HomeMy WebLinkAboutPermit Electrical 2006-10-9
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C,OMPLETE FEE SCHEDULE BELOIV
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numb~(Y) 2.U1)(o - <n \ (') Co i
1. LOCATION OF INSTALLATION:
2.14i lIHV\o\t\ '" -~t
LEGAL DESCRIPTION:
--W ~ ;;:)5 \ '2-0 3 5 c:r-D
JOB DESCRIPTION:
(J)JJivCu, V' .rUO ~~ \A)A~
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.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~ fA 0 Sie-< G
Address L ~Lt, A W. 1~ ~.
Phone ~~-4S+t
City
6v 7.fN.L.
Supervisor License Number
Expiration Date
lS1 S~~
II -; 01
, ,
Signanrr'~iW#~
;
Constr. Contr. Number
Expiration Date
Ownw N:,' ~b1""" \cl.s ~
Address -!. '3 l 8 .3 ~ 't'1 S \
/' (Syl) ,
CitYCur Phone Lf r?! - I U i-
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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
$106.00
$ 19.00
$50.00
B. .. Services oJ FfS~~g~t~ti:t)'i\~J{ff~.~B~ll-\!1r Relocation:
AiTENl \0. tad by the Oregon Ou \ Yrf
20~b~.wi~rMI~sadop Those rules are S$r~~Bq
~b1\~~&~OS&f~~~~ 0 through OAR ~~J~sO~}
401 ~B\f5\ ~c?&i 1 ~tain copies ot me r~~jO
6~O~r\l ~~u\~C(p~r. (Note.. the t~~~\~i~l€WV
Over lf~W~~'Wvb()regon Utllny ~~~:l $375.00
Rec&MroP0~enter is 1_800-332-2~ $ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 50.00
20~~n;~~00 Amps $ 69.00
40THISPPE~~~ALL EXPIRE IF THE ~~R-RO
OV!Uffi, d'Rj~E1!.fflffie'~I,~~fS 'fittit~\fe~S NOT
D. ~tl'~E#G~~OR IS ABANDONED FOR
Nem#t'OOi~ ~R~@n Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential V $ 25.00 :l["1>
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4~ "1 0
1-(.0
4.C'D
i-z.5
S~.O~
4. Sl.TBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Dlive(T:)/Building Fonus/Electlical Penuit Application 8-06,doc
225 Fifth Street
Springfield, Oregon 97477
541..:726-3759 Phone
C;' ,f Springfield Official Receipt
D" Aopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1068
COM2006-0 1068
COM2006-0 1 068
COM2006-0 1 068
COM2006-0 1 068
Payments:
Type of Payment
Check
c Receint I
RECEIPT #:
2200600000000001409
Date: 10/09/2006
Description
Low Voltage - Residential
M inimum/ Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
TH HD STORE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
7363
In Person
Payment Total:
nJm
Page 1 of 1
] ] :47:09AM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
10/9/2006
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01068
ISSUED: 09/13/2006
APPLIED: 08/17/2006
EXPIRES: 04/09/2007
VALUE: $ 372,932.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2148 Lomond Ave
ASSESSOR'S PARCEL NO.: 1703251203500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: ALAN & GAIL REYNOLDS
Address: 231 E 34TH AVE
EUGENE OR 97405
Phone Number: 541-484-1264
Contractor Type
Architect
General
Low Voltage Electrical
Mechanical
Plumbing
Contractor
ARBOR SOUTH ARCHITECTURE
OWNER
THE HD STORE LLC
COMFORT FLOW
JAMMAL INC
fJOTIOL
I CONTRACTOR INFOR~IT SHALL EXPIRE IF THE WORK
A~THORIZED UNDER THIS PERMIT IS NOT
cbM1~~ C E D I&w;~aAwAM3fffJE 0 ~~!f3e32
~'t9\80 DAY PERl9ft812006
157588 11/03/2007 541-683-4848
460 06/27/2007 541-726-0100
158262 0l/1212008 541-484-7440
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
4
# of Stories: 2 Lot Size:
Height of Structure 25.50 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: ATTENTIOl\l:OO~On ISWFif:QW~~~U. ~O
Range Type: follow rules ~~~t\3d b~thl3t~~~\ipW.t
Energy Pat~i ., r n Ge~f~. trho~a JUI~re set fortI'"
Sprinkled Bi~R~ilf ~~2-001I!tib1 0 th~l1:(!)~~=~O~
I DEVELOPMENT ~RMWrn5N l~ta'~~~~~t~~ft~';P'~~~~'-)
lid.\II1I\::1 .1.... ~- sr. Ut'lItyWH~fi1t!Jl1fGhP ARKING
number for the Oregon , , .
Overlay Dist: Ce~f~rISFlr.i8e~-332-2~1: 2
# Street Trees Rqd: 3 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 35.20
2,612
456
1
R-3
U
VN
700
376
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
14.00
5.00
12.00
10.00
33.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm Drainage to curb & gutter.Sanitary Must be hooked up & drainfield from adjoining property abandoned per
Lane County Sanitarian's rules & regulations. PW must be provided a "Sanitation Authorization Notice" form
from the Lane County Sanitarian!
Pa2e 101'5
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvoe of Construction
A.C. - Residen
Dwellinl?:s
Garal?:e
AC - Residential
V Wood Frame
Garal?:e
Fee Descriotion
Plan Review Residential
~Mechanicallssuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut - Additional Driveway
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
PW Disc - 2nd Permit
SanitalJ' 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 Addtll00'
Temp Power 200 amps or less
UGB Plan Rev Mj/Min - Planning
Vent Fan
Willamalane Single Family
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,444.00
3,444.00
700.00
Total Value of Project
~
Amount Paid
$944.39
$10.00
$216.21
$97.75
$156.39
$306.00
$31.00
$6.00
$24.00
$1,452.90
$80.00
$6.00
$9.00
$207.20
$24.00
$15.00
$4.00
$-30.00
$1,147.85
$1,509.54
$10.00
$1,923.04
$183.22
$284.85
$136.95
$1,672.64
$379.16
$80.00
$1,610.46
$28.00
$50.00
$268.00
$30.00
$1,000.00
Date Paid
8/15/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
9/13/06
Pal?:e 2 of5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01068
ISSUED: 09/13/2006
APPLIED: 08/17/2006
EXPIRES: 04/09/2007
VALUE: $ 372,932.00
Value
Date Calculated
$13,776.00
$340,956.00
$18,200.00
$372,932.00
08/21/2006
08/21/2006
08/21/2006
Receipt Number
2200600000000001147
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
1200600000000001409
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01068
ISSUED: 09/13/2006
APPLIED: 08/17/2006
EXPIRES: 04/09/2007
VALUE: $ 372,932.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$4.50
$2.25
$3.60
$25.00
$20.00
10/9/06
10/9/06
10/9/06
10/9/06
10/9/06
Total Amount Paid
$13,928.90
I Plan Reviews'
I nitial Review
Plannint:! Review
08/17/2006
08/21/2006
08/21/2006
08/25/2006
APP LLH
APP TAJ
Public Works Review
08/24/2006
APP JLP
08/21/2006
Structural Review
08/21/2006
APP DLM
08/25/2006
2200600000000001409
2200600000000001409
220060000000000]409
220060000000000]409
220060000000000]409
Annexation application submitted
9/1/06.
Per City Council direction on
8/21/06, no occupancy may occur
until the Boundary Commission
approves the annexation.
3 Street trees are required: 1 to be
located on the cul-de-sac part of
Lomand and the other 2 on the
through street part.
Storm Drainage to curb &
gutter.Sanitary Must be hooked up
& drain field from adjoining
property abandoned per Lane
County Sanitarian's rules &
regulations. PW must be provided a
"Sanitation Authorization Notice"
form from the Lane County
Sanitarian! Prior to Final
Occupancy. Roxie @ the HBA has
been notified by telephone of the
sanitation requirements.JLP
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.
~e(]uir~CUnsnections I
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Pat:!e 3 of5
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01068
ISSUED: 09/13/2006
APPLIED: 08/17/2006
EXPIRES: 04/09/2007
VALUE: $ 372,932,00
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 - Overwidth: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Low Voltage: Prior to cover.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor insulation or decking.
Floor Insulation: Prior to decking.
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.
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.
Undertloor Plumbing: Prior to insulation or decking.
U ndertloor 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 tilling 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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor 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. 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.
Paee 4 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01068
ISSUED: 09/13/2006
APPLIED: 08/17/2006
EXPIRES: 04/09/2007
VALUE: $ 372,932.00
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 OJ"egon 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
Pae:e 5 of 5