HomeMy WebLinkAboutPermit Electrical 2006-5-30
Date
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City Job Numb
225 1<UTl1 STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRIC, L PERJUll' APPLl(~1TION
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. . LEGAL DESCRIPTION
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JOB DESCRIPTION
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not started within 180 days of issuance or if work is
Suspended for 180 days.
..........-............ ........... .......
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2. ~::.S~~~~~ffl$~~:~lw~~~It[~!~~~m~~;~W~:::
Electrical Contractor 1diup.Jl.1} r.fitc/ H l r./fron it~
Address ~ 15 W lL~ ~t, fM/7+ C
City ~uqe.m Phone +~1/9D7r
Supervisor License Number 3 <6'13 LE A
Expiration Date 10' 0/ ,. 0 <6
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Address \'0 ~x. ~
Cit~ gC)..QM;_) ,~one.:5YJ -571 -
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OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
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Service IncIuded .....~:, --, :::'1 r2C"'ires you to
1000 sq, ft. or less - ~ ~:'L:::': C'::;~d;)~ L~Mb6YOO
Each additional 500 sqAt. dr':::; 33 i'L'::::: ( "8 S2 ~ for'lh
portion thereof; C\:; -OOi O~hrOLln.:l Ct,;=-{ SS$-t9';:QO
EachMan~factJd;H~J?hi,in cC;J;'::S of the rules by
MOdJifirDweiiUfg(ffi:riI.i8e off\: Dio: tl1e ~elephoDe
FeederJrnL,..;;rorlhc Oregon U~;:;~y' :~c~;~;cl1:~g~o
B.:!:I,r~~f~,~illt~~I'ltlf:ll~~f!ljltl~;~~~i~tij,~!~:~~~~~i~~':~:::~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63. 00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
c.
Installation, Alteration or Relocation
200 Amps or les~ r'cHi\';, r C; I" $ 50,00
201 Amps to; 400 AmPZ-[D ,J'iiLL f);P1ii$f??00
401 Amps t~(6o.Q/~P.S"-D UNDER Tl-n~' p1{6Q!ddE Wn~l/
('A/v. ~UGc O~r A A"~- tRMIT !,.
D. 0ii~~t;tiM~~1;~8i1ili'~J~iJ~~Q;:;011tm~~fj~:R~~i~~:~:t:~:. .... ..
...............................................
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......................................
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
E.~~1~~~~~Jj*~t;~!~~,f~~W~t;~i~~~~~;,~~;~~~tJ~~~f~'jj!~~~t~:'~~~~ii~~~~~~~':
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential / $ 25.00 d I.. ~
Limited Energy/Commercial .'_ $~,OO
Min~:~:....~.I~~:~~.~.:~~.:.~~...~~~~~ee is $45.0~chargeS -a 0
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3 .(o([j
~.50
55 ~ 10
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03,doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01/25/2006
APPLIED: 11129/2005
EXPIRES: 11/30/2006
VALUE: $ 217,788.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4723 Rocky Rd
ASSESSOR'S PARCEL NO.: 1802051211300
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: NEW SINGLE FAM RESIDENCE
TYPE OF USE: New
Residential
Owner: JEROMY MADISON
Address: PO BOX 7582
EUGENE OR 97401
I CONTRACTOR INFORMA nON I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Contractor
MADISON HOME BUILDERS
BILLS ELECTRIC
DIVERSIFIED ELECTRONICS
PACIFIC AIR COMFORT INC
License
107359
21351
144685
39237
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VB
# of Stories: 2
Height of Structure 27.00
Type of Heat: orced Air Electric
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
3
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
21.00
10.00
44.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
AC Mat
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 12/1/05 CAS
Page 1 of 4
Phone Number: 579-7213
Expiration Date
07/05/2006
04/28/2006
06/23/2008
03/25/2010
Phone
541-579-7213
541-501-5650
541-484-9078
541-672-9510
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,841
1,208
560
540
360
Hillside
2
Yes
35.30
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01/25/2006
APPLIED: 11/29/2005
EXPIRES: 11/30/2006
VALUE: $ 217,788.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwelline:s
Dwelline:s
Garae:e
V Wood Frame
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$96.00
$96.00
$25.00
Square Footage
or Bid Amount
1,768.00
360.00
540.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$169,728.00
$34,560.00
$13,500.00
$217,788.00
11/29/2005
11/29/2005
11/29/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $616.95 11/29/05 2200500000000001626
~Mechanical Issuance Fee~ $10.00 1/25/06 1200600000000000073
+ 10% Administrative Fee $138.12 1/25/06 1200600000000000073
+ 7% State Surcharge $96.68 1/25/06 1200600000000000073
3 Baths One & Two Family $306.00 1/25/06 1200600000000000073
Addressing Assignment $31.00 1/25/06 1200600000000000073
Building Permit $949.15 1/25/06 1200600000000000073
Curbcut Permit $80.00 1/25/06 1200600000000000073
Exhaust Hoods $9.00 1/25/06 1200600000000000073
Furnace - up to 100,000 btu $12.00 1/25/06 1200600000000000073
Gas Fireplace $15.00 1/25/06 1200600000000000073
Gas Outlets 1-4 $4.00 1/25/06 1200600000000000073
Heat Pump $12.00 1/25/06 1200600000000000073
PW Disc - 2nd Permit (Street) $-30.00 1/25/06 1200600000000000073
Sanitary Sewer - Improvement $438.61 1/25/06 1200600000000000073
Sanitary Sewer - Reimbursement $576.61 1/25/06 1200600000000000073
SDC MWMC Administration $10.00 1/25/06 1200600000000000073
SDC MWMC Improvement $865.31 1/25/06 1200600000000000073
SDC MWMC Reimbursement $82.03 1/25/06 1200600000000000073
SDC Sanitary/Storm Admin $127.36 1/25/06 1200600000000000073
SDC Transpo Admin $65.71 1/25/06 1200600000000000073
SDC Transpo Improvement $805.70 1/25/06 1200600000000000073
SDC Transpo Reimbursement $182.69 1/25/06 1200600000000000073
Sidewalk Permit $80.00 1/25/06 1200600000000000073
Storm Drainage Impervious Area $900.52 1/25/06 1200600000000000073
Temp Power 200 amps or less $50.00 1/25/06 1200600000000000073
Vent Fan $24.00 1/25/06 1200600000000000073
Willamalane Single Family $1,000.00 1/25/06 1200600000000000073
Total Amount Paid $7,458.44
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01/25/2006
APPLIED: 11/29/2005
EXPIRES: 11130/2006
VALUE: $217,788.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
LDAP Review
12/01/2005
01/09/2006
I Plan Reviews I
12/01/2005 APP
01/0912006 10
SKG
VRJ
Full review LDAP, $600.00 due at
issuance. LDAP submitted by
builder on 1/912006 and is in review.
LDAP to be issued concurrently
with Building Permit.
$600.00 is due at issuance. LDAP is
ready and at the front counter.
No Tree Felling Permit is required
as long remove only 5 trees.
LDAP Review
01/18/2006
01/18/2006 APP
VRJ
Planninl!: Review
12/01/2005
01/20/2006 APP
TAJ
Choose street trees from the list on
Exhibit B for treees inside the
Hillside district attached to the
street tree handout.
Public Works Review
12/01/2005
12/01/2005
APP CAS
Keep construction activity outside
the tree conservation zone in the
south end of the lot.
Storm drainage piped to curb face
12/1/2005 CAS
Structural Review
12/01/2005
12/2212005
OK
RJB
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.
I Reouired Insnections I
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.
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.
Pal!:e 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01656
ISSUED: 01/2512006
APPLIED: 11/29/2005
EXPIRES: 11130/2006
VALUE: $ 217,788.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required ~esting.
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 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.
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
Pae:e 4 of 4
225 Fifth Street
Springfi'eld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00214
COM2006-00214
COM2006-00214
CO M2006-00214
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
Description
Low Voltage - Residential
Low Voltage - Residential
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALAR R, WOOSTER
C;+-- Qf Springfield Official Receipt
L iopment Services Department
Public Works Department
2200600000000000675
Date: 05/30/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJID 038583 In Person
Payment Total:
Page 1 of 1
9:42:08AM
Amount Due
25,00
20.00
3,60
4,50
$53.10
Amount Paid
$53,10
$53.10
5/30/2006