HomeMy WebLinkAboutPermit Electrical 2007-2-5
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...225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
," ELECTRIC4L PE~~I][T APPLICATION
CD rn6l..CJOfo - (0 J ()03
LEGAL DESCRIPTION A, New Residential- Single or Multi-Family per dwelling unit.
..110'). 3 i 3~ 0 ~ crO servicelncl~f1-ENTIUN:Uregonlawfe4ulle::tYOUlU
JQB DESCRIPTION 1000 sq. ~: ~~fOW rul~s adopted by the rne~dN Utility
Low VOL ~ J ~~/ 0J.ArJ.m d- ~ J). A; .ft" :~~~o~d~l}t~~fr~Hft&nleenter. Those rule~ ~r~set fortI
- -0'---' - VJ r ~v~rr I in OAR 952-001-0010 1I nvu~h OAR95~u ,
Permits are non-transferable and expire if work is Each ManoogjSl.~.may obtain copies of the rules b)
not started within 180 days of issuance or if work is Modular DweB~~Iftt'ie~enter. (Note: thllGR9IEBphone.
Suspended fOl; 180 days. Feeder number for the Oregon Utility Notification
2, CONTRACTOR INSl/\LLAI10N ONLY B. Services or F'ecdeIGentellisltifSOmiGaai2r(44)RcloclItion:
Electrical Contractor n\J~ A.<7'i1'f-M.d 02.r11an~ 200 Amps or less $ 63.00
r-
~l 201 Amps to 400 Amps $75.00
Address ~ lGJ W'lv~jY7 9Jtr~f 401 Amps to 600 Amps $125.00
J C01 , 601 Amps to 1000 Amps $163.00
City -t~1JA1l Phone ~ DVI ~ <g Over 100NDl~Jts $375.00
Reconnet1fj>ffiYPERMIT SHALL tXFIRc I~ t~WWuiiK
C. Tcmp~Y~~QR)~~QJJIi,QJ:~~s THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
InstallatMJYA1~t}l@At(op Mmr1!on
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
New Alteration or Extension Per Panel
r One Circuit
Each Additional Circuit or with
^- _~I r'\ I. '\ ~ Service or Feeder Permit
Owners Name n Y I ,-"VV lI'.J "t L/.tP 'cr YIP ,~
Address '\ cts,2, ('X1/)d.Pn ~ E. Miscellaneous (StTvice/fced('r not included) -Each Installation
<;ity tlto(~ Phone M4- 0070 Pump or irrigation $ 50.00
- \J Sign/Outline Lighting $ 50.00
Limited Energy/Residential I $ 25.00 t9~ O{)
Limited Energy/Commercial $ 45.00
. City Jo~Number
1:,':'LOCr1TION OF INS1'ALLATlON
.0Z~1
+~PJ1. '
Supervisor License Number 7J~&j;3 LEIJ
/0'" (fJ -tJ7
Constr. Contr. Number J L/ Y l.Q ~ 5
Lp- 2?J .--o~
Expiration Date
Expiration Date
Signature of Supervising Electrician
PA~rs SiJ~, e:
(~I-
Inspection Request: 726-3769
3,
V~/07
I I
COMPLETE F./!,'E SCHEDULE BELOW
Date
$ 50.00
$ 69.00
$100.00
Over 600,Amps or 1 000 Volts see "B" above.
D, Branch Circuits
'':
$ 43.00
$ 3.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OFABOVE
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3.rc,()
4sv
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"\..... .2<:-
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8% State Surcharge
10% Administrative Fee
~o T~ F<:sz-
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'Shared Drive(T:)/Building Forms/Electrical Permit Application I-06.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01003
ISSUED: 10110/2006
APPLIED: 08/07/2006
EXPIRES: 08/05/2007
VALUE: $ 273,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6287 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343402200
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate lot 11
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
AN SLOW & DEGENEAULT INC
GOOD CONNECTIONS
DIVERSIFIED ELECTRONICS
MARSHALLS INC
ABSOLUTE PLUMBING SERVICES INC
, ATTENlIUI\l:'-V6m.9~lf;jMe~uJ'tXUtiii(;7.0
follow rules adopte'd oy me ur y n I y
Notification Center. Those rules are set fortI
- ; ':' &'7" OS1 ~~.?hrn'lInh()ARQ52-001
III Vl"ln ..,~ ", - f the rules b~
I CONTRACTOR INFOROOtmIO~~ may obtain copIes 0 h ..
catllny he center. (Note: the te'~~ o~e
b~fgr~~IQBH '8~g~~~f~~~tlon
49169 CenterISt~7mwo~ - ~Ji-484-0070
160508 07/01/2008 541-434-6491
144685 06/23/2008 541-484-9078
25790 12/23/2009 541-747-7445
67664 07/11/2007 541-345-3055
Owner:
Address:
ANSLOW & DEGENEAULT INC
1953 GARDEN AVENUE
EUGENE OR 97403
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
BUILDING ll'lJ1URM~'lfION J
~ I a;' :
# of Stories: THIS PERMIT ~ALl:-Mf1E IF THE WORK
Height of Structu~~JHORI7~'YPt\lDE~q,l[fllstJPRq~lJ IS NOT
Type of Heat: orceo Alrl.(;as )?-~ IF} inH 'Fi1JKIr:
Water Type: C MMEN,CE~M,lR '''StlfM&illMJAliAl:FOR
Range Type: ANY 180 DA~~ERIOO,Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
10,454
1,454
1,060
576
3
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22,00
8,00
21.00
11,00
0,00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd~
% of Lot Coverage:
Hillside
5
Yes
27,50
'REQUlRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage to onsite storm system or curb & gutter, No final occupancy until subdivision accepted by city
council,
Page 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
AC - Residential
V Wood Frame
Garal!e
A.C. - Residen
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut - Additional Driveway
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006.01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 08/05/2007
VALUE: $ 273,918.00
I Valuation Descriution I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26,00
Square Footage
or Bid Amount
2,514,00
2,514.00
576.00
Value
Date Calculated
$10,056.00
$248,886.00
$14,976.00
$273,918.00
08/07/2006
08/07/2006
08/07/2006
Total Value of Project
~
Amount Paid
$735.25
$10.00
$172.37
$92,86
$125,53
$306,00
$31,00
$1,131.15
$40,00
$6,00
$9,00
$154,50
$12.00
$15,00
$4,00
$12.00
$967.58
$198.00
$-30,00
$534,34
$702,72
$10,00
$961.52
$91.61
$146,51
$68,17
$836,32
$189.58
$80.00
$50.00
$24,00
$1,000.00
$4.50
$2.25
Date Paid
Receipt Number
8/7/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
1 0/1 0/06
10/10/06
10/10/06
10/1 0/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/1 0/06
10/10/06
10/10/06
10/10/06
10/10/06
10/1 0/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
2/5/07
2/5/07
1200600000000001210
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
i200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
1200600000000001507
2200700000000000166
2200700000000000166
Pal!e 2 of 5
Building/Combination Permit
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 08/05/2007
VALUE: $ 273,918.00
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 - Commercial Indus
$3,60
$45,00
2/5/07
2/5/07
Total Amount Paid
$8,742.36
I Plan Reviews I
Initial Review
Plannin2 Review
08/10/2006
09/20/2006
APP
APP
SKG
TAJ
08/10/2006
08/10/2006
Public Works Review
08/10/2006
08/14/2006
APP
JLP
Structural Review
08/10/2006
09/12/2006
APP RJB
CITY OF SPRINGFIELD.
2200700000000000166
2200700000000000166
The clump of maples shown on the
plot plan are required to be
preserved as street trees. To protect
these trees, follow the street tree
protection guidelines attached to the
street tree handout. 5 new street
trees are also required: 2 on
MountainGate and 3 on Fernhill,
north of the driveway, Plant native
trees from the Hillside list in the
street tree handout. Preserve other
trees on site as required by the
LDAP,
Storm drainage to onsite storm
system or curb & gutter, No
hook-up to city infrastructure & No
final occupancy until accepted by
springfield city council,
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouireCVnsnections ,
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.
Pa2e 3 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01003
ISSUED: 10110/2006
APPLIED: 08/0712006
EXPIRES: 08/05/2007
VALUE: $ 273,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to co\;'er and after all rough in inspections have been approved,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking,
Underfloor 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,
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 of 5
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 08/05/2007
VALUE: $ 273,918.00
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
Pae:e 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~ of Springfield Official Receipt
~lopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1 003
CO M2006-0 I 003
COM2006-0 1003
COM2006-0 I 003
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000166
Date: 02/05/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
DIVERSIFIED ELECTRONICS ddk 082644 Phone
Payment Total:
Page 1 of I
8:30:12AM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55,35
2/5/2007