HomeMy WebLinkAboutPermit Electrical 2006-1-25
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City Job Number COW'\200.s- - 0104. 7 Date 1"',,6o~f<,&1!5'.b
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.................... ................ ............... ....... ......... '60\'0" ',i:ci" \0...... .............................. .......
Service Included Ui~f}S"?UU. .
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1000 sq, ft. orJ.e~90n \2< o~p.aOn Ld\'($106,OO
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f>-pl,fi:ionu\Ie~t$ifiO? ,nOse ~u\ 0 ~R. gS'2.-0 'o~19,OO
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200 Amps ol'Fess $ 63.00
201 Amps to 400 Amps $ 75,00
401 Amps to 600 Amps $125,00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNoIts $375.00
Reconnect Only $ 50.00
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LEGAL DESCRIPTION
17D2 3Y JLI
07100
JOB DESCRIPTION
Lo~ Vo(~~~
I /
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 l1fv,~KSr tr ~d1lo1'hrro i:$
"Address <616 LOIlq]h vm.oJ tmif-t
City ~ A1Q Phone 1- <64- <10 7~
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OwnersName AIf\.~/tWl ~f~IJ"At...L +-
Address I 9 'S"'3 !6-;J{\"~tmt /tv
City ~ &'It:: Phone t( ~ If -<X:> 70
Supervisor License Number
Expiration Date
Constr. Contr. Number
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
C.
Installation, Alteration or Relocation
200 Amps or less ..
201 Amps to 400 Amps ~,.. ,~~~,
401AmP'~~Amp, ~~oWI
Over~~~\~.. ' ~~
D. litaA\~~!\l!!~()', '
New Alt!~i.~~_i~r Panel
One Circ ~i '\'~ $ 43,00
Each Addi ~a"'J. Circuit or with
Service or Feeder Permit
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential I $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection ~ $~rcharges
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4~
"160
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531~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03.doc
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01049
ISSUED: 09/02/2005
APPLIED: 08/03/2005
EXPIRES: 07/25/2006
VALUE: $ 286,559.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6111 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mountain gate subd,lot 65
Residential
Owner: ANSLOW & DEGENEAULT INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
Phone Number: 503-484-0070
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Plunibing
Contractor License
ANSLOW & DEGENEAULT INC 49169
GOOD CONNECTIONS 160508
DIVERSIFIED ELECTRONICS 144685
ABSOLUTE PLUMBING SERVICES INC~, \irE.6]~~~~.:~\r
~_~l\l ,......-, _~ 1 ,,,.'- .
I BUILDIN6(fNFORMA\nON'I~\ \Or.D
:r\t:.~\ IV' ,. dop\eO v, e ~u\e5 o.'~ 952-00'\ ~
IP-- \ ~ {u\eC# <6f Storie~Os ugn oP--? u\eS \!'l
R-3\0\.~ C"'~\OIlHfi~hl~~ St'ftfrtur.e- 0\ \ne { L '9,;@
\\1\ u-L r\ri \ -vV op\\:;;o 'en,i\J' .
u~o l\O 95'CType of.Meat~ I&q!l~€d ~ir rG~
01""" ,..,,1 QU~' I No'\.e'. "'\oINC(1.L\
VN\II '(ouWat~~~fJl~:\ \j\\\\\'l ,.... Gas
0090.\ IIgE,ange"T~~goll 32-2344), Gas
3 c'3.\ \ DE;~~er~tpat~;~00-3 Path 1
lIufll Se,rJfiifi~c:rBuilding: n/a
Expiration Date
10/16/2008
07/01/2006
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,019
1,794
894
607
I DEVELOPMENT INFORMATION I
Front yard 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
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Fully Improved
Storm Sewer Available: Yes Downspouts/Drains:
Special Instruction: N01\CE: EXP\RE \F lHE WORK
~tU.~ PERMrT 5H~Ll RM11 \5 NOl
Notes: No hook-up to City Infrastructure until XJi"6ft~&~8cl~j~~'tt) fOftstorm draiange piped to stub
provided 8/8/2005 CAS COMMENCED OR \5 ~BANOt)N
ANV 180 DA't PER~OD. .
To Storm Sewer
Pal!e 1 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01049
ISSUED: 09/02/2005
APPLIED: 08/03/2005
EXPIRES: 07/25/2006
VALUE: $ 286,559.00
I Valuation Description J
A.C. - Residen
Deck/Balconv
Dwelline:s
Garae:e
AC - Residential
Deck
V Wood Frame
Garal!: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
Pae:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit"
PERMIT NO: COM2005-01049
ISSUED: 09/02/2005
APPLIED: 08/03/2005
EXPIRES: 07/25/2006
VALUE: $ 286,559.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
$25.00
$20.00
1/25/06
1/25/06
Total Amount Paid
$8,536.60
I Plan Reviews I
Initial Review 08/08/2005 08/08/2005 APP SKG
LDAP Review 08/03/2005 10 VRJ
LDAP Review 08/16/2005 08/16/2005 APP VRJ
,.
Plannin2 Review 08/08/2005 08/25/2005 APP TAJ
Public Works Review
08/08/2005
08/08/2005
APP CAS
Structural Review
Structural Review
08/23/2005
08/03/2005
08/24/2005
08/11/2005
APP JB
WE JB
2200600000000000120
2200600000000000120
LDAP submitted 8-3-05. Full revie" ,
LDAP. $600.00 due at issuance.
LDAP is ready to issue and located
at the front counter. $600.00 due at
issuance.
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.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm piped to stub
provided 8/8/2005 CAS
Approved as noted on plans
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.
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.
Pa2e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01049
ISSUED: 09/02/2005
APPLIED: 08/03/2005
EXPIRES: 07/25/2006
VALUE: $ 286,559.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
i:i'i
""';ty of Springfield Official Receipt
..;velopment Services Department
Public Works Department
RECEIPT #:
2200600000000000120
Date: 01/25/2006
9:54:26AM
Job/Journal Number
COM2005-0 1 049
COM2005-0 1 049
COM2005-0 1 049
COM2005-0 1 049
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Payments:
Type of Payment Paid By
CreditCard ALLAN WOOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 06931B In Person
Payment Total:
Amount Due
3.60
4.50
25.00
20.00
$53.10
Amount Paid
$53.10
$53.10
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1/25/2006
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