HomeMy WebLinkAboutPermit Electrical 2008-2-29
ZON 1 A If
-../
INITIALS f\rY)
DATE J ~ - L'1 --UJ'
SOURCE (:n...:~f) \(?i
Date 2-2-9-oy
225 I'll ltl STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number COIA/\ ~Df(,. 00(08
~"<7~ ";
1. WCATION OF INSTALLATION: , ,
_~)%O -l~L~,
,
LEGAL DESCRIPTION:
!Bo3/DrO OOZoO
JOB DESCRIPTION
$ ~vL I wUtA:-- 6d11l,At;-~
I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
"V,,~ ( { v
,.. ~ II"
II ~ {.
COMPLETE ~151!. SCHEDULE BEWW
,-w ~N:::: ,~...<~ ...-.,>.-;,:mmi;k~'~'( , ~, ,/ , ~,,~ ~A~
3.
, ~ <" i
m~> i~' A V ~=r ~ ,"- II >> > ~")W~~ i ' ,> >
A. New Reside~ti3r- Single or"Midti-Family per dweUirig unit
~>~"L , '" ^}-/iWi' ~ <l
Service Included fi~
1000 sq ft or less
Each additional 500 sq ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/ /7 _~'JJ
$11700 (I -
(
$ 21.00
$55.00
/m'f;,
CONTRActOR INSTALlATION ONLY
::::~con~{) ~~~~
Phone 72'1 - / t;; 0 0
"\ ' : ;/ < v ~ ~~f;~r' ~ ' ""'<if"".-
B. Services or Feeders ,,- Installation, Alterations, or Relocation:
'. ' .,.,...." ,,,, > >~ >
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
ATT(!nff10r0o~daw requires you to
folloft~cadmp$ed by the Oregon Utility
Notification Center. Those rules are set forth
In ~R ~QQ1aPPst~gp'Q&.2-001.
0096. :VOumay oiStatn"co"tes'Ofthe ru'eS'by
calijng.Jtte cent~(. _(Note: th~1~!~pJJon8
num'<~fWlB' 0i'~~aH<t7tfM1W6'fiftHiflon
200a,,".~rojslt$l800-332 -2344).
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
"my;~ ~
D. i Branch Circuits" " "" "I "
$ 70 00
$ 83 00
$13 8 00
$180.00
$413 00
$ 55.00
/'tl
~~
tJ
City
9 tj 5 -- cc
Supervisor License Number
/;/2',,0 Ie>
,;Zc) - C( 5/ L
I/j()t~
ExpIration Date
$ 55.00
$ 76.00
$110 00
Constr. Contr. Number
Expiration Date
\ 2'h~~~i,,~ /
Signature of Supervismg Electrician
I~~~ lU ~
?~p-- ~
Sf," 0 'Kli?Lve;fL ~
e:u..~~ Phone l(b( - 0 7S S-
New Alteration or Extension Per Panel
One CirCUIt
Each Additional Circuit or with
Service or Feeder PermIt
$4800
$ 4.00
Owners Name
E. Miscellaneous (Ser,vice/feeder not included) -Each Installation
,~~ , ~
Address
City
Pump or Irrigation $ 55.00
Sign/Outline Lightmg $ 55.00
OWNER INSTALLATION Limited Energy/Residential $ 28.00
The installation is being made on property I own which LimIted Energy/Commercial $ 50.00
is not mtended for sale, lease or rent. NOTICE: Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
THIS PERMIT St.IA~~_ //7
AUTHORIZED UNDJ:'~TJ.lr~ DJ:OI\JriT ", v, """ -
" '1'2% 'State &tI\!filbIg~ NOT J 1/01(
CO"v1MENCED OR 1~~A~.mRe I/;o=r
AN Y 180 DAY PERJBQ. Technology Fee .5 gJ'
Ilf8 5?
Owners SIgnature:
Inspection Request: 726-3769
TOTAL
Shared Dnve(T )/Bulldmg FormslE\ectncal PermIt ApphcatlOn 1-08 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00108
ISSUED: 01/31/2008
APPLIED: 01/25/2008
EXPIRES: 08/29/2008
VALUE: $ 50,400.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5580 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803101000200
Eugene
TYPE OF WORK: Garage
PROJECT DESCRIPTION: Shop
TYPE OF USE: New
Residential
Owner: FRANK BREWER
Address: 5690 BARGER RD
EUGENE OR 97402
I CONTRACTOR INFORMA nON I
Contractor Type
General
Electrical
Contractor
OWNER
RALPH W BROWN
License
63137
BUILDING INFORMA nON I
# of Units: # of Stories:
Primary Occupancy Group: U Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary ConstructiJ\mlN\ .ON: Ore\j6n law requlw&tVPtt:~e:
Secondary ConstnYC:J\Wfty'IfU~ adopted by the Or~JJtiH'. :
# of Bedrooms: Notification Center. Those rules i\&%~ t .:
In OAR 952-001-0010 through OM~l ~me ll}i1ding n/a
a~:b: Fr.':',' .......,,1.. "r'\rij:l~ oftfie ru es v
calling the Center. (N~DE~jtpt~,N.lINFORMA nON I
number for the Oregol ~lllll," - I If
Center is 1-800-332-2344).
160.00 Overlay Dist:
162.00 # Street Trees Rqd:
12.00 Paved Drive Rqd:
139.00 % of Lot Coverage:
160.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Phone Number: 541-461-0935
Expiration Date Phone
02115/2010 541-729-1500
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
9.00
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains: To Culvert - Provide
NOTICE: Drainage Plan
THIS PERMIT SHALL EXPIRE IF THE WORK
storm drains into previously approved existing system int~~-rtmMtWohUM1~rpm51pmMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa2e 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00108
ISSUED: 01131/2008
APPLIED: 01125/2008
EXPIRES: 08/29/2008
VALUE: $ 50,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$28.00
Square Footage
or Bid Amount
1,800.00
Tvpe of Construction
Garal!e
Garal!e
Total Value of Project
~
Value
Date Calculated
$50,400.00
$50,400.00
01/25/2008
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $268.21 1/30/08 3200800000000000070
+ 10% Administrative Fee $55.26 1/31/08 2200800000000000134
+ 12% State Surcharge $55.52 1/31/08 2200800000000000134
+ 5% Technology Fee $28.93 1/31/08 2200800000000000134
Fire SF Fee - Residential $90.00 1/31/08 2200800000000000134
Garage/Carport $412.63 1/31/08 2200800000000000134
Plan Review Minor - Planning $116.00 1/31/08 2200800000000000134
SDC Sanitary/Storm Admin $31.14 1/31/08 2200800000000000134
Storm Drainage Impervious Area $622.84 1/31/08 2200800000000000134
Storm Sewer - 1st 50 Feet $50.00 1/31/08 2200800000000000134
+ 10% Administrative Fee $11.70 2/29/08 1200800000000000191
+ 12% State Surcharge $14.04 2/29/08 1200800000000000191
+ 5% Technology Fee $5.85 2/29/08 1200800000000000191
Residence Wiring 1000 Sq Ft $117.00 2/29/08 1200800000000000191
Total Amount Paid $1,879.12
I Plan Reviews I
Planninl! Review
01/30/2008
01/30/2008
APP EMM
Pal!e 2 of 3
I)Property is Zoned LDR but
designated LMI. It is OK to remain
residential until urban services are
available and annexation occurs per
Greg Mott. 2) Preserve the trees
along the Franklin Blvd. frontage in
lieu of required street trees. 3) A
Tree Felling Permit is required if
more than 5 trees 5" dbh or greater
are felled. 4) The shop must not be
any taller than the house. Owner
claims it will be 4" shorter, although
house plan to shop plan does not
indicate this. INSPECTOR TO
VERIFY IN FIELD.
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00108
ISSUED: 01/31/2008
APPLIED: 01/25/2008
EXPIRES: 08/29/2008
VALUE: $ 50,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
01/30/2008
01/30/2008
APP LKW
storm drains into previously
approved existing system into
drainage ditch
Structural Review
01/31/2008
01/31/2008
APP DLM
Approved as noted on the submitted
documents.
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.
LReouired Insoections I
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Storm Sewer Line: Prior to filling trench.
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
Pae:e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00 1 08
COM2008-00 1 08
COM2008-00108
COM2008-00 108
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Residence Wifing 1000 Sq Ft
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RALPH BROWN
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000191
Date: 02/29/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
2582
In Person
Payment Total:
Page 1 of 1
10:52:39AM
Amount Due
11700
585
1404
11 70
$148.59
Amount Paid
$14859
$148.59
2/29/2008