HomeMy WebLinkAboutPermit Electrical 2005-1-25
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F.qj,~)Z~lfl9~~! .:.....- .4M.
ELECTRICAL PERMIT APPLICATION o.'H. r1 r100/0CI.s~ ~ ,
. . . nOI, /Jb",,.. .
CIty Job Number ~ 7./YJf -1J1~nate . DA._ <:Onin OQ/Jif. :10<1 !''''
- ............ 'tJ......... PeCi,; ~I)&'r.h .
1. ~@GARO&~.r:.~T:Afifr~~ 3. le@~!lli::ti:!~" 'J$B: , 1fE' ;~~ 'on ;;"'n/l
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LE/~~~;: 2. 1P5/CJO A.se:: ~~:::::~I~!Si~gie o"M~i>Fam:iliJ~i.
JOB DESCRIPTION 1000 sq. ft. or less $\ 06.00
~) ./2. C/ - A.A .A ",,) I Each additional 500 sq. ft. or J i ,Of)
'~'Y ILuwt.. /;rJd!f m ~t?tc.., portIon thereof , j.,./' $ \9.00 __,
Permits are non-transferable and expire If work is Each Manufact'd Home or
not started within 180 days of issuance or if work Is Modular Dwelling Service or $50.00
Suspended for 180 days. Feeder
B llSSi" ".',llI.l.iI~JF"I;\d'~.Il.I!I~jrjI"'I'i~.lt'IIr.I'1 ".I~ ,II'A' I d. 1,..l.!~.~I,. ~R. "II ~ '. ..~I.'I'L
. tii~I~~S1?}.,~:~u~,~~iii:s a lU~!h~dlll!~,~:lj~I,~~~~ i e, ?C~~I~~
Electrical Contractor
SlEUE
HA\xIL
City Ev~
v
Phone
d,(}.h~~IoS
200 'Amps or less
20\ Amps to 400 Amps
40\ Amps to 600 Amps
60 I Amps to \ 000 Amps
Over 1000 Amps/Volts
Reconnect Only
.' ': . I'. r; j. ,f. 0" 'lCn ;;1'N reCluires you t\]
'1-" .'" rld~HC'( ~'~II" ,J,II .ll'.'I.S.~. ''r.!Il!(~",,'.w''i-o;:;~d~Ulll
\. .d'". . r.,emp.orarw elYlces:or ~e rs
v";,,,dtion Center. I nose ruies are set forth
in OAR 952-00InsullationpA!lerlillbll ~elll!ftion
UU:1u.. IOU ma\iWA'rh'Pf.6\H6s9 of the rules by $ 50.00
calling the C26jE'Amlfs!R11l0b"A'n\pl:3phone $ 69.00
IIUlIloer for tt\ll)Pfi9nllSlfolJ;tiotx~fication $\00.00
Center is 1-800-332-2!!44\
Over 600 Amps orl000'Volts see "B" above.
D. tBr~l~cilt:tB'i~Ciiits
$ 63.00
$ 75.00
$\25.00
$\63.00
$375.00
$ 50.00
Address' f. 0, &:>\c
ral
Supervisor License Number
3s'fl- 5
,'.'''' ~~t ""1~\.... .. ~. :.~ ."
Expiration Date
/0 -( -07
Constr. Contr. Number I Lj +10 j g
Expiration Date "1- 30 - oS
Signature of Supervising Electrician
~
p -'}~"'" "',,' ~ ".. ~. '. :\ . '.,,'.
g{
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
Owners Name R..~4 LIe-
Address ,Drl4LrX 5"!i'7~ NOTICE: E. Misc~~laneous (S~r;vice/f~e~.~rLn_ot\n,c.!u(l~,il),-~a~,1i l?s~~II.ti?n
c;:" - I HI0 t"tHMIT SHALL EXPIRE IF THE WORK
City ~fl$. '7~Phone ~$~ -f'~RIZEDPu'NBC'Hi'T\~~goPfRMIT IS NO-:- $50.00
COMMENCE[jSim'?8t~'lfA1~gje'lfcD FOR $ 50.00
OWNER INSTALLATION ANY 180 DAy'ii~A'1~fr.ergylResidentia1 $ 25.00
The installation is being made on property \ own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent.
$ 3.00
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.kt~~~~F.~([~ 11/{)
/. 33
'J,90
~_;~L :2- j
7% State Surcharge
\ 0% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application I-03.doc
v
.
. CITY OF SPRINuN1!,LJJ
Building/Combination Permit
PERMIT NO: COM2004-00899
ISSUED: 11/09/2004
APPLIED: 07/20/2004
EXPIRES: 06/23/2005
VALUE: $ 8,368.00
Status
Issued
225 Fifth Street, Sprlngfieid, OR
S41-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7303 Forsythia St
ASSESSOR'S PARCEL NO.: 1802021205100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: New Single Family Residence. Lot 93 McKenzie Hills - First Addition. Parcel tags
removed per RBK for LDAP Pending and Public Works Hold, SKG 7/21/2004.
Owner: RGG LLC
Address: PO BOX 5578
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor "Am~ License Expiration Date
SOONER CONSTRUCTIO'lODownJ''':;'';, OremmolllwlllqUfres faGW006
STEVE HAUCK N ti:" rules 8doPlf4ln;Jlfhe OregorAff~005
OWNER 0 cation CentaI: Those ruJes are set forth
TOMS PLUMBING SER~~~~'~mlA2SUgh 0AR9.!!~~D06
I BUlLrnNc..Thi&liaiAT~"'- Of the I\Ilea by
number f~r the ~ . Ie:. ~ teI~phone
# of Stori~_ egon UtilitYJNot;flOlfStA:
Height of ~ru'cru" HIOO-33.?~Sq Ft 1st Floor:
Type of Heat: Wall Heat Sq Ft 2nd Floor:
Water Type:'- - Electric Sq Ft Basement:
Range Type: . Electric Sq Ft Garage/Carport
Energy Patb: Path 1 Sq Ft Otber:
Sprinkled Building: n/a Occupant Load:
Phone
541-521-7006
541-221-2665
541-607-8879
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary ConstructIon Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
9,584
960
816
410
515
3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
50.00
20.00
10.00
0.00
I DEVELOPMEII!I'ilN.NFORMATlON I
THIS PERMIT REQUIRED PARKING
SHALL EXpmr: f. THE WG
Ove;1;jjP.!JHIZED UNDER TH/!;,ifWde redial: 2
# StoolJ!irrf!d!f}d: f'EPs'v1IT IS NlIandlcapped:
Pave~J9~K~l1jJ OR IS ABANDLVISD FOR Compact:
% o'fLot t'ol{.J.!C~ePERIOD. 23.60
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Storm drainage to weep bole in curb
Sidewalk Type:
Downspouts/Dralns:
Curbside 5'
Curb and Gutter
Notes:
.;4/
Paee 1 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Bid Amount
Dwellines
Dwellines
Garaee
Tvpe of Construction
Use Bid Amount
V Wood Frame
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Copies - Ea AddtJ @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Miscellaneous Copy Cbgs
Plan Review Major - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
ResIdence Wiring Ea AddtJ 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
Wlllamalane Single Family
.
I V~ II :\tlon Descriotion I
' 11111...
$ Per Sq Ft
or multiplier
$1.00
$96.00
$92.40
$24.30
Square Footage
or Bid Amount
8,368.00
312.00
1,874.00
515.00
Total Value of Project
)?pp< P~iIiLI
Amount Paid
$568.36
$10.00
$143.84
$100.69
$306.00
$31.00
$-144.00
$874.40
$8.00
$0.75
$75.00
$6.00
$9.00
$18.00
$24.00
$103.00
$-30.00
$106.00
$57.00
$438.72
$576.96
$10.00
$865.31
$82.03
$110.91
$61.96
$772.49
$175.13
$75.00
$680.76
$50.00
$12.00
$1,000.00
Date Paid
7120/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
11/5/04
Paee 2 of.4
. CITY OF SrKll'lul'l1!,LU
Building/Combination Permit
PERMIT NO: COM2004-00899
ISSUED: 11/0912004
APPLIED: 07/2012004
EXPIRES: 06/23/2005
VALUE: $ 8,368.00
Value
Date Calculated
$8,368.00
$29,952.00
$173,157.60
$12,514.50
$223,992.10
11/02/2004
01120/2005
11/02/2004
11/02/2004
ReceIpt Number
2200400000000000945
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
2200400000000001379
. CITY OF SPRIN\Jl'l1!,LIJ
Building/Combination Permit
PERMIT NO: COM2004-00899
ISSUED: 11/09/2004
APPLIED: 07/20/2004
EXPIRES: 06/23/2005
VALUE: $ 8,368.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan RevlewlResidential Hourly
Residence Wiring Ea AddU 500
$11.86
$8:30
$99.60
$112.50
$19.00
1121/05
1121/05
1121/05
1121/05
1/21105
Total Amount Paid
$7,429.57
I Plan Reviews I
Initial Review
Planninl! Review
Public Works Review
07/20/2004
07/28/2004
07/23/2004
07/20/2004
07/28/2004
07/23/2004
APP SKG
APP TAJ
WE VRJ
Public Works Review
11/02/2004
11/02/2004
APP . VRJ
Revised Plan Review - Str
12/22/2004
01/20/2004
APP DLM
Structural Review
11/0212004
11/04/2004
APP DLM
2200500000000000085
2200500000000000085
2200500000000000085
2200500000000000085
2200500000000000085
PrIor to issuance of LDAP and
Building permIt bonding
requirements must be met. PW's
wailing for bonding documents and
bond payment. LDAP and Building
permit need to be issued
concurrently.
Set aside letter for LDAP has been
approved by City Attorney's office.
Received revIsed basement plans for
storage room & bonus room
12/22/04 dIm Plans not accurate
according to contractor. Says tbey
will be rplaced.12/23/04 dIm.
Revised plans replaced by
contractor 1/12105 dim. OK, but
need revised fdn. detail "B" from
engineer to reduce height of conc.
stemwaU (eliminates insulation
problem) before releasing. 1120/2005
dim Received engineer's detail
1/20/05 P.M. dim
See Documents for plan review
comments
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.
UenuiredJnsnections'
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Pal!e 3 of 4
.
. CITY OF SPRINtyN1!,LJJ
Building/Combination Permit
PERMIT NO: COM2004-00899
ISSUED: 11/0912004
APPLIED: 07/20/2004
EXPIRES: 06/23/2005
VALUE: $ 8,368.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation: After for,!,s are erected but prior to concrete placement.
Slab: To be made after all inslab building servIce equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before 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 cove~.
Drywall: Prior to taping.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector .
Hold Downs Installed: Special InspectIon performed prIor to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underslab Plumbing: Prior to filling the trench and including required testing.
Undernoor Drain: Prior to cover or placement of concrete.
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.
Final Plumbing: When all plumbing work Is complete.
Rough Mechanical: Prior to Cover
FInal Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that' any and all work performed shall be done In accordance witb
the Ordinances of the City of 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 Safety.
I further certify that only contractors and employees wbo 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, tbat each address is readable from the
street, tbat the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
times durin const~#
7~ ~ / - Z-,/ - c.2S:
P" L_L ' - -
Owner oP"Crtractors SIgnature
Date
Paee 4 of 4
225 Fifth Street
'r'.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00899
COM2004-00899
COM2004.00899
COM2004.00899
COM2004-00899
Payments:
Type of Payment
Check
1/21/2005
.
RECEIPT #:
G~
1IiL.
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000000085
Date: 01/21/2005
Description
Plan ReviewlResidential Hourly
Building Pennit
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SOONER CONSTRUCTION
Item Total:
Check Number Authorization
Reeelved By Batcb Number Number How Received
DJB 2750 In Person
Payment Total:
Page 1 of I
1:47:14PM
Amount Due
112.50
99.60
19.00
8.30
11.86
$251.26
Amount Paid
$251.26
$251.26