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Home My WebLink AboutPermit Electrical 2005-11-7 r' r:;~:~d 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~",il\\\~'..,l" 'i ELECTRICAL PERMIT APPLICATION . .....lie\0~~0.11I4JI '-J _ O\\B~~ Bl\O \l , ~.i~ :~~;m;~;o;::;;;;~:~~;~~ 3. '["C]JM,"Dp.~~iE --L.,~,~~~.~...\:t5.~.~..u,~.~,~.,~.;B.:~,E.;~:~,':".\ ,,~~fj:,~., ,h.,'" "," ,j ~'t2~o,.,.[?~t;;;::.' "'~~'--'fj \~L.~~~~~~6' /\~~_..__._' LEGAL DESCRIPTION A. ~-~~{:it~rdg~t~~t~!?~~l;';Y"~-ulti~F.af~:~;;~~;ir;~"llii~~~"Ji~ic~;~ )..:.''0",_."-,,., ...~". -"- :/'..- -- -,'" ~3' ,~~~r-:.:..-___.~...:--.....:.~."'~~.')"':""":': 1701. ~"Z \ '- 0 7 Sea Service Includedo\0 slrpB\\l\0 \J '1.00 1000 sq. ft, or less,;\\\O\' ,. Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION 'J IrL/ f')M, .., J A-lA.cL.. /11' Jc"O ,/ , . Permits are non-transferabie and expire if work is I' not started within 180 days of issuance or ir work is Suspended for 180 days. . r::A;....-I.u.J..~'.-'I..,'.,'/'" 'fr.....m-;-r.._~ ';,'" ~> ..~. -"'~. -~:.,.,..~~ 2. i,.sQ~-'i1.f;XO~Y"::.5X1+0JW,.N[QW--&J Electrical Contractor ()tf);9t:t/)'S /,A)('/ Address / t/ t, 5 oj, '771-- Obhone tjf)5"""-0()()() Ci~ t:-A.{CleNe , Supervisor License Number '2?9 g L6A Expiration Date lolol/zCX"J'JJ? Constr. Contr. Number /29736 Expiration Date C;/C!9 /6 h 7iJM4 . . ~ U d Owners Name S c..O.lI J"" A,.! Address 3 ~zc ~/€d"c:- (,.) y , Ci~ f:::l)..~t Phone Z Z ( - 340"i OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726.3769 $106.00 $ 19.00 Each Manuract'd Home or No~ar Dwelling Service or $5000 THIS'~IT SHAll EXPIRE IF THE WORK ' A'13"liili\'7CfiTl'lMriCO'.TI'lIl:.,pI'RmIT'\S'NOT-', '.. ..' ,,,." "rT,7:;:'l \IllFJ,~~lc"'~~1J'I!e1!.eW--~rlshlll, dp,,<\lIeration,s'9r:ReJ?cati~n;," COMMENCED"OR'IS"ABANOeNE. "tl:lt1 ' . . . ..~'""" AN'f20~PiRlOD. $ 63.00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375,00 Reconnect Only $ 50.00 c. F:t~~m pp~~yJs~r.~i~_~s:_Q.r;jtfe(_lers:;~~ '.,. . ,~ '.; < 0-; ~;': "'. (..:.~"" :'-"r <~', '.: Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above, ~~~.~.~. ." -"", j"--"" ,"ry" D "RBi' ....",-h.C.....ts.. "'"." " .," .'. . 1;~. r~~~,...;_.,.')r~l!L\;;..t.s,i;. < ~.~~:".\.:'~:_. ,::, -' ..~.~..;'.:.2g,;~;;t:1t:/....~ . ,.....,l -', ...... .,:.1 New Alteration or Extensioll~e!i'.r.1!gll}oU to ......-',lTlnN' Oregon law I 4 " , , ene G"",!It'_. t d bv the Orpgnn UtlliW 43.00 'EabhvAlIdi1i(1I1'a~cil-c'4lot wijloles are set forth NSeiYice~o('F~Bl'P'ennilOhSl:l h G' --3"0 O~1~'00 . -~. AS a52..Q01.001 0 t roug "" ~- ....' In ".,~" ,""7-1" "->it, .\'\ ""nle.',;-v' ,ne'll.lles,,,,\ ",' . ". , . I E" lMis'c'ellnileous:\Se'},\\lce'lleel1er n'o.l,illc!Ulkd) -Each:lnst:illatioll , u ~'.'..."" , . (NoI9i-'tl18-1l:ll"l'l.!.V' ," , .. ,.. . \ calling tne G""ter." " . 'f' ation P , . ti - Oregon Utility Notl IC $ 50 00 ump.\OliOumga On . . ') , Si~';.;O;t1me)llighiing .800.332-2...~~ . $ 50,00 Limited EnergylResidential / $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee ~+ Surcharges r-"'~'.'.' _al.',v., ....ec'" .,.,..... .'. -"" j 4. ~{~~~~I1#~Qf0{f5?,~~e;~:iiG"Vt\~'~.i~L~, 4 \ I~ "3 'l fa S"Z.b'l ., ZT 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FonnslElcclrical Permit Applicalion I-03.doc Status: Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . -~ . CITYOFSPKll'l\.Jl'lELD Building/Combination Permit PERMIT NO: COM2005-00761 ISSUED: 07/28/2005 APPLIED: 06/20/2005 EXPIRES: 05/07/2006 VALUE: $ 210,620,00 SITE ADDRESS: 582 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207500 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - breanne commons subd lot 17 Phone Number: 541-688-3998 Phone Number: 541-221-3409 ',_~c. \JO\.l\O .... \?,,\N {t1\..\..... 0(\ U\II'" , r CONTRACTOR INFORMA110N'I,e Ole9le set \o!\~ ':\" \ "c-" . a.clOI"~ - se (\.I\eS a. n 952-00 - '"' \.I\e'- \\,\0, o~n . oJ<>\J Contractor \o\\o'/'J~,~ ce0"Ci~~R~\"',o\.l9E~ ,,~tll)iPlJate JORDAN & JORDAN CONSTRUCTION("I.LL~\155313 co?ies 0 ~/~noo'7 ANTONE ELECTRIC INC \';Op..1" 9\)~:a.\j1i15li3lfINO\e', \\"Ie!ti4.llZO'ol7n I BUILDING)IN'FO~'flONi;e90n U~~~2'3AA)' -- bel \0\ " 's ,_\)00-'3 # of Storlc'S\,lf\ cen\el \ 2 Lot Size: Height of 25.00 Sq Ft 1st Floor: Type or Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled nla Occupant Load: , Owner: Address: SCOTT JORDAN 3520 CELESTE WAY EUGENE OR 97408 Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # or Bedrooms: Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction:, , REQUIRED PARKING Overlay Dist: Total: 2 # Street Trees 2 Handicapped: Paved DJttY1\0\!'. Y~ Kt16'lJ1l1~: % of Lo~~e~M\T SHAll a'tP.i~~~~IT IS NOt . 6I1T~OR\Z~D U~~~: ~~:;I~..cn ~nR IPUBLIC IMPRO~ PERIOD, "t~~'itt!1J . F II I d SIdewalk Type:' u V mprove Yes 1 R-3 U VN 15.00 14,00 7.00 21.00 20.00 Residential Phone 541-688-3998 541-689-4560 5,153 815 1,047 3 480 160' I DEVELOPMENT INFORMATION I, DownspoutslDrains, Curb and Gutter Notes: , ' No hook-up to City Infrastructure until Public Impr,ovements accepted by the City; Storm drainage piped to curb face 6121/2005 CAS 1 or 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00761 ISSUED: 07/28/2005 APPLIED: 06/20/2005 EXPIRES: 05/07/2006 VALUE: $ 210,620.00 " 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description A.C, . Residen Deck/Balconv Dwellin~s Gara~e Type of Construction AC - Residential Deck V Wood Frame Gara~e $ Per Sq Ft or multiplier $4,00 $17.00 $96.00 $25.00 Square Footage or Bid Amount 1,959.00 160.00 1,959.00 480.00 Value Date Calculated Total Value of Project ' $7,836.00 $2,720,00 $188,064.00 $12,000,00 $210,620,00 06/24/2005 06/24/2005 06/24/2005 06/20/2005 L.F~~s Paid J , Fee Description Amount Paid Date Paid Receipt Number . Plan Review Residential $559.91 6/20/05 1200500000000000877 - .....Mechanicallssuance Fee- $10.00 7/28/05 1200500000000001104 + 10% Administrative Fee $156.54 7/28/05 1200500000000001104 + 7% State Surcharge $109.58 7/28/05 1200500000000001104 3 Baths One & Two Family $306.00 7/28/05 1200500000000001104 Addressing Assignment $31.00 7/28/05 1200500000000001104 Appliance Not Listed $9.00 7/28/05 1200500000000001104 Building Permit $926.40 7/28/05 1200500000000001104 Dryer Vent $6.00 7/28/05 1200500000000001104 Exhaust Hoods $9.00 7/28/05 1200500000000001104 Furnace - up to 100,000 btu $12.00 7/28/05 1200500000000001104 Gas Fireplace $15.00 7/28/05 1200500000000001104 Gas Outlets 1-4 $4.00 7/28/05 1200500000000001104 Gas Outlets 4+ $1.00 7/28/05 I200500000000001104 Heat Pump $12.00 7/28/05 1200500000000001104 Plan Review Major - Planning $103.00 7/28/05 1200500000000001104 Plan Review Residential $42.25 7/28/05 1200500000000001104 Residence Wiring 1000 Sq Ft $106.00 7/28/05 1200500000000001104 : Residence Wiring Ea Addtl 500 $57,00 7/28/05 1200500000000001104 Sanitary Sewer - Improvement $457.00 7/28/05 1200500000000001104 Sanitary Sewer - Reimbursement $601.00 7/28/05 1200500000000001104 SDC MWMC Administration $10.00 7/28/05 1200500000000001104 SDC MWMC Improvement $865.31 7/28/05 120050000000000lI04 SDC MWMC Reimbursement $82.03 7/28/05 1200500000000001104 SDC SanitarylStorm Admin $122.29 7/28/05 1200500000000001104 SDC Transpo Admin $63.79 7/28/05 1200500000000001104 SDC Transpo Improvement $772.49 7/28/05 1200500000000001104 SDC Transpo Reimbursement $175.13 7/28/05 1200500000000001104 Storm Drainage Impervious Area $758.57 7/28/05 1200500000000001104 Storm Sewer Each Addtll 00' $28.00 7/28/05 1200500000000001104 Temp Power 200 amps or less $50.00 7/28/05 1200500000000001104 Vent Fan $24.00 7/28/05 1200500000000001104 Wmamalane Single Family $1,000.00 7/28/05 1200500000000001104 2 of 4 . . CITYOFSPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00761 ISSUED: 07/28/2005 APPLIED: 06/20/2005 EXPIRES: 05/07/2006 VALUE: $ 210,620.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $4.50 $3.15 $25.00 $20.00 1In/05 1In/05 1In/05 1In/05 1200500000000001690 1200500000000001690 1200500000000001690 1200500000000001690 Total Amount $7,537.94 I Plan Reviews I Initial Review Plannin!! Review 0612112005 07/1512005 0612112005 07115/2005 APP APP LLH TAJ Plan nine Review 0612112005 07115/2005 WE EMM Structure shifted 3' to the south ror solar setback. Scott Jordan approved and verified this and west side setback of 7', Left message ror Scott Jordan regarding solar and interior side setback. LM No book-up to City Infrastructure until Public Improvements accepted by tbe City: Storm drainage piped tl curb face 6/21/2005 CAS Approved as noted on plans Public Works Review 06/21/2005 06/21/2005 APP CAS Structural Review 06121/2005 06/2312005 APP JB 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. , Reouired InsoectionsJ Eroslon/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Urer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor roundation inspection. . Footing: After trenches are excavated. Foundation: After rorms are erected but prior to concrete placement, Post and Beam: Prior to floor insulation or decking. " ,- FI~or Insulation: Prior to decking. Shear Wall Nailing: Berore 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill, 3 of 4 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00761 ISSUED: 07/2812005 APPLIED: 06/20/2005 EXPIRES: 05/07/2006 VALUE: $ 210,620.00 Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. Underfloor Mechanical, Prior to insulation or decking and including required testing. Underfloor 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 all electrical work IS complete, Low V ollage: Prior to cover. By signature, I s'tate and agree, that I have carefully examined the completed application and do hereby certiry that all inrormation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances or 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 withoul 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 Is located at the front ofthe property, and the approved set of plans wID remain on the site at all times during construction. Owner or Contractors Signature Date 4 or 4 r 225 Fifth Street Sprlngfiela, Oregon 97477 541-726-3759 Phone . ap~.~....~....."!-O_, .... lIii:. ! I "'Ii f -'" .. ~~,~ - .Jllty of Springfield Official Receipt .velopment Services Department , Public Works Department Job/Journai Number COM2005-0076I COM2005-00761 COM2005-0076I COM2005-0076I Payments: Type of Payment CreditCard :\ , .. ') - :\ .' 'r .. 111712005 RECEIPT #: 1200500000000001690 Date: 11107/2005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Paid By MICHAEL RIMMER Received By djb I or I Item Total: LUecK r'<lumoer Autnonzatlon Batch Number Number How Received 033903 In Person Payment Total: ,- 1:27:38PM Amoo ot Due 3.15 4.50 25.00 20.00 . $52,65 Amount Paid $52.65 $52.65