HomeMy WebLinkAboutPermit Electrical 2007-4-17
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COfYlWOi:rO/to37
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JOB DESCRIPTION
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. Permits are non-transferable and expire if work is
,r not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor ('}tlJRt3l-fYS /N{'./
Address jt:!t,S- (;), i 711--
City t:-.MCleNe ~bhone c;'if":)-(,()()()
,-
Supervisor License Number '2?9 g L6A
Expiration Date lolol/zCX'J'f<
Constr, Conte Number / 2973> r;
ExpirationDate (,/()9~tJ'? M
Signature of Supervising Electrician
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Owners Name ----JOy'M1 -hJ~
Address ?;52.{) (' R j L c;JL U ),t",
City ~. Phone b~ .Jqq~
OWNER INSTALLATION
The installation is being made on properly I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date
.A1tI!iD
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Service Included
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof la\!' rAnuires '1C$11\9100
. nTI:'N:rI~: OlegO(1 tne Oregon Utility
Each Man~::,cl,~ .. og(l9'iJted by set lorth
Modullu;lb,*f1'ill1l efV1ce ori\1ose rules are n'$'t<I-o'
. foR e\ IlOIo I.-. nAR~'" JV-! u-
Feed~otlhca I 01_0010t\1rv-; .. I by
v~l1'~~~?'~~~t'm,@lp1~~;ol~P." ..!~- ~~ -.-~'_-!ii'";~". '1
B. \,;SerYliCt'.Sior.~eeil"'sil',qIn~lall"tiOI).,01j \t",,-atioltt'l\\GReJocation:.' ,
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calling n ' "0(1 Utility I\lO'\II\,;a ,
200 AmIl\'u~\1\;~ lor t\1eO~eiOO~20) ?:i!i4~,63.00
201 Amps to 400Q..mjl~i\S .:... , $ 75.00
401 Ampst0600,Amps ',' $125,00
601 Amps to 1000 Amps $163.00'
Over 1000 Amps/Volts $375,00
Reconnect Only $ 50.00
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Installation, Alteration or Relocation
200 Amps o~l~s,. $ 50,00
201 Amps 1J'fl1J'ol:.u;,~; $ 69.00
401 Amps tJ6lJ6)Alli~MIT SHALL EXPIRE$lfuo,b'O: WUHK
Over 600 ~W~&lli'WI~I~lifF~~6SlERMIT IS NOT
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One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
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E. 1';~c~n~P.~~u~!(Se!-.yi~e/(~d,e(no!,iJlc~de~),".Ea:ch;l'!'s~a~!!,~l!i..l
Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25,00 ,;;)'S; 00
$ 45,00
I
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
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~flo State Surcharge 3. h l)
10% Administrative Fee tfSV
~ ~ ~.~81
, TOTAL e:--c- E~
Shared Drive(T:)lBuilding Fonns/Electlical Pennit Application 1-03.doc
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/21/2006
EXPIRES: 10/17/2007
VALUE: $ 212,469.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
Springfield
TYPE OF WORK: Single Family Residence
Owner:
Address:
JORDAN & JORDAN CONSTRUCTION
3520 CELESTE WAY
EUGENE OR 97408
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
, -
Contractor License Expiration Date Phone
JORDAN & JORDAN CONSTRUCTION LLC 155313 04/30/2007 541-688-3998
DEANS ELECTRIC 99579 06/20/2008 541,935-5303
OLDFIELDS INC 129736 06/09/2008 541-485-6000
COMFORT FLOW 460 06/27/2007 541-726,0100
GPC ENTERPRISES INC 136043 01129/2009 541-345-1931
BUILDING INFORMATldU-l.lIGE:
1 HrS PERMIT SHALL EXPIRE IF THE WORK
# of Stories: AUTHORltED ~p.,trJ~f~'T IS PERMIT IS NOT
Height of Structure: r.m~~~~.P,Q'ED 1I:f, ' s 'Iq.QriI1NED FOR 1,901
Type of Heat: Forcell 'Xli" (;~~J IfFtU n FI(Joi":'
Water Type: ANY 1 ~SJAY Ilq,ilHiGsement:
Range Type: Gas Sq Ft GaragelCarport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
1
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
641
2
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
,13.00
6.00
49.00
35.00
Overlay Dist:
# Street Trees Rqd: 0
Paved Drive Rqd:
% of Lot Coverage: 22.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partiallv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
To Storm Sewer
Notes: Storm & Sanitary to existing laterals-Location to be field verified.JLP
Page lof4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Gara!!e
AC - Residential
Gara!!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 50/0 Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/21/2006
EXPIRES: 10/17/2007
VALUE: $ 212,469.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$26.00
Square Footage
or Bid Amount
1,901.00
641.00
Value
Date Calculated
$7,604.00
$16,666.00
$24,270,00
12/21/2006
12/21/2006
Total Value of Project
Fppo, P~W
Amount Paid
$606.39
$10.00
$148.49
$84.15
$118.79
$254.00
$31.00
$8.00
$932.90
$6.00
$9.00
$12,00
$15.00
$4.00
$198,00
$106.00
$76.00
$554,14
$728.74
$10,00
$961.52
$91.61
$201.38
$64.13
$836.32
$189.58
$1,938.35
$50.00
$12,00
$1,000.00
$4,50
$2.25
$3.60
$25.00
$20.00
Date Paid '
Receipt Number
12/21/06
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
2/8/07
4/17/07
4/17/07
4/17/07
4/17/07
4/17/07
Pa!!e 2 of 4
2200600000000001734
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
1200700000000000134
2200700000000000545
2200700000000000545
2200700000000000545
2200700000000000545
2200700000000000545
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Amount Paid
Initial Review
01/18/2007
Plan nine Review
Public Works Review
01/18/2007
01/18/2007
Public Works Review
02/05/2007
Public Works Review
02105/2007
Public Works Review
02/05/2007
Structural Review
01/18/2007
$9,312.84
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/21/2006
EXPIRES: 10/17/2007
VALUE: $ 212,469.00
I Plan Reviews I
01/18/2007 APP LLH
01/31/2007
01/19/2007
APP
WI
This plan was held by an unknown
employee until today when it
appeared in my routing drawer,
Please route as quickly as possible
TAJ
JLP
Waiting in order PW rcvd for
rvw.JLP
Rcvd call from owner. Tld him PW
rcvd 1/19/07. He said brought in on
12/22/2006. I lid him would look into
& move to top of pile if this was
accurate. Verified this is true.JLP
First day to work on due to urgent
files placed ahead of this one (tld bid
6-01637 very urgent,assigned
others) by building department.JLP
Storm & Sanitary to existing
laterals-Location to be field verified.
Completed file rvw Fri, 2/2107. Data
entry Mon, 2I5/07JLP
Plans approved by Shawn Eaton
with the Building Department under
contract with the City of Springfield,
01/26/2007
10
JLP
JLP
JLP
LLH
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.
02102/2007
10
Vfer 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 hut prior to concrete placement.
Post and Beam: Prior to floor 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.
02102/2007
APP
01/24/2007
APP
Ueouire'Unsnections I
Paee 3 of 4
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~ITY VI' ~rK1I.n..N~LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/2l!2006
EXPIRES: 10/17/2007
VALUE: $ 212,469.00
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underlloor Plumbing: Prior to insulation or deckiug.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Low Voltage: Prior to cover.
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 reqnested 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
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'injii' ",,,.....
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CiJl.ef Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006,01637
COM2006-0 1637
COM2006,Ol637
COM2006-0 1637
COM2006-0 1637
Payments:
Type of Payment
Cred itCard
cReceiot I
RECEIPT #:
2200700000000000545
Date: 04/17/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OLDFlELDS
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
ddk 01681C Phone
Payment Total:
Page I of I
IO:II:23AM
Amount Due
25,00
20.00
2.25
3,60
4.50
$55.35
Amount Paid
$55.35
$55.35
4/17/2007