HomeMy WebLinkAboutPermit Electrical 2007-9-13 (3)
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CO~MPLETE FEE SCHEDULE BELOlV
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. Branch Circuits
(l~' () (\ (f"\ . \ ~ New ~lte~ation or Extension Per Panel
i..Y- V ~ ~ One Circuit
A ~~ +- Each Additional Circuit or with
/ (Service or Feeder Permit
Owners Name -S ec.,.., ~v1.~
Address I ~ '5:7 GtVL ~ A V. E. Miscellaneous ('Service/feeder not included) -Each Installation
City e-fA..G-e~e Phone '-( fr - 007D Pump O~~~~g~~~:, S~All ~RF u: U.WORK
Sign/OudirlSill~~~~T \~. :Dl:o TUI~ Dn~MilO\6.0NOT
IU ""'Y1Df.,ep L I l..n t"t.-.
OWNER INST ALLA nON L~m~ted~rli~t%~~t~ IS AEH\Ni10N($)2BCMl
The installation is being made on property I own which Limited ~Qe~~~eb'a~rl'ERiOD. $ 45.00
is not intended for sale, lease or rent. Minimum EIJ&I~ P~r~llt1t\spection Fee is $45.00 + Surcharges
Owners Signature: 4. Sl..lBTOTAL OF ABOY'E 2' 6 c/
8% State Surcharge 7ft/.
10% Administrative Fee Z b"'O
5% Technology Fee I J ZQ
3zcf 7l:-
ELECTRICAL PERMIT APPLICATION
City Job Number COr'&.1ZC>C b -0/0"0 '3
1. LOCATION OF INSTALLATION:
62,g-7 &r~~~H
L'7DZ3W3 t(
JOB DESCRIPTION:
/; i~~.s. ~.
L~
6 2200
vV' ( vt~C-
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.
CONTRA.CTOR INSTALLATION ONLY
Electrical Contractor l r. E E ~ C \1\ C.
Address L1 ~ <3 ~ 3 jc5Y\.Q '> Acre') \Q<l
City So \2- \ <i
\
Phone 5~ \ -y \ ~.8
Expiration Date
l\\'l'i-S
\b/\/Or
\ 05415
3 / ?O/ C>8
Supervisor License Number
Constr. Contr. Number
Expiration Date
Inspection Request: 726-3769
Date
A. New Residential- Single or lVIulti-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
(
S
$106.00
lOb
?J-
$ 19.00
$50,00
B. Services or Feeders- Installation, Alterations or Relocation:
200 Amps or less, , $ 63.00
201 AmpsAo 400 Amps $ 75.00
401 AmPMfl1!~: Oregon fa'"' r r $125.00
601 Am~~~dOPted bv theG~Jd!~'*~O
Over lofun~~bb1~~~;~hose rules ~r&'S~~tl;r,.
ReconnQOOOulYou may obt . through OARbff&tJ801'
calling thecenter.am COpies of.the rules by
c. TemJA\lm9"ektJt_0f69r~fil~he tel~J?hone
Center ;s 1-800-332~~ NotIfIcation
Installation, Alteration or Relocation 344).
b.3
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3_00
TOTAL
Shared Drive(T:)/Building Fonns/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 yoU.~itp/2008
MARSHALLS INC ATTENTlO. d ted ~ Oregon UtI ~i{fi3/2009
ABSOLUTE PLUMBINd~i~~r. T\'fCtiMu\eS ~~ ~;~!,(iWJ/2009
~~""m~t~;i \he rules bY
0090. ou WOo ter (Note: the te,~pho~e
# ~mi~~e cen Or~gon Utility liot,fi~ze:
~tPbM 5W'~~~e~_800..s~8fl4). Sq Ft Ist Floor:
Type of ~gf!lei 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 CQnstruction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
10,454
1,454
1,060
576
3
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 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
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
.. -, \t \",nR\{
I PUBLIC IMPROVEM~~Ct.: "S\-\~.\.\.. ~,,'Rt ~~M\1 \5 t-101
1 PER~ _i:~1)-\'5 P fOR .
Partially Improved ~\.nr\OR\fro a,~ \B~t-1DONEO Curbside 5'
Yes COMME~~\tu,\ti3rains: Curb and Gutter
~N'l ~ 80 O~'l pER .
Notes: Storm drainage to onsite storm system or curb & gutter. No final occupancy until subdivision accepted by city
council.
Pa2e 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
AC - Residential
V Wood Frame
Gara2e
A.C. - Residen
Dwellin2s
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
Willamalane 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 Descriotion I
$ 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
08/0712006
08/07/2006
08/0712006
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
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
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
10/1 0/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10110/06
10/10/06
10/10/06
10110/06
10/10/06
10110/06
10/10/06
10110/06
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
Pa2e 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtJ 500
Total Amount Paid
Initial Review
Plan nine Review
08/10/2006
08/10/2006
Public Works Review
08110/2006
Structural Review
08/10/2006
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 01131/2008
VALUE: $ 273,918.00
$3.60
$45.00
$5.00
$2.50
$4.00
$14.00
$36.00
$26.40
$13.20
$21.12
$63.00
$106.00
$95.00
2/5/07
2/5/07
7/30/07
7/30/07
7/30/07
7/30/07
7/30/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
2200700000000000166
2200700000000000166
2200700000000001205
2200700000000001205
2200700000000001205
2200700000000001205
2200700000000001205
2200700000000001443
2200700000000001443
2200700000000001443
2200700000000001443
2200700000000001443
2200700000000001443
The clump of maples shown on the
plot plan are required to be
preserved as street trees. To protect
these trees, follow the street tree
protection guidelines attached to the
street tree handout. 5 new street
trees are also required: 2 on
MountainGate and 3 on Fernhill,
north of the driveway. Plant native
trees from the Hillside list in the
street tree handout. Preserve other
trees on site as required by the
LDAP.
Storm drainage to on site storm
system or curb & gutter. No
hook-up to city infrastructure & No
final occupancy until accepted by
springfield city council.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
$9,128.58
I Plan Reviews ~
08/10/2006
09/20/2006
APP SKG
APP T AJ
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Paee 3 of 5
08/14/2006
APP JLP
09/12/2006
APP RJB
~eouiredJnSDections I
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
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
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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
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.
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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Pal!e 4 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
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
Pa2e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541~ 726~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-0 1 003
COM2006-01003
COM2006-01003
COM2006-0 1 003
COM2006-0 1 003
COM2006-0 1 003
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200700000000001443
Date: 09/13/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Perm Serv/Fdr 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