HomeMy WebLinkAboutPermit Electrical 2007-6-26
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ELE....J..K1CAL P~RM.1T APPLICATION
City Job Number CA7YY11-.(J{)7 - 0072 z. Date
. .IC{ 'J. p. 11.1I " it
E-tVYAn GG.
LEGAL DESCRIPTION:
J 10s !~ d... I d.. rJ7d- (]I)
JOB DESCRIPTION:
~1'A1'vf ~
permib are non-trAIlsferable and expire if work is
not stArted witbln 180 dAYS of iSSU8Dl:e or .f work it
Suspended for J80 daYB.
Supervisor License Number AllY r95
J() / I / /) 7
, I
Constr. Contr. Number /Y9x..-:s~
/~//3,1 /)9
~Fi3-
Owne~Name . rvukL (];~!PfJ (" ~f.
Address~2-~,.sn, :z.. E.
City ~R . Phone ..1!B 3 -I0190
OWNER INSTALLATION
Expiration Date
Ell..:.",~:on Dati!
The installll1ion is being made on .. '"r -~.f I own wfrioh
is not intended for sale, Jease or rent.
Owners SignaluJe:
InspectIon Reqqest: 726-3769
A.
,.~/:~I~~~I; '\~l'~'~ ~Ci i~ti,~.t~jl:~,,~~:
Service Included
1000 sq. fl. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
S 19.00
$50.00
B.
200 ~~rules adopted bv the Qr63jQOl Utility
201 A.~llqgt~tenter. Those rulfS3'7SJOOset forth
401 AD1W\!9~ffu~'V01-001 0 thrOlJ(1h {)2$;00)52-001-
601 A.~j.~6'f1R~y obtain eooies t$16)1.00.-ules by
Over 1000.A9,W~~'~ center. (Nntp' tilVt1~fQ9)hone
Reconnect Qil)'tIber for the Orec~n I !+ilit\~ 50.0~;(''''ti"n
nlJml 0:J--' - ~ J I\lUll -
c.
Installatlou, Alteration or RelocatioD
200 Amps or less /
201 Amps to 400 Amps
401 Amps 10 600 Amps
Over 600 Amps or 1000 Volts see "8" above.
D. . ";0 ,
$ SO.OO FJ. OD
.$ 69.00
5100.00
n
New at! 'Extension Per Panel
One dfddU3 PERMIT SHALL EXPIRF 1$~4~!Q~ WORK
;a~~:~Jt=~D~irYER THIS PESU3~OO IS NOT
~ n Ie: t:. t:. I 1i\I~n ~ Q
,. , '. ,
Pump or irrigation $ 50.00
Sign/OutJine Lighting S SO.OO
L.~,.L'"A E....bJ,1Residenlial $ 25.00
Li ..,~,,,.t E.'_w'/CommerciaJ S 45.00 .
Minimum Elecarlc Permit IlnspeetlOD Fee Is $45.00 + Sun:l!largjf.~
4. ~ (fJ/w
'lioo
C:-.IJO
~J~6
t~;/!:.V!/!:t;h.~;:?:~~!1:~~L.:~;:~(~~I:~cf;~~'~.}i~1~J~r~~':~l:~~~~iik;r'~
81'-' State Surcharge
10% Admini......;,; Ie Fee
5% Technology Fee
TOTAL -.faint::;[)
Shared Drive(T:)JBuildins FommIEleclrical Pennlt Appliclltion 8.116.doc
'.:
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 556 Ethan Ct Springfield TYPE OF WO~K: Sin&\e Family Residence
ASSESSOR'S PARCEL NO.: 1703221207200 ATTENTION: Oregon la,,:, requires y~l ili~
follow rules adoptEfcYiB~tOll' OSE:ONe~ y Residential
PROJECT DESCRIPTION: Single family residence - Breanne COmDlmls-1ot-l4rhose rules are set forth
I\101\T1CallU11vvl \'\:v'l. i-
. n ^ Q Ql;?-nn1-001 0 through OAR 952-00
l~ - . bt' oples DT me (UI~;:' uy
Owner: MIKE GANSEN CONSTRUCTION COMPA~30. You may 0 aln C \ p~oneN.ttm~er: 541-463-1000
Address: 362 HWY 99N STE 2 calling the center. (Note: tile ele~[\ .
EUGENE OR 97402 number for the Oregon Utility Notification
e"'l L. :: ~ c:,:f\ 'N':> '?~44)
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
MIKE GANSEN CONSTRUCTION COMPAN 92159
MAG ELECTRIC INC 149834
COMFORT FLOW 460
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATION I
Expiration Date
06/14/2009
12/13/2009
06/2712007
05/06/2008
Phone
541-463-1000
541-461~0387
541-726-0100
541-485-1146
3
# of Stories: 1 Lot Size:
Height of Structure: 20.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: NOTI[fe~h 1 Sq Ft Other: .
Sprinkled Building: nJ.l! 'IT SHQ<lCuIlllnlbiIG{flldf. THE WORK
TI..H~ PFKM nLL C^ II L. .. _'_ r,"'T
I DEVELOPMENT INFORMAArH:}~KILED UNDER THI~ I"'t~~VIII Iv I~V I
COMMENCED OR IS ABRE6om~DrAPRKING
Overlay Dist: ANY 180 DAY PERIOD. Total: 2
# Street Trees Rqd: 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 44.90
5,153
1,765
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
449
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
6.00
11.60
8.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm tied to curb & gutter. JLP Express/APP 5/31/07
Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellinl!S
Garal!e
v W oodFrame
Garal!e
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each AddtI 100'
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,765.00
449.00
Total Value of Project
~
Amount Paid
$10.00
$146.49
$84.11
$108.33
$254.00
$31.00
$9.00
$871.15
$80.00
$6.00
$9.00
$110.70
$12.00
$4.00
$198.00
$566.25
$-30.00
$106.00
$57.00
$494.76
$650.66
$10.00
$961.52
$91.61
$143.31
$68.48
$836.32
$189.58
$80.00
$1,001.31
$14.00
$12.00
$2,303.00
$5.00
$2.50
Date Paid
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31(07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
6/26/07
6/26/07
Pal!e 2 of 4
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918.00
Value
Date Calculated
$181,795.00
$12,123.00
$193,918.00
05/31/2007
05/31/2007
Receipt Number
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000662
1200700000000000822
1200700000000000822
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Temp Power 200 amps or less
$4.00
$50.00
6/26/07
6/26/07
1200700000000000822
1200700000000000822
Total Amount Paid
$9,551.08
I Plan Reviews I
Initial Review 05/31/2007 05/31/2007 APP LLH "Express plan"
Planninl! Review 05/31/2007 05/31/2007 APP TAJ Property is at maxium coverage. No
additional covered structures will be
allowed.
Public Works Review 05/31/2007 05/31/2007 APP JLP Storm tied to curb & gutter. JLP
Express/ APP 5/31/07
Structural Review 05/31/2007 05/31/2007 APP DLM
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.
l.Jl.eouiredJnsoections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
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 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.
Drywall: Prior to taping.
Underfloor Plumbing: Prior to insulation or decking.
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 trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00782
ISSUED: 05/31/2007
APPLIED: 05/31/2007
EXPIRES: 12/26/2007
VALUE: $ 193,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required 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 appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2007-00782
COM2007-00782
COM2007-00782
COM2007-00782
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MAKE GANSEN
CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000822
Date: 06/26/2007
8:31:27AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
ddk
075522 Phone
$61.50
Payment Total:
$61.50
Page 1 of 1
6/26/2007