HomeMy WebLinkAboutPermit Electrical 2009-5-28
Electrical Permit Application
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SPRINGFIELD ~
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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
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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 ~
~~~
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~
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
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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