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Home My WebLink AboutPermit Electrical 2007-9-13 (2) 3. ZON J...De.- INITIALS "-' 0- ~ DATE q -IV- bi ~1! SOURCE t\A \,S(?P z!yt7 CO~lPLETE FEE SCHEDlJLE BELOlV 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 (I-~' () r\ (f"\ \ A New ~lte~ation or Extension Per Panel l.Y- U J2A;< ~ One CIrCUIt A ~ f- Each Additional Circuit or with / (Service or Feeder Permit Owners Name ~ ~ ~Vl ~ Address / 7 ~"J GIfL \ A V E. Miscellaneous (Service/feeder not included) -Each Installation City ~tA.G-e;ie Phone if fr - OC 7D Pump ~~~~~~;~: SI4All ~?IP:: u: _.WORK Sign/OuHirlSrRg1ffiW'pT U'~IDEn TU'~ pt=r~M\~o\&>NOT IU lTUn217eO n !lIe. OWNER INSTALLATION Limitedl1!nergy,-~e,~~t\1 IS ABANOONE$)2'6QlB The installation is being made on property I own which Limited~RN~~~~~~rpt.R\OD, $ 45.00 is not intended for sale, lease or rent. Minimum EIJ&ii~ ~~9'ntl'1nspection Fee is $45.00 + Surcharges Owners Signature: 4. Sl.IBTOTAL OF ABOVE Z{,c/ 8% State Surcharge ?I'L 10% Administrative Fee Z 6lfO 5% Technology Fee I J zO 3Z'! ?!=- ELEcl1<ICAL PERMIT APPLICATION City Job Number CO~ZC>D b -0/0'03 1. LOCATION OF INSTALLATION: fer"" h.: ,{ L/70~31(3 cf JOB DESCRIPTION: de.c-s E-' L~ 6ZK'7 C::> 2 ZC> c vt/ ( fl.. €:. <:- 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. CONTIV1CTOR INSTALLATION ONLY Electrical Contractor l r. E. E ~C~\ C. Address ~ ~ '3 ~ 3 j OY\.Q <> kre) \Q<L City <)D \2- \ <i Phone 5~ \ - Y \ ~ 8 , Supervisor License Number L \ 1 '-\ - ..5 \b/\/ol . \ 051..{ 15 3 / ?O/ 08 Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Inspection Request: 726-3769 Date A. 'New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft, or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ( 5 $106.00 lOb <7J- $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less. I $ 63,00 201 AmpsAo 400 Amps $75.00 401 AmPMfll!~: Oregon la'" r f $125.00 601 Am~~doPted by thee6~:Jdl:P.~~O Over I ohm~s'521bbt"~~; lhose rules lar~s~ !tl~ ReconnQaooulYou may ~bt . through OARtfft9.t)8011 calling the Cantels," copies .Of the rules by c. TemJA\lm9"eftw~Of~grff~{,~he tel~phone Center ;s 1-800-33~~~ NotJf/cation Installation, Alteration or Relocation 344). 6.3 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits $ 43,00 $ 3.00 TOTAL Shared Drive(T:)/Building Fanus/Electrical Pennit Application 8-06,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01003 ISSUED: 10/10/2006 APPLIED: 08/07/2006 EXPIRES: 01/31/2008 VALUE: $ 273,918.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6287 FERNHILL LP ASSESSOR'S PARCEL NO.: 1702343402200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Mt Gate lot 11 Owner: ANSLOW & DEGENEAUL T INC Address: 1953 GARDEN AVENUE EUGENE OR 97403 Phone Number: 541-484-0070 I CONTRACTOR INFORMATION I Contractor Type General Electrical Landscape Low Voltage Electrical Mechanical Plumbing Contractor License Expiration Date ANSLOW & DEGENEAULT INC 49169 10/16/2008 GOOD CONNECTIONS 160508 07/01/2008 SCHELSKYS LANDSCAPE AND IRRIGATI 12170 08/31/2008 DIVERSIFIED ELECTRONICS N' Oregon~~~equ'res y~. ,i;,23/2008 MARSHALLS INC ATTENT10. do ted ~ Oregon tl ~i{h3/2009 ABSOLUTE PLUMBIN~~i~~r, r.~4~I~~.~~~ ;:~JiWJI2009 BU . - - \lI)Q'~ ~s 01 the rules by 0090, (Note: the te'epho~e # ~in0~p'e cen~~~gon UtititY ~otifi~ze: ~tglibM ~'~''if~_800-33Z&84l4). Sq Ft 1st Floor: Type of ~gnlei Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-484-0070 541-434-6491 541-744-7135 541-484-9078 541-747-7445 541-345-3055 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary C<~nstruction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 10,454 1,454 1,060 576 3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22.00 8.00 21.00 11.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 5 Yes 27.50 Total: Handicapped: Compact: 2 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: _ . . -;'\ \( ,,,,nR\{ I PUBLIC IMPROVEMID~\I1S'Ct. ,,. 5\-\~\.\. ~~'Rt ~~M\1 \5 MOl 1\i\~ PER~ ~i~1)-\\S P fOR ' Partially Improved A\J1\iOR\fro a \~ ~\3f\MOONEO Curbside 5' Yes CON\N\E~~\ru,\btlrains: Curb and Gutter AN'l ~ 80 OA'l pER . Notes: Storm drainage to onsite storm system or curb & gutter. No final occupancy until subdivision accepted by city council. Pal!e 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellin2s Gara2e AC - Residential V Wood Frame Gara2e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Mountaingate Impervious Area Plan Review Major - Planning PW 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 Temp Power 200 amps or less Vent Fan WilIamalane Single Family + 10% Administrative Fee + 5% Technology Fee CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01003 ISSUED: 10/10/2006 APPLIED: 08/07/2006 EXPIRES: 01/31/2008 VALUE: $ 273,918,00 I Valuation DescriPtion' $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,514.00 2,514.00 576.00 Value Date Calculated $10,056.00 $248,886.00 $14,976.00 $273,918.00 08/07/2006 08/0712006 08/07/2006 Total Value of Project ~ Amount Paid $735.25 $10.00 $172.37 $92.86 $125.53 $306.00 $31.00 $1,131.15 $40.00 $6.00 $9.00 $154.50 $12.00 $15.00 $4.00 $12.00 $967.58 $198.00 $-30.00 $534.34 $702.72 $10.00 $961.52 $91.61 $146.51 $68.17 $836.32 $189.58 $80.00 $50.00 $24.00 $1,000.00 $4.50 $2.25 Date Paid Receipt Number 8/7/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 10/10/06 2/5/07 2/5/07 1200600000000001210 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507' 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 1200600000000001507 2200700000000000166 2200700000000000166 Pa2e 2 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01003 ISSUED: 10/10/2006 APPLIED: 08/07/2006 EXPIRES: 01/31/2008 VALUE: $ 273,918.00 225 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 Paee 5 of 5 225 Fifth Street Springfield, Oregon 97477 541 ~ 726~3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2006-01003 COM2006-0 1 003 COM2006-0 1 003 COM2006-01003 COM2006-0 1 003 COM2006-0 1 003 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: 2200700000000001443 Date: 09/13/2007 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LEWIS DEGENEAUL T Item Total: Check Number Authorization Received By Batch Number Number How Received djb 015190 In Person Payment Total: Page 1 of 1 9:20:58AM Amount Due 106,00 95,00 63.00 13,20 21.12 26.40 $324.72 Amount Paid $324,72 $324.72 9/13/2007