HomeMy WebLinkAboutPermit Electrical 2007-6-26 (2)
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ELECTRICALP~f1T APPLICATION I
Ci'" Job Number GelYYl 2f51)'7 - 007'2 Z. Dole fr,.2b /07
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C Ill' 0\' Srr"liFIELD. ORECiO"!
~2{B2/2B67 BB'41
72&3&76
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LEGAL DESCRIPTION:
i1 0<" ;~ ').., /';), f) 7 d. (]lJ
JOB DESCRI.P'T10N:
II'~~
Permib arc non-traDtlerable and expire if work is
not staned within 180 days ofls...ao.e or If work it
Suspended for 180 days,
.
1,
'I" 'I'
Eleclrieal C ,
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Phone ,'111 ifr?/,d :s<l7
Address {If.;l
City ~
~'1dS
I() / I I /) 7
, ,
ConSll', Contr, Number !"I9R,'1"i
I:J./ 13 ,1/)9
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OwnenNome fVUkt. (9an!.pn (" /iYlSf.
Addre$s ...~z.. -/:1un ( 19Af... <::J7. .2. E.
City ~ R Phone ,.jIo ~-1J2a)
OWNER lNSI'ALLATION
Supavism Uecnse ,; ..
Expiration Date
r;. ,; ..: ". Dale
The insuJlalion is being made on, .,."..1 own which
is IlOl ',... ~_J rorllllle, I.... or miL
Owners Signalurc:
IDspedton Request; 726-3169
A.
"..'" "" 'II'
Service Included
1 000 sq. ft. or 1m
Eech additional SOD sq. It or
poniOllIbcrcof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelting Service or
Feeder
S50.00
B. ,.' I il, i ", .',' ~I
I t:.1 I I. t;j~Ul let v IOyUllt:;'" 'jUU ~v
200 AmPltc!l'cll;Llsrules adopted bv the (563;001 Utilitv
201 A~~,~t!t1!'P$':;enter, Those rulE$,75.ooset forth
401 A"1I'!'&f~~J01-001 0 thrnl,nh $12SJI052-001-
601 Alft!!SJ!9J,ocllM'!'I!!.y obtain r.oniA~ Sl63cOO'ules bv
Over 10oo^'1)P~q~J center. ''''nlp't11S3I5.OM,nnA
R..onncClnCG'llroer for the Ore,:M , ":"t~ ~~.:-l\\\ic~t:M
c,
:}~:~'t~~;,:~~':;)~:;" ~'~~~1'~~~::';)~': :~:?':.~::i:l.l:;.r.~,t~ ,If!;;::' ,- ~,', ..l~'l ;.:';,,::"~
IDSIaIIatIoD,A, _, ",," orR _" - .'..
200 Amps at.... I $ 50.00 :t::;D, aD
201 Amps 10 400 Amps .S 69,00
401 ~1II6OOAmpc SIOO.oo
Over 600 Amps or 1000 Volts ... "B~ above.
D.
New A1"lJ.l.hblit;."Exlenllon Pcr pouel
On. circuit') PERMIT SHALL FXPIRF IS 43!09: \NnRK
Each MdiUOIl4I,Cirarit,or,wilh-R THIS PEnr"T IS NOT
SavicrcWj:~PtdmitUl~ut . S 3tOO
r.nMM"w~"n nR Ie: ~RHlnmlJ:n J:nQ ~.
I .',
Pump or ilription S 50.00
SignlOutline UJlhtin& $ 50.00
LimiIlcd llncr&YIR _,,'1...: 01 S 25.00 "
LimiIed BncrsY/C, , . .', I S 4S.OO~t"
M~""",.. EIccrrk: Permit. L" ...", Fee III S45.OO + Sa)'.' .
4.~J~. .~kD
8%SIate[,,, ~\'".". ~~
IO%A: :,:~..,:"Fee c::-:
S%T.;l, t~.... Pee ?~, U
TOTAL '("1 I.,~
ShD'ed Drift(T:)JBuildma FOI'IrBIEIecuical Pllml Applicabon 1-06.doc
SCAt~NfP
'"
Status
Issued
225 Firth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918,00
SITE ADDRESS: 556 Ethan Ct Springfield TYPE OF WORK: SinJle Family Residence
ASSESSOR'S PARCEL NO,: 1703221207200 ATTENTION: Oregon law requires yo . to
follow rules adoptlTlYP,!,'OF ilSE,Orii.hVrhty Residentiai
PROJECT DESCRIPTION: Single family residence - Breannecf'ommons.loH4,'"hose rules are set forth
I\lOlllI ~allUll v....'''..." 001
,_ ,",^D QI;?_nn1-0010 through OAR 952- -
bt' caples nT lilt:: I Ult:" IJ Y
Owner: MIKE GANSEN CONSTRUCTION COMPA~JO. You may 0 arn I Phone Number: 541.463-1000
Address: 362 HWY 99N STE 2 calling the center. (Note: t1e tel~pllU1,'"
EUGENE OR 97402 number for the Oregon Utility Notrflcatlon
. _ .. nf'\r\ I)'):" ?~A.4\
I CONTRACTOR INFORMATION I
Contractor License
MIKE GANSEN CONSTRUCTION COMPAN 92159
MAG ELECTRIC INC 149834
COMFORT FLOW 460
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
Contractor Type
General
Electrical
Mechanicai
Piumbing
# or Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# or Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
18.00
6.00
6.00
11.60
8.00
v...,.~..., .-
Expiration Date
06/14/2009
12113/2009
06/27/2007
05/06/2008
Phone
54 I -463-1 000
541.461 :0387
541-726-0 I 00
541-485-1146
1
R-3
U
VB
# of Stories: Lot Size:
Height of Strncture: 20.00 Sq Ft 1st Fioor:
Type or Heat: Forced Air Gas Sq Ft 2nd Fioor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft GaragelCarport
Energy Path: NOTlrr~!h 1 Sq Ft Other:
Sprinkled Building: n/aMIT sHOccup.ant.l!:oad:: THE WORK
TUI~ Pf.:H I-\LL L.1\1 IH'-" ._ ..........
I DEVELOPMENT INFORM~TIONHILtU UNDERl HI~ t'tnlVIII ,... ..~.
COMMENCED OR IS ABREQUilffd\OfRKING
Overlay Dist: ANY 180 DAY PERIOD. Totai: 2
# Street Trees Rqd: 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 44.90
5,153
1,765
449
3
I PUBLIC IMPROVEMENTS I
Sidewaik Type:
DownspoutslDrains:
Cu rbside 5'
Curb and Gutter
FullV Improved
Yes
Notes: Storm tied to curb & gutter. JLP Express/APP 5/31/07
Paee I or 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
Dweliines
Garaee
V Wood Frame
Garaee
. Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee. Residential
Furnace - up to 100,000 btu
Gas Outlets 1.4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
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
Storm Sewer Each AddU 100'
Vent Fan
Willamaiane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918,00
I Valuation Descriolion J
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,765.00
449.00
Value
Date Calcuiated
05/31/2007
05/31/2007
$181,795.00
$12,123.00
$193,918.00
Total Value of Project
IIpp< P..~
Amount Paid
$10.00
$146.49
$84.11
$108.33
$254.00
$31.00
$9.00
$871.15
$80.00
$6.00
$9.00
$110.70
$12.00
$4.00
$198.00
$566.25
$-30.00
$106.00
$57.00
$494.76
$650.66
$10.00
$961.52
$91.61
$143,31
$68.48
$836.32
$189.58
$80.00
$1,001.31
$14.00
$12.00
$2,303.00
$5.00
$2.50
Date Paid
Receipt Number
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000822
1200700000000000822
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
6/26/07
6/26/07
Paee 2 or4
.
. CITY OF SPRINGFIELD'
Status
Issued
,
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.+ 8% State Surcharge
Temp Power 200 amps or less
$4,00
$50.00
6/26/07
6/26/07
1200700000000000822
1200700000000000822
Total Amount Paid
$9,551.08
I Plan Reviews I
Initial Review 05/31/2007 05/31/2007 APP LLH "Expres.s planll
Plannine Review 05/31/2007 05/31/2007 APP TAJ Property is at maxium coverage. No
additional covered structures will be
anowed.
Puhlic Works Review 05/31/2007 05/31/2007 APP JLP Storm tied to curb & gutter. JLP
ExpresslAPP 5/31/07
Structural Review 05/31/2007 05/31/2007 APP DLM
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,
UeouireCUnsnections I
ErosionlGrading Inspection: Prior to ground disturhance and after erosion measures are instaned.
Sidewaik - Curbside: After rorms are erected hut prior to piacement of concrete.
Curbcut - Standard: After forms are erected but prior to placement or concrete.
Urer Electrical Ground: Instan ground rod at footing and can ror 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 floor insulation or decking.
Fioor Insulation: Prior to decking.
Shear Wan Nailing: Before covering sheathing with finish materia is.
Framing Inspection: Prior to cover and after an rough in inspections have been approved.
Wan Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywan: Prior to taping.
Underfloor Plumbing: Prior to insuiation 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.
Paee 3 or 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-376910spection Line
Under"oor Mechanical. Prior to insulation or decking and including required testing.
Under"oor 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 ir not attached to an appliance.
Gas Service: Arter line is installed and line has heen connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Eiectric Service: Approval required prior to utility compauy energizing service.
Final Eiectric: When all electrical work is complete.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete,
Final Building: After all required inspections have been requested and approved and the building is compiete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the compieted application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City or 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 without permission of the Community Services Division, Building Sarety.
1 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 from the
street, that the permit card is located at the rront or the property, and the approved set of pians will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal1e 4 of 4
.
225. E'ifth'Street
Springfield, Oregon 97477
54i-726-3759 Phone
Job/Journai Number
COM2007.00782
COM2007-00782
COM2007-00782
COM2007.00782
Payments:
Type of Payment
CreditCard
. cReceinl1
RECEIPT #:
.
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MAKE GANSEN
CONSTRUCTION
~
Wit...
. of Springfield Official Receipt
lI'{:elopment Services Department
Public Works Department
1200700000000000822
Date: 06/26/2007
8:31:27AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 075522 Phone
Amount Due
50,00
2,50
4.00
5.00
$61.50
Amount Paid
$61.50
Payment Totai:
$61.50
Page I of I
6/26/2007