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Home My WebLink AboutPermit Electrical 2007-9-13 (3) 3. ZON .LDe- INITIALS Jo-J J..A. ~ DATE ~ -',V- bi ., SOURCE t\A ,\>S"p Z/j~ 7 / / 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