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Home My WebLink AboutPermit Electrical 2006-2-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC# PERMIT APPLICATION City Job Numb~/?1260 5- ,.. 0/ t) :79 Date [);;; -01 - 0 ~ Signature of Supervising EleCtriC~' an _ D. /J 11 //. L1. New Alteration or Extension Per Panel ~ ^ ~ ~ One Circuit Anx Each Additional Circuit or with . .~ . ') -.J~ '/\ I - .., fl L /J 9'~ce or Feeder Permit Owners Name u'-^-" -y- ~<.:'JC./7.......x..cL/'-""- .. Address !Il11; ~hl~ 0 E. Cit0p~ Phon,.ij5f-C/-{)o7c) 1. LEGAL DESCRIPTION 170,)., 2~'3~07367J JOB DESCRIPTION N~kJ o,F, 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. Electrical Contractor Address ~JO Wc/.-I//~ ~f. -F6 City 60 C1 e /J e,.., Phone ~ y- '" $t <j J / Expiration Date ..3()tJ/S" 1 CJ - 1- g:z;tf cl<6 ) fa 0 s-oJJ 7~ / ~ 0 b Supervisor License Number Constr. Contr. Number Expiration Date 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 3. A. . 0 n law [...<, '" } Service Included A:rn:NTION. reqo, hu () . :.;' ~ ~,-\-~cj O\} tl '0 -. /0 / /J V 1000 sq. ~t: or less follow r.ules cc,-,~~l0T-::::~~W9J)0 . y--' , Eac~ addltlOnaI5OPJ~itftam~n Celll~~Q th(Ou'," /?.5 (yO portIOn thereof in OAR 9:::.2-001& 1, ..$19.00 '-/' - Each Manufact'd HBJiJ~Qrr You may O~.:~l' I( :u",," M d I D II' S '~l'ia.( the C8i;.'.:;I. "., o u ar we mg erCtCe ~rJ . _, _ u 'i (l;:", :'"':$50 00 Feeder numoer 101 d 10, ,-,. .. ..... , 'I..... i-8~'v--'~'-"" B. $ 63.00 $ 75,00 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges dO/. uV I ~ ,0;( ri () ,/D t!:J37. / i 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01049 ISSUED: 02/01/2006 APPLIED: 08/03/2005 EXPIRES: 08/02/2006 VALUE: $ 286,559.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6111 Fernhill Lp Springfield TYPE OF WORK: singJ~<:f~lIlh~l}esidence · ASSESSOR'S PARCEL NO.: 1702343407300 \ \1'1 ~eC\\j\' O~ \j\\\\ ~\'(\ , T~~E/QlfrY~~~ \\\,~we;~e se\ \0 0\ ~ Residential PROJECT DESCRIPTION: Single family residence - Mountain gate subd lot 6? _, -,\3D 0"1 e ~\j\eS 1\0. 9'S~-0 \-.'\1 , ,r '-, ,\\OS XI QrP \j\eS \.J' _\O~. ,__('\\~q I ~",e ~ ~ ,:~ _, ~c ~~'\ _00 '\ ~ ~ilf6'~~~~'mti~t9~~93~84-0070 , ,,:"';'- r, 0'0\'0-\ ~o\e'. t, ~o\\\\C'" " 'c' \ \IIo.\). ~'e~. ~ , \~\\\\.\j A\ '(V e~1 ~ VI '.)1\""1' ,; _ 'i'(\6 C ('\~eQo 1J.0..?_-~ c'2'\'~_\O~\\\v. \}o\)V- I CONTRACTOR INFORMATlOl'f~\,.e~ \S .- .. Owner: Address: ANSLOW & DEGENEAULT INC 1953 GARDEN AVENUE EUGENE OR 97403 Contractor Type General Electrical Low Voltage Electrical Plumbing Contractor ANSLOW & DEGENEAULT INC GOOD CONNECTIONS DIVERSIFIED ELECTRONICS ABSOLUTE PLUMBING SERVICES INC License 49169 160508 144685 67664 Expiration Date 10/16/2008 07/0112006 06/23/2008 07/11/2007 Phone 503-484-0070 541-434-6491 541-484-9078 541-345-3055 # of Units: Primary Occupancy Group: Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN BUILDING INFO , . THIS PERMIT SHALL EXPI~E IF THE WORK # o~Stones:ll.lIJHORIZE~~fERm;I~lftRMIT IS NOT Height ofStrucfllt'e 9: f:t ~IlfIAAIfOR Type of Heat: CO~~ . IS t( t i'.rd'Floor: Water Type: ANY 180 DAYd?iRIO q Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 10,019 1,794 894 607 3 I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 11.00 16.00 42.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 29.50 REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City;storm draiange piped to stub provided 8/8/2005 CAS Pal!e 1 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01049 ISSUED: 02/0112006 APPLIED: 08/03/2005 EXPIRES: 08/02/2006 VALUE: $ 286,559.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I A.C. - Residen N Deck/Balconv DweUines Garag:e AC - Residential Deck V Wood Frame Garag:e $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 $25.00 Square Footage or Bid Amount 2,688.00 152.00 2,688.00 607.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $10,752.00 $2,584.00 $258,048.00 $15,175.00 $286,559.00 08/25/2005 08/25/2005 08/03/2005 08/25/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $735.25 8/3/05 1200500000000001135 -Mechanical Issuance Fee- $10.00 9/2/05 2200500000000001216 + 10% Administrative Fee $165.54 9/2/05 2200500000000001216 + 7% State Surcharge $115.88 9/2/05 2200500000000001216 3 Baths One & Two Family $306.00 9/2/05 2200500000000001216 Addressing Assignment $31.00 9/2/05 2200500000000001216 Appliance Not Listed $27.00 9/2/05 2200500000000001216 Building Permit $1,173.40 9/2/05 2200500000000001216 Curbcut Permit $80.00 9/2/05 2200500000000001216 Dryer Vent $6.00 9/2/05 2200500000000001216 Exhaust Hoods $9.00 9/2/05 2200500000000001216 Furnace - up to 100,000 btu $12.00 9/2/05 2200500000000001216 Gas Fireplace $15.00 9/2/05 2200500000000001216 Gas Outlets 1-4 $4.00 9/2/05 2200500000000001216 Gas Outlets 4+ $1.00 9/2/05 2200500000000001216 Mountaingate Impervious Area $1,160.56 9/2/05 2200500000000001216 Plan Review Major - Planning $150.00 9/2/05 2200500000000001216 Plan Review Residential $27.46 9/2/05 2200500000000001216 Sanitary Sewer - Improvement $514.89 9/2/05 2200500000000001216 Sanitary Sewer - Reimbursement $676.89 9/2/05 2200500000000001216 SDC MWMC Administration $10.00 9/2/05 2200500000000001216 SDC MWMC Improvement $865.31 9/2/05 2200500000000001216 SDC MWMC Reimbursement $82.03 9/2/05 2200500000000001216 SDC Sanitary/Storm Admin $151.32 9/2/05 2200500000000001216 SDC Transpo Admin $63.58 9/2/05 2200500000000001216 SDC Transpo Improvement $805.70 9/2/05 2200500000000001216 SDC Transpo Reimbursement $182.69 9/2/05 2200500000000001216 Storm Sewer Each Addtll00' $28.00 9/2/05 2200500000000001216 Temp Power 200 amps or less $50.00 9/2/05 2200500000000001216 Vent Fan $24.00 9/2/05 2200500000000001216 Willamalane Single Family $1,000.00 9/2/05 2200500000000001216 + 10% Administrative Fee $4.50 1/25/06 2200600000000000120 + 8% State Surcharge $3.60 1/25/06 2200600000000000120 Paee 2 of5 .-:-~~~JNG.FI~ ~l. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01049 ISSUED: 02/0112006 APPLIED: 08/03/2005 EXPIRES: 08/02/2006 VALUE: $ 286,559.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Low Voltage - Residential Minimum/Adjustment Electrical + 10% Administrative Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 $25.00 $20.00 $20.10 $16.08 $106.00 $95.00 1/25/06 1/25/06 2/1/06 2/1/06 2/1/06 2/1/06 2200600000000000120 2200600000000000120 2200600000000000156 2200600000000000156 2200600000000000156 2200600000000000156 Total Amount Paid $8,773.78 I Plan Reviews I Initial Review 08/08/2005 08/08/2005 APP SKG LDAP Review 08/03/2005 10 VRJ LDAP submitted 8-3-05. Full revie" LDAP. $600.00 due at issuance. LDAP Review 08/16/2005 08/16/2005 APP VRJ LDAP is ready to issue and located at the front counter. $600.00 due at issuance. , Planninl! Review 08/08/2005 08/25/2005 APP TAJ Tree Felling Permit required if more than 5 trees with a dbh of 5" or greater are felling within the minimum setback areas. The Vegetation Easement to be fenced with construction fencing. No construction activity or tree removal in easement. .. Public Works Review 08/08/2005 08/08/2005 APP CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; storm piped to stub provided 8/8/2005 CAS Structural Review 08/23/2005 08/24/2005 APP JB Approved as noted on plans Structural Review 08/03/2005 08/11/2005 WE JB Need additional information to complete review. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Pal!e 3 of 5 Status Issued CITY OF SPRINGJ.11~LJ) . Building/Combination Permit PERMIT NO: COM2005-01049 ISSUED: 02/0112006 APPLIED: 08/03/2005 EXPIRES: 08/02/2006 VALUE: $ 286,559.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Underfloor Plumbing: Prior to insulation or decking. 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. 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. 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 Voltage: Prior to cover. Pal!:e 4 of5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01049 ISSUED: 02/0112006 APPLIED: 08/03/2005 EXPIRES: 08/02/2006 VALUE: $ 286,559.00 225 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. l-dz~ Lu, ~ Owne~ or Contractors Signature d/I/t)~ Date Pae;e 5 of 5 '225, F~fth Street . S'pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1 049 COM2005-0 1 049 .... COM2005-0 1 049 COM2005-0 1 049 " Payments: ')Type of Payment . CreditCard ,"', .1 :i .",. 2/1/2006 RECEIPT #: OJ:;jIi Ilk rity of Springfield Official Receipt ;velopment Services Department Public Works Department 2200600000000000156 Date: 02/01/2006 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + 10% Administrative Fee Paid By PETER W. ZUHN (GOOD CONNECTIONS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 001243 In Person Payment Total: Page 1 of 1 1 :30:48PM Amount Due 106.00 95.00 16.08 20.10 $237.18 Amount Paid $237.18 $237.18 Bur-~ardt & Zhun Inc. F.1 541-434-6491 Feb 01 06 11:57a ~ CITY OF SPRINGFIELD, OREGON . - SPRlNGFIr:;LP ,~-.r;-, :1iif.~~;;~~r::~t:~:~J:r;J ...,;q:..'.",..."."'" ~ '.il:' 11:.;~:L.lMtiU,.~....,:.a;':;";.;n,.~... ;iif 225 FIFTH STREET . SPR~NGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 ELEc.;l i<IeAL PERMIT APPLICATION CityJobNumber ('0(1'7 '2ooj~-OI-0i9 Date /-3/~o' 1. ~:.:ft?9inqjy'qi;~#t8YiBf5l?~~7; elll FE~Nttlt.,i- LouP LEGAL DESCRIPTION Ai.ew 5~, ,Jr:,..L~ p~, '-y 3. ~~[~~~rn!q~~~9#~!?gfif~iifg:.~;~r:!~l~};;;:S~:5:;:~:=:I~:I"; A. ~~!=~~~~~]:~~~tI~i.~:~)~:~ti!~1~~~,r~;~I,~!~~r~~~~,~~~-~?L~r~~) '~~ i.L H'\Itf Service Included I ? JOB DESCRIPTION 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 Permits are non-transferable and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. 2, ...::~~~#1?f!9~~?~~~~~j;~1~9iY~?i~f!1 Electrical Contractor (,:;'O~" i> C)A!IJI&-n oJJS' $50.00 r~t~:~ ~\'~~1~~i;;.r:: !f~r~r(;';;'\l;i~~.::;~\:I;i~~:~'~:,;:\~ ~~i.'!.t:::!~\~~:.~ J"~I':l~:r~'~ .:' ;:.::~: ";-"'T"::';;':~;' :,.". ":'::r ;::.;!;::\'r~: "r~r.!''' .-.~. B. :)$eryl~~s- ~r:F~,~d~r~~:!I1~,t:lll~ tio~, Altera tions 9r~eloc:atiori:,: .,...., ..L ,'llUiJ.,.j ....-<;l......i.l,li..,...,__.~......,:......~., :a.;i:.'.,,~. ~'..;.~..... '.~:\... .. .~".;'l. .._...~ ..,.;;.~....... . .,; . "'" ,,'.'_. ~.: :. .:..l....,_:,......; ,:,;.:.....l I 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 05'1': He- '13 q~r;'-/91 Address (..;) 10 ld Ih.L-i 5' City t:u~AJ~ Phone Supervisor License Number 80 ej /.,...<f Expiration Date i 0.- I ,- 0 7 c. E!f~)~~rf,.~.~E!ir~~~]~;,~~;~~~::'~?:;j;'~~::~l'[~~:::i;:{?:.:~:~~:~:~~;r':'~j1] InstallatioD, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D, .E!!~~~!fgk~~[~~2;~t;t'~:.:::!i~:t~E~lf::\;,:i~::";[';:;:,' :;'7:.':' '" "..', $ 50.00 $ 69.00 $100.00 Constr. ContI'. Number /605'0(3 Expiration Date 7.::- ( .- t:) ~ Si~a~;~~f suP/~ng E]~~,~ -/. (~L ,/(//2 /-U~/-"1 New Alteration or ExtensioD Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Owners Name !:~~M~:'.':!~I;:,l'i;:~''''j ;~~ 'l!r~ ;:r:';.; .'!"'!,r~\"'~~''',-'" . :-I:'''~'~',.: "...~~."!t1 ~ ~.. :..;... ... ,..0. ., ,.". "."" .,' "'11:",' '--;. ., .. ~~ E. i[\1i.scelhineous (SeiVice/feedel'not iiic::luded) -Each Installation: lll.l.:.;;:...h.,:.\i,;..;t.it,..:.::.,.:...<....."'_. ...,...:,.,. :;;:;'':.. ...:l.:,.;i...;...... ..........__:.. ..,~".... ":_'_":;_"~""'''' ........ _.;..:! Address City Phone Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ..~~~t,,~1;~'f~~Ee~~,Yj1:.~...~~i".~':\::'..L"~.:,'"~':.:;/.,':';lgo /, f ~ 7% State Surcharge / t:7 . () If 10% Administrative Fee l:? 0 ... I 0 TOTAL cJ2,. It;. OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: InspectioD Request: 726~3769 5S-8'-/ . Igoo e~/. tJ2--oi 02JI tl 37'-1 / ,M1-5 Kfl C#.~ o Shared Drive(T:)lBuiJding FonnsJEJectricaJ Permit Appliclllion J -03.doc '2./-ffJ.-YI A~