HomeMy WebLinkAboutPermit Electrical 2007-10-23
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FA-X: (541)726-3689
ELECTRICAL PE. WIT 4r.e~CATION
City Job Number Fl -llJ, )lo't"
1. LOCATION OF INSTALLATION:
'lfl,\f)_ Gt\l)tlfX ~
\~bl112~n,: O\\CV
lOB DESCRIPTION, ~ 1-~
~\l\b-\O ~.l,\\\\t \2oI'L
Permits a;; ~n-transferable and e~re if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
3.
A. New Residential- Sin.&le or Multi-Family per d,~eUing unit.
$~ 1l1o.tJJ
$~ qsqv
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
\
tS
$55.00
B. , Services or Feeders - Installation, Alterations or Relocation:
CONTRACTOR INSTALLATION ONLY
2.
Electrical Contracto~~ l, (l/)tf/ AlC;:C]7~AJ>~?
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
;)...10 (f) ,,"ui5 #('
Address
City l::.UC;cE;.1JG Phone --,43 L./--Io'-f1/
\30~ f ,-,X
c. Temporary Services or Feeders
Supervisor License Number
Install;'{;~.ri?A,ibi~t)b~t-~elOdiffod'equi!'eS you to
200 A, IDIYI'~,~ ,.,.,,-) aao, pled, by the Oren,Aia.l.i....i1it..
, IUp~lor,lS'~~ '1 (:"''''-''''7 "'0 ,) t1Jl"~:>~' "
20 I Ai,;pi ~ ;.g~t.llIi; -06i ~ ~~r~~~"h"ciArue2~l9-~
40 I AQ(~,.,G~.5~;MmJ o.btaln COpi~8 o~ th~ Hl1e~b -
Over 60~]"llilfs. ~?~@~Vdlts ,~tQ;'~.,tafephone '1
\ I Jmqof ,.or ,fiE; Oregon Utility Notification
D. Branch Ctrc.u.its..,.o.. I'S 1 0"/1 -:;""2
\..i6, /iv, ' "'QVV-v,i -2.344).
~ //' // /./ New Alteration or Extension Per Panel
, (~~ /C.~\ p~..-.-7 One Circuit $48.00
\ Each Additional Circuit or with
1'\.l~ ~_ _~_ _. Service or Feeder Permit $ 4.00
Owners Name l \ ~,~
Address \ \ ~ k~t\\ \Y11t>r\ E. Miscellaneous (Service/feeder not included) -Each Installation
City f 1 )I) (J r\P PlJpne ~. 4: ~~ \
- \ - ,.
OWNER INST ALLA nON
16-/ - 07
Expiration Date
;20--5::2- + C--
Constr. Contr. Number
7-/-() 8
Expiration Date
Signature of Supervising Electrician
P . .n:;~'f;'~~~ $
ump or Irn5"WlJ:l~,.!}:~",: 55.00
Sign/Outlin~1-1kitptlf;iMrr SHAll [)(PIR~J~Ql)
" -liJJ,1tlM1~!tt\ - I, J}!F.\I\1tJHK
LImIted Ent1f15J~<}l'eJf'~~.'r.i:; tJNJ~R TH!S - ~j ~rT fS-P--
Limited EncG~~,e,l\tfuiN~t!V OR !S ABANDb~ 10_ \lvi
Minimum ElectrAlWrPB{)I&Alt~ffijs $50.00 + urc~ar~es
4. SUBTOTAL OF ABOVE I. . 'to [D
\ LO .~
'1..O.\l2
l (I) ,as.
'2..4\.~~
Shared Drive(T:)/Building Forms/Electrical Permit Application 7.07.doc '
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
8% State Surcharge
10% Administrative Fee
5% Technology Fee
(\~ 9-,~
726-3769 ~~\~
~
TOTAL
Inspection Request:
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00062
ISSUED: 04/04/2007
APPLIED: 01/1212007
EXPIRES: 02110/2008
VALUE: $ 333,117.00
SITE ADDRESS: 7272 Glacier DR
ASSESSOR'S PARCEL NO.: 1802021201700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, McKenzie Hills First Addition, Lot 76
ATTENTION: Oregon law requires you to
follow mies adopted by the Oregon Utility
Notification Center. I hose rUles are sellUIUI
I CONrnU~B-mF~RNUl1i'n\l~~AR 952-001-
0090. YOU may oOlaull;uJjltll)tf the rules by
Contractor calling the center.s. !he te~phlf.lttJon Date
THE JAG GROUP LLC number for the. Ore ifity Not1fib'%~W~/2009
BURGHARDT & ZHUN INC Center IS 1 5 2-2344). 07/0112008
MARSHALLS INC 25790 12/23/2009
TOMS PLUMBING SERVICE INC 159425 05/12/2008
Owner:
Address:
FOUMAL LAURA A
1750 WASHINGTON ST
EUGENE OR 97401
Contractor Type
General
Electrical
Mechanical
Plumbi,ng
# of Units:
'Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
44.00
55.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-345-4751
Phone
541-434-1333
541-434-6491
541-747-7445
541-607-8879
BUILDING INFORMATION I
1
R-3
U
VN
# of Stories: 3 Lot Size:
Height of Structure: 34.00 Sq Ft 1st Floor:
Type of Heat:, 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 Ru.i.ldflfE: n/a OcclWanttW(!ff\\{
NU'~.ll~n:n::'t In 0-
I DEVELOPMENTItNP nr. i I ,.. R lH\5 PERM\1 ,~ NI
AU' OR \5 ABANOONE1ifij~hRED PARKING
. t'OMMENCEO .
Overlay DI~ 1..80 DAY PEPIiUQ)Jde Total: 2
# Street TreAl\\Yqn. 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 33.20
4
6,000
994
994
939
496
344
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
To Storm Sewer
Notes: Storm & Sanitary connections will require an Encroachment permit if laterals do not exists. ( Contractor is required
to Field Verify Conditions - Craig Fitzgerald is aware of necessary requirements ). JLP
Pa!!: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
AC - Residential
Deck
V Wood Frame
Gara!!:e
A.C. - Residen
Deck/Balconv
Dwellin!!:s
Gara!!:e
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
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
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
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: COM2007-00062
ISSUED: 04/04/2007
APPLIED: 01/12/2007
EXPIRES: 02/10/2008
VALUE: $ 333,117.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
2,927.00
344.00
2,927.00
496.00
Value
Date Calculated
$11,708.00
$6,536.00
$301,481.00
$13,392.00
$333,117.00
01/12/2007
01/19/2007
01/12/2007
01/12/2007
Total Value of Project
~
Amount Paid
$862.00
$199.95
$106.96
$144.89
$306.00
$31.00
$6.00
$1,326.15
$80.00
$6.00
$9.00
$188.35
$15.00
$12.00
$198.00
$-30.00
$633.30
$832.85
$10.00
$961.52
$91.61
$149.56
$67.89
$836.32
$189.58
$80.00
$793.73
$45.00
$50.00
$36.00
$2,303.00
$20.10
$10.05
Date Paid
Receipt Number
1/12/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
4/4/07
10/23/07
10/23/07
Pa!!:e 2 of 4
1200700000000000034
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
1200700000000000364
2200700000000001623
2200700000000001623
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00062
ISSUED: 04/04/2007
APPLIED: 01112/2007
EXPIRES: 02/10/2008
VALUE: $ 333,117.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$16.08
$106.00
$95.00
10/23/07
10/23/07
10'123/07
Total Amount Paid
$10,788.89
Plan Reviews I
Initial Review
Plannin2 Review
01/16/2007
01/19/2007
01/19/2007
03/09/2007
APP
WE
LLH
TAJ
Plannin2 Review
03/13/2007
03/13/2007
APP
TAJ
Public Works Review
02/21/2007
02/21/2007
APP
JLP
Public Works Review
01/19/2007
01/19/2007
WI
JLP
Structural Review
01/19/2007
03/08/2007
APP RWC
2200700000000001623
2200700000000001623
2200700000000001623
On hold until coverage issue worked
out. Spoke w/ Laura F on 3/9/07.
Survey required because of
minimum side setbacks.
The project is at nearly maximum
allowed coverage for Hillside (2027
sf impervious).
Plant native street trees from the
Hillside list in the street tree
handout.
Storm & Sanitary connections will
require an Encroachment permit if
laterals do not exists. ( Contractor is
required to Field Verify Conditions.
Craig Fitzgerald is aware of
necessary requirements ). JLP
Waiting in order PW rcvd for
rvw.JLP
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.
~eouirerUnsoections I
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Pa!!:e 3 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00062
ISSUED: 04/0412007
APPLIED: 0111212007
EXPIRES: 02/10/2008
VALUE: $ 333,117.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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.
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.
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
Pa!!:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -00062
COM2007-00062
COM2007-00062
COM2007-00062
COM2007-00062
, Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001623
Date: 10/23/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
THE JAG GROUP LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1963
In Person
Payment Total:
Page 1 of 1
2:20:20PM
Amount Due
106.00
95.00
10.05
16.08
20.10
$247.23
Amount Paid
$247.23
$247.23
10/23/2007