HomeMy WebLinkAboutPermit Electrical 2005-10-18
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125 P1FTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)n6:~eJllI'~",,),\e s\l .
ELECTJUCAL PERMIT APPLICATION ",i"~~:~s ('.01 \
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C"y Joo'r-<umber ~Zoor-003~ Date 10 ~/Cf-O J ~".",~,~('.
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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\
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''"'" I.,or License Number D...~J " \~Q\\\l~~\)I.l~~,\" " " , ',~
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::"?",,,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
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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,
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~it:~nc::l ContraClor
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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""
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PhDne 6, 13 - 5bS"Y
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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
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Service Included
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion ulereof
I $106,00 IDb
'5 $ 19,00 57
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$50,00
Each Manufacl'd Horne or
'Modular Dweiling Service or
Feeder
B.
$ 63,00
$7500
$125,00
$163,00
$375,00
S 50,00
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$ 50,00
$ 69,00
'$ I 00,00
Over 600 Amps or J 000 Volts see "S" above,
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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
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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
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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
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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
)
.
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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
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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
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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
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....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
, 225 Fifth Street
'\\Springfield, Oregon 97477
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1:'1541-726-3759 Phone
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Job/Joornal Number
c'OM2005-00337
COM2005-00337
COM2005-00337
: COM2005-00337
, Payments:
,~ Type or Payment
\: CreditCard
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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