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Home My WebLink AboutPermit Electrical 2006-3-9 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA)(:,(~~I)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C~ 'Z.OO S- - () 14 01..( 200 Amps or less $ 50.00 201 A~~rrHI~Amps $ 69.00 401 AfmSOt~M1l'I''6HALL EXPIRE IF TIs!il>lW6RK Over ti'(QlJfj(jjmr:[QlJQJ~OlIS~Il~ .lb\iWY1I! IS NOT D. I Bra/WI!.CHVit.;16EO OR IS ABANDONED FOR . /7 /7 /1/ I ^ f) New ~t1JlA,P~tfn~f.lh4Lh Panel '0'.4/A///,rwl ~ One Circuit $ 43.00 . ~(J 1A4 Each Additional Circ.u it or with L- Service or Feeder Permit $ 3.00 Owners Name .~ Address ~~ro _ .Ct.. E. I'Miscelhin~ous (Seh;ice/feeder ~ot included) -EHch Installation I City ~~J./ Phone ~ Pump or irrigation $ 50.00 , f Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 )< Limited Energy/Commercial $ 45.00 1. I LOCATION OF INSTALLATIOJV lP-n--. &~ L~vrr- LEGAL DESCRIPTION 1703 ZZI l.. 0 "7800 ~ p.~ (' ~._ J.7C ~ ~.>/'/ o DESCRIPTION -..P '7/-,n ~~. 'z/}7 P rmits are non-t nsferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRACTOR INSTALLATION ONLY I Electrical Contractor t/k"JA,f ~~< $ (fI:ij.9~ Address PO, Bo1'4Q() City C"n'fJ7J?(e ~JA~ 7:29 -11;;2'17 Supervisor License Number 2792L..~ Expiration Date 10 !D! /?1'"'f'R Constr. Contr. Number 1~~57c:' 200 '1 Expiration Date J/I-q? OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: InsPMq~-3769 03(~r61 3. I COMPLETEFEESCHEDULEBELOW A.I New Resldential- Single or Mulli-Famil)' per dwelling unit. Service Included $106.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ' $ 19.00 ATTENTION: Oregon law r"4ulI"~ yuu to EachlManufacCd.Home or, b tl 0 Ut.l.t 1\' ".JV" I UI'"""-" Q\ 'U/J,tJu Y 16 regon II Y Modular Dwelling Service or F'~f'd'Il1Callon vc;lIler. 1 1 lose rules are set $50!00 ee er in (lAR 952-001-0010 throuoh OAR 952-001- B. ~SerfViceSlor"11 e~derst~.iri1sta~latiOn1fAiterfiti.Ons !or Relocation: caning me cemer. \I~ote: Iffeie1ephol1" 2001Amps:orlIess:he Oregon Utilitv Notific$'63100 201 Amps t6:400'Ampsl-800-332-2344\. $ 75.00 401 Amps to 600 Amps $125.00 ., 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 c. I Te~po-rari'_SerVices or Feeders Installation, Alteration or Relocation Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 S,UBTOTAL.oF ABOVE 'Ir 3'" IfS':::' ~:i'o 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FonnslElectrical Permit Application 1.06,doc 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-01404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 Payments: T,lIe of Pa)1llent C",ditCard ~ :1 ~ :I't' :A 'j ) - :~~. ~ '{ 3/9/2006 RECEIPT #: ~ M1Y of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000277 Date: 03/09/2006 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Paid By MATTHEW CHAPMAN Item Total: (;he<:k Number AuUlortzatlon Re<:eived By Batch Number Number How Received njm 153462 Phone Payment Total: I of I 1l:IS:S0AM Amount Due 3.60 4.50 25.00 20.00 $53.10 Amount Paid $53.10 $53.IO . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . CITYOFSrKll~uFIELD Building/Combination Permit PERMIT NO: COM200S-01404 ISSUED: 03/09/2006 APPLIED: 10/07/2005 EXPIRES: 09/09/2006 VALUE: $ 170,362.00 SITE ADDRESS: 632 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207800 Springfield TYPE OF ATTENT' . , ~ follffiYPE OF USE: PROJECT DESCRIPTION: Single Family Residence - Breanne Cotnmons:Iot 20 in OAR 9t UU<fU. YOu . calling t: number Ie 1"'- - Owner: . Address: VALLEY DESIGN & DEVELOPMENT CO 3350 LAKEMONT DR EUGENE OR 97408 Contractor Type General Low Voltage Electrical Plumbing I CONTRACTOR INFORMATION I Contractor License ANTHONY V CHAPMAN 75029 WORLEY ENTERPRISES LLC 156576 . EDWARD L COOK SR 50557 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type .. Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 7.10 5.20 18.00 25.00 Street Storm Sewer Available: Special Instruction: # of Stories: 2 Lot Size: Height of 24.00 Sq Ft 1st Floor: 1,180 Type of Heat: 'arced Air Electric Sq Ft 2nd Floor: 467 Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport 490 Energy Path: Path 1 Sq Ft Other: a\\ Sprinkled r: nla occUPl!'l1~.lllP" "r,TI" .'.. .., \ 1O'i\J\\\1: \ ._1" Mr\i IDEVELOPMENTINFORMAiION''';D~R 1\-\\S i'~~~~'rOR I 'I .,-J"'~~-D OR IS I'\BI'\ND RlrQUlRED PARKING N\1-!lI:.NCI:. D Overlay Dist: \,u\ () DI'\'i pt.Rla . Total: 2 # Street Trees h\~'{ \ ~ 2 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 35.50 1 R-3 VN 3 IPUBLIC IMPROVEMENTS I Single Family Residence . .~ lires you to New >regon Utill~esidential . . ~ cs are set forth (11\ 0 cu::: I") ntH . of the rules by I:1e telephone .j,ty Notification -~..... .....v~"T/. Expiration Date 08/19/2006 08/06/2007 02/I5/2008 Phone 541-895-4987 541-729-4247 541-895-4423 Fullv Improved Yes Sidewalk Type: DownspoutslDrains Curbside 5' Curb and Gutter Notes: Storm drainage piped to curb face 10/I I/2005 CAS 1 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit: PERMIT NO: COM2005-01404 ISSUED: 03/09/2006 APPLIED: 10/07/2005 EXPIRES: 09/09/2006 VALUE: $ 170,362.00 ., Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax '.541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ PerSq Ft Square Footage Value Date Calculated or multiplier or Bid Amount Dwelllnes V Wood Frame $96.00 1,647.00 $158,1I2.00 10/07/2005 Garaee Garaee $25.00 490.00 $12,250.00 10/07/2005 Total Value of Project $170,362.00 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $517.66 1017105. 220050000000000I396 " -Mechanical Issuance Fe.... $10.00 10/31105 120050000000000I645 . $133.24 10/31105 + 10% Administrative Fee 120050000000000I645 + 70/0 State Surcharge $93.27 10131/05 1200500000000001645 3 Baths One & Two Family $306.00 10131/05 1200500000000001645 Addressing Assignment $31.00 10131/05 1200500000000001645 Building Permit $796.40 10/31105 I200500000000001645 Curbcut Permit $80.00 10/31105 1200500000000001645 Dryer Vent $6.00 I 0131/05 120050000000000I645 Exhaust Hoods $9.00 I 0131/05 1200500000000001645 Furnace - up to 100,000 btu $12.00 10131/05 1200500000000001645 Gas Outlets 1-4 $4.00 10/31105 1200500000000001645 Heat Pump $12.00 10/31105 1200500000000001645 Plan Review Major - Planning $150.00 10/31/05 1200500000000001645 ~ PW Disc - 2nd Permit (Street) $-30.00 10/31105 1200500000000001645 Residence Wiring 1000 Sq Ft $106.00 10131/05 1200500000000001645 Residence Wiring Ea Addtl 500 $57.00 10/31105 1200500000000001645 Sanitary Sewer - Improvement $457.68 10/31/05 1200500000000001645 ,.. Sanitary Sewer - Reimbursement $601.68 10131/05 1200500000000001645 SDC MWMC Administration $10.00 10/31105 1200500000000001645 SDC MWMC Improvement $865.31 10/31105 120050000000000I645 SDC MWMC Reimbursement $82.03 10/31105 1200500000000001645 SDC Sanitary/Storm Admin $126.66 10131/05 I20050000000000I645 SDC Transpo Admin $65.78 I 0131/05 I200500000000001645 SDC Transpo Improvement $805.70 10/31105 1200500000000001645 SDC Transpo Reimbursement $182.69 10131/05 I200500000000001645 Sidewalk Permit $80.00 10131/05 1200500000000001645 Storm Drainage Impervious Area $843.68 10/31105 1200500000000001645 Vent Fan $24.00 10/31/05 1200500000000001645 Wmamalane Single Family $1.000.00 10/31105 1200500000000001645 + 10% Administrative Fee $4.50 3/9/06 1200600000000000277 + 8% State Surcharge $3.60 319/06 1200600000000000277 ~ Low Voltage - Residential $25.00 319/06 1200600000000000277 Minimum/Adjustment Electrical $20.00 3/9/06 1200600000000000277 2 of 4 . . CITY OF SPRINGFIELD. Building/Combination Permit. PERMIT NO: COM2005-01404 ISSUED: 03/09/2006 APPLIED: 10/07/2005 EXPIRES: 09/09/2006 VALUE: $ 170,362.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount $7,491.88 Plan Reviews I Initial Review 10/10/2005 10/10/2005 APP LLH Planninl! Review 1011112005 10/21/2005 APP TAJ Public Works Review 10/10/2005 1011112005 APP CAS Storm drainage piped to curb face 10/ll12005 CAS Structural Review 10/10/2005 1 OII 8/2005 APP RJB , 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work Is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work Is complete. Low Voltage: Prior to cover. 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. 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. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. ., . 3 of 4 . . CITY OF SPRINGFIELD . Building/Combination Permif PERMIT NO: COM2005-01404 ISSUED: 03/09/2006 APPLIED: 10/07/2005 EXPIRES: 09/09/2006 VALUE: $ 170,362.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line Final Building: After all required Inspections have been requested and approved and the building is complete. UnderOoor Plumbing: Prior to insulation or decking. UnderOoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. '- Water Line: Prior to ftlllng 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. UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor 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. 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 pertamlng to the work described herein, and that NO OCCUPANCY wiD be made ofany 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 readable from the street, that the permit card b 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