HomeMy WebLinkAboutPermit Electrical 2006-5-1
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRlCAt PERMI1 APPLICATlOJYc..
Cuy Job Number ,C.o..v\ZOOr- C , 3lS -/ Date
L-\Y2-
6/bll00
:'PR'NGFON~ CJf7~/
' ""'-- 0"J1f. r~
"-':::::--,~
- '" ~JP '
5)/o~-- .
2 CONI RACTOR INSTALLATION ONLY B ~enlces or Feede"" -Install.non, Alter.tlon, or Reloe.tlOn
EIectncal COnIraCIOr ~ Qu,\Q\t?t'" 7J.Q(::t(; (. 200 Amps or less $ 63 00
201 Amps to 400 Amps to $ 75 00
Address \bL\ 7:-, 1:~(c\ f\ve. 401 Amps to 600.Arrijisl~~t\lt'l $12500
~n\aW{~~ ~nnu\ "
a.' (60PAmps to\1000rAiilps et lortll $16300
L1 '1-.\ c- ,.~\ \'l .t.n.d- \1\1 \\ .... ,.,fA S
Phone \::J';: --lVkul..J1ec, adO,ver .}~OOs~pslVolts' 952-00~' $37500
101lOW (ll Ce(ReconneH OnI~\1 a~\'\ \eS '0'1 $ 50 00
Notlllcatlon -Oo~ -oo~ 0 t\'ll~ules 01 tile (ll one
2"1.l\ LS, a~\'\ 952 <;1 cT~miio~.~es~r~'c:"'\~P~~'(:/,,\~>
0090 '{Olll1'e cente( lNo I.lt\l\t'1 ~Otl\lC
\b I \ I D l railIng tll Inst8llatio'rir A lerat\9n'<lr Relocation
( lo( l\ 'v ' Ou.,j,o.. -
nlll1'Oe ce(~Q,O AJrtp~ or less
ctD1 d~ 201 Amps to 400 Amps
40 I Amps to 600 Amps
EXplfatlon Oat 1,~\N{)
'" .':7f(~
7 L I
Owne" Name S,^5...A._ ~r,,\.~-
Addre" Sb \7 y1/1A-d~......A- LA! E :\1 "cell.neous (servlce/~eder not meluded) -Each 1"".lIo'lOn
CIIy J'U~cl~c1 Phone ffV\(Q'td.ilf i \~U'rR'l'ti'iTl~~J,1i'} ~~~i $ 50 00
1\-1\S PER\\~\\ S\-li'. fW'(~W!'li\\.b~~'1'!)?, $ 50 00
OWNlR INS r ALLA TION l\\1i\-lOR\11:0 \1~~ \:~~lf.?\!l.&rrg)}lResldentlal $ 25 00
Th II t b d fly Iro"-'-'w'h,r\ ~h\Cr.O Limited Energy/CommercIal $ 45 00
e msta a Ion IS emg ma eon prope v\'!I'I c " pU~\UU
" not mtended for sale, lease or rent I\\f{ 1 BO OI'\Mm,mum Electric Permit Inspection Fee IS $45 00 + Surcharges
Owners Signature 4 SUBTOTAL OF ABOVE /6 ;.
1)0'1
/610
/9 2 1-1,
1 LOCATION OF INfTAlLA110N
I'll") ~",,~....,o..(
LEGAL DESCRIPTION
170JZS')l{
O/S"O
JOB DESCRIPTION
P~~: non_::n:f~:~:L~~~or~sk,
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
ClIy IlA~ X\ 0
Supervl~or License Number
ExpiratIOn Date
Cons,r COnIr Number
v
Inspection Request 726-3769
-
3 COMPLE1E FEE SCHEDULE BELOW
A
I\:c\\' Rcsldcntlal- Smgle or Multl-FJ.mJl} per dl\elhng umt
Service Included
1000 sq ft orless
Each addItIOnal 500 sq ft or
portIOn thereot
Each Manufac!' d Home or
Modular Dwellmg Service or
Feeder
,
'1
$10600
/06
r.;-7
$ 1900
$50 00
$ 50 00
$ 69 00
$100 00
Over 600 Amps or 1000 Volts see' B" above
D 81 dDCh CirCUits
New AlteratIOn or Extension Per Panel
One CirCUit
Each AddItional CircUIt or with
Service or Feeder Permit
$ 43 00
$ 300
8% State Surcharge
10% Admmlstratlve Fee
TOTAL
Shared Dnve(T )/BUlldmg fonns/Clectncal Permit Apphc'l.tlon ] 06 doc
,
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2005-01389
ISSUED' 10/25/2005
APPLIED 10/06/2005
EXPIRES: 09/27/2006
VALUE $ 211,50800
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1923 Centenmal Blvd
ASSESSOR'S PARCEL NO 1703253407900
Spnnglield TYPE OF WORK Smgle FamIly ResIdence
TYPE OF VSE
PROJECT DESCRIPTION Smgle FamIly ResIdence - McDonald PallltlOn parcel 3
New
Resldent..1
Owner SUSAN BRVCE
Address 3659 MADRONA LN
MEDFORD OR 97501
Phone Number 541-849-1848
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Mechamcal
Plumbmg
Contractor
OWNER
DOVG PALMER CORP . N 0 e g~7~.v reqUires ydld/03/2006
COMFORT FLOW ATTENTIO d r t~46Bv the Oregon \!l6A2~/2007
CHAPIN ENTERPRISES IN00W rule;,~_~?. ~,,~& nlips are s9510610008
BUlLDiN'ci'iNJj0RM~I(!)Ni,)ugh OAR 952-0Ul-
0090 You may obta:~ goples of the rules by
# of Stones"the center (Note th'2 telenl/l'Slie
Gi1"I"'i, ,,,_^,,,
He:iD't ~ft:itW,ctf\(,eOregon L20'00Not",q<...lCilSt Floor
Type m1reCtentt:9rI:;"4~uOEi.l\\l::111lS44) Sq Ft 2nd Floor
Water Type Electnc Sq Ft Basement
Range Type Sq Ft Garage/Carport
Energy Path Path I Sq Ft Other
Sprmkled BUlldmg n/a Occupdnt Load
License
ExpiratIOn Date
Phone
541-434-5600
541-726-0100
541-485-1146
# of Vnlts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
1
R-3
V
VN
5,000
1,200
873
500
3
I DEVELOPMENT INFORMATION I
Frontyard S, tback
S,de 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
10 00
3000
500
10 00
000
Overlay Dlst
# Street Trees Rqd 0
Paved Dnve Rqd
% of Lot Coverage 42 20
REQUIRED PARKING
Totdl 2
HandIcapped
Compact
Street Improvements
Storm Sewer AvaIlable
SpecIal Instrucllon
I PVBLIC IMPIio~i~i~mfllS\-\All EXPIRE IF THt W~8~
RilED UND~1il1r.\\S ,\?ERMIT IS
Fullv Improved AUT \-\0 ENGED OR~S ABA~OO\l.'ED FOR
Yes COMM PE :<l\llnspouts!Drdms To Storm Sewer
ANY 180 DAY uu
Note; StOl m dramage pIped to stub provIded 10/24/2005 CAS
Pa2e I 014
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2005-01389
ISSUED' 10/25/2005
APPLIED: 10/06/2005
EXPIRES. 09/27/2006
VALUE. $ 211,508.00
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIon DescnotIon I
V Wood Frame
Gara2e
$ Per Sq Ft
or mullIpher
$96 00
$25 00
Sqnare Footage
or B,d Amount
2,073 00
500 00
Value
Date Calculated
DescrlplIon
Dwelhn2s
Gara2e
Tvpe of ConstructIOn
Total Value of Project
$199,008 00
$12,500 00
$211 ,508 00
10/06/2005
10/06/2005
L-~PP~ P'.url J
Fee DescriptIOn Amount PaId Date Paid Receipt Number
Plan RevIew Resldent..l $604 27 10/6/05 1200500000000001457
-MechaOlcallssuance Fee- $1000 10/25/05 1200500000000001599
+ 10% AdmmlStratlve Fee $123 47 10/25/05 1200500000000001599
+ 7% State Surcharge $86 43 10/25/05 1200500000000001599
2 Baths One or Two FamIly $254 00 10/25/05 1200500000000001599
Addressmg AssIgnment $3100 10/25/05 1200500000000001599
BuIldmg PermIt $92965 10/25/05 1200500000000001599
Dryer Vent $600 10/25/05 1200500000000001599
Exhaust Hoods $900 10/25/05 1200500000000001599
Furnace - up to 100,000 btu $12 00 10/25/05 1200500000000001599
Heat Pump $12 00 10/25/05 1200500000000001599
Plan RevIew Major - PlanOlng $15000 10/25/05 1200500000000001599
Samtary Sewer - Improvement $381 40 10/25/05 1200500000000001599
SaOltary Sewer - Reimbursement $501 40 10/25/05 1200500000000001599
SDC MWMC AdmmlstratlOn $1000 10/25/05 1200500000000001599
SDC MWMC Improvement $865 31 10/2 5/05 1200500000000001599
SDC MWMC Reimbursement $82 03 10/25/05 1200500000000001599
SDC SaOltary/Storm Admm $\3082 10/25/05 1200500000000001599
SDC Transpo Admm $65 37 10/25/05 1200500000000001599
SDC Transpo Improvement $805 70 10/25/05 1200500000000001599
SDC Transpo ReImbursement $18269 10/25/05 1200500000000001599
Storm Dramage ImpervIOus Area $1,09529 10/25/05 1200500000000001599
Vent Fan $12 00 10/25/05 1200500000000001599
Wlllamalane Smgle Family $1,00000 10/25/05 1200500000000001599
+ 10% AdmmlStralIve Fee $1630 5/2/06 1200600000000000581
+ 8% State Surcharge $1304 5/2/06 1200600000000000581
ReSidence Wifing 1000 Sq Ft $10600 5/2/06 1200600000000000581
ReSidence Wifing Ea Addtl 500 $57 00 5/2/06 1200600000000000581
Total Amount PaId $7,55217
Plan Reviews I
100t..1 RevIew
10/07/2005
10/07/2005
APP LLH
Pa2e 2 of 4
CITY OF ~rKJj'\itJFIELD-
Building/Combination Permit
Status
Iss u ed
PERMIT NO
ISSUED
APPLIED:
EXPIRES'
VALUE
COM2005-01389
10/25/2005
10/06/2005
09/27/2006
$ 211,508.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Plannmg RevIew
10/11/2005
10/11/2005
APP T AJ
Need 5 COpIeS of recnrded plat I
spoke wllh Tom Poage and he will
bnng them by I could not contact
the owner, the phone has been
dIsconnected tara 10/11/05 Plat
copies received
Needs a survey becd.use of mlOunum
setbacks
Pnbllc Works RevIew
10/0712005
10/24/2005
APP CAS
Plat copIes receIved 10/17/05
Storm dramage piped to curb face
10/24/2005 CAS No overh.ng mto
easement, need 1100r plan for SDC
credIts called Larry Balcom at
543-0568 Larry will cut back
OVeI hang okay per DaVId B
Structural ReVIeW
10/07/2005
10/18/2005
APP
RJB
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 followmg work
day.
l!p(pllr,P~, 1~1snectlons I
Ufer Electncal Ground Install ground rod at footmg and call for mspecllon m conjunctIOn wIth footmg andlor
foundation mspectlOD
Footmg After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnor to 1100r IllsulatlOn or deckmg
Floor InsulatIOn Pnor to deckmg
Shear Wall Nallmg Before covenng sheathmg wIth fiUlsh mater.."
Frammg InspectIOn Pnor to cover and after all rough In InspectIOns have been approved
WalllnsulatlOo Prior to cover
Cellmg InsulatIOn Pnor to cover.
Drywall Pnor to tapmg
Hold Downs Installed SpecIal InspectIOn perf 01 med pnO! to pl.cement 01 concrete PrOVIde report to CIty
BUlldmg Inspector
FH..I Bulldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Underl100r Plumbmg Pnor to IllsulatlOn or deckmg
UnderOoor Dram Prior to cover or placement of concrete
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Page 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01389
ISSUED. 10/25/2005
APPLIED. 10/06/2005
EXPIRES' 09/27/2006
V ALU E $ 211 ,508.00
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIOe
Water LIOe Pnor to filhng trench and IOcludlOg requIred lestlOg
Samtary Sewer LIOe Pnor to filhng trench dnd IOcludlOg required testlOg
Storm Sewer LIOe Pnor to filllOg trench
FIOal PlumblOg When all plumblOg work IS complete
Undernoor Mechamcal Pnor to IOsulatlOn or decklOg and IOcludlOg requIred testlOg
Rough Mechamcal Pnor to Cover
FIOal Mechamcal When all mechamcal work IS complete
By slgnatUl e, [ state and agree, thdt 1 have carefully examlOed the completed apphcahon and do hereby certify that all
IOformatlOn hereon IS true and correct, and [ further cerhfy that any dnd all work performed shall be done 10 accordance wltb
tbe OrdlOances of the CIty of SprlOgfield and the Laws of the Stdte of Oregon pertalOIOg to the work descnbed berelO, and
that NO OCCUPANCY WIll be made of any structure without permissIOn 01 the Commumty ServIces DIVIsIOn, BuJldlOg Salety
[ further cerhfy that only contractors and employees who are 10 comphance wIth ORS 701 005 WIll be used on thIs project
[further agree to ensure that all required IOspectlOns are lequested at the proper hme, that each addless IS readable from the
street, that the permit card IS located at the front of tbe property, and the approved set of plans Will remalO on the s.te at all
times dUring constructIOn
Owner or Contractors Signature
Date
Paee 4 of 4
225 FIfth Street
.
Spnngfield, Oregon 97477
541-726-3759 Phone
~
Clj., of Sprmgfield OffiCial ReceIpt
L Jopment ServIces Department
PublIc Works Department
Job/Journal Number
COM2005-0 13 89
COM2005-0 1389
COM2005-0 1389
COM2005-0 1389
Payments
Type of Payment
CredltCard
cRecelOtl
RECEIPT #.
1200600000000000581
Date. 05/02/2006
DescriptIOn
ReSidence W IrIng 1000 Sq Ft
ResIdence Wlrmg Ea Addtl 500
+ 8% State Surcharge
+ 10% AdministratIve Fee
PaId By
DOUGLAS PALMER
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb 014373 In Person
Payment Total
Page 1 of I
828 ISAM
Amount Due
10600
5700
1304
1630
$19234
Amount Paid
$192 34
$192 34
5/2/2006