HomeMy WebLinkAboutPermit Electrical 2004-6-9
, o!e~~:s submitted hes the fol/owln
225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (SllF}92l1L3689 reqUIre specific 'and use 9
ELECTRICAL PERMIT APPLICATiON Zoning (' (1
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1. '!LOCA170NOF:-INSTALLA110N&-;,;',~;3',;,f, 3.:: COllJPLEl'E FEE SCHEDULE BELOW ..""il:':-;..'..,,:- ,',.;.',",:"
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Supervisor License Number -..../ 0 c. . ;;~-,. e_. ' ,~nlces<ore~~ ~rs.\.;~\i.,.t.~:;,?"'~~,'~~~'J":,t(." .... -,~'
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Expiration Date Ie) / I I oS ~~n~'~tlltionorRelocation
.~$' 'O'l~~~~~~'il7-i~;SO'l $ 50.00
Constr. Contr. Number I 'i '-\ it, 'i( S-rt\o":.^~ "'os~~ ~~tl1~~\~ps $ 69.00
~~0" ~~........O~~ Jl,WOZn:~\t1960R(Afllps $100,00
E . . D J /""\'')/DI1 ....~O"-"'\~ ~s::,'u .^COV .\'(\0', "i,\\\V
xpl/'3t1on ate fl oL., ---=' "" &.~o.-..... .!,<:i :o-:p.\\' ~Q).Ver. ROP''l-A,q;;;..s or 1000 Volts see "B" above.
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Signature of Supervising Electrician \t\ Or .JO~ rf>~"I' DO~~B.~a/1cli 'Circuits~ir.~-:i'J';~,;~L'.' : ,', " ~'" :-~~~'<!'.,j"",."r;;:;~;;i;;. ~1:n
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d;J~ ~\\~Q, \O~ ~0 \'" \'~ew Alteration or Extension Per Panel
G.ft'l-v- 'U...,..__/ C,,<s>'00\ r,ef\\0\ One Circuit $ 43,00
I ,. Each Additional Circuit or with
cA-VVl.p PlA "\\ , Service or Feeder Permit
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Address 400b Rz.A-1I\. ~l."" ..,/"J E. ~~~!!.i~~o~.~~!~~~~f~~.~~,I,~o~ ~~~~~~):I~~~~,'~~"~~~~
Ci~ b-v...~ Phone 14l' q~<D Pump or irrigation ~ ~,,~ ~::> ~(;)'\ 50.00
, .. Sign/Outline Lighting '?,,<<;-.~ 'I. #~ ~_"''.\ $ 50.00
Limited EnergYlRe~d$~~~'S \l~(;),:\~~ ~- $ 25,00
Li~tll;F~~~~'tr~~~~~ I $ 45.00 '-I \
~n~~~~~~~~~~~~;;'e~ ~;:,45;~;~~~~urch.rgeS _
4. f,;f~~~~E<~:'~JYJi.t;,!.c~', : ;.,,',~'\'A~~,,::! L(\
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7% s~urCbarge
10% Administrative Fee
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LEGAL DESCRIPTION
/7033 lo/LJ -z.. 0/ WO
JOB DESCRIPTION"
L..o w \f 0 1-h4--c ,f"
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days'-
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"'COl\iTRACI'ORINST ALLA170NONl;Y"
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Electrical Contractor C2:u.'QX"'-.;~ I "r\ b\@c.\('C~<'\\c..5
Address 9, \'). An'" L\ 1:'\$ LI %"
Ci~ Cl.LO-" 97'-10'-1 Pbone LI~LI_ qal~
Owners Name
OWNER INST ALLA nON
Tbe installation is being made on property I own which
is not intended for sale, lease or rent,
Owners Signature:
Inspection Request: 726-3769
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Service Included
1000 sq, ft, or less
Each additional 500 sq. ft, or
portion thereo f
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
$50.00
~; ";,<',r.',; ..;' 1'7., '" ,oj,' :--<;''"\'',,~..:;,'(I ;'- ,', '; "~,:~f ~~ '.;::O:'~ ,~:t.":.t'~'O""'t~~#';\IIl
B. ;':Ser,.ices or. Feeders ~Jnsta1l3iion,:Alte-r:)tion's or~Relocntion::r~f
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200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75,00
$125.00
$163.00
$375,00
S 50,00
$ 3,00
TOTAL
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Shared Drive(T:)lBuilding FonnslEIa::trical Pennit Application I-QJ.doc
. CITY OF :St'Kll'\jlJFIELD
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 05/1012004
APPLIED: 01/21/2004
EXPIRES: 12/08/2004
VALUE: $ 23,040.00
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4006 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344201600
Eugene
TYPE OF WORK: Office
~
~.D PARKING
'\~)~~
~~ ~~apped:
9.~ ~~~~pact:
<<J ~C;, s)<:s
-y,.~~~~~
- . ~ "
I PUBLIC IMPROVEMENT~~. .;- ~ ~~r:::,~~~~'
. ~...' ~~~~~pe:
~.~.~ ~ ~
'\".~' ~~outs/Drains:
~~'ij
. ~<:s -A'"
-t'
TYPE OF USE:
PROJECT DESCRIPTION: Camp Putt Sales office
Owner: CAMP PUTT
Address: % ROTH STEPHEN 4006 FRANKLIN BLVD EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
General
Designer
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Contractor
CHARLES L POVEY
OREGON LOG HOME CO.
DIVERSIFIED ELECTRONICS INC 144685
ALEXANDER J STAPLETON 41371.
CHAPIN ENTERPRISES INC .s> "" 81994
BUILDING ,~~di6.N..
~,. O' ~.~ V
#OfS~~0~rJ? ~o, ~0 ~
H"..iP ~eoanC~0" ~,#
~~e.o tc- '!!;."'-'>' ",,'lj".&<J"
,0" ~ 0 -!!i ~
0" ~f4~)f"q-,g>.~~~~0 $-'
O~. ~~'j~t:p~ft~;# -:# f);cif
.~;:-~,g> ,..~~Jit~iJf.IJ.,jll,,~~~ri}i n/a
~ ~Fi.i&r1o~:";i ...::irJiwA TION I
......./"'''.
..." "'...:<....l..1,) ">' !". ..
~o 0'(". ~ ,0 #'
--$' r;;,OJc::,q,~gjy Q!Jt:
\J '# ~et Trees Rqd:
P~ed Drive Rqd:
% of Lot Coverage:
License
33293
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 4
Addition
Commercial
Phone Number: 541-741-9828
Expiration Dlite
04/14/2006
Phone
541-913-0808
541-549-9354
541-484-9078
541-484-7278
541-485-1146
06/23/2004
02/05/2006
05/06/2008
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Commllnd/Public
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Planning Final Occy Inspection
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
23,040.00
Total Value of Project
Fpp<. P1\lU
Amount Paid
Date Paid
$140.79
$28.96
$20.27
$216.60
$28.00
$118.00
$13.71
$11.83
$192.81
$43.71
$274.22
$45.00
$8.40
$5.88
$21.00
$63.00
$8.70
$6.09
$28.00
$45.00
$14.00
$4.50
$3.15
$45.00
1/21/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/24/04
3/24/04
3/24/04
3/24/04
5/1 0/04
5/10/04
5/10/04
5/10/04
5/10/04
6/8/04
6/8/04
6/8/04
$1,386.62
I Plan Reviews I
Paee 2 of 4
. CITY OF I)rK11~td'1I!,LU
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 05/10/2004
APPLIED: 01/21/2004
EXPIRES: 12/08/2004
VALUE: $ 23,040.00
Value
Date Calculated
$23,040.00
$23,040.00
01/2112004
Receipt Number
2200400000000000049
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
1200400000000000375
1200400000000000375
1200400000000000375
1200400000000000375
2200400000000000507
2200400000000000507
2200400000000000507
2200400000000000507
2200400000000000507
1200400000000000867
1200400000000000867
1200400000000000867
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
01/28/2004
Initial Review
Plannin!! Review
01122/2004
02/23/2004
Plannin!! Review
01/28/2004
Public Works Review
01/28/2004
Structural Review
SUB Review
01/22/2004
01/28/2004
03/02/2004
OK
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 05/10/2004
APPLIED: 01/21/2004
EXPIRES: 12/08/2004
VALUE: $ 23,040.00
GRG
Plan Review-Camp Putt Miniature
Golf Course (same address as RRP):
construct sales office. Job
#2004-00084. Occupancy
Classification: B. Construction type:
V-No 256 square foot office with 812
sq. ft roof.
01/22/2004
02/24/2004
APP
APP
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (Oregon
Structural Specialty Code 502 and
Springfield Uniform Fire Code
901.4.4).
Provide public works lock on man
gate at Concord Street.
LLH
EMM'
Obtained Plumbing permit on
2/2/04. Steve to inspect stub. No
connection allowed at this time.
Waiting for contractor to obtain
plumbing permit for stubbed up
sink not to be connected until sewer
is available. K1tti Gale Planner
Minor Site Plan Review
2002-02-0046
Corrected SDCs to remove
connection, to sewer (septic until new
Franklin Blvd Trunk Line is
complete)
Received 1/28/2004.
WE
03/01/2004
APP
EMM
SB
TCM
JF
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.
02/02/2004
02/06/2004
OK
APP
8 Footing: After trenches are excavated.
9 Foundation: After forms are erected but prior to concrete placement.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Drywall: Prior to taping. . .
6 Final Building: After all Conditions have been completed as required on Development Agreement.
18 SUB Final: After all required energy inspections have been requested and approved.
13 Rough Plumbing: Prior to cover and including required testing.
14 Storm Sewer Line: Prior to filling trench.
I Rpnni~n~nections I
Pa!!e30f4
.
.
CITY OF SPRINGN1i.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00084
ISSUED: 05/10/2004
APPLIED: 01/21/2004
EXPIRES: 12/08/2004
VALUE: $ 23,040.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
3 Final Plumbing: When all plumbing work is complete.
21 Underground Plumbing: Prior to filling tbe trencb and including required testing.
20 Underground Electric: Prior to cover
11 Rougb Electric: Prior to Cover
1 Final Electric: When all electrical work is complete.
7 Final Fire Department. After all requirements of the Fire Department have been met.
19 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
15 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
16 SUB Ceiling Grid: Interior Lighting
17 SUB Exterior Lighting
12 Rough Electric: Prior to Cover
5 Electric Service: Approval required prior to utility company energizing service.
2 Final Electric: When all electrical work is complete.
22 Water Line: Prior to filling trench and including required testing.
23 Low Voltage: Prior to cover.
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 with
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 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 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
Pa!!e 4 of 4
225 Fifth Street
Spr.ingfield, Oregon 97477
541-726-3759 Phone
.
~~~I_!lIg~~.._._"__.__ ..
Wit,
j I
-,-,-' ..:
..,y of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200400000000000867
Date: 06/08/2004
9:53:12AM
Job/Journal Number
COM2004-00084
COM2004-00084
COM2004-00084
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
Payments:
Type of Payment
CreditCard
Paid By
ALAN WOOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4,50
45,00
$52.65,
Amount Paid
djb 000404 055025 In Person
Payment Total:
$52,65
$52.65
6/8/2004 .
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