HomeMy WebLinkAboutPermit Electrical 2006-3-28
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 "FAX: (5<t1)7~6-3689 Ing.~~f~
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ELECTRICAL PERMIT APPLICATION , ,.-A' '" S~i'7L!f,,",--....L... ....
City Job Number CO~ 'Z,.OO ~ -0 I ..s-S- J Date rt IN. U j VfI v'" ---.-
,
..
I. LOCATIONOFINSTALLATION
Co2' s FUVlIl;ll ~ 0 E
~~~~~~ti , lOR V1~i 1 0 7!lOOA. S,:~~, ~:::::::'1- S'ngl. n' Mnlt'.Famlly p" dw.lllng nn't
JO~+;CRI~TION iel, })A-TA,?tW1 Se-C;I vlrc. 1000 sq. ft. or less $106.00
L ? Ko ~ Each additional 500 sq. ft. or
O 0 UV\',- \......... .-1
. "'" V"V l V" portion thereof $ 19.00
A~cliffi1anill:u\ft:~~!~~aw reri 'irc:s \I'"'I! "'0
fM~;:nJDwpllH1!lSernlc"e OI, ' J ,,~. .
., ,....,'~t1u\5'f..iL\:;U 01' me (''',~r'n'~ ! ".". .$5000
Ncft~cl. . . I ", J VI" ." .' .1 ": .
in O~R~~"~n~cent8r.l~oserL:iGS ,,;;"e ;.,8'
809cf.l\r:\'~f'S QPv~Q~~tl1rMt~Jlafibn~1A.H~fl\~9Ij1S or Relocation:
. YOU may obtaIn cooics of ~I'''' r ,:~...,
II" ,.. ,- ,. ','. /
150IR9Jp~~rqOOter. (Note: :;12 t-:., ',,$ 63.00
nW9.%.Jpfot~ooQ.liil~Jn ULility '.';>)!~~ 75.00
401 Am)S~rnf60tpAlnfp'~O-332-23'iLj.), $125.00
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
Over 600 Amps or 1000 Volts see "8" above.
Sig]I;2~p.~rviSing El~ectrician D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
, R ff- Each Additional Circuit or with
. )~ ~iOl\CE: Service or Feeder Penpi\f 1HE WOfl.V.
Owners Name v -" 1 5H~ll EXP\Rt NO"
Address '39Q3 H 'YV'o"f ~ IA. ~ 1\1\S p~r~iUfil~Ffif~R~bhJ6~ot included) -Each Installation
C ~1\10R\ \5 ~B~NOONEO f
City ~ ~ Phone 334- - .> b I ~OMME~~9 cO~81flbon
I AN'i 1 BU5WWb~~JN'tJghting
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 --rkL. 1-1 D S "O"y-e-
Address t. -~flo A W. 1~ ~.
City But1tvlL Phone ~8~-1i~
(
Supervisor License Number
Expiration Date
Expiration Date
lS15~g
l\!1>/~7
Constr. Contr. Number
OWNER INSTALLATION
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
COMPLETE FEE SCHEDULE BELOM7
c. . Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00
x
$ 50.00
$ 50.00
$ 25.00
$ 45.00
2.~ . 00
4. SUBTOTAL OF ABOVE
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
8% State Surcharge
10% Administrative Fee
TOTAL
4~.oo
g.0o
4-.~
!=7.; . I 0
Shared Drive(T: )/Building Fonns/Electrical Pennit Application I-06,doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01555
ISSUED: 12/14/2005
APPLIED: 11/02/2005
EXPIRES: 09/28/2006
VALUE: $ 270,800.00
SITE ADDRESS: 6215 FernhiII Lp Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702343407800 'j0\,) \0
eo.J\~eS \J~E8F USE: New
PROJECT DESCRIPTION: Single family residence - ~o.Glrt~ing,~ti'..a~g.-lo't070
o~eg ,,\ne S 'O-~e \7,i' r::J::;V
"rN', :.""r\ '0 l ,,' ,\e D. ar;.., ~- \.: 1
-(yj'~ \ - 'O-ouvt ,'(\o'ov X\ Ur" \e'O
,_. Owner: RUHOFF HOMEBUlL~E~~~S (\\e~. \'(\~o\,)g 0\ \'(\e ~\,) o(\e
Address: 3993 MIRROR POND "(~~ . 0(\ Ce .00\ 0 o?\eS e\e\J'(\. 0(\
EUGENE OR 97408 ~o~\~~\~s~-~~~ o'G\i.\(\,~o\e',\~~,~~o\\\\C'O-\\
\(\ V' ,<ou I' _ r-efi\I:i\' _':-0(\ V";., 03A~I'
0090~\\h();t)NT~~~RMATION ,
c'O: < 'v'
({''Ge\ :te~ ~
Contractor (\\,) Ce(\ License
RUHOFF HOMEBUlLDERS INC 130797
GOOD CONNECTIONS 160508
THE HD STORE LLC 157588
JUNG ENTERPRISES INC 102455
JAMMAL INC 158262
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garag~Carport
Sq Ft Oth.~~
occ~)}t~;
(\ ',~
I DEVELOPMENT INFORMATION. y.~~ ~~~~ ~\)'t-
~\.. ~~~S CX~\)\\~'ro:QUlRED PARKING
Overlay Dist: s:;. ~ S"0~~~~~ Total: 2
# Street Tre~es ~~ ~~~ \) ~~ ~ {;>. Handicapped:
Paved Driv 'X ~'\.~ <"-\) \) ~~ Compact:
% of Lot Co ~\) ~\\\.J'V ~ 'X)9:00
~I'_(\~~~ <Q~ \)
I PUBLIC IMPROVEME~-I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
,.~ Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure 30.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U
VN
3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
25.00
33.50
48.00
0.00
Subdivision Not Accepted
Street Improvements:
" Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-334-6550
Phone Number: 541-334-6570
Expiration Date
07/13/2008
07/01/2006
11/03/2007
10/04/2006
01/12/2008
Phone
541-334-6550
541-434-6491
541-683-4848
541-937-2688
541-484-7440
11,546
1,369
919-
1,350
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
I
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 11/3/2005 CAS
Pae:e 1 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01555
ISSUED: 12/14/2005
APPLIED: 11/0212005
EXPIRES: 09/28/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
A.C. - Residen
DweIIinl!s
Garal!e
Type of Construction
AC - Residential
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
2,288.00
2,288.00
1,680.00
Value
Date Calculated
Description
Total Value of Project
$9,152.00
$219,648.00
$42,000.00
$270,800.00
11/02/2005
11/02/2005
11/02/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $728.91 11/2/05 1200500000000001667
-Mechanical Issuance Fee- $10.00 12/14/05 2200500000000001705
+ 10% Administrative Fee $179.74 12/14/05 2200500000000001705
- + 7% State Surcharge $125.82 12/14/05 2200500000000001705
3 Baths One & Two Family $306.00 12/14/05 2200500000000001705
Addressing Assignment $31.00 12/14/05 2200500000000001705
Appliance Not Listed $18.00 12/14/05 2200500000000001705
Building Permit $1,121.40 12/14/05 2200500000000001705
Curbcut Permit $80.00 12/14/05 2200500000000001705
Dryer Vent $6.00 12/14/05 2200500000000001705
Exhaust Hoods $9.00 12/14/05 2200500000000001705
Furnace - up to 100,000 btu $12.00 12/14/05 2200500000000001705
Gas Fireplace $15.00 12/14/05 2200500000000001705
Gas Outlets 1-4 $4.00 12/14/05 2200500000000001705
Heat Pump $12.00 12/14/05 2200500000000001705
Mountaingate Impervious Area $1,342.39 12/14/05 2200500000000001705
Plan Review Major - Planning $150.00 12/14/05 2200500000000001705
PW Disc - 2nd Permit (Street) $-30.00 12/14/05 2200500000000001705
Residence Wiring 1000 Sq Ft $106.00 12/14/05 2200500000000001705
Residence Wiring Ea Addtl 500 $114.00 12/14/05 2200500000000001705
Sanitary Sewer - Improvement $553.03 12/14/05 2200500000000001705
Sanitary Sewer - Reimbursement $727.03 12/14/05 2200500000000001705
SDC MWMC Administration $10.00 12/14/05 2200500000000001705
SDC MWMC Improvement $865.31 12/14/05 2200500000000001705
SDC MWMC Reimbursement $82.03 12/14/05 2200500000000001705
SDC Sanitary/Storm Admin $165.89 12/14/05 2200500000000001705
SDC Transpo Admin $62.52 12/14/05 2200500000000001705
SDC Transpo Improvement $805.70 12/14/05 2200500000000001705
SDC Transpo Reimbursement $182.69 12/14/05 2200500000000001705
Sidewalk Permit $80.00 12/14/05 2200500000000001705
Temp Power 200 amps or less $50.00 12/14/05 2200500000000001705
Vent Fan $24.00 12/14/05 2200500000000001705
WillamaIane Single Family $1,000.00 12/14/05 2200500000000001705
+ 10% Administrative Fee $4.50 3/28/06 1200600000000000354
Pal!e 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 09/28/2006
VALUE: $ 270,800.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$3.60
$25.00
$20.00
3/28/06
3/28/06
3/28/06
Total Amount Paid
$9,002.56
I Plan Reviews I
Initial Review
LDAP Review
11/03/2005
11/02/2005
11/03/2005
11/02/2005
APP SKG
10 VRJ
LDAP Review
11/08/2005
11/08/2005
APP VRJ
PIannin!! Review
11/03/2005
12/01/2005
APP TAJ
Public Works Review
11/03/2005
11/03/2005
APP CAS
Structural Review
11/03/2005
11/23/2005
APP TCM
1200600000000000354
1200600000000000354
1200600000000000354
Full review LDAP. $600.00 due at
issuance. Aaron Solbeck of Ruhoff
Homebuilders submitted LDAP
11/2/05 pm.
$600.00 due at issuance. Full review
LDAP is at the front counter and
ready to issue.
Follow the tree plan attached to the
building permit. Place construction
fencing around the private
vegetation easement and any trees in
the construction area that are to be
preserved. Follow the "Tree
Protection During Construction"
Guidelines attached to the tree plan.
No construction activity is allowed hi
the private vegetation easement
area.
12/14/2005 - Applicant does not
want overwidth driveway permit.
Applicant specified on plans in
writing (with initials) that the
dirveway width shall not exceed 24
feet. The overwidth driveway
application and fee were removed
from the building permit packet.
-MS
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
stub provided 11/3/2005 CAS
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.
Pa!!e 3 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 09/28/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
U nderfloor Drain: Prior to cover or placement of concrete.
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.
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.
U nderfloor 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.
Paee 4 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 09/28/2006
VALUE: $ 270,800.00
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.
Low Voltage: Prior to cover.
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
Pa2e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726:3759 Phone
Job/Journal Number
COM2005-01555
COM2005-01555
COM2005-0 1555
COM2005-0 1555
Payments:
Type of Payment
Check
3/28/2006
RECEIPT #:
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200600000000000354
Date: 03/28/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum!Adjustment Electrical
Paid By
THE HD STORE
Received By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
6622
In Person
Payment Total:
9:39:02AM
Amount Due
3.60
4.50
25.00
20.00
$53.10
Amount Paid
$53.10
$53.10