HomeMy WebLinkAboutPermit Electrical 2005-12-1
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City Job Number CM 2.bD,r - 0/:)4, 2- Date ---f..l. -1- () ~
1.
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LEGAL DESCRIPTION
, 1.7t1L34-?4 NS(1'tJ
JOB DESCRIPTION
W~~ENHIPlI~~IJ/#
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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Electrical Contractor 11 N..o.lI:J t1lRd fl ~ftS
Address q,l VJ IDI-I~(jy) ~t, IUlA't ~
City ~ Phone 1R1/qD7~
Supervisor License Number ~ ~ q3 LE'A-
Expiration Date 10/01- 08
Constr. Contr. Number } 4 L/ Id <t t;
Expiration Date
Owners Name ~sb~; J);r;~A/.NLLr
Address /9~.Y 4"'~ AJ/~ E.
----. .
City ~"I!!.. Phone 50/"'015tJ
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
O~~fNif~~:Qregon law requires you to
follow rul~nrtp.rl by the~.oregon Utility
-WC'!ifi~3!iC'n Cc:nt8r. Th0-s: rb:I:E a~8 xt forth
in OAR 952-001-0010 through OAR 952-001-
~s~QctY~ap~6tm'9ies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
3.
A,
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.
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 less
201 Amps to 400 Amps
401 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
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50,00
$ 50,00
$ 25.00
$ 45,00
2.-~ tH:J
~ -----
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
4.
460 t::>
.~./r
4-. rO
I '
NOTWh ~'7 , at;, S
THIS PEQMIT ~HS ff~)(PIRE IF THE WORK - '?
'~Ared tfnv :;tti1,aip~F~11i<rtfiCf\hPmtitrApplication.J.03,doc
AUTHORIZED UN.: I HI~ t'tt\IVIII 1~ I~U I ~
COMMENCED OR IS ABANDONED FOR '
ANY 180 DAY PERIOD.
7% State Surcharge
10% Administrative Fee
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 06/0112006
VALUE: $ 286,890.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6338 Fernhill Ct
ASSESSOR'S PARCEL NO.: 1702343404500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Mountain gate subd lot 34
Residential
Owner: AN SLOW & DEGENEAULT INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
Phone Number: 503-484-0070
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Engineer
Low Voltage Electrical
Mechanical
Plumbing
Contractor
ANSLOW & DEGENEAULT INC
BURGHARDT & ZHUN INC
HAL PFEIFER
DIVERSIFIED ELECTRONICS
MARS HALLS INC
ABSOLUTE PLUMBING SERVICES INC
License
49169
160508
Expiration Date
10/1612008
07/01/2006
144685
25790
67664
06/23/2008
12/23/2005
07/11/2007
Phone
503-484-0070
541-434-6491
541-683-4257
541-484-9078
541-747-7445
541-345-3055
I BUILDING INFORMATION.
# of Units: 1 # of Stories: 1 Lot Size:
Primary Occupancy Group: R-3 Height of Structure 25.00 Sq Ft 1st Floor: 2,480
Secondary Occupancy Group: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Primary Construction Type VN Water Type: Gas Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 686
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other: 388
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I REQUIRED PARKING
Front yard Setback: 13.00 Overlay Dist: Hillside Total: 2
Side 1 Setback: 5.30 # Street Trees Rqd: 3 Handicapped:
Side 2 Setback: 10.00 Paved Drive Rqd: Yes Compact:
Rearyard Setback: 18,00 % of Lot Coverage: 35.00
Solar Setbacks: 25.50
Subdivision Not Accepted I PUBLIC IMPROVEMENTS I
, Street Improvements: Fully Improved NOT I ~~ewalk Type:
Storm Sewer Available: Yes T .D..oy\;%pouts/Drains: To Storm Sewer
Special Instructio~i""rEI\i IIUl\i.Uft:lgon law requIres yuu 10 HIS PtKMl1 SHALL EXPIRE IF THE WORK
f 110 r 1e6 adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: No h~l\'iVft1~i~H~fMN."lftn~~gQb'UcSm~~ments ~~ftI;MIEW'a~~<e~;lg?t~~ oon~~~/3T2b05
inOAR952-001-001dthrO~ghOAR952-001 ANY 180 DAY PERIOD,
0090. You may obtain caples of the rules b,
calling the center. (Note: the tel~~ho~e
mber for the Oregon Utility Notlflcatloflaee 1 of 5
nu Genter IS 1-ouu-SJf-l3';-l).
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
6
Description
Type of Construction
AC - Residential
Deck
V Masonary
Garal!e - Masonry
A.C. - Residen
Deck/Balcony
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
Appliance Not Listed
Building Permit
Curbcut - Additional Driveway
Curbcut - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Mountaingate Impervious Area
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$4.00
$17.00
$101.00
$29,00
Square Footage
or Bid Amount
2,480.00
388,00
2,480,00
686,00
Total Value of Project
~
Amount Paid
$688,77
$10,00
$192,24
$134.57
$306,00
$31.00
$18.00
$1,173,40
$-40,00
$40.00
$80.00
$6.00
$9,00
$12.00
$15.00
$4.00
$-94.86
$802,28
$103.00
$84.50
$106.00
$95.00
$493.56
$649.08
$10,00
$865,31
$82,03
$-5.27
$129,43
$0,53
$63,06
$772.49
$175.13
Date Paid
4/26/05
7/13/05
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Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 06/01/2006
VALUE: $ 286,890.00
Value
Date Calculated
$9,920,00
$6,596.00
$250,480.00
$19,894,00
$286,890.00
06/28/2005
06/28/2005
06/28/2005
07/1l/2005
Receipt Number
1200500000000000511
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$98,00
$50,00
$30.00
$1,000.00
$4,50
$3,15
$25,00
$20.00
Total Amount Paid
$8,241.90
I Plan Reviews I
Initial Review
Initial Review
04/27/2005
08/11/2005
04/27/2005
08/11/2005
Planning Review
07/1112005
07/11/2005
Planning Review
04/27/2005
07/05/2005
Public Works Review
04/2712005
07/11/2005
Structural Review
04/27/2005
05/05/2005
Structural Review
05/05/2005
05/1012005
Structural Review
OS/2712005
OS/27/2005
Structural Review
Structural Review
06/23/2005
08/12/2005
06/28/2005
08/1512005
APP
APP
APP
WI
APP
10
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APP
APP
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 06/01/2006
VALUE: $ 286,890.00
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000001769
1200500000000001769
1200500000000001769
1200500000000001769
SKG
LLH
Revised plans showing reduction in
size due to coverage.
Amount of imperviuos surface
reduced to meet 35% coverage
requirements. I gave the plans back
to PW to recalculate SDC's,
Waiting for resolution of coverage
and use pervious concrete to meet
coverage requirements, No other
Planning issues,
TAJ
TAJ
CAS
Trees near the retaining wall shall
be protected using the methods
outlined in the MountainGate
Development Plan Restrictions
handout, Construction fencing shall
be placed between the Vegetation
easement and the worksite during
construction,
Waiting for info on pervious surface
- structural section Called Gordon
4/28/2005 CAS Revised site plan
approved 7/11/2005 CAS
Plans forwarded to Jason Bush for
review
Jason has requested additional
information from contractor to
complete plan review,
Plans need to be re-engineered,
Applicant/contractor has been
contacted,
Approved as noted on plans
Revised plans showing reduction in
size due to coverage,
JB
JB
JB
JB
JB
~~~1,(I.!~~~~4:
~lt
-~~
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 06/01/2006
VALUE: $ 286,890.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Curbcut ,- Overwidth: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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 ser,:ice.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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.
Vnderfloor Plumbing: Prior to insulation or decking,
Vnderfloor 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 aU plumbing work is complete,
Vnderfloor Mechanical. Prior to insulation or decking and including required testing. .
Pae:e 4 of5
-":t~"~,,'.:,.Iii,..n,..' ,',.:".,.
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 06/01/2006
VALUE: $ 286,890.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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
275 Fiftli Streel
Springfield, Oregon 97477
541-726-3759 Phone
GJ:GE_IELD".~,. ,'.',.
u..... ,', '... '".
.... 4)
r:ty of Springfield Official Receipt
velopment Services Department
Public Works Department
.,
Jnb/Journal Number
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
Payments:
Type of Payment
CreditCard
(
:c
12/1/2005
RECEIPT #:
1200500000000001769
Date: 12/01/2005
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ALLAN R WOOSTER
Received By
dIm
I of I
Item Total:
t:heck Number Authorization
Batch Number Number How Received
085708 In Person
Payment Total:
11:54:37AM
Amount Due
25,00
20.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65