HomeMy WebLinkAboutPermit Electrical 2008-2-15
'\
SPRiNGFIELD ,,"il!YJWIf";!>!'Ji
~ %
,\I
225 F1FfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-37S3 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION /
City Job Number COj,4A z.c'Ob - 00 76J Date Z//.r, ~
3. ',COll,lJPL!ITE L<:i!.I'.:SCHED~ ~/LoW"
li::s~~TIONrr=v:o:' L,.;
LEGAL DESCRIPTION
j70127/Z C>b(OD
JOB DESCRIPTION
W , 0_ ~ fI-c, (..A. $ f:::
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
A. New Re~identiat~~'Single or Mul~-F~mily per. dwelling unit.
Service Included
1000 sq. ft. orless
Each additional 500 sq. ft. or
portion thereof
J
5
1/7
$ia(oo
7iJ
$YOO
117
100
Each Manufact'd Home or
Modul~ Dwelling Service or
Feeder
$50.00
,. ....y ~......,~ c~~" ~,
2. coNTii"AcrolflNST.A.iiATIbilONLY' A, I t:""dW'6~ or Fe:ders,-I~stallation. Alterations or Relocation:
J.... ' / ..i follow r U . gon raw requIres yOU to
Electrical Contractor f.301-e Uta/..1- 21..t'c.l~tificat~U~PA~~RY the Oregon Utility $ 63.00
1 In OAR 9S!~~o~~'Mes are set.fQrtll $ 75.00
Address 1'f73/ 0v"" pl"JpJ /~OO90. YOd<H1~fB'A~~hOAR952-001. $125.00
Calling ~ ~lto l~l~n~f the rules by $163.00
. 'C: L),r './... _ .:=t cr, ':> ....number ""rfh-A. i ";-'l1'I'tt telepholltt
CIty .luuc..n 8"'C-.I...A.jC- Phone -L.Lf) -1/ 'i .,r C~Gl'lroUl.f~~y Notificatie' $375.00
, Ru&WecdQlO0-332-2344). II $ 50.00
Supervisor License Number .::1 (9 t9C, <) C. Temporary Se~ces or, Eeeders
Expiration Date / 19- f - (9 c,
Constr. Contr. Number 27 -ljt.rG
Expiration Date 6 -- "/ t"'7 (') '"i!
Signature of SuperviJing Electncian
~~
,/ ( ,
Owners Name ? ~ -; ~ d t~
jOZI w. IJ ~1-
City S'?P~ Phone 7lft-'ZZ3J
Address
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection ~equest: 726-3769
InstaUation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000~Yolts see'''B'' above.
Q. Branch Circuits' ' .
$ 50.00
$ 69.00
$100.00
New AlterationEor Extension Per Panel ORK
One ctiQl1C : l EYt'1RE \f ~m
Each ~(ill8M:\1it$1-\~t lH\S PER~\l \5 Not
service,.ql\t~\'l.fiiUNOtR MdEb~
t\\,J ~_EO OR \5 ABANUV'"
E. MiSC~~~~~f\V~lQe\lot included) -Each Installation
Pump or irrigatton ,,<:\, -' $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL'OF ABOVE
S-O;-:. r f=7:.. t+
~! ~e Surcharge
10% Administrative Fee
zz -Z
/110 Zbbc(
7. z.. zo
'2.if 9'1
TOTAL
Shared Dnve(T )/Bullding FonnsIElectncal Permit Application 1-06 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00965
ISSUED: 09/15/2006
APPLIED: 07/31/2006
EXPIRES: 03/28/2008
VALUE: $ 257,742.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2354 Clear Vue Ln
ASSESSOR'S PARCEL NO.: 1703271206100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Clear Vue Estates lot 15
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 1 Handicapped:
Paved fWl~ Y~ u: THE ~ct:
% of L~'fewMrr SHAll EXP~~ij MIT IS NOT
, ~UTHO~'Z~o. UN~;: :l~:~:~n 1=OR
I PUBLIC IMm~k~ER'OD.
1\1'41 I~ .
Sidewalk Type:
Owner: PHILIP SHELLEY
Address: 1021 W. N ST.
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA nON I
Contractor Tvpe
General
Electrical
Landscape
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
REGAL HOMES BY SHELLEY 168831
BATEMAN ELECTRIC INC 151911
EUGENE LANDSCAPE & IRRIGATION 6129
DIVERSIFIED ELECTRONICS l;btfi;a
CRYST AL <a.~.I~gon taw requires K~ \t
DONALD ~~ijtes ~dopte~ by th~ ,~~eo~~~~Jh
Notiftcatl' .1<I~~': ,.. M~I}\ - - o~.
In OAR obtain cople Y
oqao.. You m~Wij1,o~*te: the te,~pho~e 1
R_911ltng the d.Illim.:.~AA\\\iL'f..Notlficau093 00
number 10r UNrIQlt~. 2 titiu\_ .
u- CentifRf ~Raas -IioV'JI'M"ced Air Gas
VN Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
31.60
5.00
11.00
10.50
27.50
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Downspouts/Drains:
Curb and Gutter
Notes: Storm Drainage to curb & gutter.
Pa2e 1 of 4
Residential
Phone Number: 746-2235
Expiration Date
02/28/2008
06/21/2008
08/31/2008
06/23/2008
02/17/2009
01/16/2010
Phone
541 998-3897
541-998- 7187
689-5455
541-484-9078
541-484.2286
541-688-1931
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
12,072
2,386
828
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Gara!!:e
Dwellin!!:s
Gara!!:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
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 Admm
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
WilIamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Mmimum/Adjustment Electrical
I Valuation Description I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,386.00
828.00
Total Value of Project
~
Amount Paid
$701.45
$10.00
$162.79
$117.37
$306.00
$31.00
$1,079.15
$80.00
$6.00
$9.00
$160.70
$12.00
$15.00
$4.00
$12.00
$198.00
$-30.00
$672.88
$884.90
$10.00
$961.52
$91.61
$195.01
$64.51
$836.32
$189.58
$80.00
$1,543.58
$24.00
$1,000.00
$5.00
$2.50
$4.00
$25.00
$25.00
Date Paid
7/31/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
9/15/06
8/3/07
8/3/07
8/3/07
8/3/07
8/3/07
Pa!!:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00965
ISSUED: 09/15/2006
APPLIED: 07/31/2006
EXPIRES: 03/28/2008
VALUE: $ 257,742.00
Value
Date Calculated
$236,214.00
$21,528.00
$257,742.00
07/31/2006
07/31/2006
Receipt Number
1200600000000001169
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
1200600000000001422
3200700000000000527
3200700000000000527
3200700000000000527
3200700000000000527
3200700000000000527
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backflow Device
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
Total Amount Paid
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00965
ISSUED: 09/15/2006
APPLIED: 07/31/2006
EXPIRES: 03/28/2008
VALUE: $ 257,742.00
$5.00
$6.00
$2.50
$14.00
$36.00
$22.20
$26.64
$11.10
$117.00
$105.00
1/22/08
1/22/08
1/22/08
1/22/08
1/22/08
2/15/08
2/15/08
2/15/08
2/15/08
2/15/08
1200800000000000063
1200800000000000063
1200800000000000063
1200800000000000063
1200800000000000063
2200800000000000215
2200800000000000215
2200800000000000215
2200800000000000215
2200800000000000215
$9,835.31
I Plan Reviews I
Initial Review 08/01/2006 08/01/2006 APP LLH
Public Works Review 08/01/2006 08/10/2006 APP JLP
Plannin2 Review 08/01/2006 08/18/2006 APP TAJ
Structural Review 08/01/2006 09/12/2006 APP RJB
Storm drainage to curb & gutter
need to provide truss spec's at job
site to inspect for lateral bracing
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.
~e(]uirerunsnections 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.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Pa2e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00965
ISSUED: 09/15/2006
APPLIED: 07/31/2006
EXPIRES: 03/28/2008
VALUE: $ 257,742.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor 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.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor 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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor 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.
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 4 of 4
225 Fifth Street
Springfiel~, Oregon 97477
541-726-3759 Phone
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-00965
COM2006-00965
COM2006-00965
COM2006-00965
COM2006-00965
Payments:
Type of Payment
CredltCard
cRecelOl1
RECEIPT #:
2200800000000000215
Date: 02/15/2008
DeSCrIptIOn
Residence Wifing 1000 Sq Ft
Residence Wifing Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
DOUGLAS SHELLEY
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
DJB
015978 In Person
Payment Total:
Page I of I
2:02:17PM
Amount Due
117 00
105 00
II 10
2664
22 20
$281.94
Amount PaId
$281 94
$281.94
2/15/2008