HomeMy WebLinkAboutPermit Electrical 2008-12-3
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PI"(541)726-3753 . MX, (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number' G 7) ,- 0\ 2% 3 . '
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
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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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Electrical Contractor 5eLvY'f',Te, h ~ (_
Address
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City ~.,.{;..\
Phone .$2/,.2x:z,7
Supervisor License Number ;3;:/ q~ LEA.
Expiration Date
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Conslr. Contr. Number
020 - '-1)(, CLE
Expiration Date 7- OA
Signatur~rvising Electrician
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Owners Name m \ \L6
Address.:vO' S2.::tJv
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OWNER INSTALLATION
Phone
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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Date
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Service Included
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
F'eeder
$117.00
$ 21.00
$55.00
... ~~;~~~~y,~i:4~ci;'1;f4'".4:F'~~J~K,,,f~!i4~r;'~t(;~~~~*,~fZ?~~'
. B. ~~~~~~,2~~2\~~~~~~t~'!~Rg~~
200 Amps or less
201 Amps to 400 Amps
, 4.0 I Amps to 600 Amps
6.0 1 Amps to 10.00 Amps
Over 1000 AmpsNolts
, Il-econnect Only
$ 7.0..0.0
$ 83.00
$138,00
$180.0.0
$413.00
$ 55..0.0
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c. Temnorary, Ser:.\:lceswrtJFee^'dc;sEW::,,~-. >. '.>..f ~~b;rZ::' . . J.t~'74\. 'e~~;t:t~,
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Installation, Alteration or Relocation
200 Amps or less
2"0 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1.000 Volts see "B" above.
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 55.00
$ 76.00
$110..00
$ 48.00
$ 4.0.0
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E. "gMI~'ellar1"eou5sr(Serv~elfeeaer~not~inclilileil)1~E~ti;in~tlIIrri7ci"tl&i
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Pump or irrigation $ 55.00
Sign/Outline Lighting ~o
Limited Energy/Residential $ 28,00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is 550.00 + Surcharges
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'i~~li""""~"'~.w'_ii"~cf~4!l[~~i ~ ~ .
8% State Surcharge .;!, . (n n
10% Administrative Fee !r-., 'd....{
.5% Technology Fee F:.. ? (C)
TOTAL Shared Dnve(T)/BuildmgFonns/Electrical pej~t~~n ~-~d~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01283
ISSUED: 09/15/2008
APPLIED: 08/25/2008
EXPIRES: 06/03/2009
VALUE: $ 264,810.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspection Line
SITE ADDRESS: 2591 17TH ST
ASSESSOR'S PARCEL NO.: 1703243102600
SPRINGFIETYPE OF WORK: Siugle Family Resideuce
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot I Legacy Estates
Overlny Dist: Totnl:
# Street Trees Rqd: 6 Handicnpped:
Pnved Drive Rqd: Yfdn law re6;oi'liPa\'i:ut~
% of Lot Coverng'1l.TTENiION: ~f'?Jd by the Oregon U~II lh
folloW rules a op se rules are set or
., ,""MH"n Center. Tho.... r'I~R 952-001-
I PUBLIC IMPROVEM&N"Uf 952-001-U~t~'~;pi~S 01 the rules uy
uv"u. You may 0 al.~ote' the telephone
Street Improvements: Fullv Improved , calling t~~~~g6~:uii\ity Notification Setback 7'
Storm Sewer i\HilJlble: Yes number fBR~P~lI~..ai\?s-{2.344), Curb nnd Gutter
Speciallnstru<ffi!.hIICE: MAX width of driveway approved is 30 Feet. Ce ,
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: weeIAAPmtmfl!f:l!l'\'}~~~'fHIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Owner: MIKE BUTLER
Address: PO BOX 7425
EUGENE 97401
I CONTRACTOR [NFOR~ATlON I
Contractor Type
Genernl
Electricnl
Low Voltage Electricnl
Mechanical \
Plumbing
Contractor
FUTURE B INC
DEANS ELECTRIC
SECURETECH [NC
JUNG ENTERPR[SES INC
CHAP[N ENTERPRISES [NC
License
36499
99579
156618
102455
81994
,BU[LDING [NFORMATlONI
# of Units:
Primary Occupnncy Group:
Secondnry O~cupnncy Group:
Primnry Construction Type
Secondai-y Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories:
Height of Structure 24.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Pnth:
Sprinkled Building: No
3
I DEVELOPMENT INFORMATION I
Frontynrd Setbnck:
Side 1 Setbnck:
Side 2 Setback:
Rearyard Setback:
Solnr Setbacks:
20,00
13.00
17.50
24,00
0.00
Paee I of 5
Residential
Phone Number: 7442660
Expiration Date
05/18/2010
06120/2010
08/0812009
11/[7/2008
05/0612010
Phone
541-744-2660
541-935-5303
541-521-2837
541-741-0002
541-485-1146
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carpo~l
Sq Ft Other:
Occupant Load:
11,155
2,318
765
REQUIRED PARKING
2'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump.
Overwidth Application Fee
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtll 00'
Temp Power 200 amps or less'
Vent Fan
CITY VI' I')rKll~'-'l'lELD
Building/Combination Permit
PERMIT NO: COM2008-01283
ISSUED: 09/15/2008
APPLIED: 08/25/2008
EXPIRES: 06/03/2009
VALUE: $ 264,810.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$105.00
$28,00
Square Footage
or Bid Amount
2,318,00
765.00
Value
Date Calculated
$243,390.00
$21,420.00
$264,810,00
08/2512008
08/2512008
Total Value of Project
Fpp< ~
Amount Paid
$815,12
$42,00
$209.42
$232,80
$118,35
$289,00 '
$37.00
$1,254.03
. $88.00 '
$8.00
$11.00
$154,15
$18,00 .
$15,00
$6,00
$15,00
$40.00
$211.00
$121.00
$88.00
$483,84
$636,30
$17.00
$10.00
$1,009,17
$97,90
$181.92
$888.98
$201.54
$70.05
$88.00
$1,711.67
$17.00
$57.00
$24.00
D.te Paid
Receipt Number
8/25/08
9/15/08
9/15108
9/15/08
9115108
9115/08
9/15/08
9/15/08
9/15/08
9/15108
9/15108
9/15/08
9/15108
9115/08
9/15/08
9/15/08
9/15/08
9/15108
9/15/08
9/15/08
9115/08
9115/08
9/15/08
9/15/08
9115/08
9/15/08
9115/08
9/15/08
9/15/08
9115108
9/15/08
9/15/08
9115108
9115/08
9115/08
2200800000000001286
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
2200800000000001396
Pa2e 2 of 5
Status
Issued
CITY OF MKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01283
ISSUED: 09/15/2008
APPLIED: 08/25/2008
EXPIRES: 06/03/2009
VALUE: $ 264,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726"3769 Inspection Line
Willamalane Single Family
Refnnd - Admin Fee
Refnnd - Plumbing '.
Refund - Surcharge
+ 10% Administrative Fee
+ 12% State Surcharge
+5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$2,513,00,
$-1.70
$-17,00
$-2.04
$5.20
$6.24
$2,60
$29,00
$23,00
9/15/08
10123108
10/23/08
10123/08
1213/08
1213/08
12/3108
12/3/08
12/3/08
2200800000000001396
141141
141141
141141
2200800000000001699
2200800000000001699
2200800000000001699
2200800000000001699
. 2200800000000001699
Total Amount Paid
$1l,825.54
I Plan Rev.iews I
Initial Review
08/26/2008
08/2912008
APP LLH
Public Works Review
08/2912008
09/05/2008
WI LKW
Overwidth driveway application
submitted to Bob Wilson for
approval
Structural Review
08/29/2008
09/0812008
APP CJC '
Approved as noted on plans
Public Works Review
09/10/2008
09/1012008
APP LKW
Overwidth driveway approval of
maximum of 30 feet. Storm drains
to weep hole in curb,
Plannine Review
08/29/2008
09/l1/2008
APP DDK
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.
I RP'Wirpllln<,nrnions I
Ufei' Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
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 Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheatbing with finish materials.
Framing.lnspection: Prior to cover and after all rough:in inspections have been approved,
Wall Insulation: Prior to cover,
Ceiling Insnlation: Prior to cover,
Paee 3 of 5
CITY OF SPRINt.l'lELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-01283
ISSUED: 09/15/2008
APPLIED: 08/25/2008
EXPIRES: 06/0312009
VALUE: $ 264,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line'
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Bnilding 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,
Underl100r Plumbing: Prior to insulation or decking.
Underfloor 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 trencb and including required testing,
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When all plumbing workis complete. '
Underl100r Gas: After line'is installed and required testing andcapped if not attached to an appliance.
Rough Gas: After line is installed and reqnired testing and capped if not attached to an appliance,
Gas Service: After line is installed and line has been connected to a minimnm of one appliance including reqnired
testing. Presnre test done at this point,
Rongh Mechanical: Prior to Cover .
Final Gas: When all gas work is complete.
Final Mechanical: When ail mechanical work is compl~te,
Temporary'Electric: Approval reqnired prior to UtilitY Company energizing pole.
Rough Electric: prior to Cover.
Final Electric: Wilen all electrical work is complete,
Erosion/Grading Inspection: Prior to ground disturba~ce and-after erosion measures are installed.
Sidewalk - Curbside: Afterforms are erected but prio~ to placement of concrete,
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut - Stand.ard: After forms are erected but priori" placement of concrete.
Low Voltage: Prior to cover.
Paee 4 of5
Status
Issued
,CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01283
ISSUED: 09/15/2008
APPLIED: 08125/2008
EXPIRES: 06/0312009
VALUE: $ 264,810.00
225, Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 withORS 701.005 will be used'on this project.
I further agree to ensure that all required inspections are requJsted 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
, I:
Paee 5 of 5
225 Fifth 'Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Numb~r
COM2008-0 I 283
COM2008-0 1283
COM2008-01283
COM2008-0 I 283
COM2008-0 1283
Payments:
Type of Payment
CreditCard
cRcccintl
RECEIPT #:
Date: 12/03/2008
2200800000000001699
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CINDY GERMAN/SECURE
TECH
Item Total:
Lheck Number Authorization
Received By , Batch Number Number _ How Received
NJM 21303A Phone
Payment Total:
Page r of I
lO:24:53AM
Amount Due
29,00
23.00
2.60
6.24
5.20
$66.04
Amount Paid
$66.04
$66.04
12/3/2008 .