HomeMy WebLinkAboutPermit Electrical 2006-3-9
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~1)C26-3689 ~ I-Yjf1:J..."l'f
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ELECTRICAL PERMIT APPLICATION Autl1or~d S;..nature
City Job Number Lo""?.-OO~ - 0 (( 1 Y Date > - '7 -D f::,
,~;
1. I LOCATIONOFINSTALLATION
/;l/ 'f 'bk---- C-r--r
LEGAL DESCRIPTION 1703 Z:ZI 2r 08000 A.I New Residentiai-Single or Multi-Family per dwelling unit.
--It!:Lr: C:~ (' ~ T Service lucluded
JOB DESC;:RIPTlON ~ 1000 sq. .ft. or less
~ I' _ . f /I Each additional 500 sq. ft. or
--:;:>t1Aa../~ ~,/v rdL4,I'-f' portion thereof $19.00
- Petn;its are non-trans,"able ~ud expire ifw~r~ i~- EacnJ~~fuCf:.(i.H6'me:9r)n law requires out
not started witbiu 180 days of issuance or if work is M&dularlDwelling<5~rv!Eti%y the 0 y U $~O 00
Suspended for 180 days. Eeedeiication Cent;; Those I reoon tl ._,'
. _~. . ru es arA ~At folih
~~"~1 :'OC:~I'IU J ~Hli1 G t1.....r:.,.~ h 0 l\~ "'... _.~ .
B. ServIces or. Feeoers -Installation, :.I:lteratlons.<jr. RelocatIon:
"":-'UUcmBy.ebla;,, wfJit:~ ur [he rules by
200c~~~~0V1~sr-enter. (Note: the telenh,$ry3.00
IIUnlOer tel' 'fJc ()'egon Uf'.t N ~-
201 Amps to 40p i\!"ps II Y otific,$iO?I00
401 Amps K,E'600'lAhlp\-800-332-2344). $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
2. 1 CONTRACTOR INSTALLATION ONLY I
WOf-t;1:, ~~ff~l5t-;s Lf.C,
Electrical Contractor fJl'"J'r ~~TTej.J.I
Address 9 (). &"f.. 0/ PO
Ci~~~Ocl>llOne 729-t{:2'1t
,
Supervisor License Number 279/?{,./f;14
Expiration Date 1 D ~ I ! ceo &'
Constr. Contr. Number I ~ S-?,b
?:.607
Expinition Date /LJ-,,/ t1
. - (
Signature of Supervising Electrician
L~~
, ?/i l!j~
Owners Name '1),/ tl. '-;'7'ffi -
A~dress ~) II? ~ <) ~
City ~~ Phone C?-ll.{-fo 2..15-
OWNER INSTALLATION
The installation is being made on property lawn which
is not intended for sale, lease or rent.
I:J%r~
Inspection Request: 726-3769
eJh ~lolt\01
a2s'
3. I COMPLETE FEE SCHEDULE BELOW
$106.00
c. I Temporal")' Sen'ices or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 50.00
~9}'4I'\l1Eo 400 Amps $ 69.00
4bl' AIrlp~1O 600 Amps $100.00
IHIS ~f1MIT Sl:lhlnL.~~rJ~,IF, I~ WORK
D.1~1{A. tt\ ~1\NtJ'tR.c--t~Is.-PEHMlrIS-NOT
GG'M~t ~'e'E~&fl'tS-ABANDONtD-FOh
N~'V "1W'lYA'I' 'PlIffi\SV!on Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
1
$ 43.00
$ 3.00
E. I Mis'cellaneo~s (Sen'ice/feeder riot inchided) ~Each InstollatiOh':,1
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential '--,I( $ 25.00
f
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.1 SUBTOTAL CIFABOVE
.]
y.;-
") ,-
'(SO
5)10
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:YBuildingFormslElectrical Permit Application 1-06.doc
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
, COM2005-01114
COM2005-01114
COM2005-01114
COM2005-01114
P,iyments:
TWe of Payment
Ci'editCard
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3/912006
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RECEIPT #:
~~~A"'~""",".___.',,_,__. \.:'_
WiL'
as;.
. WJJ !.
_._-._..~- ,
MJy of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
1200600000000000278
Date: 03/09/2006
Descrlptlon
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
MATTHEW CHAPMAN
Item Tolal:
t:heck Number Autllorlzation
Received By Batch Number Nnmber How Received
njm 153448 Phone
Payment Total:
I of I
1I:23:46AM
Amounl Due
3.60
4.50
25.00
20.00
$53.1 0
Amount Paid
$53.10
$53.10
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541"726-3769 Inspection Line
.
- .
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2005-01114
ISSUED: 03/09/2006
APPLIED: 08/17/2005
EXPIRES: 09/09/2006
VALUE: $ 238,775.00
SITE ADDRESS: 648 Ethan Ct
ASSESSOR'S PARCEL NO.: 1703221208000
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Breane Commons loot 22 I . to
. .I,'IIUI\I: regon aw requires you
, .. I .._ _ r\_____ 11...:1:....
,. Owner:
. Address:
,.
MATI CHAPMAN
PO BOX 1030
CRESWELL OR 97426
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
.~,. ,~.._- ---r----' '-J 0- - - -..... ~
:.:j;cation Center. Those ru'~"(m~~unibet:
III OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
CallinQ me center. \1~Ole: me ItjltjlJ'IU1'"
ICONTRACTOR-INFORMAmIONlln Utility Notification
Genter IS H1UO-332-2344).
License Expiration Date
153309 1012912006
136298 08/0612007
I56576 08/0612007
460 0612712007
50557 0211512008
Contractor
MATIHEWJAMESCHAPMAN
BEAR MOUNTAIN ELECTRIC LLC
WORLEY ENTERPRISES LLC
COMFORT FLOW
EDWARD L COOK SR
# of Units:
PrImary Occupancy Group:
: Secondary Occupancy
Yrlmary Construction Type
~ Secondary Construction
# or Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street
. Storm Sewer Available:
. Special Instruction:
1
R-3
U
VN
27.00
5.20
12.10.
15.00
I. BUILDING INFORMA TIONI
# or Stories: NOTICE:M1T !;HIILL t~ofSIZJF T.HE,WORK
Height of nl\s PER. 22.0. OER 'Sql"'tfl~fFloj)r:S NOT
"..noI7cn \"\lLJ ,. e,)
Type of Heat: .'\1 \ ForCed"Alr.Gas\S ^S,,\Ft~n"l!\!Dof:R
\\:NCEO "K ,,0). ,wv'
Water Type: 1,'Ii,f'" Gas ODSq FtBasement:
Range Type: . ,j" 160 ~ci'ritf\1 Sq Ft Garage/Carport
Energy Patb: Path 1 Sq Ft Other:
Sprinkled nla Occupant Load:
3
I DEVELOPMENT INFORMATION I
Residential
541-954-9960
Phone
541-895-4987
541-953-6747
541-729-4247
541-726-0100
541-895-4423
10,48I
2,232.
623.
Overlay D1st:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I
Yes
25.80
IPUBLIC IMPROVEMENTS I
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains
Curbside 5' .
Curb and Gutter ~
< Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face 8/I9/2005 CAS
I of 4
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
A.C. - Residen
Dwellines
Garse:e
Type of Construction
AC - Residential
V Wood Frame
Garae:e
Fee Description
Plan Review Residential
-Mechanicai Issuance Fe....
+ to% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
- Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review Residential
Plan Revlew/Resldential Hourly
PW Disc - 2nd Permit (Street)
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
.
I Valuation DescriDtion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$4.00 2,232.00
$96.00 2,232.00
$25.00 623.00
Total Value of Project
~
Amount Paid
Date Paid
$619.06
$10.00
St57.94
$110.56
$254.00
$31.00
$6.00
$1,017.40
$80.00
$6.00
$9.00
S12.00
SI5.00
$4.00
SI2.00
S I 50.00
$42.25
$90.00
$-30.00
$106.00
$76.00
$4I9.54
$551.54
$10.00
$865.31
$82.03
$142.61
$64.29
$805.70
$182.69
$80.00
$I,221.26
$50.00
$12.00
8/17/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9123/05
9123/05
9123/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9123/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9123/05
9123/05
9/23/05
9123/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9123/05
9/23/05
2 of 4
. CITY OF SPRINGFIELD. .
Building/Combination Permit
PERMIT NO: COM2005-01114
ISSUED: 03/09/2006
APPLIED: 08/17/2005
EXPIRES: 09/09/2006
VALUE: $ 238,775.00
Value
Date Calculated
$8,928.00
$214,272.00
$15,575.00
$238,775.00
0912212005
09/2212005
0912212005
Receipt Number
1200500000000001205
2200500000000001320
2200500000000001320
2200500000000001320
220050000000000I320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
2200500000000001320
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01114
ISSUED: 03/09/2006
APPLIED: 08/17/2005
EXPIRES: 09/09/2006
VALUE: $ 238,775.00
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Wmamalane Single Family
+ IO% Administrative Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/AdJustment Electrical
$1,000.00
$4.50
$3.60
$25.00
$20.00
9/23/05
3/9/06
3/9/06
3/9/06
3/9/06
2200500000000001320
1200600000000000278
1200600000000000278
1200600000000000278
1200600000000000278
Total Amount
$8,318.28
I Plan Reviews I
Initial Review
Plan nine Review
Public Works Review
08/18/2005
08/18/2005
08/18/2005
08/18/2005
09/07/2005
08/19/2005
APP SKG
APP T AJ
APP CAS
Must have at least 10' rear setback.
No hook-up to City Infrastructure
until Public Improvement accepted
by the City; Storm drainage piped te ~
curb face 8/I912005 CAS
sent letter to contractor & owner
requesting add 'I Information. See
letter In documents.
Received revised plans 8/30/05.
Inconsistencies still exist. Called
owner for add'l changes to be made
9/1105 dim
Structural Review
08/I8/2005
08/2412005
WE DLM
Structural Review
09/0112005
09/2212005
APP DLM
To Request an inspection can 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. win be made the following
work day.
I Reouired I nsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
3 of 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01114
ISSUED: 03/09/2006
APPLIED: 08/17/2005,
EXPIRES: 09/09/2006
VALUE: $ 238,775.00
Final Building: After all required inspections have been requested and approved and the building is complete.
Undernoor Plumbing: Prior to Insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and Including required testing.
Shower Pan. Prior to covering 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.
Undernoor Mechanical. Prior to insulation or decking and including required testing.
Undernoor 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.
Final Electric: When ali 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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 readable from
. the street, that the permit card w located at the front of the property, and the approved set of plans wID remain on the site
at all times during constructiolL
Owner or Contractors Signature
Date
4 of 4