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Home My WebLink AboutPermit Electrical 2006-3-21 v' J'~~~"U~~~~~~~ing , [t~r:I2~~j , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726~1}l- ~~\i.lJYi~ ELECTRICAL PERMIT APPLICATION Dote' _....:.:.:... r .~ ~ '--.J City Job Number eo"", z,oof,. 0004 f Date ?-re"/II",,~~rp , t-ry! ~~';""" . -:~';',(Tr':",~"";;V('J~-.~~,-r~,:':~'.~"""",;:"'~'~ ~77~~ 1. f,LO,C,.A..,rm./Y;'(}F;.'!!fSIM~T,I~9 d1,i1'c,'?;~'.~~ ...-.. _ ,.....-=----. ~"'.~~_."'-_..;;~"'-,,~~ .. ---- - ZgZ7 (>Awt~- --- LEGAL DESCRIPTION I /7DSZ7.4 JOB DESCRIPTION I V. {' A....~o .;AL, LOlA ~ 't";h,t!"' - ""v, ' I'L..o"'f:. OS70C , 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. p.",_.,.,....', "'.""~ v _ ~~., ,~v~:;;,1">,,~~'-c "r~l' .".~..:~:rr,:... ""-;'~ 2. LS!?N~~c:re~,'![f.z:4f~~~:p~~ Electrical Contractor ()t[J;9C/.J)'S /,A)('./ Address Nh5 /)), 17-n-- City j:....uQetVe Gibhone c;"6'5""'-C;(J()D l Supervisor License Number '2 79 g LeA Expiration Date It) /of /ZCX'])J( ConslT. Contr. Number / 2973> 6 Expiration Date C;/09/0 h 3, !;,(;OMPLEfEFEE;SCHEDc."LiBEiQl:i{Z;0'i,';,~,~~F';,;~ ,,_ .;$&+;_ ~"..:l'.n..;..'.~'\,"," ..~.1,'~..;...,,- ~.:.~,;,~',~c/;;;..::a.su\.;. '~,\;:\.';;;;,"",",";"__...,1.;~:;.....,c:..,..~.rt;".;;....i;.;.~' .iC',;, ;'i;Gf':;"', ~~~"j.<;t\h"" ',-:';-;V';'..,' ;~:i<5\:; ,,"f'i:=:;:;"~:i ,:'''''':,..,. ,,'c:'0:r':';:;"''i'~F";'T~;__~._ \':'~;\ .~ ":"""k-;-t;'-":"""f:t:;;::";;j A. ~~ ~w,~~~i!!eii!iaI.:,:Single,~r"\il lilt!; Ea !lilIytji~e(ih~ellingujl i!: "",;, "'~~,____...,__,~~__....-.....,-,,_-,,_ ,.....,;..r:.~__,.. ~.....'~...o-.,_~,_.O'!_......,___;...i;l..'~,___-:..4 Service Included 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each ManW~q(<\,[j9!!'~19r)regon law requires you to Modular 90(~~\iJ'~u~g~i5Septed by the Oreg0$5b~8gty" Feeder Notification Center. Thu,," I U>,,~ 0'" set lort., F"'''''''':;:l;Il'ft!iift~OO''',~''ffimuT~~~~f;\'l'1i.'''''"1 B. r:Ser.Yicesor'Feeilers~~~,talliia t;"io,a,;f"ltera tions:o~.J.l.elocat.ion:>; "-""'...,"~'lLY6tt-m1'!r"=""",;.....tfle&;Ql:U,t'>l:J.:.I\l"""J:l!v"~','~'~,."',jJ 200 A -'I'''"g the center, (Note: the tp$lp6'3nhooone mps or ess ...... N . tlcn n, 1.......h.f;T" fnr the Oregull U~III~Y iJtlll\...d .. 201 Amps to 400 Amps . 1 80- nM M4~75.00 401 Amps to 600 l'riIf,~tef1s - v w_ -- $/25.00 601 Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 ~ ' ~:::.:...",,,,,<;.,.,.t''' ",.~,~,", -'i/'''YC>_ft';.;.",-,. '\-~ -~~'''''''ifi.:--~'l-'':'; ,,-'~;' '';i ~""".._'~~'t}..>.;;,....,~ C. kt~~Q~~.it;~~iilic.~S~~lJ:)I~l!~.,s.fl!D~"t1:~1iMEi' --..;:~!tt2~~;:k~i~~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50,00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above. D lTBi-fri~W~u"itlts'~:'l:'~V'r."~am~!"l"\ i'~~i&"'.;,>",~~!~\~'i;; Signature of Supervising Electrician . ~~i'It;-&<-~1l:m~:!!! ',- ""~E..wffi:r~m;J'! .-1- /J /J /J r / /. /J New Al"l~~ffi>ii'~RJililredl;il,~tp.,F~~I~ ERMIT IS NOT jg~ lj_ W.;~ OneCircl\i9THORIZED UNDER THIS __ $-A~ll\l{ , 0 Each Adt~IJflWfOiWit\PtGfithS Ao/'mt;v,lclH\J Owners Name r ~/ (f.:r~d~ ~\~::i;:~:~~"!:;~~::;P:~~:"T,~,,~~'-~~~:,"'i!!P~!"!"~~ Address 3Sz...o leI t:- w"y' E. ~~c~I!~!l!'.oJ's;(S!e!'.I~/ft~d<erh,?,tlJlcl!tded))c~,a,ch)H.s!a,n..:'I!O~!.il City t;1J...6-6Ve- Phone 6ff' -1." f OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential / $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee(s$4S:o~charges ~:"~ '. /YJ--:,;:r;~?7'~:~~_::-? r:- .%~~f'~l'~~~~~,~i~'~~jj~~f;",,;cl 4. rs~~I2J~!:2:F~~9:~.$_:(^';~lt~~~10~)Pi:r:7t~IP~ ....,....~.--', ",-, '...-.J;..-';;;"~.-''''''', [I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY VI' ~r1Ul'lljI'mLD Building/Combination Permit PERMIT NO: COM2006-00048 ISSUED: 02/01/2006 APPLIED: 01/12/2006 EXPIRES: 09/21/2006 VALUE: . $ 214,349.00 SITE ADDRESS: 2827 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703224105700 Springfield TYPE OF WORK: Single Family Residence I TTO:f\'T'Q~i' On"non law reauires you to ~ "TYPE OF USE' New U 'I' . . .. ' , ,~'fI r".'e:'.auup,,,d uy ,;le e;, "Qon tl Ity . PROJECT DESCRIPTION: SlOgle family residence, Lot 2 ~lin:e~~~~I~~Ir.'l,'liter. Those rules are set forth ..... A""" ........,... ,.."'... ,...,......1"1 ~l-...,...,I,..h f"'IhC Ql:;,'J_rH')1_ Residential Owner: JORDAN & JORDAN CONSTRUCTION Address: 3520 CELESTE WAY EUGENE OR 97408 '",';;J(;: y~~-~~y obtain copiPholhIINumber:bY541-688-3998 calling the center. (Note: the telephone number for the Oregon Utility Notification Contractor Type General Electrical Mechanical Gemer IS I-OUU-vvot:..t:.v"'t"'tJ. I CONTRACTOR INFORMATION I Contractor License JORDAN & JORDAN CONSTRUCTION LLC 155313 EVERYDAY ELECTRICAL SERVICE 136371 COMFORT FLOW 460 Phone 541-688-3998 541-607-6908 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 VB 24.00 5.00 5.00 62.00 37.50 Expiration Date 04/30/2007 08/12/2007 06/27/2007 3 BUILDING INFORMATION I # ofSt~~j~~H6~~MIT SHALL ~Xi'IRE~~~ Height~r~~vW~ctu~fD UNDEFhil\lS P~W!li~ : Type oHl~t: tNCfD OR IS AG.Il,'WOIlIJJ\t~irl\~ r: Water'~pe~ 80 DAY PERJOD9as ~qiltralRement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: 625 2,001 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: 0 Paved Drive Rqd: % of Lot Coverage: 24.90 . I PUBLIC IMPROVEMENTS I Partially Improved Yes Sidewalk Type: Downspouts/Drains: Drywell - Provide Drywell Engineering Notes: Roof run-off into drywell, paving to Storm swale Paee 1 of4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00048 ISSUED: 02/01/2006 APPLIED: 01/12/2006 EXPIRES: 09/21/2006 VALUE: $ 214,349.00 .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated or multiplier or Bid Amount Dwellines V Wood Frame $99.00 2,001.00 5198,099.00 01/12/2006 Garaee Garaee 526.00 625.00 $16,250.00 0111212006 Total Value of Project $214,349.00 L.)?pp< PiWU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential 5610.61 1112/06 2200600000000000055 -Mechanical Issuance Fee-- $10.00 2/1/06 3200600000000000047 " + 10% Administrative Fee $148.94 2/1106 3200600000000000047 + 8% State Surcharge $119.15 2/1106 3200600000000000047 2 Baths One or Two Family $254.00 2/1/06 3200600000000000047 Addressing Assignment $31.00 2/1106 3200600000000000047 Appliance Vent $6.00 2/1/06 3200600000000000047 Building Permit $939.40 2/1106 3200600000000000047 Dryer Vent $6.00 2/1/06 3200600000000000047 Exhaust Hoods $9.00 2/1/06 3200600000000000047 Furnace - up to 100,000 btu $12.00 2/1/06 3200600000000000047 Gas Fireplace $15.00 2/1106 3200600000000000047 Gas Outlets 1-4 $4.00 2/1106 3200600000000000047 Plan Review Major - Planning $150.00 2/1106 3200600000000000047 Residence Wiring 1000 Sq Ft $106.00 2/1106 3200600000000000047 Residence Wiring Ea Addtl 500 $76.00 2/1106 3200600000000000047 Sanitary Sewer - Improvement $476.75 2/1106 3200600000000000047 Sanitary Sewer - Reimbursement $626.75 2/1106 3200600000000000047 SDC MWMC Administration $10.00 2/1106 3200600000000000047 SDC MWMC Improvement $865.3 I 2/1106 3200600000000000047 SDC MWMC Reimbursement $82.03 2/1106 3200600000000000047 SDC Sanitary/Storm Admin $120.26 2/1106 3200600000000000047 SDC Transpo Admin $66.46 2/1/06 3200600000000000047 SDC Transpo Improvement $805.70 2/1106 3200600000000000047 SDC Transpo Reimbursement $182.09 2/1106 3200600000000000047 Storm Drainage Impervious Area $685.09 2/1106 3200600000000000047 Temp Power 200 amps or less $50.00 2/1106 3200600000000000047 Vent Fan $12.00 2/1106 3200600000000000047 Willamalane Single Family $1,000.00 2/1106 3200600000000000047 + 10% Administrative Fee $4.50 3/21106 2200600000000000358 + 8% State Surcbarge $3.60 3121106 2200600000000000358 Low Voltage - Residential $25.00 3121106 2200600000000000358 Minimum/Adjustment Electrical $20.00 3/21106 2200600000000000358 Total Amount Paid 57,532.64 Paee 2 of 4 . . CITY 0.. ~r1Ul~GFIELD' Building/Combination Permit PERMIT NO: COM2006-00048 ISSUED: 02/01/2006 APPLIED: 01/12/2006 EXPIRES: 09/21/2006 VALUE: $ 214,349.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannln!! Review 01113/2006 01/13/2006 I Plan Reviews I 01113/2006 APP 01127/2006 APP LLH TAJ Structural Review 01113/2006 0112612006 APP DLM Survey required because of minimum side setbacks. Roof drainage to Drywell paving into storm swale road side 1119/2006 CAS See documents for Plan review comments. Public Works Review 01/13/2006 01119/2006 APP CAS " 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. L..B"ullirli30lrllnsnections 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 inspection 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 floor Insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing witb 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor 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 mllng trench and Including required testing. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywellls Required. Provide the City with a copy ofthe DEQ application to keep on me. Pa!!e30f4 ~u;:' ~ . . CITY OF SPRI~ul'u.LD Building/Combination Permit PERMIT NO: COM2006-00048 ISSUED: 02/01/2006 APPLIED: 01/12/2006 EXPIRES: 09/21/2006 VALUE: $ 214,349.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work Is complete. Underfloor Mechanical. Prior to insulation or decking and including required testiug. Underfioor 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. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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. Fiual Electric: When all electrical work Is complete. 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 requested at the proper time, that each address is readahle 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 . iil~ Job/Journal Number COM2006-00048 COM2006-00048 COM2006-00048 COM2006-00048 Payments: T?pe of Payment CreditCard 1, :t :, l. "~ ,. j, '\' '\ . , \ 3/21/2006 RECEIPT #: 2200600000000000358 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage, Residential Minimum! Adjustment Electrical Paid By MICHAEL RIMMER Cheek N umher Batch Number Received By njm Page I of I Jiil.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 03/21/2006 Item Total: Authorization Number How Received 0922996 In Person Payment Total: 8:47:38AM Amount Due 3.60 4.50 25.00 20.00 $53.10 , i Amount Paid $53,10 $53.10