HomeMy WebLinkAboutPermit Electrical 2006-6-29
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
'\
City Job NumbeU::Yn.~ nj;--O lS I Cl
1. LOCATION OF INSTALLATION
'1L11 s' 4'1 \'k S--\n () v.i--
LEGAL DESCRIPTION
\ ~ 0)" (f\ c;? I .J. \ I X7'\1j
JOB DESCRIPTION
Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising E ctrician D. 'Branc:QCircuits
{) \. j II , /1 New Alteration or ENtbn~i6b:1P:.c& JfaifiHE WUrlK
~ ~ /1/, UI'j--,/f,7j---- One Circult~ d) Ui" ItR THIS PERMIT IS Im.oo
, 0 -', -~' - Each AclaWonal <I1tt, tlli.' cHw\~llDONED FOR .,
YV\ III ~\ d \ _ . {2 i A " Service or Feeder'clt'~~tiD. $ -,.00
Owners ~e \ \ \.VvL\; ~,)Y'Y\..Q _ ql.AiS..
Address ([) fyJ;i ,9)/-./ _ E. Misoellaneous (Service/feeder not includ.ed) -Each lI~tal1ation
City f'UOir'O , (Y Phone571 -7d 15.
OW"NER INSTALLATION
~ .. (s:n I ,n? () (Y1,~1J ')
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
CONTRACTOR INSTALLATION ONDY
2.
Electrical Contractor -&1 J; fJ} ;k
Address 3/70 W, II U
City ~ 9'7f1tJJ.- Phone 5(Ji-Sb50
Expiration Date
72()S
.y /0 Pi
.2/35/
7/D~
Supervisor License Number
Constr. Contr. Number
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
.~.
~~
Inspection Request: 726-3769
Date
3.
CO~MPLETE FEE SCHEDULE BELOfV
A. NewResidential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
-~
$ 19.00
51.<JU
Each Manufact'd Home or
Modular DWfiHfE~~~~:~regon law requlr~~~p~ ~
Feeder follow rule:- adopted oy l'I\t;:: Oldgo~H)tlht'J
; r"'c~ .....~ntP.t.Thoserulesareset fo(:\"
B. Se.-vice~-b,;rtFeetl~rS1-lfri'St:matlOJ;l, Alter,.,a' WlwlSl. /Ml-R.~. .1U.i. on:
in O/\n~;52"001..001utnrougn VI-\O ~O-.::: .
Clf",." You may obtain copies of t~e rules by
200 Amps <9F4'e~' u . , ' ,_ 0 , $thHl(l..on~
Iii y the center. (I~(m:;. t.1Er m~11
201 Amps to 4{)O ~ps' , 0 __ t 1,;1:+' s...7at~{bation
n\,j8,her for tne re8,Jr, ~"tftH.YTIj' I
401 Amps to'OO ~p:; t ' 1 0,,('\ ~~')_?ll:ll')I"i.OO
,-,en er IS -v_ - ~ 4 -;:j"l"T]'
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
C.Temporary Seniceso~Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
. 40 1 Amps to 600 Am-ps
$ 50.00
$ 69.00
$100.00
,I
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
SuBTOTAL OF ABOVE
5 0\.)
1.
4'Sov
O'tO
,It (0 1 ' dcP
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fanus/Electrical Penuit Application I-06,doc
.
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01519
ISSUED: 12/13/2005
APPLIED: 10/26/2005
EXPIRES: 12/12/2006
VALUE: $ 214,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. .,,"'I.ires you lV
_ ! r",:'()OIl ''-''" ;. '-.r~" U1Jl1l)'.
SITE ADDRESS: 741 S 47th St , Sprin,gpeld .'TYPWOF Wg~~:3Single'1"amilro-nl1'idence
ASSESSOR'S PARCEL NO.: 1802051211800 :,' ';\0' 0'/. c'~,:?:e~ oS8 rules are set ~oo~-
;'/ic, .:fYREI0F M~\\'oucj'{fwAR 952 b Residential
PROJECT DESCRIPTION: Single family residence - Rocky ~oaa"subd~!Q,H701-00i , opies ot the rules Y
In GAl '. .. \1 obtaIn c lephone
~"I"'I"\ '!nU may ,...,.....tp. the te O'l
v~- the celllC;I. t 'Iit lN01\llvcalvr
calli;l9 he oregorpb'c\'n'e~NlilJ\.ber: 541-579-7213
number tor t . 1_800-332-234Ltl' '
center IS 0
Owner:
Address:
MADISON HOME BUILDERS
PO BOX 7582
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date Phone
JEROMY DON MADISON 107359 07/05/2006 541-741-3003
BILLS ELECTRIC 21351 04/28/2008 541-501-5650
PACIFIC AIR COMFORT INC ,,~-nt\F:39237 H~~/~5/~P\foWORI<s41-672-9510
COMPLETE PLUMBING LLC y'~\S PER1\63~79~r\~~~ ~;~0~~211:~~~111,S N01541-688-'0355
BUILDING INF,@RMiNTi8~~ u~~\S 'ABANDONED fOK
CU \lIJICI'lUL-V DD.
# of Stories: ANY 1 BO DAY PER~ Lot Size:
Height of Structure 33.00 Sq Ft 1st Floor:
Type o(Heat: orced Air Electric Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
1
R-3
,
.. -1.-,1
1,142
874
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
520
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
105.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
5
Yes
8.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
40.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Cu~bside 5'
Curb and Gutter
Notes: Storm drainage piped to stuc provided 10128/2005 CAS
Pae:e 1 of 6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
V Wood Frame
Garae:e
A.C. - Residen
Dwelline:s
Garae:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas F'ireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01519
ISSUED: 12/13/2005
APPLIED: 10/26/2005
EXPIRES: 12/12/2006
VALUE: $ 214,600.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
2,016.00
2,016.00
520.00
Value
Date Calculated
$8,064.00
$193,536.00
$13,000.00
$214,600.00
10/2612005
10/26/2005
10/26/2005
Total Value of Project
~
Amount Paid
$610.61
$10.00
$138.04
$96.63
$306.00
$31.00
$9.00
$939.40
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$150.00
$-30.00
$514.89
$676.89
$10.00
$865.31
$82.03
$123.11
$66.15
$805.70
$182.69
$80.00
$647.62
$50.00
$18.00
$1,000.00
$12.50
$10.00
$106.00
Date Paid
Receipt Number
10/26/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12113/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
6/16/06
6/16/06
6/16/06
1200500000000001617
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
1200500000000001803
2200600000000000848
2200600000000000848
2200600000000000848
Pae:e 2 of 6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 8% State Surcharge
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
LDAP Review
10/27/2005
10/26/2005
LDAP Review
11/21/2005
LDAP Review
11/29/2005
LDAP Review
12/09/2005
$19.00
$5.70
$4.56
$57.00
$7,735.83
6/16/06
6/30/06
6/30/06
6/30/06
I Plan Reviews I
10/27/2005
10/26/2005
11/29/2005
12/09/2005
APP LLH
10 VRJ
10
10 VRJ
APP VRJ
Pa2e 3 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01519
ISSUED: 12/13/2005
APPLIED: 10/26/2005
EXPIRES: 12/12/2006
VALUE: $ 214,600.00
2200600000000000848
2200600000000000906
2200600000000000906
2200600000000000906
Spoke with Jeromy Madison, the
general contractor and owner
regarding LDAP. Full review
required. $600.00 due at issuance.
Mr. Madision plans to submit LDAP
plans shortly, 10/26/05.
Applicant submitted full review
LDAP 11/15/05 and application is
under review.
Applicant revised LDAP plan set.
See attached document for memo
regarding retaining wall. Ih
LDAP is at the front counter and
ready to issue. LDAP to be issued
concurrently with Building Permit.
Applicant has been notified that
LDAP is ready and $600.00 is due at
issuance.
CITY OF SPRINGFIELD -
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01519
225 Fifth Street, Springfield, OR ISSUED: 12/1312005
APPLIED: 10/26/2005
541-726-3753 Phone EXPIRES: 12/12/2006
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 214,600.00
Plannin2 Review 12/08/2005 12/08/2005 APP TAJ Revised site plan received 12/08/05.
Place construction fencing around
the construction area and trees to be
preserved. See site plan for
locations.
Site plan indicates that 3 or 4 trees
are proposed to be removed. A Tree
Felling permit is required If more
than 5 are removed.
Choose street trees from the
attached list for street trees to be
used for the Hillside Development
Zone (Exhibit B) attached to the
street tree handout. 5 street trees
are required. Existing native trees
may be used if within 20' of the
ROW. Contact Mike Risely of PW
Maintenance if choose this option.
Solar setback is based on the hillside
adjustment and the perfornmance
option: proposed building will
shade no more than 20% of the
south facing building wall of existing
building to the north.
Plannin2 Review 10/27/2005 WI Need revised site plan showing the
building envelope and trees that are
being felled and trees that are being
preserved. I spoke to the contractor
Jeremy, today. He said he will get
that in a few days.
Public Works Review 10/27/2005 10/28/2005 APP CAS Storm drainage piped to stub
provided 10/28/2005 CAS
Structural Review 10/27/2005 11/15/2005 APP TCM
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.
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.
Pa2e 4 of6
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01519
ISSUED: 12/13/2005
APPLIED: 10/26/2005
EXPIRES: 12/12/2006
VALUE: $ 214,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
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.
Final Plumbing: When all plumbing work is complete.
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
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa2e 5 of6
Status
Issued
CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2005-01519
ISSUED: 12/13/2005
APPLIED: 10/26/2005
EXPIRES: 12/12/2006
VALUE: $ 214,600.00
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 ofany 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
Pa2e 6 of6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01519
COM2005-01519
COM2005-0 1519
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
('" of Springfield Official Receipt
.L _ . elopment Services Department
Public Works Department
2200600000000000906
Date: 06/30/2006
7:40:54AM
Description
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
WILLIAM GRAY /BILL'S
ELECTRIC
Amount Due
57.00
4.56
5.70
$67.26
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 021477 Phone
Amount Paid
$67.26
Payment Total:
$67.26
Page 1 of 1
6/30/2006