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Home My WebLink AboutPermit Electrical 2006-8-3 " 'U'~': ' '. ." t.( \:-::: ~, ~ -:.<.. ,~~,. :".... " ;:.,,~ "".~;': ~:;/"-'\. '1 ',\ ,', """""".': -,0. ,'" , ',,- ...liNGFIELI):oOREGON.:J,-"t ~", ',' j' ':;t:...- ,. I' .'_ ~.: "I,!.. ''>' J l, ','ot ,':::;";' ~ ~ , . 1 . '" ",.," I ..~".... '. 1..:t. ,'}; "'. . . 1;l;,~...1.'" ..._...;,;.,...'..~,....,~" ..' ,1... .I.. ,.....)"_t .,.-.1>,{'t..;<"" 1.1:.....1 ~.. ,.~.~., 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIl:fr4L PERMIT APPliCATION CityJobNum~2.!lhCq .....rollq. Date () go I()?J cL, , LprL s., p. RINi,),<i.D30~(,e... ~ i\l'F^ /" 1, ,.~..r\:j('t.~' '''':~''. r..,;;<<c"l,n ",j "'"~'. ,'" ,",'. ': ':;,;~.~_ ~,.'A~'.~, " 3. IFCOMPLETEFEEisciij;;jjlfLEiijEtoWZ'>:~::ii;~,:>'" ~:lf":\ I:.............'A.<........'.-v--'...,.........~.....__.~-.-..-._........',_.._.~f,.;. .:.f... ',,',1 1. t. LOCATi6N.6FjiNs'r7iir?4.fidN/;;-";:~fl:..'t ~.~,., ~-;...~.~~~'1"__" .....-.;,.'.-;J..-.' .._c w.......!.>t......fl,j !j(l?:> ~ -*h~m. tt . \ LEGAL DESCRIPTION 10::::> ~o-l::J.. () Co~m JOB DESCRIPTION L11tlW <>\J \!J)i1 AHA f(L A. ~~~~~[;fi!I~lfI~~~g~1ii!;[~@l~1Il1{;]ij~~~~~'~-?~q Service Included 1000 sq. ft, or less Each additional 500 sq, ft. or portion thereof Each Manuract'd Home or Modular Dwelling Service or. Feeder . Permits are non-transferable and expire if work is "not started within 180 days of issuance or irwork is Suspended for 180 days. . $106.00 $ 19.00 $50,00 i -r ,,'~:"'--I.."'.'~-~~ e,....~"'..... ~'-""T."..;;I.-'~ '.~:, '.;,.',. ......;,;.-...---.., - '- ~., ~-~-'-'..l 2. ,ieglfz~f;!/)~~~l;~!.!i1!Jl!l.j;J?ltfJf~,_' B. ~~~1:~~J~~:t_~~~{:~fr.~~~.I1~f!~:j,~~lt~~~k.-~~~9tJt~I~~tfi~f ~,-:] 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. Signature of Supervising Electrician D. _F~i:!~~EGlr~~,ttS:~w:trt~:.~;t,,\\:~: I; ,,'~> - " ;.;::~~~~~ ~t~;:':.:. , ..:"~' ~...' ~/ / ~/fJ /J :' Jll~t:: New A1teralion or Exteitsion Per Panel Y/f~t{lll~ tll~ Pl:RMI10~6t!JcJi~PIRE IF THE WORK $43.00 , . .,. GRIZED "'nr,, '-'J'(' "rD~'lT Ie:: 'lOT . 0 ,U I tl EachiAdditional Circuit of'with ~ r. 'S.-rLUt'llivlENCE[S&Yice,oi-,Eeeaer:pe'TiilltFOR $ 3.00 owners;am, ~''-j':'.' lBlJ DAYr'2~ru'::',[',..,..,.,",." ,., .... ,..., "'.' , ' , .-,. . - "1 Addrevo7 J U~ ~ lJ 7'11 ~, L- E. '!MiSf~~aie~u~;(Se;;yifetf~dj;i~nol fucii'i1ed) .,,!,~-:Ch'!,,!Si:ilfat(O!!: Ci5t;) ~ Phone 5~o - 110 dD Pump or irrigation $ 50,00 Q-y /,..; Sign/Outline Lighting $ 50,00 OWNER ST ALLA TIbk,vL-- Limited EnergylResidential $ 25,00 Limited Energy/Commercial / $ 45.00 4~"5 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1~'~6 3,00 -V. DO ~r:)5 .35 Shared Drive(T:)lBuilding Fonns/Electricl1l Permit Appliclltion 1-03.doc Electrical Contractor f)t!J;9WS. /N('/ 200 Amps or less C ""[JO'2o TlAiilps'tb'"lIoo'Aiilps Address L!t.t.5 oj, '7tf,-' . ... ~"~ttJ;:ted40it~Psrf({600wm~s' , ..'- . -" ~.!n er. Those rUles WI" oqt forth Ir. I ,.- J) ,..~. 0010 60 I Amps.to 1000 Amps I". 4<?S--:_'I'(j()" Fl- . tll,tJuu'dJI-\H ~t--:J-f101. City rM, ,1;etVe l'?bhone 70c o. \0 ,t/, obtalnOuver,1000,AII1, pSlVollS , R ... e~ u d'1' rUles oy a:z:ling the center, (1,5~g!ll(',~~t te?8~hDne /llii)mher for the oreao&f;::'~ " ".' Supervisor License Number '2?9 g ~entp.r is 1_5ij_fre:npW~'S~ri5~,~fS::~ffee~e~s,-':' Expiration Date I () 101/2CX'J'J?< Installation, Alteration or Relocation Constr. Contr. Number /2? 7.3 (; Expiration Date C;/CJ9/ tJ% ~ e;) The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 4. ttSUBTOTA:fOFfABCfVi:7r.:,; . ~$:o.:Z:::~""*~.1 \:..'.'ii-""'1;" w.X':.y~~ ll~o State Surcharge 10% Administrative Fee Inspection Request: 726.3769 TOTAL $ 63.00 $ 75.00 $125.00 $163,00 $375.00 $ 50.00 '~.:~:<.j: j~':<'~il<<:'.;'" ~;,~ ~t~:1 $ 50.00 $ 69.00 $100,00 co ."',,. .'.J -:...,.",. " . "'~ '''''1' .. t>.,~ -' ~ . . . CITY OF ~rKH\j\JJ<IELD' Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/01/2006 EXPIRES: 02/03/2007 VALUE: $ 187,770,00 Status Issued 225 Fifth Street, Springfieid, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 563 Ethan Ct ASSESSOR'S PARCEL NO,: 1703221206200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Singie Family Residence Owner: MIKE GANSEN CONSTRUCTION COMPANY Address: 362 HWY 99N STE 2 EUGENE OR 97402 Phone Number: 541-520-1620 Contractor Type General Eiectrical Mechanicai Plumbing I CONTRACTOR INFORMATION"I)reoon law requires you to N ; ~ '.' ,'.~'" 'uuopteci by the Oregon Utility Contractor . O!.flcEiC'ensenter. Expiration,Date.et P.lione MIKE GANSEN CONSTRUCTION COMP~N1FS9001-0010 th06/11/20~0~R-9~2.~e~~463-1000 MAG ELECTRIC INC UOtJo.. I 49i1343Y obtain c,17/,\3/290.'lle ruleJitV461-0387 COMFORT FLOW ~calli~60'~he center, (N 06/2712_09]lephon~41.726.0100 HOME COMFORT HEATING & AIR INCumr84164' the Oregor06/25/20QZtifi""'i,5,4t.345.2838 [ BUILDING INFORMATIONI""" I~ ,-t\UU,::l32-2344). 2 # or Stories: Height of Structure 23.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: nla Lot Size: Sq Ft 1st Fioor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,313 1,758 # or Units: .Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: 1 R-3 VB 528 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Soiar Setbacks: 18.00 5.00 5.00 12.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 42,80 Total: Handicapped: Compact: 2 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROYEMENTSI; SHAll EXPIRE IF THE WORK A"U'T-HORIZED UNSiiIew1.Ii1:.Tfp"e'i\MIT IS NOT " Fully Improved Ie: ARANonNED FOR CurbSIde 5 Yes COMMENCED OrDownspoutslDrains: Curb and Gutter ANY 1 SO DAY PERIOD. Notes: Storm drainage piped to curb race: curbcut ree added to building permit still need to fill out rorm 218/2006 CAS Paue I of 4 Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Description Tvpe or Constrnction Dwellines Garaee V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issnance Fee- + 10% Administrative Fee + 80/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pnmp Plan Review Major - Pianning PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 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 Wiilamaiane Singie Family + 10% Administrative Fee + 5% Technoiogy Fee + 8% State Surcharge . I Valuation Descriolion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,758.00 528.00 Total Value of Project F'PPIi', P.&iIiLI Amount Paid $553,57 $10,00 $140.07 $1I2.os $254.00 $31.00 $851.65 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $150.00 $-30.00 $106.00 $57.00 $381.40 $501.40 $10.00 $865.31 $82.03 $129.34 $65.51 $805.70 $182.69 $80.00 $1,068.48 $50.00 $24.00 $1,000.00 $4.50 $2.25 $3.60 Date Paid 2/1106 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 8/3/06 8/3/06 8/3/06 Paee 2 or4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/01/2006 EXPIRES: 02/03/2007 VALUE: $ 187,770.00 Value Date Calculated $174,042.00 $13,728.00 $187,770.00 02101/2006 0210112006 Receipt Number 2200600000000000155 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000001197 1200600000000001197 1200600000000001197 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/01/2006 EXPIRES: 02/03/2007 VALUE: $ 187,770,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Low Voitage - Commerciai Indus $45.00 8/3/06 1200600000000001197 Total Amount Paid $7,674.55 Public Works Review I Plan Reviews I 02/06/2006 02106/2006 APP SKG 02/06/2006 02124/2006 APP TAJ Needs survey because or minimum setbacks 02/06/2006 0210812006 APP CAS Storm drainage piped to curb race: curbcut and sidewalk permit ree added to building permit still need to fill out permit 2/8/2006 CAS 02/06/2006 02/27/2006 OK RJB Initial Review Plannin2 Review Structural Review 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. ~irlpori Tn~nprtif1ll11.1 Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut. Standard: After rorms are erected but prior to placement of concrete. Temporary Eiectric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to' Cover Electric Service: Approval required prior to utility company energizing service. Final Eiectric: When all electrical work is complete. Low Voltage: Prior to cover. Sidewalk - Curbside: After rorms are erected but prior to placement of concrete, Ufer Electricai Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Foundation: Arter rorms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insuiation or decking. Floor 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. Pa2e 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02101/2006 EXPIRES: 02103/2007 VALUE: $ 187,770,00 Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Finai Building: After all required inspections have heen requested and approved and the huilding is complete. Undernoor Piumhing: Prior to insulation or decking. Rough Plumhing: 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 Piumhing: When all plumbing work is complete. Undernoor Mechanical. Prior to insuiation or decking and including required testing. Undernoor Gas: After iine is installed and required testing and capped ir not attached to an appliance. Rough Gas: After line is installed and required testing and capped ir 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 mechanicai work is compiete. By signature, I state and agree, that I have carerully examined the compieted application and do hereby certiry that all information hereon is true and correct, and I further 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 orthe Community Services Division, Building Sarety. I further certiry 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 rrom the street, that the permit card is iocated at the rront or 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 or 4 ~. 225 Fifth Street Springfield, Oregon 97477 11541-726-3759 Phone . ilirii Wi:. . liiM' of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200600000000001197 Date: 08/03/2006 1I:28:IIAM Paid By JOEL D, RIMMER Item Totai: Check Number Authorization Received By Batch Number Number How Received njm 085130 In Person Payment Total: Amount Due 45.00 2.25 3.60 4.50 $55.35 Job/Journal Number COM2006-00 119 COM2006-00 119 COM2006-00 119 COM2006-00 119 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type or Payment CreditCard Amount Paid $55.35 $55.35 cReceint 1 Page I of I 8/3/2006