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HomeMy WebLinkAboutPermit Electrical 2009-5-28 Electrical Permit Application ~~ ~:.-,.,. II SPRINGFIELD ~ Ii 1~~wERARTMENm~usEtoNl!:~1 il:o'''''''_-:ft'''i',~'-;~h,-_&>fY{:a.':'!lSo\Ja~~'fu,'''<;:'''-:=:-.:!f:;:r~-_\~M~ I COMz9c1[ - 0 0 ~ z. I' PenTIlt no,' I Date: ~ - 2 5 ' 0 7 I 225 Fifth Street.Spdngfield, OR 97477+PH(54t)726-3753+FAX(54t)726-3689 ;l . This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ." 1~i.:!a-(:)G~l!:(G~O~EgNtiIIENIf'AI'{eROYA'~~1 ~~_-ilr~~I;I;l{S:0BEbJll!E~~~_i'~~ I Zoning ap,prov~l verified? " "",[] Yes ,D No _ I ~~~~~~'ffif~r[@~f{~~IQ~m~~~tll~'M!..a!~ 1~~"lilG~mEGORY~O~0PNS_!l1Rl!I0;ljIQJ~_~l.JII&I'!l;~1 c-'''''''''''''~_~,~_,<t~~_''''''''''iiNf~,~~ "",,;:;;I~~a',",~ ~11.cQsj",.1 I ~esidential I 0 Government I 0 Commercial I I ReSldenllal, per unit, service included: 1~.<:iB'ilSJmEgjINIiQBMA'illIQNfAN[;)jL!ClCAIT1IQN!i~~i!1 11,000 sqft, or less (4) ,.. r $134,00 $ / J Y I Job site address, 2~'-It::. ('IaClvl/~ 11~~~~oar"lOnaI500Sqftorportlon:! L{ $25,00 $fDul I City: "S/Jr/>~~h, 'Lo'- I State, t7n. I ZIP, I 1 Limited energy(2) .. $ 32,00 $ I 1=~~~~~~~~tiOF'J\~J_~~~=11 ~~~~I~::e~~~~~~ re~~~r (j)"OdUI:r, ,$ 63,00 $ I I ~ 5.c t-"/~ I I Services or feeders: installation, alt~ration, relocation I , ;;:,:)1-,:;1 200 amps or less (2) $ 81,00 $ 1 'i:;"",,="-.-""'''''''''''-' .,.'.- -".,' ;&!''''~''R''0,'''~;r;v, ;;;0;W.N.ER;~1t:i~-;;,:~,"-""''';'C-''-1.''';1l'~''ii,~;)'',10~O,! to 400 amps (2) $ 95,00 $ I J;1l~g;~1~'>>k.;m@ir;;" .. Ji;'IG.ln1*).,,, ... . " ",~t'''~''h';:'~'hYiih'h5tdk,?""";'',';@.iJ:"..j1 ..V' / . Name, ~\ ~ II , ~\.e:: Oq~~-1";( ~",I<~ij.l~',6~0 amps (2) $158,00 $ 1 I Address: ZZ()' , . ~A-, ML ,,/'~i. Jo~ ~1?6_ij"io;!~o~g_amps (2) $205.00 $ I I City, e-a ~ I,StatdLc 1 ZIP, 'S"?'(G'CfrL ?;~I1Qi~rsI::Ogo;~p.},9r volts (2) $469,00 $ I I Phone .l/ ~: - 0 ~ tS I Fax" . C '0;'; 'lir:R.!'f?n.niff,?,~fy:(iJ'6>o, , $ 63,00 $ 1 J s-:- 'I" d'F.: . -r//"l . "r_ .... . :-- n "'''/-. . II. . I E-mail: (6'r' ..'[e~p~~ar:Y.;,~er'Ykces~Q! f~~ers: Il1s~(JllatlOn, alteratIOn, relocation I , , '" " I. , 71 Cion iimRs~or'iess'(i)) ~o" - ol:1 I 1 ThIS mstallatlOn IS bemg made on reSIdential or farm property (i?~ 0-._ '(::/, 0' _ ~..:J ~ r61 _ 1.-. / /.....:, $ 63.00 $ owned by me or a member of my immediate family, This IV2lu,f6'40l9~pS'(2).9S'v6>IIi"-'l1--- $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR 1 ._~"/;. ~. -:y; '''~'1 ':'a ':iA 1 479,540(1) and 479.560(1). 401 t&?'p"y ,!!\!p1':(~)'i>o 17;:'/ I $126,00 $ Signature: I Over 600.r&tpr~A;~O(~lts, see se~ices or feeders section above I 1~=:~N;::~::~NS;l~!j~~~~1;1~ I :r;:::o:i:::~:~ :::~~:I:i::::r::i~~;:,:~::e~r feeder fee I I Address447?/ hldfAb.M-/)CJI-e 1 Each branch circuit I, 'I $ 6,001$ 1 I City' JU~&t d"" c, j.. y!J State"O n 1 ZIPq 7 fi4-a I b, Fee for branch circuits without pu~chase of a service or feeder fee: I 1 Phone:t:fff192 71iJ7 f~i:,'l/~lax:;z,.,o/{g IF:t7 I I First branch circuit (2) $ 55,00 $ 1 I E-mail, /')"tUh. ,.oF", .' I I Each additional branch circuit $ 6,00 $ I I CCB license no.: ~~U;)>f~ .3ic~nse no.:2 2-J7'f-r I I Miscellaneous fees: service or feede~ notincluded I 1 Signing supervisor's hCel)~~i?{j;;~,S I 1 Each pump or irrigation circle (2) $ 63,00 $ 1 I Print name of signing supe~..t:~~~ 1 1 Each sign or outline lighting (2) $ 63,00 $ 1 I Signature of signing supervisor: ~~;;r, ~, I I Signal eire, uit or a limited-energy pand, $ 63.00 $ I VZ!:Z@~ alteration, or extension (2) Ji '4t, ~- . . V/ll~O %: :g;-r ~;~=~~~~~M~~tu'iillS~~~~...i I (A) Enter subtotal of above fees i! (Minimum Permit Fee $58.00) 1: $ 2"] (I 1 (B) Enter 12% surcharge (,12 x [A]) !' $ Z 8 c:r-P 1 (C) Technology Fee (5% of[A]) , $ 1/ 710 I TOTAL fees and surcharges (A t~rough C): $ Z 7 3. I ~ ~~~ ~t ~C@. ~ 440.2584-J (9/08/COM) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-367.6 Fax 541-726-3769 Inspection Line I, CITY OF SPRINGFIELD Il Building/Combination Permit Ii PERMIT NO: €OM2008-00552 ISSUED: 08/13/2008 APPLIED: 04/21/2008 EXPIRES: 10/30/2009 VALUE: $ 252,078.00 !! . SITE ADDRESS: 2346 Clear Vue Ln ASSESSOR'S PARCEL NO.: 1703271206000 I , TYPE OF WORK: Single Family Residence II New Ii Contractor License REGAL HOMES BY SHELL10'fequires you tol68831 BATENIWN~E:iQ;)cf'Rfe~~ the Oregon Utilit15 I 91 I HOl\1iEiI<T0MFOJ{flH'J1~'rIS1,lii ~IMRre set for1i4164 ., 'i"^~I'Ofl,'.JPDI~T.al,' AR 952 OOl DONA12Q;.\C);:!111,(~_nn10through 0 -, ,!~7921 1I1....'H.~- ~~", --"'''",Q''l''J~;,...!....--I 0090, You maY] UBtlIf,DfNGJNI\ORMA(t,IDN, , th ce ' \ ' ,Tf'u . callmg e "(')' ,n Utility NotificatiOn numbel for the. ;~ek)Jg2-e~344). R_j)enter IS -fleight of Structure 22.50 U Type of Heat: Forced Air Gas VB Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building, No PROJECT DESCRIPTION: Owner: RUIZ KRISTI ANN Address: ,.2215 LARIAT DR EUGENE OR 9740i Contractor Type General Electrical Mechanical" Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type' Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available:' Special Instruction: Springfield TYPE OF USE: Single family residence, Lot 14 Clear Vue Estates I CONTRACTO~,INFORMATlON , 2 I DEVELOPMENT I~FORMATlON , Residential PhoneiNumber, 541-485-0525 , I Expiration Date 02/28/2010 " 06/2112010 , 06/25/2011 " 01116/2010 Phone 541 998-3897 541-998-7187 541-345-2838 541-688-1931 i:' , 'I L S"" ot I:fe: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Ilasement: ' Sq Ft 9arage/Carport Sq Ft ,Other: " Occup~nt Load: 8,809 2,145 576 REQUIRED PARKING 1" I Total: 2 Handicapped: Compact: 16.00 Overlay Dist: .' 5,00 # Street Trees. Rqd: I 5,00 Paved Drive"Rqd: Yes 11,00 % of Lot Coverage: E \NO\'.~0.80 25.0l!JOi\CE: ,~~\J~" E'l-PI\'.E ~:~:'"1' \<; N01 1\-1r W,\'>I"\'j, ';'.i"H/\f.~~/;r:r:~~ fOR '-1 _ljJ1&"!~ \ mr- (CT..uu f.,\J,\\lJI OR \>:> t\J. "" ' , I FUII~M~EO 00 SIdewalk Type: , AN'! ~ S'ihOA'! PERI . Downspouts/Dniins: Notes: Storm water to curb and gutter, Pa~e I of' 4 Curbside 5' Curb and Gutter Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-376'9 Inspection Line Description Tvpe of Construction A,C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee "Fee Description Plan Review Residential -Mech Iss 2+ Appliances- , + 10% Administrative Fee + 12% State Surcharge . + 5% Technology Fee 3 Baths One & Two Family Add ressing) Assign men t Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Plan Review Major - Planning PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administnilion SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Improvement SDC Trans[.1O Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervions Area Storm Sewer Each AddtllOO' , Temp Power 200 amps or less Vent Fan I Valuation DescriDti~n , $ Per Sq Ft or multiplier $5,00 $105.00 $28.00 Square Footage or Bid Amount 2,145,00 2,145.00 576,00 Total Value of Project F'PP~i tiWLI Amount Paid $735.28 $40.00 $182.96 $203,23 $101.43 $337.00 $35.00 $7.00 $14,00 $1,170.58 $85,00 $7,00 $10,00 , $136.05 $17,00 $14.00 $5.00 $4.00 $205.00 $-40.00 $510.10 $670.83 $10.00 $990.39 $95.35 $164,02 $862,25 $195.48 $69.\3 $85.00 $1,328.55 $32,00 $55.00 $21.00 Date Paid 4/21/08 8113/08 8113/08 8/\3108 8/\3/08 8/13/08 8/\3108 8/\3/08 8/\3/08 8/\3/08 8/13/08 8/\3108 8/13/08 8/13/08 8/\3108 8/\3/08 8/13108 8113/08 8113/08 8113/08 8/\3108 8/\3/08 8/\3/08 8/\3/08 8/13/08 8113/08 8113/08 8/13/08 8113/08 81\3/08 8/\3/08 8113108 81\3/08 8/\3108 Paee 2 of 4 CITY OF SPKl!....tjJ11~LD Building/Chmbination Permit Ii , PERMIT NO: COM2008-00552 ISSUED: 68113/2008 APPLIED: 04121/2008 EXPIRES: t 013012009 VALliE: ~ 252,078.00 Valu~ " $10,725,00 $225,225,00 " $16,128,00 'i $252,078,00 I Date Calculated 04/23/2008 0412112008 04121/2008 Ii Receipt Number I 1200800000000000384 120'0800000000000866 " 1200800000000000866 " 1200800000000000866 120'0800000000000866 1200800000000000866 1200800000000000866 " 12~0800000000000866 1200800000000000866 , 1200800000000000866 " 1200800000000000866 " 1200800000000000866 " 1200800000000000866 1200800000000000866 , 1200800000000000866 I' 1200800000000000866 " 1200800000000000866 " 1200800000000000866 1200800000000000866 " 1200800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 ,. 1200800000000000866 " 1209800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 1200800000000000866 1209800000000000866 1200800000000000866 ![ CITY OF SPRINGFIELD I: Building/C9mbination Permit " Status Issued " PERMIT NO: €OM2008-00552 ISSUED: 68113/2008 '. APPLIED: 04/21/2008 EXPIRES: 10/30/2009 VALUE: $ 252,078.00 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line WilIamalane Single Family + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $2,513.00 $28.08 $11.70 $134.00 $100.00 8/13/08 5/28/09 5/28/09 5/28/09 5/28/09 1200800000000000866 2200900000000000573 , 2200900000000000573 220p900000000000573 2200900000000000573 Total Amount Paid $11,145.41 Plan Reviews I Initial Review 04/22/2008 04/23/2008 APP LLH Public Works Review 04/23/2008 04/24/2008 APP TSS Plannine Review 04/23/2008 05/01/2008 APP TAJ Structural Review 04/23/2008 06/02/2008 APP DLM '. Storm water to curb and gutter. Survey required because of minimum side setbacks: 300 s.f, attic area above garage , approved for storage only. See doc~ments for Plan review commen1ts. Plan "review completed 5/14/08 but not entered in Tidemark system, I, To Request an inspection call the 24 hour recording at 726-3769. All inspections ~equested 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 ~pml;r!id 1~~l.1ections . I' Eros\~n/Grading Inspection: Prior to gronnd distnrbance and after erosion measures are i,pstalled. Sidewalk - Curbside: After forms are erected but prior to placement of concrete, Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1;\ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 11001' insulation or decking. 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 cover. Paee 3 of 4 Status Issued CITY OF SPRINGFIELD r Building/Cpmbination Permit " PERMIT NO: €OM2008-00552 ISSUED: 68/13/2008 APPLIED: 64/21/2008 EXPIRES: 1013012009 VALUE: $ 252,078.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-367,6 Fax 541-726-37691nspection Line Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete, Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rougb Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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 Plnmbing: When all plnmbing work is complete. Underfioor Mechanical. Prior to insnlation or decking and inclnding reqnired testing. , Undertloor Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an ap~liance. " Gas Service: After line is installed and line has been connected to a minimum of one applia'lIce including required , testing. Presnre test done at this point. Rough Mechanical: Prior to Cover FinatGas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully 'examined the completed application and do hereby certify that all i~formation hereon is true and correct, and I further certify that any and all work performed shal'l 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 Commnnity Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further ag.'ee to ensure that all required inspections are requested at the proper time, that each dddress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiil remain on the site at all times during construction. ,~;. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street , . SpHrigfield, Oregon 97477 541-726-3759 Phone wr' Job/Journal Number COM2008-00552 COM2008-00552 COM2008-00552 COM2008-00552 Payments: Type of Payment CreditCard cReceintl City of Spr,ingfield Official Receipt Developm~nt Services Department Public Works Department 1; RECEIPT #: 2200900000000000573 Date: 0512812009 J, Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addt! 500 + 5% Technology Fee + 12% State Surcharge Paid By DOUGLAS SHELLEY Receh'cd By Page I of I Item Total: Check Number Authorization Batch Number Number How~Received " djb o 1685c In Person " Paym,ent Total: I' " "j\ 1I:27:54AM Amount Due 134,00 100,00 11.70 28,08 $273.78 Amount Paid $273,78 $273.78 5/28/2009