HomeMy WebLinkAboutPermit Electrical 2006-11-21
I
CITY OF SI'RI!\i'-JFIH.D. OREGON
~ ZON LI't?_
INITIALS N fV\
LA AL DATE j I - ;;ii-(\J0
-.... 'IliV' SOURCE~
Date )//2, lOb
225 FIFTH STREET 0 SPRINGFIELD, OR 'T/477 0 PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number COM.ZOOb - blO 'i l.
1. I LOCATION OF INSTALLATION:
5S 80 F"flI.'M td,.... 1rlv.l
LEGAL DESCRIPTION:
I B03JOID
3. I COMPLETE FEE SCHEDULE BELOW
o Oleo
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Included
JOB DESCRIPTION:
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufac!' d Home or
Modular Dweiling SelVice or
Feeder
$106.00
few-I ?,owGL
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
2. I CONTRACTOR-I!:!STALLATION ONLY J B. I Services or Feeden - Installation, Alteration. or Relocation:
<,) (\ ^" r--"r... ,\'"
Electrical Contractor p<-'t.f>Q - _ ~I 0 h
Address <(\0\'1'" 11 \)~nl 1 ~
City ~~l Phone l.i9>la-O~05
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
(VI' ....
SupeIVisorLicense Nwnber \ 5lo (f., S ' _ ~ ..~'J -t,.~. ,I. Temporary Sen'ices or Feeders
, ',' -I' ~.... ;..'~
\ () I ,f\ /) 0" '~9',I()rN' ~ ~ '''r' :':" '.
Expiration Date \ 'cJ-OO '-T vC:'rl" 5", In.tallation,Alteration'oljRelocatIon 5-"""
. . y, --I I, .. f. 1'/, ""i-aO' "98 I - '-'
C"Z' OlJ '7200 Amps of'iess., h^ Yo,.. $50.00
C" '\ I .1-'1. \ Cl{J'f7 'I j"'" ~ fr, >'J. -~ t," '1.#0,.., cu
Constr. Contr. Number <J1..\~o 17/'~" gi/)", 201~~psto4~Airips:>?v "U,..,.. $69,00
\ \ --:11'< c C'4-01'A~'I/'to-600V,';!b. - 'e IS "'Y $100 00
q 'or i' I~PS _~ups"i D Sf < .
,...--il 11 D t ~ ~ 1'\ IC\.L\. t . c""~ '"' . ril./r:t--t-"C$ I"'!.t . j r:.)~ .VI'i
( xpira 'on a e au N-LJ'-) ". Sl)tr."OVef600AIiij>s or 1000,vo1tS see;;B7 above.
Signa~SupervisingE1eCtricUm >>:'1 Briin~Iiirii"cl'it{'I'/e'_!. . ,',
0\1':),..,- 'VO'''~' .v/I<Q '"
J ~ '/J /~ New Alteratioi1:c!r~IteD'!!'e6er Panel
'<".../'1/1", 0/~~ _ OneCrrcwt 'J. 11 $43.00
Each Additional Circuit or with'
Own"",Name CAt.los., ~c, I(rtl!c(. Service or Feeder Pennit $ 3.00
Address I 9 ~ 'i A ~l4-ko.....4u~J'&LiH~ E. I Miscellaneous (Service/feeder not included) -Each In.tallation I
-. ~ ~'l; 'I1Sft.
CIty f::::v..G--l:::-Nf.- Phone.g UN. ~~Jh~gation $50.00
78, [0 0 D(~~tI\l1t7~ting $50.00
OWNER INSfALLATION OO,</y p 'IT /s~{j,ft~~n,tial $ 25.00
Theinstailation is being madeonr,or.", lownwhich 'f1T/O[}~ kjllJw1~ $45.00
IS not mtended for sale, lease or rent. Minimum Elect j"",,~r1i@p:tion Fee is $45.00 + Surcharges
Own"", Signature' 4. I SUBTOTAL OF:.wOVE I SO
8%SmteS~c~e ~
10010 Administrative Fee S
5% Technology Fee Z SO
Inspection Request: 726-3769
b/~
oq I ~ol ;;(cro(
TOTAL
Shared Drivc(T:)lBuilding FonnslElectrical Permit Application 8-06.doc
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5580 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803101000200
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 05/21/2007
VALUE: $ 183,656.00
Eugene
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
Owner: CARLOS ANGELO
Address: 1959 ANTHONY WAY
EUGENE OR 97404
Contractor Type
General
Electrical
Mecbanical
Plumbing
Pbone Number: 541-895-3200
I CONTRACTOR INFORMATION I
Contractor
ADAIR HOMES INC
ROSE CORPORATION
ROSE CORPORATION
3T PLUMBING INC
Phone
503-645-1156
541-686-0905
541-686-0905
503-932-2119
Overlay Dist:
l!JI~treet Trees Rqd:
7; P~;.!lrive Rqd:
A It,~Affit Coverage:
riu" 'I:/1!1
/"" Itn,.. w//~_
"Iwlj~Crlj:;iNffiRQVBME,l'ITS I
\ ,
'(/0 0-4~u O/1'vt:/1 7'~~f'JI/1f' Sidewalk Type:
r p IS -4 'tiS If:' 1;
Storm Sewer Available: No '1:/110 8-4tU Pf'!?, ,f)"o'U)SpoutslDrains:
Special Instruction: ~ VOtU iZtl7'; V/1,r
'1:0 fj 0' NO
Notes: Storm water will be piped to existing ditcbline per pbone conversationQlZ5 w/Anne R @ Adair Homes. Billy is
following up witb LDAP issues & approval. Septic system to be approved by Lane County Sanitarian.JLP
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construetion Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
75.00
12.00
5.00
Street Improvements:
License
593
54431
54431
147077
Expiration Date
03/19/2008
09/30/2008
09/30/2008
03/0212009
1
R-3
U
VB
BUILDING INFORMATION I
.,:..-.....
'6 1/ ,-.....
# of Stories:'/!) I..; i '''-, 1
Heigh,<J~Struciut~~.'" ',.... 17.00
Type.ofHeat: 'ie,.. -~ " Wall Heat
vr '!~ G . ,', ~
Water Type: ,13:.) ", Eleetr'ic,
Rang"-T'YJl~~'I;':;'-(';i. ';'Electric'
En{;;'" Path:;.... ,.:' ~. .J7~i>;;tbJ
eir,(.)~ '.f.... ,~~.... ',... ,
Sprinkleil'Buildirig:"..' 1,;'] ri/a"
" ' ....J'.., ~,. C,.
484
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
, lsq Ft Otber:
",Occupant Load:
c'
1,728
I DE""LvrI.IENTINFORMATlON'I':_~'I"" ". '
, ._ ,', " ~,.": "REQUIRED PARKING
, - . ~ ' '-.
Urb'an ~i-inge ,[ - 0' Total:
"I. -..'" - Handicapped:
Compact:
2
7.20
Pa2e 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
Dwellin2s
Gara2e
V Wood Frame
Garaee
Fee Deseription
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimnm/Adjnstment Mechanical
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer Each Addtll 00'
Vent Fan
Water Line - Each AddtlIOO'
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
Total Amount Paid
Initial Review
08/25/2006
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 05/21/2007
VALUE: $ 183,656.00
I Valuation Des,crintion I
$ Per Sq Ft
or multiplier
$99.00
$26,00
Square Footage
or Bid Amount
1,728.00
484.00
Value
Date Calculated
$171,072.00
$12,584.00
$183,656.00
08/25/2006
08/25/2006
Total Value of Project
Fpp< V"i<l I
Amount Paid
$200.00
$10.00
$143.93
$76.33
$106.29
$254.00
$31.00
$838.65
$6.00
$9.00
$110.60
$18.00
$198.00
$106.00
$57.00
$40.74
$814.88
$14.00
$12.00
$14.00
$5.00
$2.50
$4.00
$50.00
$3,121.92
Date Paid
Receipt Numher
8/24/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
11/22106
11/22106
11/22/06
11/22/06
2200600000000001192
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001680
1200600000000001680
1200600000000001680
1200600000000001680
I Plan Reviews I
08/25/2006
APP LLH
Exempt from Willamalane SDC's.
See attached documents.
Paee 2 of 4
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 05/21/2007
VALUE: $ 183,656.00
.
-1tr;!I'~!a.~~-
.1' ,_"
-, ""
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
08/25/2006
10/06/2006
APP T AJ
Public Works Review
08/25/2006
09/25/2006
APP JLP
Structural Review
08/25/2006
.OK DLM
I) Property is zoned LDR, but
designated LMI. 11 is OK to remain
residential until urban services are
available and annexation occnrs per
Gret Molt, 2) Access is via a
recorded easement (reception #
61658, LCOR). 3) Preserve the
trees along the Franklin Blvd
frontage in lieu of required street
trees. 4) Tree Felling Permit is
required if more than 5 trees 5" dbh
or greater are felled.
Storm water will be piped to existing
ditchline per phone conversation
9/25 w/Anne R@AdairHomes.
Billy is following up with LDAP
issues & approval. Septic system to
be approved by Lane County
Sanitarian.JLP
Master Plan from the State of
Oregon.
See documents for City Bldg. Div.
plan review comments.
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 following work
day.
~rp.rl 'n~nections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspeetion 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 1100r insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underl100r Plnmbing: Prior to insulation or decking.
Paee 3 of 4
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 05/21/2007
VALUE: $ 183,656.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Drain: Prior to cover or placement of concrete.
Rongh Plumbing: Prior to cover and inclnding required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Line to Septic Tank: Prior to filling trench and required testing.
Final Plumbing: When all plumhing work is complete.
Rough Mechanical: Prior to Cover
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,
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 ofany strncture without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in eompliance 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 tbe 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
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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-",;': -....
,,,,,,__,~"---">"" ,".
Ci~f Springfield Official Receipt
.opment Services Department
Public Works Department
Job/Journal Number
COM2006-01092
COM2006-0 I 092
COM2006-0 I 092
COM2006-01092
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000001680
Date: 11/22/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
ROSE CORP
Item Total:
(;heck Number Authorization
Receiv"ed By Batch Number Number How Received
djb 005019 In Person
Payment Total:
Page I of I
3:03:ISPM
Amount Due
2.50
4.00
5.00
50.00
$61.50
Amount Paid
$61.50
$61.5U
11/22/2006