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HomeMy WebLinkAboutPermit Electrical 2007-4-27 SP~'Nap'ELD ZON LP2... "INITIALS rJ I"-'" k..A" .~ '~~ DATE U - 3D ~ Q{ ,~",",~! . SOURCE me::.... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72..3753 . FAX: (541)72..3689 ELECTRICAL PERMIT APPUCATION r~~)ri,- 013'62-- y . " '. "-i ",,' ,.., -~'. .,,-' . ) '. ,.." "':"f".. .; '.'''';1' ,;~,.".:...:!;;. 1. ,LOCATION OF INSTALL4TION:::~'i{'1c.'d ;' .\,. ~..."..,... '." _,_ ..j..il:Jl..... .;;".;.....,.'.:.. "_"._.,. ,:... - ..OJ.. ~..~; ,}.;'.!;;...~~',:~ .~;:';;'.i'~' 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. -l":",;,.'"..,..~:..,':t4'."'-~.f:.""'{",, ~~,*,,~'-loi:~:.,,- ",-'''''''' ::"'\"'~-?-.'" :CONTRACTOR'INSTALLATION ONLY', 2. 'f-. i !l:.'..''''~: ~~. ",\>->... tl1r.vf:i:L ".e, ~'i'. ~~t~"';':'':'l-':''~~':':':; :.'.~c'.;,:.J: :ii~.'<<:.~)~}; ..,:..;;it~ 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 ~<..: \ ."", ,'~ .,.~.....", ,.:.., "_.~' ,.:. ~. " . .-t.... .',' ... ......."l'-...~ ,._;,;<;,').,;..~,,;~o:..~.t:'iP' 3",C01l1PLETEF1':E$C1I,EDULE BELOW,,' . :"":~::i','~'...,,'1fr'~l' ~~.'_':-'\_"'~ ,.~~.":;;).:;.a."~:-.',..~_'......,t,,,.... _, ~ .....,., ~..,,,.,.......'...,,'!.v. J~I"L...~...ti.:!"'~f:'.,:i:-_. ~ 'i' " ':'. ~,..' :"i" ~~;~;~,~: r'n ~. i: .:~,.. ;:''''r:':~~';"v,:.V'':",~....:;~..~~~I~,~f , .;. :.,~ ,.I,.~".:';,' ~;';'.""'.'.o:''l,'''' A. . '~e\\' Rcsi~er:atial- Siliglc,or'1\1ulti-Farili1y.'per 'dwcllillg''unit.''I~:1'' .<!..~!;....\'" .~_-,"'<>lo' u-~_. ..._",'. ."": ,.\...,:.t~." _ ~'.r...l .,,-..,-. .... ...<:"~..~ 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~), 'V~""_ 'r,....~<.;;,::"OI;-)'. ~~1.1~:,",\:r~#:~:-.~~~:J .:~{j,t- ~tIi~;,p:~:,:&';j.";~'~Y~~\ ~,";1.;~\'\.;m-:~.' ,\, C. ~;.Temporan' SerYlces or. Feeders ~-:?;;'Y~;;\~~i~';~~;i~ri~~~':7f:...tJ":~'~I?li";.f~:: . ,"t:o.-i';,,;-.~, ""...,.ti.:....>I....~......,.-...,,;.',.....,,.......... "...cl'.;:t~......:;..l:i:'~..,"'.<:-....~N.,-.~....;>'li.t.~ 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' :...~"\,l;'t.~.t..'-'T)l'.I_<..~'-'~.;:";,-"~,,~,~,,,,~:~. .... ::..~...:......... 't.':;' .. ..,..... .,': '.' : ~~. ,.....".':~~ 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.--- 4. ~S.tm'iOTAi~OfABQyiI~::.~~,~:t~;~::~~~\~." ~: ..-J.y - b.\~~.t!.*, ......::i"....",~l___....; ~..J...:.- _'L'?::..;~'_',~, .1....:;,~.~~\...-~,...:..- ~.," 0- ~. 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 1200600000000001573 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 1200700000000000024 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 _~"'lflI9..__... WIr .- I 1::M - j ~~", j _.- ...' -, ~-,,:.\ j . .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 . ..,....irji..OF,1l1:1,!!. '... . u.... ...:.... .' ~;". 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