HomeMy WebLinkAboutPermit Electrical 2006-10-10
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'J,25 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .,.~
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",', ' ,fE, "!.J.""ECTRIC,A-~ PERZW:, IT APPLICATION 'st,
,City Jo.bNumb4:LGrY\7~Co ,... ()h 14~ Date ~O - to -- 2t:JGep
"(;:Lf~51TO~=~ 3. COMPLETE FEE SCHEDULE BELOW
LEGAL DESCRIPTION A. New Residential- Single or Multi-Family per dwt'lling unit.
\'102 ,s i.f ~ o~~cr0
,
2. CONTRACTOR INS1'i-1LLATION ONLY B. Services or feeders -Installation, Alterations or Relocation:
Electrical Contractor bn ~erl QeN11JYl..t~S 200 Amps or less $ 63.00
, 201 Amps to 400 Amps $ 7~~00 .., ,.,
Address Ch15 \Aj)ISUy1 ~tOD.t 401 Amps t~l}u~~bOl\l:Uregon lCiW It;dr~~~~~~;iiitY
601 Amps fGD~ao9 ~~ adopte~ oy m~ ~~6~P& 51?; fnrt\'.
City .0, al1 il 0 Phone L1 ~....O) 07 <? Over lOoma.ill~~~ Center. ,hv~o I J $~~~S2::OD1
I. ,J/\.XJQQ'14o'( ReconneqhQ!)~R 952-001-0010 1II1v~~~"51 ~O - <> h\
0090 You may obtain COfJ"'~ 0 t e r-l:He - -,
? ~9 3 J C L:1 . ':, . ntar (Note: the telephone
Supervisor License Number J () f"-Lt J C. l'emporarecjtlAg-ctha aQN.,.ll ,. N tT ation
number for the Oregon UtIlity 0 I IC
/ 0 -() / -07 Installation, Alterat~lkemc1rtOOtO-332-2344).
200 Amps or less $ 50.00
Constr. Contr. Number /4 t.f {p ~ '5 201 Amps to 400 Amps $ 69.00
'-f - 2?J -0 <:( 401 Amps to 600 Amps $100.00
. \\:OB .DE:CRIPTION ~
"'--4~ ~~Ll Kl-kl
Permits are non-transferable and-~ire if work is
not started within 180 days of issuance or if work is
Suspended for. 180 days.
Expiration Date
Expiration Date
Signature of Supervising Electrician
f owoersN~~~~
Address'3lLS ~ ~
. 5 ()Sd:j-
Cl~..u(ll .yt ~ --' Phon c.t 5 337
OWNER IN~TALLATI ~
\
Inspection Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
Over 600 Amps or 1000 Volts see "8" above.
D. R1UftfcE:lits
New~f~fl!AlWif~ffWee ~~~F THE WORK
~::tM~QJlI~RJJ~P~ltt THIS-P[nMI~1sqqOT
Serv~OM~E,*Ce4VnOO IS ABANnONEDSf~,RO
ANY 180 DAY PERIOD.
E. l"hsccllaneous (Slot"vice/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00 tfV
Limited Energy/Residential / $ 25.00 ~S.
Limited Energy/Commerciat $ 45.00
Minimum Electric Permit Ins~ee is $45.00 + S charges
4. SUB'~C}TALOFABOVE L{6 ,C)'D
6~"\ '~6C.l+ 'fGG ~ $
8% ~ate Surcharge ;;1 .
10% Administrative Fee S :3 '.i: ~
TOTAL Jb SS ( :5
. Shared Drive(T: )/Building F onus/Electrical Permit Application I -06.doc
225 Fifth Street
Springfie}d, Oregon 97477
541'-726-3759 Phone
.lob/Journal Number
COM2006-00749
COM2006-00749
COM2006-00749
COM2006-00749
COM2006-00749
Payments:
Type of Payment
Cred itCard
cRcccintl
RECEIPT #:
Description
Low Voltage - Residential
M inimum/ Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALAN R. WOOSTER
Cit-- 'If Springfield Official Receipt
D, ,..opment Services Department
Public Works Department
2200600000000001412
Date: 10/10/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
045590 Phone
Payment Total: .
Page I of 1
9: 11 :23AM
Amount Due
25,00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
1011 0/2006
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00749
ISSUED: 07/26/2006
APPLIED: 06/16/2006
EXPIRES: 04/10/2007
VALUE: $ 299,066.00
." i\ie~Y\)\) ',~ ,
",', ht.o,uul \ \0..'" ~rononUl\l1Ll
SITE ADDRESS: 6485 DOGWOOD ST - As~lir~'~'illijPWB~~~g;arg)t?~l~\Residence
ASSESSOR'S PARCEL NO.: 1702344302200 io\\O\N r~ center.1noS n oA.~ 95 - b,
Not\i\Cat\0~_oOf..130~'V'~~~s ~~e ru\eS Residential
PROJECT DESCRIPTION: Single family residence- Mt ~1@A.fl.~~ a'l obtaIn COP\. tnete\epnone
_ _ 0090: '(ou\~,\? r.enter. ~Not~~iIitV Notii\cat1on
ca\l\l I'd' "'e oreguIl . 01;l,{I.4'.
Owner: GORDON HAGEMAN beriOrt,\. 8n()_?>~tJne'""Number: 541-988-0335
Address: 3715 MEGAN WY nUrn centenS ~.- '
EUGENE OR 97402
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I.CONTRACT(),~ INFORMA nON I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License Expiration Date \\ Phone
OWNER "'O\\Ct:. 08699 Pt~8'\'w.o6NOR
DEANS ELECTRIC I'" RWWp'8ir\I\LL EXPIR~f.W'PP~S NOl 54]-935-5303
DIVERSIFIED ELECTRONICSIH\S pE ~~~DER lHIS t~W~R 54]-484-9078
COMFORT FLOW i\U1HOR\lC~ OR IS A6AN~ 2~r007 54]-726-0]00
CUSTOM PLUMBING ". cqMMEN ~ I I pClllnn.
-,I J}t "",'\ -
I ,,~~.ILI?,!N9_!!'IF~}31ivIl.ON'1
4
# of Stories:
Height of Structure 26,00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path]
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
12,170
2,798
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
760
l I?E,'::,E. L"<? p.~ ,E.~.: ~ ~.FO RM ~_TI 0 N .
REQUIRED PARKING
Fron tya I'd Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sola I' Setbacks:
18.00
15,00
14,50
23.50
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'Yo of Lot Coverage:
Hillside
3
Yes
35.80
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Specia II nstruction:
I !.UBLlC,~~,PROVEMENT~J
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub
provided 6/27/2006 SB
Pa2:e 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dcscription
Type of Construction
Dwellin!!s
Gara!!e
V Wood Framc
Ganl!!:e
Use Bid Amount
Patio/Porch
Fce Dcscription
Plan Review Residential
-Mechanical Issuance Fee-
+ 10'1.. Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vcnt
Exhaust I-Ioods
Fire SF Fee - Rcsidential
Fu rnacc - up to 100,000 btu
Gas Fireplacc
Gas Outlets 1-4
Heat Pump
Mountaingate Impervious At'ea
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AdMI 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWI\1C Administration
SDC lVlWlVlC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00749
ISSUED: 07/26/2006
APPLIED: 06/16/2006
EXPIRES: 04/10/2007
VALUE: $ 299,066.00
Va I ua!l~~_!>~,sc,:ip.tion .1
$ Per Sq Ft
or multiplier
$99.00
$26.00
$1.00
Square Footage
or Bid Amount
2,798.00
760.00
2,304.00
Value
Date Calculated
$277,002.00
$19,760.00
$2,304.00
$299,066.00
06/16/2006
06/16/2006
06/16/2006
Total Value of Project
IJ':~r5~rJJWJ
Amount Paid
$790,17
$10.00
$205.76
$150.37
$306.00
$31. 00
$1,215.65
$80.00
$6.00
$9.00
$177.90
$12.00
$15.00
$4.00
$12.00
$1,646.65
$198.00
$106.00
$114.00
$629.31
$827.31
$10.00
$865.31
$82.03
$191.47
$60.98
$805,70
$182.69
$80.00
$50.00
$30.00
$1,000.00
$4.50
$2.25
Date Paid
Receipt Number
6/16/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
10/1 0/06
10/10/06
1200600000000000881
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
1200600000000001145
2200600000000001412
2200600000000001412
Pa!!:e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-00749
ISSUED: 07/26/2006
APPLIED: 06/16/2006
EXPIRES: 04/10/2007
VALUE: $ 299,066.00
+ 8'/';, Statc Surcharge
Low Voltagc - Rcsidcntial
1\1 in i mum/ Adj us tmcn t Electrical
$3.60
$25.00
$20.00
10/10/06
10/10/06
10/10/06
Total Amount Paid
$9,959.65
Initial Revicw
Plan Rcvicw Comments
06/19/2006
I ~n Revi~~:J
06/19/2006 APP
07/05/2006 10
SKG
LLH
Plannill!?: Rcvicw
07/19/2006
TAJ
07/19/2006 APP
Planllill!?: Rcvicw
06/19/2006
07/0l/2006 WE
TAJ
Public Works Revicw
06/] 9/2006
06/27/2006 APP
SB
Structural Rcvicw
06/] 9/2006
RJB
07/18/2006
OK
2200600000000001412
2200600000000001412
220060000000000]412
Plan on hold by Planning for tree
location. See attached documents
Place construction fencing to the
dripline of the 4 trees shown on the
plot plan. Follow trcc preservation
guidelincs in the attachcd Hillside
Development handout. Plant street
trees from the hillside list on the
street tree handout.
Called Gordie on 7/1/06 and left a
message. I need trees to be located
on the plot plan.
ISSUE LDAP before permit.
CLASS A or B roofing is required.
Level II Foundation requircd.
Sidewalk requircd, sidewalk permit
added. Sanitary Scwer and
stormwater taps to lot. SDCs added,
Curbcut added. No othcr work in
Right-of-way authorized without
Encroachment permit.
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.
~ ~~iT.t:gJWU~~tw,~ ,g
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures arc installed.
Cllrbcllt - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: 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: Aftcr trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Pae:c 301'5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
IsslIed
PERMIT NO: COM2006-00749
ISSUED: 07/26/2006
APPLIED: 06/16/2006
EXPIRES: 04/10/2007
VALUE: $ 299,066.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-.\769 I nspection Line
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 I nsnla t ion: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Fouudation Drains: After gravel and filter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and iucIuding 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 plumb,ing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underslab Mechanical. Prior to insulation or decking and including required testing.
Uudertloor Gas: After line is installed and required testing and capped ifnot 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. Prcsnre test done at this point.
Rough i\1cehanical: Prior to Cover
Finall\1cchanical: When all mechanical work is complete.
Tl.'mporary Electric: Approval required prior to Utility Company energizing pole.
I~()ugh Elec(ric: Prior to Covel'
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
PalZC 4 of 5
~MP'.r: ~..~,
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00749
ISSUED: 07/26/2006
APPLIED: 06/16/2006
EXPIRES: 04/10/2007
VALUE: $ 299,066.00
''''..."." '''.''d~.EII.,._., ..... "...."..._......_ "___'" I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
fiy 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 0 f I h e City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCU I'ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
J further certify thllt 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