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HomeMy WebLinkAboutPermit Electrical 2004-3-24 ;. . ',"""" ";CI~T OF'S)>.,.n..TQE~' "'ORE' G"'O'Nf<lj"~,, .,', ..._ '{I..\~;t~ ;., <' .J.d,.~ 1., <~:.f.'l\-li~'~.. ,.. _':' ~... ,..." ~.tJ:>':< >'" oj ..~. .,......,.; .......0- 1.._ .~..+'..,.....,~...,. ", A....."...~ ....,...~,...t.. ....-... ,." SPA,'NOF1ELD ~-~il l~~~J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH;(541)726-3753 . FAX: (54~8f1prOjef~~UE~!!)inedJl!is5t\Ei.iolloWlng ELECTRICAL PERMIT APPUCATION , . /" ~~~'r~~'B~,nd does nOl"enUlr~pe:Gillg~anaruse City Job Number(DyYflQDl..(_oOO Z''i Date 5:/z-,-!/Ol( Zoning (l ~ 1 F:tto-aTIOil'OitiNST'AlJOOrojlW~!~""1i~~ / ~fCOMPLE1KFEEB'81J'1IDiijili':Bl:.Lu'w;:;;,.:;;;.~t:i;':;; . ~o=~'~"~'=""":'''"~~ ._,a...~j>="""':i."":ZAutnorizeb'Slijn8tup;:<i,,;&,[-.e.cr<.tA:!!I..!!!\\::l Lfoot? FtwrrJIL-L--1,J 1?z..1/.fJ LEGAL DESCRIPTION 170s'3 L(flZ~, 0/00 JOB DESCRIPTION SP-Vc... i 7 c... i o/Z.c..."'~\ K Permits are non-transferable and expire if work is not started within 180 days nf issuance or if work is Suspended for 180 days. 2. ~~~c#.!g:~~i!~liQ&dl~m Electrical Contractor ~T/'l1'~fl),J G vt;;c;n'U f/ Address '2-1 '70 I7V {.1L- <?1 City I:: tJ (;DJ/Z Phone S;-i{ 1- '1'6<1-12- -rg Supervisor License Number '2--11---'7'7 Expiration Date I tJ - ?1 - 0 '-/- Constr, Contr, Number If J ? 1 I Expiration Date 2- - rf - 0 '" Signature of Supervising Electrician ~Jf~~ 1/ Owners Name ;7-Il?I r::[ ~ Address 4c?OI", ~}tAfi,.J l~jJ A. ~~~~. ~J~;;f;~r%r~fif';;~r.-~~fi!iit~li~. i~~~~~n~~~~ ~~l:':U.~~~,l;<lI:U~~;~;;l,i~-~{.!~~:;r.~~~..~.a~ Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or . portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 ft":'I''ih_f: .,.'f.ji:' -1i '$'::'~':~~~: ';"~""l':,,~.~., .'I..:;:.',t"'~-'iP~.a..\,r-.;,-""~' ~?i'.J:.~":"'{)i'_1l. ~'" B. ~~~xj;~f2.t~];~~~~UP_~A~}~~n.f11~r~.U;~s.t.~tlt~!Rc~,!~~~~.:~~ ~I 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts .Reconnect Only I $ 63,00 $ 75,00 $125,00 $163,00 $375.00 $ 50,00 b3 C !;.IT'">.''J:::!".SI:.~,,{jl~OI':S---'''''. .!..:.~,.....-;.... 'c~.\";"'. 'F-~. .'.....d. ; .t~..S\j~.'..~). ...fir~.'~~~".i'<;\~~\~{lt~.''j~'~.~1 . tt:;-,:'~~p_o,:r:-_~rYJ_J~!:':12:.~ri ~e, oJ er:~,'!',':,J.,'7!4 "'J~~:.;:j,tr,i::;''<li:.!r: .~~, ~ ,.;.. Installation, Alteration or Relocation 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, 1"~-""''''''''''"~~!XJl''\!:>:'''m., {'-" ".:!l1i ':I1"T.;.!Y'~~~~"'J~.,~}"'6I'W""J D. ~~r~~~h;~g~~,g;~Hi:.~~~,.:~"ij~t\~",~..:~~i'tr":,vd..,~~~,.~ .~<<3.~ New Alteration or Extension Per Panel One Circuit " $ 43,00 Each Additional Circuit or with ..., , Service or Feeder Permit '" $ 3,00 $ 50,00 $ 69.00 $100.00 z( E. ~~f,~it~~J-~~~~ft~~W~~b~li~~~~~~~I~~~~~~i~~~ti~it~; City 5 PJ?v,j) Phone Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 OWNER INSTALLATION . Limited EnergY/Re~dential . $ 25.00 The installation is being made on plbJ;'eAA~m~h!ffit\LL tXPffi\!>~d~;~~fmerCtal $ 45,00 IS not mtended for sale, lease or ren\\-\\S PER \ UNOE\I\f\qUlluRa:t~\1~rmit Inspection Fee is $45.00 + Surcharges , t\U1\-\ORIIEO OR IS ~B'~~eO~~P.';k(f"""Y~'''''''-'i~T'i':~".",..'>:r'.~~"'1 Owners S,gnature: cot,^MENC~~ PER\0~.I~V!!.J;rl:;'1HH!J1J}f}Y!Jf,J;,~,~:{".;',/~!\~~~. 8-'1 t\N'i 180 0 7% State Surcharge . 58.):1 10% Administrative Fee g'f <) q8_?% Inspection Request: 726-3769 TOTAL f Shared Drive(T:)IBuilding FonnslElectiical Pennit Application 1-Q3.doc " s 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: COM2004-00084 ISSUED: 03/05/2004 APPLIED: 01/21/2004 EXPIRES: 09/24/2004 VALUE: $ 23,040.00 SITE ADDRESS: 4006 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344201600 Eugene TYPE OF WORK: Office TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Camp Putt Sales office '\, Owner: CAMP PUTT Address: % ROTH STEPHEN 4006 FRANKLIN BLVD EUGENE OR 97403 Phone Number: 541-741-9828 Contractor Type General I CONTRACTOR INFORMATION I Contractor CHARLES L POVEY OREGON LOG HOME CO. ALEXANDERJSTAPLETON ALEXANDERJSTAPLETON CHAPIN ENTERPRISES INC Electrical Mechanical Plumbing \, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: .~ Notes: License 33293 Expiration Date 04/14/2004 Phone 541-913-0808 541-549-9354 541-484-7278 541-484-7278 541-485-1146 41371 41371 81994 02/05/2006 02/05/2006 05/06/2004 BUILDING INFORMATION' B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement~ ou to ATTENTION:oreglSq ~~SgiP/'JI.\Iity folloW rules adoPte~=fVIb\\i~.w{Uiel)O':i' "~';Ii,."ti~~ ~~~e~ .':' ;\..: ---1' nAR 9'5~!O~ I DEVELOPMENT 1NF.@QMl\I'R(')J'ri\rbtliih,coPies of the ruleS I UU::lU. ru~( Y Note:JUi'.Ci!UliREbQl)fuKING . calling the center. ( UtUihll\lotiflcatlon Overlay D.st: lor the Oregon 'l'Olal:" # Street Trees Rq'p'umber~ ,_.__;~ 1_pnrV~~a~d;t~~'ped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I NOTICE: ' Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WORK Downspouts/Drains: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page lof4 ATTENTION:Oregon law requires y( u to follow rules adopted by the Oregon l tility ~otification Center. Those rules are 51 t for In OAR 952-001-9019, ,~qHl1r OA~ 95 !-oO 0090. You may obtain~coples'O' the rL as l calling the center. (Note: the telephl Ine number for the Oregon Utility Notiflcl tion -. ., ......... .....,....-: ::~\..1.-1:. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ \, I Valuation Descriution I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 23,040.00 Estimate Tvpe of Construction Estimate Total Value of Project !..Fpp< P~\lU . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 03/05/2004 APPLIED: 01/21/2004 EXPIRES: 09/24/2004 VALUE: $ 23,040.00 Value Date Calculated $23,040.00 $23,040.00 01/2112004 Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlIndlPublic $140.79 1/21104 2200400000000000049 + 10% Administrative Fee $28.96 3/5/04 2200400000000000211 + 7% State Surcharge $20.27 3/5/04 2200400000000000211 Building Permit $216.60 3/5/04 2200400000000000211 Fixture $28.00 3/5/04 2200400000000000211 '" Planning Final Occy Inspection $118.00 3/5/04 2200400000000000211 SDC Sanitary/Storm Admin $13.71 3/5/04 2200400000000000211 SDC Transpo Admin $11.83 3/5/04 2200400000000000211 SDC Transpo Improvement $192.81 3/5/04 2200400000000000211 SDC Transpo Reimbursement $43.71 3/5/04 2200400000000000211 Storm Drainage Impervious Area $274.22 3/5/04 2200400000000000211 Storm Sewer - 1st 50 Feet $45.00 3/5/04 2200400000000000211 + 10% Administrative Fee $8.40 3/24/04 1200400000000000375 + 7% State Surcharge $5.88 3/24/04 1200400000000000375 Add, Alter, Extend Circ Ea Add $21.00 3/24/04 1200400000000000375 Perm Serv/Fdr 200 amps or less $63.00 3/24/04 1200400000000000375 Total Amount Paid $1,232.18 I Plan Reviews I ~, Paee 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 03/05/2004 APPLIED: 01/21/2004 EXPIRES: 09/24/2004 VALUE: $ 23,040.00 "t ., . Status 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 03/02/2004 OK GRG "~,., Initial Review Plan nine: Review 01/22/2004 02/23/2004 LLH EMM 01/22/2004 02/24/2004 APP APP Plan nine: Review 01/28/2004 WE EMM "J, Public Works Review 01/28/2004 03/01/2004 APP SB Structural Review SUB Review 01/22/2004 01/28/2004 02/02/2004 02/06/2004 OK APP TCM JF Plan Review-Camp Pull 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. 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. 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. Kitti 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. 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. I R'prnirp,i Tnsnections I 6 Footing: After trenches are excavated. 7 Foundation: After forms are erected but prior to concrete placement. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 3 Drywall: Prior to taping. 4 Final Building: After all Conditions have been completed as required on Development Agreement. 15 SUB Final: After all required energy'inspections have been requested and approved. 10 Rough Plumbing: Prior to cover and including required testing. 11 Storm Sewer Line: Prior to f1Iling trench. . in Pae:e 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 03/05/2004 APPLIED: 01/21/2004 EXPIRES: 09/24/2004 VALUE: $ 23,040.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '~ 2 Final Plumbing: When all plumbing work is complete. 18 Underground Plumbing: Prior to filling the trench and including required testing. 17 Underground Electric: Prior to cover 9 Rough Electric: Prior to Cover 1 Final Electric: When all electrical work is complete. 5 Final Fire Department. After all requirements of the Fire Departmcnt have heen met. 16 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 12 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 13 SUB Ceiling Grid: Interior Lighting 14 SUB Exterior Lighting 19 Rough Electric: Prior to Cover 20 Electric Service: Approval required prior to utility company energizing service. 21 Final Electric: When all electrical work is complete. I, 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 ~, Pal1e 4 of 4 225 Fifth Street cP Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00084 COM2004-00084 COM2004-00084 COM2004-00084 Payments: Type of Payment Check -1A!-[Ji~:4ill ""t '. ~ ..... ~ ,j .... " Receipt #: 1200400000000000375 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By STAPLETON ELECTRIC 2287 Q::ity of Springfield Official Receipt Development Services Department Public Works Department Date: 03/24/2004 lO:13:19AM ., Amount Paid Item Total: 63,00 21.00 5,88 8.40 $98.28 How Received In Person Payment Total: Amount Paid $98.28 $98.28 . .