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Home My WebLink AboutPermit Electrical 2007-5-29 ZON ~~ ~ INITIALS . W DATE c:>.30D""1 SOURCE U~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CQ,vt~ - 0 I ( q L Electrical Contractor ~\'V\ b\ f_\er..~ (z) 200 Amps %~J . ~;.'~\, Address 1 nO ~. .57 11+ s+, .~~i'::n~'~'~z:t;~\ .~, \. \ ~'_ .>h i . ,,'I ,... · \ l _, "601 Amps,~o}OOO AIf1~ City S~~'G I;....(~l Phone _ 911;:3057" qy~~O~?:~i.\mPs~!ts-\')\. I I \ " "<' '} Recpnnect Qnly~ ,," \ "" j . \~. Jl.-(' tl;.. .'" Supervisor License Number 5"l{ ~f5 5 \' ,,' 'c.~\~~~\)~hB'e~~t~h or Feeders . ~,'\) . . > . to /01 ) ~fJ?' " / I ' Constr. Contr, Number do- D . - LJ S"t; L- "1 / fJt lOB I I . Over 600 AInP~ 9~\ 1000 Volts l)e~',:lf.\t'Jlbove, D. .!.nrafuW'C'fr.c...lilts., \(}t~\W\.\...\ ""n Signature of Supervising Electrician . ""y.. ...,.. .' n \~-, '. .... ....,.... ((\r_ ~ m _ 4~ ~::;;::ili;~pn\1" lltlehiJi~~ Por Panel ~ l (h ~- .~~ ~'dd-lti6h\li tircuit or with -----J7':A./ ( r: / ~'>~' Service or Feeder Permit Owners Name p' I ey \, ~ Address S<, 3(7 h {l U" . ~J S-E. Miscellaneous (Service/feeder not included) -Each Installation City 6LG L-Nr;F PhonUfr - g-b 7 b 1. LOCATION OF INSTALLATION: 'Z- 2-/1 C leAVV ~l e. L,~ . LEGAL DESCRIPTION: 17()~ 27f L Olf700 JOB DESCRIPTION: S i ~'-i" -r-A~v~: )L,~e-s. Permits are non-transferable Jnd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Expiration Date Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 5~~ COll/IPLETE FEE SCHEDULE BELOW Date 3. A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ',(o~ -9;:; I :5 $106.00 $ 19.00 $50.00 ~. B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 I $ 69.00 $100.00 \' '" $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SlJBTOTAL OF ABOVE ?L::> r / 8% State Surcharge 16 0 If \~ \ ^ 10%AdministrativeFee ZCjrv ~ ~~ ~; \) \.5% Technology Fee ~ "ZJ- I 0 rc~ ~ ~v fj TOTAL I ~L{7 _~C> -r ~ \.9 s;J t'\ Shared Dnve(T:)/ uilding Fonns/Electncal Pennit Application 8-06.doc ~~ Owners Signature: Inspection Request: 726-3769 CITY OF SPRINGFIELD. Building/Combination Permit ,PERMIT NO: cOM2006-01142 ISSUED: 11/30/2006 APPLIED: 09/01/2006 EXPIRES: 11/14/2007 VALUE: $ 469,040.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2211 Clear Vue Ln ASSESSOR'S PARCEL NO.: 1703271204700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Clear Vue Estates subd lot 1 Residential Phone Number: 541-688-8676 Owner: BAILEY HULBERG F AMIL Y Address: 89363 FIR BUTTE RD #5 EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor Air License Expiration Date CLARENCE ARTHURiif,-a~:WitiloN;OIl 122146 05/0112007 ROSE CORPORA TroJilfi ~lJles acto egong~h~ 09/30/2008 SUNSET ELECTRIG ~4a!'{)n CentttSd b~bqU'res YoLPt~27/2008 SURRETTS GQt){j .j~$/l-001.rt:: ;hose&7,?~ !9g0n LJH~l'114/2008 I 'B~l\i'8~p_l'rtHg. O~ are Set i~ i ".11 Ibe,." t~ \4t:Jnter. (N ""f.//SS Of thFf 952-00' # ofrstJAe-sOre ote: the t ~"IJI.ho"t Size: Height of Str-ucJ1'f!J: Utility N~~~On~q Ft 1st Floor: Type of Heat: 'i)tt~19W!Batio~q Ft 2nd Floor: Water Type: 4)Gas '~q Ft Basement: Range Type: Gas Sq Ft Garage/Carport AJO"'1Aergy Path: Path 1 Sq Ft Other: rHI.S ~pB.fIkled Building: n/a Occupant Load: D,..~ 1I11~ ~, n ,__ bE .. 'E~ . rORMA nON A IV/MEllie ND[- t: P/RE 22.65 Ny 100 9vFJrliYfPi.~t(? rH/s p[ /F rHE Wo 5.00 W1;Yrp:.pif,r'ee~aq* RM/r I. R/~ 15.66 Paved))ViQ~qd: ValVED s NOijes 22.33 % of Lot Coverage: FOR 41.00 0.00 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 6 Phone 541.343- 7095 541-686-0905 541-915-4883 741-3553 8,784 2,700 1,720 530 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Rcvd rvsd driveway layout. Chnged SDC's10/4/06JLPStorm drainage to curb & gutter.Impervious area could change if overwidth is not approved. Return to PW until approved by trafffic10/03/06.JLP Pal!e 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Garal!e A.C. - Residen Dwellinl!s Garal!e Fee Description Plan Review Residential ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fixture Furnace - up to 100,000 btu Gas Fireplace Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit 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 + 5% Technology Fee CITY OF SPRINGFIELD Building/Combination Permit , PERMIT NO: cOM2006-01142 ISSUED: 11130/2006 APPLIED: 09/01/2006 EXPIRES: 1111412007 VALUE: $ 469,040.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 , $99.00 $26.00 Square Footage or Bid Amount 4,420.00 4,420.00 530.00 Value Date Calculated $17,680.00 $437,580.00 $13,780.00 $469,040.00 09/01/2006 09/01/2006 09/01/2006 Total Value of Project ~ Amount Paid $1,149.30 $10.00 $266.77 $137.41 $193.61 $306.00 $31.00 $1,768.15 $80.00 $12.00 $9.00 $247.50 $182.00 $24.00 $15.00 $12.00 $198.00 $-30.00 $989.53 $1,301.33 $10.00 $961.52 $91.61 $223.51 $62.98 $836.32 $189.58 $80.00 $1,349.85 $50.00 $42.00 $1,000.00 $20.10 $10.05 Date Paid Receipt Number 9/1/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 11/30/06 5/29/07 5/29/07 Pal!e 2 of 5 1200600000000001369 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 2200600000000001632 1200700000000000641 1200700000000000641 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2006-01142 ISSUED: 11130/2006 APPLIED: 09/0112006 EXPIRES: 11/14/2007 VALUE: $ 469,040.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $16.08 $106.00 $95.00 5/29/07 5/29/07 5/29/07 1200700000000000641 1200700000000000641 1200700000000000641 Total Amount Paid $12,047.20 I Plan Reviews I Initial Review 09/05/2006 09/11/2006 APP LLH Submittal day prior to holiday. I was out the week of 5-8, plans were not routed until today (9/11/06) Initial Review 09/27/2006 09/27/2006 APP LLH Revised Site Plan - Forwarded to Planning Planninl! Review 09/11/2006 10/06/2006 APP TAJ 4 street trees required - 2 on each street. Public Works Review 09/11/2006 10/02/2006 WE JLP Waiting for overwidth application & approval from traffic engineer.JLP Public Works Review 10/04/2006 10/02/2006 APP JLP Storm H20 to curb & gutter.JLP Structural Review 09/11/2006 09/28/2006 APP RJB 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. ~eouiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underslab Gas: After line is installed and required testing and capped if not attached to an appliance. Underslab 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. Underslab Electric: Prior to cover Pae:e 3 of 5 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: cOM2006-01142 ISSUED: 11130/2006 APPLIED: 09/0 1/2006 EXPIRES: 11114/2007 VALUE: $ 469,040.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/Nailing: Before covering sheathing with finish material. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Special Inspection: High Strength Bolting Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Pal!:e 4 of 5 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2006-01142 ISSUED: 11/30/2006 APPLIED: 09/01/2006 EXPIRES: 11/14/2007 VALUE: $ 469,040.00 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underslab Plumbing: Prior to filling the trench and including required testing. 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. 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 5 of 5 225 Fifth Street Sp,ringfit;ld, Oregon 97477 541-726-3759 Phone c;-' - of Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2006-01142 COM2006-0 1142 COM2006-01142 COM2006-01142 COM2006-01142 Payments: Type of Payment Check cReceinll RECEIPT #: 1200700000000000641 Date: OS/29/2007 Description + 8% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee Paid By DMH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1236 In Person Payment Total: Page 1 of 1 lO:40:59AM Amount Due 16.08 20.10 106.00 95.00 10.05 $247.23 Amount Paid $247.23 $247.23 5/29/2007