HomeMy WebLinkAboutPermit Electrical 2006-6-1
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 · FAX: (541)726-3689
ELECTRICLj,L PERMIT ~PLICATION
City Job NumbeWm 2 605 (y ~ ~
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LEGAL DESCRIPTION' j'O;;) DS"!;;? II;?()D
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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City ~.1 Phone Ou, -:) ~ ~
Expiration Date
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Supervisor License Number
Constr. Contr. Number
Expiration Date
_~pe~~:; . _
Owners Name~fl~adj JoJJ0
Address Y7;;).3~.f)d~ /2~)t:)-~)L..;
Cih- -< ~ Phone 579-/J..1i'
l~2/
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
~
_or.; -- I - () /:;
Date
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A.; ~ e~f~~sid~n ti,tii~ S,~i~gleo ~,M~~.t,l>,R~'~i:~~rp,er,Jl "', ,;eliingu~ii::~:;:\\:;
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Ser:vicerIndudedalON) 'Jawa::> al\l ,II
'BuOy\,,oUI~+ - -,T , kew nOAi'0500 /_
^(IQ,QqrSqaft\.l,GfJleS'sIOO::> urelqo O'C ..,,.,.,,,AI'.H, 1lj$106.00 /0 I..p
-1 P D 11 \l :;) I (\0- ~ \J"'~ ~ . - .
_ ~~~c~,~~ditiP!!a. HD0U sq. ft. ~r a UOf?B,~\mON . '/
l\.p.ffi1l(~}st!!~!lepf;\nJ asol\l Jaw:) _.' .,..l1til $ 19.00 7tp
tJ H . ^q peldope ;,olfl ( .,-.r-"J'
Eael11r~miRtMR J3Mbmeuofib- aJO :NOI1N311'if
.. r A C"~ !\n:-,8J N\I:::i I U
M~&liJar'VWelt'mg SeI"Vlce or $50.00
Feeder
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200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to'900 Amps _ .~ '7" IJlV6(PO<.
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601 AwRS~t01n'QOOI~mps(l ./\ ~,- '11$~(63\00T
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Over ~~9~1Cnfp'~y.Bltl)J ,. ,,~Mlr:~ $~i~'OO
Reconef(JMRlfbNCfD OR IS ABA1~UU"~ 3; 50.00
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Installation, Alteration or Relocation
200 Amps or less
20 I 'Amps to 400 Amps
- 40 1 Amps to 600 Amps
Over 600
D.
$ 50.00
$ 69,00
$100,00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3,00
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E.l\'1iscell:uie(Hls(Sei~vice/feeder liot in~luded) -Each 'Inst~ll:itibn'
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Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00 .
$ 50.00
$ 25,00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4.." SUBTOYAt'OF ABOVE
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I $2 6b
/4/.5'~
/ ~... 2.0
c;JJ~. 7~
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Dlive(T:)/Building Fonns/ElectJical Pennit Application I-06,doc
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01656
ISSUED: 01125/2006
AfPLIED: 11/29/2005
EXvpfRES~-0081L2tOi?2bll~
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8uOLjdel8l 8Lll :8l0N) '1elU8:) 8l/l BU!f1BO
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Springfieltl \TYPE (!}F'-'wORK:~mgwJ1<amll Resj(Je'trce'
4l10j. 188 81E salnl 8S041 '18lU8J O!lBO!j.!lON
IiltF~y-..li2@FJ(j'&'E~l ^CNeWdOPB ~8lnl M~~idential
Ol noli S81!nb8J MEI UOB8l0,:NOI1N311'v'
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
PROJECT DESCRIPTION: NEW SINGLE FAM RESIDENCE
Owner: JEROMY MADISON
Address: PO BOX 7582
EUGENE OR 97401
Phone Number: 579-7213
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Contractor
MADISON HOME BUlL~ERS
BILLS ELECTRIC
DIVERSIFIED ELECTRONICS
PACIFIC AIR COMFORT INC
'."dfd ',:
I CONTRACTOR INF.9.E.MAlfJOlN cl-iALL EXPIRE IF THE WORK
AUTH081ZED UNDFR T~IS pERMIT IS NOT
COM \;t;lcense OR I,ExPIAra\ltlOnIDate....R Phone
Iv1tl\lI,:-U i) MO I UUI~C\J ru
.1.073'59 07/05/2006 541-579- 7213
ANY -12l:J.[3~lPIY PERIOD, 04128/2006 541-501-5650
144685 06/2312008 541-484-9078
39237 03/25/2010 541-672-9510
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# 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
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
1
R-3
U-l
VB
540
360
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
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:
Hillside
2
Yes
35.30
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
AC Mat
Yes
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspou ts/Drains:
Notes: Storm drainage piped to curb face 12/1/05 CAS
Pa2e 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
V Wood Frame
V Wood Frame
Garal!e
Dwellinl!s
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
PW Disc - 2nd Permit (Street)
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
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 8% State Surcharge
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01125/2006
APPLIED: 11129/2005
EXPIRES: 12/0112006
VALUE: $ 217,788.00
I Valuation Descriotion I
$ 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
$169,728.00
$34,560.00
$13,500.00
$217,788.00
11/29/2005
11/29/2005
11/29/2005
Total Value of Project
~
Amount Paid
$616.95
$10.00
$138.12
$96.68
$306.00
$31.00
$949.15
$80.00
$9.00
$12.00
$15.00
$4.00
$12.00
$-30.00
$438.61
$576.61
$10.00
$865.31
$82.03
$127.36
$65.71
$805.70
$182.69
$80.00
$900.52
$50.00
$24.00
$1,000.00
$4.50
$3.60
$25.00
$20.00
$18.20
$14.56
Date Paid
Receipt Number
11/29/05
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
1/25/06
5/30/06
5/30/06
5/30/06
5/30/06
612/06
6/2/06
2200500000000001626
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
1200600000000000073
2200600000000000676
2200600000000000676
2200600000000000676
2200600000000000676
1200600000000000780
1200600000000000780
Pal!e 2 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01/25/2006
APPLIED: 11/2912005
EXPIRES: 12/01/2006
VALUE: $217,788.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$106.00
$76.00
6/2/06
6/2/06
1200600000000000780
1200600000000000780
Total Amount Paid
$7,726.30
I Plan Reviews I
Initial Review
LDAP Review
12/01/2005
01/09/2006
12/01/2005
01/09/2006
APP
10
SKG
VRJ
Full review LDAP, $600.00 due at
issuance. LDAP submitted by
builder on 1/9/2006 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
01/1812006
01/18/2006
APP
VRJ
Planninl?: Review
12/01/2005
01/2012006
APP
TAJ
Choose street trees from the list on
Exhibit B for treees inside the
HiIIside 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
12/22/2005
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.
~eouire~nsnections 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.
Pal?:e 3 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01125/2006
APPLIED: 11/29/2005
EXPIRES: 12/0112006
VALUE: $ 217,788.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 testing.
Water Line: Prior to fiJling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to fiJling 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.
Low V oItage: Prior to cover.
Pa!!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01656
ISSUED: 01/25/2006
APPLIED: 11/29/2005
EXPIRES: 12/01/2006
VALUE: $ 217,788.00
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
Pal!:e 50f5
225 Fifth Street
Springfield, Oregon 97477
541-:726-37-59 Phone
Cj*'r of Springfield Official Receipt
L :lopment Services Department
Public Works Department
Job/Journal Number
COM2005-01656
COM2005-01656
COM2005-0 1656
COM2005-0 1656
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000000780
Date: 06/02/2006
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BILL'S ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
11826
In Person
Payment Total:
Page I of I
9:16:33AM
Amount Due
106,00
76,00
14,56
18.20
$214.76
Amount Paid
$214,76
$214.76
6/2/2006