gutter Downspouts/Drains: Notes: No hook-up to City services until Public Improvements have been accepted by City Pa2e 1 of 4 Description Tvpe of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Dwellinl!:s V Wood Frame $92.40 1,700.00 Dwellinl!:s V Wood Frame $92.40 70.00 Garal!:e Garae:e $24.30 410.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential 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 WilIamalane Single Family + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/ Adj ustment Electrical CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01173 ISSUED: 10/14/2004 APPLIED: 09/22/2004 EXPIRES: 07/11/2005 VALUE: $ 173,511.00 I Valuation Description I Value Date Calculated Total Value of Project $157,080.00 $6,468.00 $9,963.00 $173,511.00 09/22/2004 10/07/2004 09/22/2004 ~ Amount Paid Date Paid Receipt Number $511.32 $10.00 $116.82 $81.77 $254.00 $31.00 $806.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $103.00 $12.68 $-30.00 $383.88 $504.84 $10.00 $865.31 $82.03 $115.39 $64.55 $772.49 $175.13 $75.00 $805.07 $50.00 $12.00 $1,000.00 $4.50 $3.15 $25.00 $20.00 9/22/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 1/11/05 1/11/05 1/11/05 1/11/05 1200400000000001379 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 ,2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 2200400000000001285 1200500000000000044 1200500000000000044 1200500000000000044 1200500000000000044 Pae:e 2 of 4 $P-R'N~liE"'t:I --:I,' . i Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01173 ISSUED: 10/14/2004 APPLIED: 09/22/2004 EXPIRES: 07/11/2005 VALUE: $ 173,511.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,986.08 I Plan Reviews I Initial Review Plan nine Review Public Works Review 09/24/2004 09/24/2004 09/24/2004 09/24/2004 10/08/2004 09/29/2004 APP APP APP SKG TAJ MS 9/29/2004 - Roof overhang shown to be encroaching into public utility easement. Contacted Applicant and they agreed to move the building back two feet as per phone conversation on 9/29/2004. - MS Structural Review 09/24/2004 10/12/2004 WE DLM 9/29/2004 - No hookup to public facilities until public improvements have been accepted by the City. - MS Called contractor for meeting to resolve building dimensioning and structural supports. 10/13/2004 dIm See documents for plan review comments Structural Review 10/13/2004 10/13/2004 APP DLM 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. 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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. Paee 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-01173 ISSUED: 10/14/2004 APPLIED: 09/22/2004 EXPIRES: 07/11/2005 VALUE: $ 173,511.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Shower Pan. Prior to covering 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. Roug~ 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. 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 Paj!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone r;ty of Springfield Official Receipt lelopment Services Department Public Works Department RECEIPT #: 1200500000000000044 Date: 01/11/2005 10:56:01AM Job/Journal Number COM2004-01173 COM2004-0 1173 COM2004-01173 COM2004-0 1173 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Payments: Type of Payment . Paid By Check BRYCE OLSEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2733 In Person Payment Total: Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52.65 $52.65 1/11/2005 Page 1 of 1