HomeMy WebLinkAboutPermit Electrical 2005-3-25
. . ~ ,,-0 0/
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAXl\(541)7~3tiR9-~
. ~ ~~~
ELECTRICAL PERMIT APPLICATION "i / ->'.-. '(0 ~ O'%.o~
City Job Number COMzoo~-()Ob)Z Date ~/2~ /0 0o~~. :\o~,;. . ~~..,<9C'.....~ .
, ~ ~ 0..... <l'
0' ,. <l'
1. 3.
<g:>s-
! ^ I, { ( A-c...4-de::-
c.,.+-
LEGAL DESCRIPTION
17CJ33 LfIL{
JOB DESCRIPTION
W { (Z--e- t+o '^- ~
08'20'0
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
7l<;.R, D y\~ (a._
Address Rqq ~ ~ tJrL'i l CAJ4 G
City ~ LtCf~ Phone l ~Rlo' Oq oS
Electrical Contractor
Expiration Date
\ s ~~ S
\ D \ \ \ ~() 0 J
6tfY31
9 bD d60~
Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
~~
Owners Name ~h V"-. 13Av\. v\I1 Avz V\,
Address 206 -z. J/W 0 (4'\f(tVCr V L c-w
City ~ ~e Phone
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
11f{-
$50.00
B.
200 Amps or less $ 63.00
20P,Ail1'PN0'OM~on faw r~'1~r€t vdJ!O
4ofp~~~~tlIlf6e03A!CIp$ed by the Oregon Unn 00
~lftj{~~IRf11 GMllERlipsThose rules arA se1
8\rg16b~~~Q1 0 through OAR g5~:oa1l..P
Rl~Q~~~mylY obtain copies of the rUl~jlb~
callln the en .
c.
nter is 1-800-332*2344).
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps . ".
401 Amps to 600 Amps
.$ 50.00
$ 69.00
$100.00
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Se~a<ii-!GE-qer Pennit
$ 43.00
$ 3.00
E.
PumgQMMtfa~ liD OR IS ABANDONED f9~00
Sigr#0~YIiJ~2ibMiXtERIOD. $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
'220
i>4:0
b'Z
'2 57 ~o
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03,doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00652
ISSUED: 07/06/2004
APPLIED: 06/03/2004
EXPIRES: 09/25/2005
VALUE: $ 246,759.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 835 Willacade Ct
ASSESSOR'S PARCEL NO.: 1703341408200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Willacade Heights lot 9
Residential
Owner: BAUMANN JOHN
Address: 2062 MORNING VIEW DR
EUGENE OR 97405
Phone Number: 541-747-4447
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor
OWNER
ROSE CORPORATION S oei&11
MARSErf~'.J: oregon.law req. u'r e o~ ~t'fO
ENER n\l~<aOopted by the OreQre sef~(t~
CUTT~ ~~M.R~~~eQ Q'\2-001-
In OAR 952 'P "'\1ll}lP~Jl. - 6\.~NI 'f
0090. .You m Ar. lNote: the te e~ .
caUIflQ the cenlrofg S'~tc~' ility Notification
n~erforthe.g~rJh~ . ~~J~!I~.
U-l Center ut~~~ eat:
VN Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
Expiration Date
Phone
09/30/2005
12/23/2005
10/05/2006
541-686-0905
541-747-7445
800-200-2372
541-741-0452
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
4
2
43.00
Solar
Solar
Electric
Path 1
n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,019
1,095
1,861
851
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
4.00
5.00
9.50
38.00
68.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
o
Yes
23.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
P t. II I d Sidewalk Type:
ar la y mprove
:~L~~~MIT SHALL EXPIRE Ir~wr~t~#{\~rains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Curbside 5'
To Storm Sewer
Notes:
Pa!!e 1 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00652
ISSUED: 07/06/2004
APPLIED: 06/03/2004
EXPIRES: 09/25/2005
VALUE: $ 246,759.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Deck/Balconv
Dwellin!!s
Gara!!e
Gara!!e
Deck
V Wood Frame
Gara!!e
Gara!!e
$ Per Sq Ft
or multiplier
$16.60
$92.40
$24.30
$24.30
Square Footage
or Bid Amount
506.00
2,354.00
522.00
336.00
Value
Date Calculated
Description
Type of Construction
Total Value of Project
$8,399.60
$217,509.60
$12,684.60
$8,164.80
$246,758.60
09/08/2004
06/03/2004
06/03/2004
09/08/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $644.41 6/3/04 1200400000000000842
-Mechanical Issuance Fee- $10.00 7/6/04 1200400000000001041
+ 10% Administrative Fee $141.74 7/6/04 1200400000000001041
+ 7% State Surcharge $99.22 7/6/04 1200400000000001041
3 Baths One & Two Family $306.00 7/6/04 1200400000000001041
Addressing Assignment $31.00 7/6/04 1200400000000001041
Annexed 1979 or Before $-140.29 7/6/04 1200400000000001041
Appliance Vent $6.00 7/6/04 1200400000000001041
Building Permit $991.40 7/6/04 1200400000000001041
Curbcut Permit $75.00 7/6/04 1200400000000001041
Dryer Vent $6.00 7/6/04 1200400000000001041
Encroachment Permit $120.00 7/6/04 1200400000000001041
Exhaust Hoods $9.00 7/6/04 1200400000000001041
Furnace - up to 100,000 btu $12.00 7/6/04 1200400000000001041
Gas Fireplace $15.00 7/6/04 1200400000000001041
Gas Outlets 1-4 $4.00 7/6/04 1200400000000001041
Plan Review - Planning $71.00 7/6/04 1200400000000001041
PW Mult Disc - 2nd Permit $-30.00 7/6/04 1200400000000001041
Sanitary Sewer - Improvement $499.09 7/6/04 1200400000000001041
Sanitary Sewer - Reimbursement $656.56 7/6/04 1200400000000001041
SDC MWMC Administration $10.00 7/6/04 1200400000000001041
SDC MWMC Improvement $214.23 7/6/04 1200400000000001041
SDC MWMC Reimbursement $314.63 7/6/04 1200400000000001041
SDC Sanitary/Storm Admin $118.95 7/6/04 1200400000000001041
SDC Transpo Admin $50.56 7/6/04 1200400000000001041
SDC Transpo Improvement $727.42 7/6/04 1200400000000001041
SDC Transpo Reimbursement $164.89 7/6/04 1200400000000001041
Sidewalk Permit $75.00 7/6/04 1200400000000001041
Storm Drainage Impervious Area $943.66 7/6/04 1200400000000001041
Temp Power 200 amps or less $50.00 7/6/04 1200400000000001041
Vent Fan $18.00 7/6/04 1200400000000001041
WiIIamalane Single Family $1,000.00 7/6/04 1200400000000001041
+ 10% Administrative Fee $5.20 9/9/04 1200400000000001326
Pa!!e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00652
ISSUED: 07/06/2004
APPLIED: 06/03/2004
EXPIRES: 09/25/2005
VALUE: $ 246,759.00
_ q.BA'N~I!:1I$L'Q'
~~ -_.
. -~1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 7% State Surcharge
Building Permit
Plan Review Minor - Planning
Plan ReviewIResidentiaI Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
$3.64
$52.00
$59.00
$180.00
$22.00
$15.40
$106.00
$114.00
9/9/04
9/9/04
9/9/04
9/9/04
3/25/05
3/25/05
3/25/05
3/25/05
Total Amount Paid
$7,771.71
I Plan Reviews I
Initial Review 06/04/2004 06/04/2004 APP LLH
Initial Review 08/24/2004 08/24/2004 APP SKG
PIanninl! Review 08/24/2004 09/03/2004 APP TAJ
PIannine Review
06/04/2004
06/18/2004
APP EMM
Public Works Review
06/04/2004
06/08/2004
APP MS
Public Works Review
08/24/2004
08/25/2004
APP MS
Structural Review
08/24/2004
09/08/2004
APP DLM
Structural Review
06/04/2004
06/04/2004
APP DLM
1200400000000001326
1200400000000001326
1200400000000001326
1200400000000001326
1200500000000000367
1200500000000000367
1200500000000000367
1200500000000000367
Submitted revised plans
Revised site plan is approved for 4'
setback from front property line per
Mel Oberst based on Hillside
Overlay exception. This reflects the
6' ROW dedication Mr. Baumann
signed earlier this year.
Height is 30' tall using definition 2
method for greater than 10'
difference in grade from front of
home to rear.
6/8/2004 - As per telephone
conversation on 6/8/2004, the
applicant intends to tie into both the
storm and sanitary sewer systems
within the utility easement located
on the subject property. An
encroachment permit fee has been
added, and a blank form included
with the building permit. -MAS
8/25/2004 - Roof overhang is setback
a minimum of 9.5 feet from propert)
line on east side as per telephone
conversation w/applicant. No
portion of roof overhang or eaves
may encroach into the PUE. - MS
Revised plans. Added entry deck &
expanded garage.
See revised plan review comments.
See documents for Plan Review
comments
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.
Pal!e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00652
ISSUED: 07/06/2004
APPLIED: 06/03/2004
EXPIRES: 09/25/2005
VALUE: $ 246,759.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Slab: To be made after all insIab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
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.
Rough 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 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.
Special: See Plan Review and/or Inspector notes.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa!!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00652
ISSUED: 07/06/2004
APPLIED: 06/03/2004
EXPIRES: 09/25/2005
VALUE: $ 246,759.00
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 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
Pa!!e 5 of 5
225 Fifth Street
Sp.riv.gfield, Oregon 97477
541-726-3759 Phone
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00652
COM2004-00652
COM2004-00652
COM2004-00652
Pl,lyments:
Type of Payment
Check
3/25/2005
RECEIPT #:
1200500000000000367
Date: 03/25/2005
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN BAUMANN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2438
In Person
Payment Total:
Page 1 of 1
8:52:27AM
Amount Due
106.00
114.00
15.40
22.00
$257.40
Amount Paid
$257.40
$257.40