HomeMy WebLinkAboutPermit Electrical 2007-4-27
SP~'Nap'ELD ZON LP2...
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72..3753 . FAX: (541)72..3689
ELECTRICAL PERMIT APPUCATION
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1. ,LOCATION OF INSTALL4TION:::~'i{'1c.'d
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510 (; &-hV--/'""'
City Job Number
LEGAL DESCRIPTION:
\"7 o'?-> --z. 2- ;;LI ")",0 '73 (ri;
JOB DESCRIPTION:
J..n0 -{ o-fh",c'JC
Permits are non-trnnsferable and expire ir work is
not started within 180 days or issuance or ir work is
Suspended for 180 days.
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:CONTRACTOR'INSTALLATION ONLY',
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Electrical Contractor Cx'J)FicL/)<" I' ~
Address It/b ~ v.:l ?/h
. City ;:;.Ir~e
Phone 1.('55"=-fQOOO.
Supervisor License Number 26 - W"5C LC '
7 It /0 ff
Expiration Date
Constr. Conlr. Number /29' 736
Expiration Date (P /9 / ~9
. Signature of Supervising Electrician
t:~"j) .t2Jm~_ 2'79SS LeA-
(j
,
Owners Name ~\u ~~ ~S+
Addre;}J.M. QuJ c'1t! N 61YJh" '.
City~~ PhonelJf,PJ''' 1t51P
OWNER INSTALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent. .
Owners Signature:
Inspection Request: 726.3769
Date
1+-:d--1-O Y1
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3",C01l1PLETEF1':E$C1I,EDULE BELOW,,' . :"":~::i','~'...,,'1fr'~l'
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A. . '~e\\' Rcsi~er:atial- Siliglc,or'1\1ulti-Farili1y.'per 'dwcllillg''unit.''I~:1''
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
$50:00
;:':F'~<-::'J'>;'$"'~~~"~~"l-;' :~,.l1:~~"'~~;'!<"~1'=':"i'*"'''' .:;'r"~';"""":"'-' .... ~~.'~ ~ ,,,,,,,,,\,;,...-.:tt:.
B. LServicesorFeeders ,..'Installation. AilerItions or Reioc'atioh\\:
t1:'ll:.-.<!M~.:,,,..:,~'#,~",,,t:P,\*;"''i~;.\:J':'f'.(; .~,~\,,;.j,~.i'~"~~';.'.'~_''''J ~:..,.L-!i-: .,.t~,Io~".;. ;:..L....~.o-.l:;;:;...
'Oregon laW requires yoU tv
2,o..nJiipk1i:OO\i d by the Or..gon llli6i1~o
~(l\l0.'l\IP,~II6111~r.\hOse rul.." are sES15\OO
'Ill.f)lIfiallP\AB ~a~&, 0 througP OAR 95$'t2!f:oo
If(llQ~etq*~~~ ~l1l\n copies of the rlslM.bo
~PIQQ.B~~p.~rer. {Note: the teleprs3~~.oo
Re&iAl\~Mfc7 the Oregon U\i1i\V_ NOtl1iC'$'!\5!oo
number 0, '_. n~,~ <\:>?_?:>1I~),
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C. ~;.Temporan' SerYlces or. Feeders ~-:?;;'Y~;;\~~i~';~~;i~ri~~~':7f:...tJ":~'~I?li";.f~::
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Installation, Alteration or Relocation
200 Amps or less $ 50.00 '
N G~jlt'i!~s to 400 Amps $ 69.00
TH1%1 Pffl'Mn6g~~EebpIRE IF -;-;;~ \\'Jrf~oo,oo
Atfl~b<iRPL~!Y~J~DlPg~r}j~li'~~'iimj;l~j~~&O 1,,21''; ...,;"~'("e~;C',, ,; \
eO ~r!i~l{t;,&'(c\'~':S~~B'WN'~nN'EOtF.GR~',:\ /iiL~'j,:\J/.;;;;/~k~~ .
Arf\e'1'3\ltUI\'tot"[?,~~..J~nsion Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Fe.eder Permit $ 3.00
'."?<- ~"\:;.' ...~,. 'f,~.r;<<"!-",;:o:";'~',;<;-.!, .~:. J,..; ,. ~'lt-:'~,. '~.;';' . . ~'?"~ ", ,:t:'\' .:.'~. ~'~r~'. '-&S:. ',':.
E, '" Miscellalieous (Se..\'ic"e/ree"der not included)-E:ich 1ilstallatioli'
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Pump or itrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00 1<5. -
Limited Energy/Commercial $ 45.00
Minimum Eiectric Permit Inspection Fee is $45.00 + Surcharg,!s.---
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8% State Surcharge ,"; i.o
10% Administrative Fee 4;S-O
5% Technology Fee "2. ")....,,-
TOTAL ?c;r'2>~
Shared Drive(T:)lBuilding Fonns/Electrica\ Penrul Applictltion 8-06,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
.
.ITY OF SPRINGFIELD" .
Building/Combination Permit
PERMIT NO: COM2006-01382
ISSUED: 04/27/2007
APPLIED: 10/26/2006
EXPIRES: 10/27/2007
VALUE: $ 227,062,00
SITE ADDRESS: 568 Ethan Ct
ASSESSOR'S PARCEL NO.: 1703221207300
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Breanne Commons lot 15
Owner: MIKE CANSEN CONSTRUCTION COMPANY
Address: 362 HWY 99N STE 2
EUCENE OR 97402
Contractor Type
Ceneral
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
MIKE CANS EN CONSTRUCTION COM PAN 92159
MAC ELECTRIC INC 149834
HOME COMFORT HEATINC & AIR 84164
HOME COMFORT HEATING & AIR INC 84164
BUILDING INFORMATION I
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# or Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Soiar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I
R-3
U
VB
# or Stories: 2
Heigbt or Structure: 24.50
Type of Heat: Forced Air Cas
Water Type: Cas
Range Type: Cas
Energy Path: Patb 1
Sprinkled Building: nla
3
I DEVELOPMENT INFORMATION I
18.00
7.00
16.00
14.60
25.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% or Lot Coverage:
I PUBLIC IMPROVEMENTS I
Residential
Expiration Date
06/14/2009
12113/2009
06125/2007
06/25/2007
Phone
541.463- I 000
541-461-0387
541-345-2838
54 I -345-2838
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Carage/Carport
Sq Ft Other:
Occupant Load:
5,227
1,402
770
440
2
Yes
38.60
REQUIRED PARKINC
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Sidewalk Type:
DowDspoutsmrains:
Curbside 5'
Curb and Cutter
Notes: Storm to approved system per plans.JLP
Page I of4
.
-~'
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe or Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 50/0 Technology Fee
+ 8% State Surcbarge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exbaust Hoods
Fire SF Fee - Residential
Fixture
Furnace. up to 100,000 btu
Gas Fireplace
. Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
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 SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
+ 10% Administrative Fee
.
.ITY OF ~ni..lJ'Ild<lJ!,LD.
Building/Combination Permit
PERMIT NO: COM2006-0I382
ISSUED: 04/27/2007
APPLIED: 10/26/2006
EXPIRES: 10/27/2007
VALUE: $ 227,062,00
I Valuation Descriotion I
, ,
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,178.00
440.00
Value
Date Calculated
$215,622.00
$11,440.00
$227,062.00
10/26/2006
10/26/2006
Total Value of Project,
FpP~ PqirU
Amount Paid
$638.07
$10.00
$170.26
$94.98
$125,73
$254.00
$31.00
$981.65
$80.00
$6.00
$9.00
$130.90
$28.00
$12.00
$15.00
$4,00
$198.00
$-30.00
$106.00
$76.00
$554.14
$728.74
$10.00
$961.52
$91.61
$150.37
$67.82
$836.32
$189.58
$80.00
$991.91
$50.00
$30.00
$1,000.00
$4.50
Date Paid
Receipt Number
10/26/06
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9107
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9107
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
119/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9107
4127/07
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1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
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1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
1200700000000000024
2200700000000000611
Paee 2 of4
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01382
ISSUED: 04/27/2007
APPLIED: 10/26/2006
EXPIRES: 10/27/2007
VALUE: $ 227,062,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726.3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
+ 8% State Snrcharge
Low V o\tage . Residential
MinimnmlAdjnstment Electrical
$2.25
$3.60
$25.00
$20,00
4/27/07
4/27/07
4/27/07
4/27/07
2200700000000000611
2200700000000000611
2200700000000000611
2200700000000000611
Total Amount Paid
$8,737.95
Plan Reviews I
Initial Review 10/31/2006 10/31/2006 APP SKG
LDAP Review 12/13/2006 12/1312006 10 BRC Contacted Mike Gansen and let him
know an LDAP was needed at the
time the building permit is issued.
Plan nine Review 10/31/2006 12113/2006 APP TAJ
Public Works Review 10/31/2006 12/12/2006 APP JLP Storm to approved system per
plans,JLP
Structural Review 10/31/2006 11/08/2006 to LLH Forwarded to Tom Rogers ror
review
Structurai Review 11/08/2006 01/09/2007 APP DJB Forwarded to Tom Rogers ror
review today 11/8/2006. Approved
010207 by Tom Rogers.
To Request an inspection call the 24 hour recording at 726-3769, All inspections 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,
UeollirerUnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: Arter rorms are erected but prior to placement of concrete.
Curbcut - Standard: After rorms are erected but prior to placement or concrete.
Vfer Electrical Ground: Install ground rod at rooting and call ror 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 noor insulation or decking.
Fioor Insulation: Prior to decking.
Shear Wall Nailing: Berore covering sbeathing 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.
Final Building: Arter all required inspections have been requested and approved and the building is compiete.
Paee 3 or 4
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.
.Lll i OF ~rK1J"l/lJ-t<I~LD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01382
ISSUED: 04/27/2007
APPLIED: 10/26/2006
EXPIRES: 10/27/2007
VALUE: $ 227,062,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Perimeter Foundation Drains: After gravel and filler cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement or concrete.
Rough Plumbing: Prior to cover and including required testing.
Sbower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trencb and including required testing.
Sanitary Sewe.r Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trencb,
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insuiation or decking and including required testing.
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 Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approvai required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low V ollage: Prior to cover.
By signature, 1 state and agree, that 1 have carerully examined the compieted application and do hereby certiry that all
information hereon is true and correct, and I rurther certiry that any and all work performed shall be done in accordance with
the Ordinances of the City or Springfield and the Laws or the State or Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Sarel)-.
I rurther certiry that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
rurther agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, and the approved set or plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of4
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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~;".
ca of Springfield Official Receipt
_Iopment Services Department
Puhlic Works Departmcnt
Job/Journai Number
COM2006-0 1382
COM2006-0 1382
COM2006-0 13 82
COM2006-01382
COM2006-0 1382
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200700000000000611
Date: 04/27/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OLDFIELD'S
Item Totai:
(;heck Number Authorization
Received By Batch Number Number How Received
Ikw 09053C In Person
Payment Total:
Page] or]
3:37:07PM
Amount Due
25,00
20,00
2,25
3,60
4,50
$55.35
Amount Paid
$55,35
$55.35
4/27/2007