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Home My WebLink AboutPermit Electrical 2006-4-20 ft ~ ..0 SUbmitt8~1I0Wing ~.':.:::A:~f~ US8--. r8q~.......,..."..':--. '-L{1f' M J... .....:: l~~:::;:~'3;'...,.1 .'.'Il\nl'l~~ L"~t . ''!''1! -mt.l'J .' ,,-,! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541~683 ELECTRICAL PERMIT APPLICATION City Job Number ~ zO-O $ - 0 I z.1 Z LEGAL DESCRIPTION 170'3 Z'ZI'Z. ob'300 JOB DESCRIPTION LeW Vb 1 loA $ r Ph.",,~ IV A....J.o I vA-c.. . Permits are non-transrerable and expire if work is Each Manuract'd Home or ,- not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended ror 180 days. Feeder 2. Lf~~N!~~oli~~~f1i0Ti!Wjct~J1 B. ~~~f,:~~r?~!~'f~~j~i:~it~)la/[6Jl' :~~:t~r~~~~~~:ei9.4n'thip~{j '1o\J'v Electrical Contractor {')!.f);9t3tf)S /ft}('" 200 AmPS,Or'le~'=I\J\(~~("\ Ij\W\\'I -rl. .,..,.c:~'i\ON'-2'd[e~~~S)to'400~pse set 10\ '; "f J!f 7 I'" p." ,e-" "(\V'~" - ""e"~' '2. 00' Address /.!fJ;5 (jJ, liII. ,,_#(\J\eS?40IA\mps,t&600Amp~;>'95" p,} 'u"- CP(\\<: ' Ll~' '0("\ '- \JleS , .,I'-a.\\O("\ 601,An\~s\fO'1'000Am"se( a ~ /" r 'If') '2. 01]\'<1' P P''''~ - P \\o("\e City t:-.NI..Q etl/e r?bhone 7 7fS -\tIoo.~1'\ 95 - OV"!J\l060\~gpsLV~lts..ele? \',00 , .' ,/ \J \1"1"~ ('}"\(.",,,.,,~, \,I'ca. 0090. ,0 R'(f,?,'Wect' nlYIj\\\\W ,.0 ca.\\\("\g \\"Ie eJ:.'legO(\ ",,,?344). .--, -,() (Y I.c.. '^ he" 'orll:\, ''''"''<I!:m,;);!..' '.","", " " . . , Supervisor License Number c;. I' T a <.-.c;;f1 (\\J\1"11-' <eJ~1&mpor..ll"YjSen~lCes o-'"Feedefs : . ".;' ".;>~f}'.J.. . Expiration Date It) /O( /ZCX'J'f< Installation, Alteration or Reiocation 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 Over 600 Amps or 1000 V oils se~ "B" above. _ ~~~. ''''~.'~.'''\~''f.''_''-(' ,~',P-"\":L"~'_.-~~~:". ->.;, .^~,,~;1 Signature of Supervising Electrician D. ~:'I!~~..~>~~~J.~:i-S~;', ,'{~~P',:_:.'I:",->!;'>.~:<>t':~:~';l,.">t~ . ,~';i ,/J ~ /J JIl II J A IJ New Alteration or Extension Per Panel ~ t/. W~ _ One Circuit $ 43.00 . 0 Each Additional Circu~' QII'tYtI\~ . / S' EfWt, '\p' -rU ,~~ " $ 3 00 Owners Name l1I.i../tf::- I f~6liV~ f\" Ct:, e,\lL~\'\I"\-C" e"\1 'Is \-lOi ' Address :s b 2 H~Y '7,'" ~\-~~~~~~~~#sJ~nt~~~~&I~b'~i~d.~i;fi{i!.ti;cll1d~d)~EirchI!}'sl~1I;,ii~~J City etA.(,..btIe- Phone <;20 k'-ji;~>Z~CtS'p~~~~gation . $ 50.00 ..J. Cl Op.." no.' p..\-l'i \ \) Sign/Outline Lighting $ 50.00 Limited EnergylResidential I $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is ~Surcharges 4. ~imTofA.f.YOFXBoVEi:7'7C"T.; "~<n L{ J k-1:~,.:~~",;~t"~':eA:~'~~L~h," "'~'" .}. ('/,' It,.:.J -~b::> 7% State Surcharge ~ 10% Administrative Fee " '( ru ~"P~ TOTAL ~.> t.-r.rr~:r~:!. .,.....".. ","Te',"_' _"-.' ~.. ";"'';:'~'7"".........,_,~ '.' 0;, 1. ~LOCATION. OF/INSTALI;ATION.;,{',",,\i.{J;<;~~ IL"-"""c.=",-,-,-".""",-ll."i?fl,'"""'"'''''''' '"",""'-eo,"',,,'; ) d S S' i ,4 "- c..f- Constr, Contr. Number /2? 735(, Expiration Date C;/09/t; E OWNER INSTALLATION The installation is being made on property I own which is not intended ror sale, lease or rent. Owners Signature: Inspection Request: 726-3769 !0'kQ'~~ 3. IfcoMPLETEFEE;SCHEDbilfBELOl:l'f.'I,;,,~~' ";~'"?',.'~~'.:. \ !2L,,;..."'VJ.:~,C;,uJ'~-,~~'.::z~';'" -,,, H_'-:' ,v-'~u~u.::..-~J:I"'" '.< ,\.l_,~~~ -,,' ::t ,f w:;,...;_~: Date : ')_'.1';';~~1~W;fJ;jI; iiW5~:r"'" f ;/;'\ ~{~-:>~:~;;:G~"e;;.,:-":.. .~- 'I<:~_ . >:7":'"i'jii'"f>~~ ,. .,'''',.:..:. "':::--,~"'r'~~-: .'t-~'.'i A. ~;'~~W .~e~~d.~~~!~aI7~Sj(..glc,~r:.f\'1 Lilti: f~!!~iI):;RC!:<~,~'.~ll~l!g;u ~ i~ If ,'1 ~.. ___-._."I.-._~_......... "...--.........'-1___.._.__..-'--0._ .._ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereor $106.00 $ 19,00 $50.00 $ 63.00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 .': ':.0j"" 'l." ....'; ,"..'.." Z~ Shared Dtive(T:)JBuilding Fotms/EI~tlical Pcnnil Application I-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01232 ISSUED: 10/25/2005 APPLIED: 09/09/2005 EXPIRES: 10/20/2006 VALUE: $ 235,200,00 SITE ADDRESS: 559 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221206300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Singie ramily residence. Breanne Commons lot 5 Residential Uto ..~..pS ,,0 _ _,..,....0 \a\N Iv::..__....nn(\ Ul\\l~) I CON,TR:.!iCTOR-INFORMATION'let lonn '" (\lle5 "",-r ,nose \v:- p, 95'2.'00~- Contractor 10\lo\f-J \io(\ Ce(\\e(, ~ 0 th(Oum\:~~e, (\llel3r~iration Date MIKE GANSEN cONgf~lb~!"I6N.eg~~~N,J9ii5~ t~~?nO(\a 06/14/2009 MAG ELECTRIC IN@I\\"\'(OI.l ((\13.'1 0\J ( tl'lo\'N9~3~'-Io\i\iC13.\iO(\l2I1312009 OLDFIELDS INC 0090;\\(\9 the ce(\~;e90(\ iii973~44). 06/09/2006 COMFORT FLOW c3. \Je( lo( the. ~_eoO.Jf60,,-2~ 06/27/2007 CHAPIN ENTERPRISES~C ce(\te( \5 81994 05/06/2008 BUILDING INFORMATION I Owner: Address: MIKE GANSEN 362 HWY 99N STE 2 EUGENE OR 97402 Contractor Type General Electrical Low V ollage Electrical Mechanicai Plumbing # or Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Soiar Setbacks: Subdivision Nor Accepted Street Improvements: Storm Sewer Available: Special Instruction: 13.60 19.00 5.00 13.00 0.00 Phone Number: 541-463-1000 Phone 541-463-1000 541.461-0387 541-485-6000 541-726-0100 541-485-1146 1 R-3 U VN # or Stories: 2 Lot Size: Height of Structure 26.00 Sq Ft 1st Fioor: Type or Heal: Forced Air Gas Sq 1'1 2nd Floor: Water Type: Gas Sq 1'1 Basement: Range Type: Gas Sq 1'1 Garage/Carporl Energy Path: Path I Sq 1'1 Other: Sprinkled Building: nla ~cupant Load: - -.3'blO _cl,F"'" '" ~\': "I"''',. I DElVll<!r. P.MEllfJ:.lNIi.0KMWTlO1'l, Ii IS NO . I. .~' I' ! i ~~1~'ciR\ItO U~~\: 'B~NOONtO fOR " ".rlavrnlsll n u" CO~ ~\~~1~~~q~P. 2 M'~Pa\F.\1 Drive'Rqd: Yes % or Lol Coverage: 35.50 2 5,332 1,458 784 440 3 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewaik Type: DownspoutslDrains: Cu rbside 5' Curh and Gutter Fully Improved Yes Notes: No hook-up to City infraslructure until Public Improvements accepted by the City; storm drainage piped to curb face 9/13/2005 CAS ~\ Paee 1 of 4 Status Issued 225 Firth Street, Springfield, OR 541.726.3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Description Tvpe or Construction A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee Fee Description Plan Review Residentiai -Mechanicai Issuance Fee- + 100/0 Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Firepiace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Disc. 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer. Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewaik Permit Storm Drainage Impervious Area Temp Power 200 amps or iess . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01232 ISSUED: 10/25/2005 APPLIED: 09/09/2005 EXPIRES: 10/20/2006 VALUE: $ 235,200,00 I Valuation Descrintion I $ Per Sq Ft or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 2,242.00 2,242.00 440.00 Value Date Caiculated $8,968.00 $215,232.00 $11,000.00 $235,200.00 09/09/2005 09/09/2005 09/09/2005 Total Vaiue or Project F'pp~ P'lirlJ Amount Paid $654.97 $10.00 $164.57 $115.20 $306.00 $31.00 $18.00 $1,007.65 $10.00 $0.75 $80,00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $150.00 $.30.00 $106.00 $76.00 $457.68 $601.68 $10.00 $.0.39 $865.70 $82.03 $65.67 $127.80 $805.70 $182.69 $80.00 $864.35 $50.00 Date Paid Receipt Number 9/9/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 10/25/05 Paee 2 or 4 1200500000000001332 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 1200500000000001604 . . CITY OF ~nul...tJFIELD Building/Combination Permit PERMIT NO: COM2005-0I232 ISSUED: 10/25/2005 APPLIED: 09/09/2005 EXPIRES: 10/20/2006 VALUE: $ 235,200,00 Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Willamalane Single Family + 10% Administrative Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Eiectrical $24.00 $1,000.00 $4.50 $3.60 $25.00 $20.00 10/25/05 10/25/05 4/20/06 4/20/06 4/20/06 4/20/06 1200500000000001604 1200500000000001604 1200600000000000505 1200600000000000505 1200600000000000505 1200600000000000505 Total Amount Paid $8,028.15 I Plan Reviews I Initial Review Plan nine Review Public Works Review 09/12/2005 09/13/2005 09/13/2005 09/1312005 09/30/2005 09/13/2005 APP APP APP LLH TAJ CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped tt curb race 9/1312005 CAS Approved as noted on pions Structural Review 09/13/2005 09/22/2005 APP TCM 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, UeCluirerUnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to piacement of concrete. Curbcut - Standard: After forms are erected but prior to placement or concrete. Ufer Electrical Ground: Install ground rod at footing and call ror inspection in conjunction with footing andlor 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 Insuiation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and arter all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: Arter all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Paee 3 or 4 . . CITY OF SPRI~l,I'I~LD Building/Combination Permit PERMIT NO: COM2005-01232 ISSUED: 10/25/2005 APPLIED: 09/09/2005 EXPIRES: 10/20/2006 VALUE: $ 235,200,00 Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541.726.3676 Fax 541-726.3769 Inspection Line Underfloor Drain: Prior to cover or placement of concrete. Rough Piumhing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and inclnding required testing. Storm Sewer Line: Prior to filling trench. Final Plumhing: When all plumhing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor 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 appiiance. Gas Service: After line is installed and line has heen connected to a minimum or 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 mechanicai work is compiete. Temporary Eiectric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Eiectric Service: Approvai required prior to utility company energizing service. Finai Electric: When all electrical work is complete. Low Voilage: Prior to cover. By signature, I state and agree, that I have carerully examined the completed appiication and do hereby certiry that all inrormation hereon is true and correct, and I rurther certify that any and all work perrormed shall be done in accordance with the Ordinances or the City or Springfieid and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. I rurther certify 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 inspectious are requested at the proper time, that each address is readable rrom the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 4 of 4 22~ F.ifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01232 COM2005-0 1232 COM2005-0 1232 COM2005-0 1232 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: -ii:- fA of Springfield Official Receipt lft!Irelopment Services Department Public Works Department 1200600000000000505 Date: 04/20/2006 Description Low Voltage - Residential Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL RIMMER Item Totai: Check Number Authorization Received By Batch Number Number How Received djb 039170 In Person Payment Total: Page I or I IO:34:27AM Amount Due 25,00 20.00 3,60 4.50 $53.IU Amount Paid $53,10 $53.IU 4/20/2006