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HomeMy WebLinkAboutPermit Electrical 2005-10-18 . ~,,~SI"~O.ac. ..\0U. -\\C \ () V :t)~\'" eC\ \ . 125 P1FTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)n6:~eJllI'~",,),\e s\l . ELECTJUCAL PERMIT APPLICATION ",i"~~:~s ('.01 \ , '" 7 or 10110 <IV C"y Joo'r-<umber ~Zoor-003~ Date 10 ~/Cf-O J ~".",~,~('. 'LV' o-J'3-\' \<:'~ 200 Amps or less 201 Amps to 400 Amps Burrell 8ros, Electric 401 Amps to 600 Amps 401'59 Sooth Kelly Road 601 Amps i~ J.QQ~~'i-~ Springfield, Oregon 9747B . 0 ~}{ \W\St~Q\ ~""~ -'- ~\~~~WI\i S\\~J,.~<\ll~\) fQ\\ ''"'" I.,or License Number D...~J " \~Q\\\l~~\)I.l~~,\" " " , ',~ CQWlWI't.\~ ~ tlt.\\\ ::"?",,,on D", \c:J,\Q,:"\ r.'r~ \e.~ O~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps , . I , " :L O.C41j6....;~8R.;W~tm:f.':I1!~]l\\m).~ lo4'~CL1;;;~ ~me L:G,",L DESCRIPTION 170 "31l( 'Z- ( o S 200 :OD D:SCRI PTION Wttft....rC fklA~e- PamiIS;H{' non.(r:lns(erable and expire if work is nOI "'''cd within 180 days of Issuance or if work is Suspended for 180 days, l:'CONTMC'f.%~"1:~~~w.~~~~;,,~ ;...._,:~':~..:,..;..:.Jt'~flJ!.~~_ ~it:~nc::l ContraClor .':'.dCfC':i:i c:!y COOSIr COlm, Number ~~~\...o 1:,\?!C,;r10!1 Dare \C"l \ Q-; . ~I"rw'e or' Supervising Electrician CJ Villli \\kMili ,j ()"."""S "'"ne :rc>~ s.c.L.~J"" lI~wo~..!. c::.. t- PhDne 6, 13 - 5bS"Y "dc,,;s Z/'()' Cit: 3~F..... UI\'.\'E R J"ST,-U.LA TJON Tnt' ~n:i{3I1aljon is being made on property I own which i~ nel! Intended for sale, lease or rent. 0..,'nt:T) Sign3{Ure: Illspl'CtiOIl Request: 726.3769 cL"f/~ 9/ ~ -/7S' \" A, 3, r~r, Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion ulereof I $106,00 IDb '5 $ 19,00 57 -'-'''--' $50,00 Each Manufacl'd Horne or 'Modular Dweiling Service or Feeder B. $ 63,00 $7500 $125,00 $163,00 $375,00 S 50,00 ~~~i~1~~1!\:r~;~~':, ';~~7: '" ~~~{/...I...,~...~,......., ... $ 50,00 $ 69,00 '$ I 00,00 Over 600 Amps or J 000 Volts see "S" above, D, ; ~''''\'''t,.'':'''''''' \lc'lfj"'.t...',I~I'"::;'::''' 'f": .\,~:ftlh..J~:'r;.:'...: ',. New Alteration or Extension Per Pane\O One Circuit . Ie'" 'iO~",,'\\-l $ 43,00 Each Additional Circuit ~ ~m\\\ Q,Ofl v' 'o~'(\ Service or Feeder p~rn\n "e Ole ~ c,e\ _\f<,3,OO . lel,lv~\"i ~', le"""'-o.<:)/.-" 1 . . fl.:\CWf~I~'..;:..:...,',.';': "\ E, ~ ' '''''~~lr{{triU~'iioi1!: I"\\o'l'l !V'~ ce""~ r;:/I() 'I.'" \e'" v' \e\e ", \\0(;1 \",",.cu"",,",:..::.., \?UtT1p'(,~iiji'1'I,g~39'n'Cl ~ilfl cO~\e..\'(\e ,,,,\I\IC<s 50,00 "'''~~\'(.)~ I"'>:;t..L, Iil'o'O I~O "Wi' olg ,y,ut tne t.g mg'el. ~ 0\1' _nl>.ll,l' $ 50,00 '{\ ~00' e.i<', 0'" - -..- L~'(ltl~tlr E,her.gy{Rfsi'lgQ\lalg nOo?:'?)?. $ 2 5,00 o"I!lt;! ,...< \'!\ \.\) Limito<:l'Energy^",ommOf.crbl S 45 00 0!!\.v 'ce!l'~' , ' Minimum EThctric Permit Inspection Fee is $45,00 + Surcharges II 4, 16J /Ilfl Ib~C 190 7( 7% State Surcharge 10% Administrative Fee TOTAL Sbared Drive{T:yauilding FormslElectrical Permit Applicatioc I.(,!) tlU( . CITYOFSPRIl'~ul'IELD Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/1112006 VALUE: $ 217,975.00 . Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 PhDne 541-726-3676 Fax 541-726-3769Inspecdon Line SITE ADDRESS: 1042 Diamond Street ASSESSOR'S PARCEL NO.: 1703342103200 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence, Aspen Park IDt 15 , DEVELOPMENT INFORMATION I ~UlRED PARKING , iOU Overlay Dlst: leo.uiles \Jili\lJ: # Street Trees Q,ofl \a.'>N b lJleQofl .M!litdl'a.pped: Paved Drlv~~~~\O~" Ole \eO 'oi \~M\es a.le 9Sl!.nli>aYt: % Df Lot~overaBW~ a.oo\l ,nqJC:~'9n Op..\'- u\eS 'oi \0\\0'>N I, fI cefl\el. ~O \nlOU, s 0\ \ne I r,ofle .. _nllO _c(\O _^",e ,_'(>,0 , .f IPUBLIC IMP~~~',;MENTS~~i o\J\'30\"I~o\e" ~~~, ~O\,\\c"'" ., '. \el.' \j\II'" '\ 091j. ,- \ne Cefl I e^1"1k ,- ":044,. Fullv Improved 0 Ca.\XlflQ \01 \nElS!JI \ ~~Ij:D'pe. Yes flulfI'oel Cefl\eoD'OwnspoutslDralns Owner: JOE SCHAFFELD Address: 2185 NORWOOD ST EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor _' License DONALD WAYNE SEABLOM C~'io. 106973 BURRELL BROS ENTERPRIS~,\Il'~ ~ ~C\ 136446 '. MARSHALLS INC ~Y!-.~~l' \~ 25790 N~W.~Hr~~~~~'r' ~Q~ 162624 \\\\~ \l'i;..~\tt.'il ~~-1J(.IIt:lf1tWe INFORMA TlONI ~,\\\\O{' ~\) Ca"I 1\\\ # of Units: ~Ca\ll\ll'C.~.....", f\\\'Y';fStories: Primary Occupancy Group: \':.~~i ~V'"" Height of Secondary Occupancy 1'" Type of Heat: P'rimary CDnstruction Type VN Water Type: Secondary Construcdon Range Type: # of Bedrooms: 3 Energy Path: Sprinkled Contractor Type General Electrical Mechanical Plumbing 1 23.00 Heat Pump Gas Gas Path 1 nla Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18,00 5.00 5,00 10,00 31.00 street Storm Sewer Available: Special Instruction: Notes: Storm drainage piped to curb face 3/29/2005 CAS 1 Df 4 Residential Phone Number: 541-683-5654 Expiration Date 06/13/2008 08/20/2009 12123/2005 01/07/2007 Phone 541942-7464 541-747-2724 541-747-7445 541-836--2022 Lot Size: 7,501 Sq Ft Ist FIDor: 2,125 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 559 Sq Ft Other: Occupant Load: 2 Curbside 5' Curb and Gutter ) . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectiDn Line Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04122/2005 APPLIED: 03/25/2005 EXPIRES: 04111/2006 VALUE: $ 217,975.00 I Valuation DescriDtion I Dwellines Garaee Type of CDnstruction V Wood Frame Garaee $PerSqFt or multiplier $96,00 $25,00 Square FODtage Dr Bid Amount 2,125,00 559,00 Value Date Calculated 03/25/2005 03/25/2005 Description Total Value of Project $204,000,00 $13,975,00 $217,975.00 ~ Fee Description AmDunt Paid Date Paid Receipt Number Plan Review Residential $616,95 3/25/05 2200500000000000344 -Mechanical Issuance Fee- $10,00 4/22/05 1200500000000000499 + 10% Administrative Fee $131,01 4/22/05 1200500000000000499 - + 7% Slale Surcharge $91.71 4/22/05 1200500000000000499 2 Baths One or Two Family $254.00 4/22/05 1200500000000000499 Addressing Assignment $31.00 4/22/05 1200500000000000499 Air Handling Unit Up to 10,000 $8.00 4/22/05 1200500000000000499 Appliance Vent $6.00 4/22/05 1200500000000000499 Building Permit $949.15 4/22/05 1200500000000000499 Curbcut Permit $80.00 4/22/05 1200500000000000499 Dryer Vent $6,00 4/22/05 1200500000000000499 Exhaust HDDds $9.00 4/22/05 1200500000000000499 Gas Outlets 1-4 $4.00 4/22105 1200500000000000499 Heat Pump S12.00 4/22/05 1200500000000000499 Plan Review MaJDr - Planning $103.00 4/22/05 1200500000000000499 PW Disc - 2nd Permit (Slreet) $-30,00 4/22/05 1200500000000000499 Sanitary Sewer - Improvement $457,00 4122/05 1200500000000000499 Sanitary Sewer - Reimbursement $601.00 4122/05 1200500000000000499 SDC MWMC Administration $10,00 4/22/05 1200500000000000499 SDC MWMC Improvement $865.31 4122/05 1200500000000000499 SDC MWMC Reimbursement $82.03 4/22/05 1200500000000000499 - SDC Sanitary/StDrm Admin . $147,99 4/22/05 1200500000000000499 , SDC Transpo Admin $61,42 4/22/05 1200500000000000499 SDC Transpo Improvement $772.49 4/22/05 1200500000000000499 SDC Transpo Reimbursement $175.13 4/22/05 1200500000000000499 Sidewalk Permit $80,00 4/22/05 1200500000000000499 Storm Drainage Impervious Area SI,225,I6 4/22/05 1200500000000000499 Temp Power 200 amps or less S50,OO 4/22/05 1200500000000000499 Vent Fan $12,00 4/22/05 1200500000000000499 WilIamalane Single Family $1,000,00 4/22/05 1200500000000000499 + 10% Administrative Fee $16.30 10/14/05 1200500000000001534 + 7% State Surcharge Sll,41 10/14/05 1200500000000001534 Residence Wiring 1000 Sq Ft S106.00 10/14/05 1200500000000001534 Residence Wiring Ea Addtl 500 $57,00 10/14/05 1200500000000001534 2 of 4 . . CITY OF SPKll"\.Jl'1~LD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectiDn Line Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/1112006 VALUE: $ 217,975.00 Total Amount 58,012,06 I Plan Reviews , Initial Review 03/28/2005 03/28/2005 APP LLH Plannlnl! Review 03/28/2005 04/14/2005 APP EMM Survey letter Included. . Public Works Review 03/28/2005 03/29/2005 APP CAS StDrm drainage piped to curb face 3/29/2005 CAS Structural Review 03/28/2005 04/07/2005 WE DLM Applicant tD submit revisions and engineering 4nt05 dim, Structural Review 04/13/2005 04/20/2005 APP DLM Applicant submitted revised plans and engineering 4/13/05 dim To Request an inspection caD 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. wiD be made the following work day. EroslDnlGradlng Inspection: Prior tD ground disturbance and after erDsion measures are Installed. Sidewalk - Curbside: After forms are erected but priDr to placement of concrete, Gas Service: After line Is Installed and line has been cDnnected to a minimum Df one appliance Including required testing, Presure test done at this point. RDUgh Mechanical: PrlDr to Cover Final Gas: When all gas wDrk Is complete. Final Mechanical: When all mechanical work Is cDmplete. Temporary Electric: Approval required prior to Utility CDmpany energizing pole. Rough Electric: Prior tD Cover Electric Service: Approval required priDr to utility company energizing service. Final Electric: When all electrical wDrk is complete, Curbcut - Standard: After forms are erected but prlDr to placement of concrete. Ufer Electrical Ground: Install ground rod at fODting and call for Inspection in conjunctlDn with fDDtlng andlor foundation inspection, Footing: After trenches are excavated. Foundation: After forms are erected but prior tD CDncrete placement, Post and Beam: Prior to floor insulatiDn or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before cDverlng sheathing with finish materials, Framing Inspection: Prior to cover and after all rDugh In InspectlDns have been approved. 3 Df 4 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/11/2006 VALUE: $ 217,975.00 WalllnsulatiDn: PriDr tD cover. Ceiling InsulatiDn: Prior tD cover, Drywall: Prior to taping, HDld DDwns Installed: Special Inspection performed prior to placement of concrete. Provide report tD City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. UnderliDDr Plumbing: Prior to insulatiDn or decking. Underlioor Drain: Prior tD cover or placement of concrete. RDugh Plumbing: Prior to cover and including required testing, Shower Pan, PriDr to cDvering 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 OIling trench. Final Plumbing: When all plumbing work is complete. Underlioor Mechanical. Prior to insulation Dr decking and including required testing, Underlioor 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. By signature, I state and agree, that I have carefully examined the completed appllcatiDn and do hereby certify that all infDrmation hereon is true and 'correct, and I further certify that any and all wDrk performed shall be dDne 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 wiD be made Dfany structure withDut permission of the CDmmunity Services DivisiDn, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used Dn this project. I further agree tD ensure that all required inspections are requested at the proper time, that each address is readable frDm the street, that the permit card is IDcated at the front of the property, and the approved set of plans wiD remain on the site at all times during constructiolL Owner,or CDntractors Signature Date 4 of 4 . ~;:~~.~ "~'-,"..1,.... WiL" I .! .--..--' ,.' ....ity of Springfield Official Receipt .evelopment Services Department Public Works Department , 225 Fifth Street '\\Springfield, Oregon 97477 ,". 1:'1541-726-3759 Phone ~,I , , I; ..j " . , "1. Job/Joornal Number c'OM2005-00337 COM2005-00337 COM2005-00337 : COM2005-00337 , Payments: ,~ Type or Payment \: CreditCard J " ;'''~:: ,. W.: . " " , ;\ ::; ~ .:~ " , l "" " I'" "'f.ll'. ',~.i :/ " ... , , , ,- ~ :0::: i . ),~ \. " i 10/14/2005 RECEIPT #: 1200500000000001534 Date: 10/14/2005 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By JASON BURRELL Received By djb I of 1 Item Total: Lheck Number Authorization Batch Number Number How Received 04990B In Person Payment TDtaI: 3:12:26PM Amoo nt Due 106.00 57.00 11.41 16.30 $190.71 Amount Paid $190.71 $190,71