HomeMy WebLinkAboutPermit Electrical 2006-1-3
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: f5~1'rmi~WDje~
ELECTRICAL PERMIT APPLICATION " ',. . ,approval.' Des n ci' 0 wing
" I _ _ ~~ c land use
City Job Number CO~-z..oO< - 0 0 0 S ~ Date Vi ZoO" ' .'
Uate
3, ',COMJ'LE~B EEEtS'e~L_0'
, -
1, ',~QCA.lio};r,6F,rN$T~4LLATION';J,',';:":i:>'
. ~ Uf'fe~~k~rrCo~;f" ,',h
LESf:~~W~\~ ., 07; ~~~ ~ i
JOB DESCRI~TION ,() S3c)'t:)
La} 45' MO'lJ~~~_r)7k~~
Perm its 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 1k. ltt) slucre.-
Address4lUD f\ w.1& M.
City' ~ qf/W... Phone b g3 ~t&4-g
I
Supervisor License Number
'~xpiration Date
Constr. Contr. Number '\ 51 5' <b~
\1 I, I 0 7
,I
S;g~.cr~
Owners Name , .~ ~o#
Address~ 7,:J JMtrror l--c.!
City ev-&bNc Phone'S>y-~'/r
,Expiration Date
-r
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
A.
Service Included
, ,
$106.00
1000 sq. ft. or less
Each additional 500 scj.ft. or
portion thereof
$ 19.00
Each Manufact'd Home or
, f:liliiWb~~nit6lreyl1~~3WreqUireS you t0$50.00
, . . ~ ~ules adopted by theOre on Uflit
, N oY.'.~le. ?.tr.o...,.n.'..'.<D.. e.f;.......t. eg'. :,-",.,.0Jj. ,."l.'.,.'.'i'i.'.....','.'..'...'i:l..'.'..,.',...!....'...'''.'.',''.....'
~'O'~e-rwc~'.Qhe~ er~-"1~S1J;1.f
'.~nL::10J:::"lJU;,1.J .10tl1r'6tigHOJX
0090. You m bt" - ,
'e~91i~m% oflM~ aln caples of the rule~$l6}.00
.' ntfl.h~R1lPfc ~ s'u81Xlhp,Note: the telephon$ 75.00
401 A~P[ot~OO<Ahl;f,gpn Utility Notificatic$125.00
. venter 151-800-332-2344)'
601 Amps to 1000 Amps . . $163.00
. Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
C~
Installation, Alteration or Relocation
. 200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
, $ 50.00
$ 69,00
$100.00
Over 690 Amps or 1000 Volts see "B" above. .
D. :,.. B.....'g~~Ii;C.i,'.r..,...'.,~~i
..... :: \"::'4:'-_~:",,:;", '. ~
New Alteration or Extension Per Panel
One,Circuit,
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
"
'E. ,};.~~~~'f.~f,~~~.g~~t~~f~15~!~~g~t':~;:t,;i:~~1~~:~~,)"~~,i~,~'E~~:i~if~f!.~~2~,
~T'CE:, " ' I" 9Ur 'ltn1DllflO ' . . ...
I!' fA ' ,ALLEXPIRE~JYn~
l1ffm~~tWER THIS PERMIT IS,WilO ~
~ I eelftlA<lstABANOONI2&FOR2,5.00, z.~ ,00
. ~tW" nJ\l~rt.Oll~E. ',," ,$ 45.00, "
Minimum Electric Permit In.sp~sdon Fee is $45.00 +,Surcharges
4.
L.\ '5.00 '
.~$bO
t..l. 60
5"3~'~
. 7% State Surcharge
10% AdminisirativeFee
TOTAL.' '
Shared Dnve(T:)/Building Fonns/E1ectIical Pennit Application l-03.doc
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: COM2005-00655
ISSUED: 08/0112005
APPLIED: 06/0112005
EXPIRES: 07/03/2006
VAL UE: $ 345,664.00
SITE ADDRESS: 6244 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343405300
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mountain Gate lot 45
Residential
~':' Owner: RUHOFF HOME BUILDERS INC
Address: 3993 MIRROR POND WAY
EUGENE OR 97408
Phone Number: 541-334-6550
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
RUHOFF HOME BUILDERS INC 130797 '1.0
. a'A~~
BURGHARDT & ZHUN INC II \a\N teQU\luu:;, 'I.i\i'\,\J
THE HD STORE LLC \.~: Qtego t\1e O{fl5~8 'I. '0{t\1
JUNG ENTERPjw~ib-\e'f, adopted b'1se {u\e91}~~2_0Cl'\.
JAMMAL INC '0\\0\N t~ _ rp.II'1.et, 1~~ ",." \11\1 (1\58262., .\0<; '0'9
NotWfiU~lNelN~~Tio~i:>~~o\l~
\11 Qt, oU rna'j v~ NO'l.e. .l~ ".. ~i'icatio:ro
1 0090. '! #tokSlfJFiWst: ~ Oil \"\'1.\\\'1.'1 NO 2
R-3 ca\\ \ ~qJ ~iglii"6l:0t~~OO_332 - 2344)-30.00
U lIurn l'ifU>JrAfm:N: Forced Air Gas
VN Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled n/a
Expiration Date
07/13/2008
07/0112006
11/03/2007
10/04/2006
01112/2006
Phone
541-334-6550
541-434-6491
541-683-4848
541-937-2688
541-484-7440
# of Units:
Primary Occupancy Group:
~ Secondary Occupancy
.. Yrimary Construction Type
Secondary Construction
# of Bedrooms:
~
4
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,428
1,890
936:
1,399
462
224.
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
26.15
10.00
40.00
26.25
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Hillside
3
Yes
27.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted . IPUBLIC IMPROVEMENTS I R'"
Street S'd lW)6rM'ni ,,,,E 'HO 'T
Fullv Improved 01\CE~ ~.hh.~\~~tt \$ NO, ' J
Storm Sewer Available: Yes" \,\\5 ~~\\\'J\\1 S~~.~\6~Q~ fOR To Storm Sewer .>
;' Special Instruction: 1 \o\O\\\l~O U \$ ,..~~~OON
~U1 "'C~O O~
Notes: No hook-up to City Infrastructure until Public Improv~~t:i1JMllPiWiQ\h.ty; Storm drainage piped to system
6/312005 CAS ~~~',\'O
1 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
Deck
V Wood Frame
Bmt Semi-Finished
Estimate
Garal!e
A,C. - Residen
Deck/Balconv
Dwellinl!s
Dwellinl!s
Estimate
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 Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
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 Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer Each Addtl 100'
Temp Power 200 amps or less
I Valuation Description I
$ Per Sq Ft
or multiplier
$4,00
$17.00
$96.00
$24.00
$1.00
$25.00
Square Footage
or Bid Amount
2,826.00
224.00
2,826.00
1,399.00
14,130.00
462.00
Total Value of Project
rees paidJ
Amount Paid
$826.09
$10.00
$213.02
$149.11
$306.00
$31.00
$18.00
$1,365.15
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$1.00
$1,031.99
$103.00
$60.36
$106.00
$152.00
$566.68
$745.24
$10.00
$865.31
$82.03
$151.28
$61.16
$772.49
$175.13
$56.00
$50.00
Date Paid
6/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00655
ISSUED: 08/0112005
APPLIED: 06/0112005
EXPIRES: 07/03/2006
VALUE: $ 345,664.00
Value
Date Calculated
$11,304.00
$3,808.00
$271,296.00
$33,576.00
$14,130,00
$11,550.00
$345,664.00
06/20/2005
06/2012005
06/01/2005
06/01/2005
06/20/2005
06/01/2005
Receipt Number
1200500000000000712
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
1200500000000001119
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: COM2005-00655
ISSUED: 08/0112005
APPLIED: 06/0112005
EXPIRES: 07/03/2006
VAL UE: $ 345,664.00
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$30.00
$1,000.00
$4.50
$3.60
$25.00
$20.00
8/1/05
8/1/05
1/3/06
1/3/06
1/3/06
1/3/06
1200500000000001119
1200500000000001119
1200600000000000003
1200600000000000003
1200600000000000003
1200600000000000003
Total Amount
$9,117.14
I Plan Reviews I
Initial Review 06/02/2005 06/02/2005 APP SKG
Planninl! Review 06/02/2005 07/05/2005 APP TAJ I spoke with Chad Ruhoff today
about tree removal. He said the onl)
trees on the site are in the
Conservaton Easement and he is
staying completely out of there. He
said he is not removing any trees at
all.
Construction or silt fencing shall be
placed between the Conservaton
Easement and the worksite during
construction.
Public Works Review 06/02/2005 06/03/2005 APP CAS No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped
into system 6/3/2005 CAS
Structural Review 06/02/2005 06/06/2005 10 LLH Forwarded to Jason Bush for review
Structural Review 06/06/2005 06/1212005 APP JB Approved as noted on plans
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.
I Reauired InsDections ,
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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or decking.
3 of 5
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: COM2005-00655
ISSUED: 08/0112005
APPLIED: 06/0112005
EXPIRES: 07/03/2006
VALUE: $ 345,664.00
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.
e 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.
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.
4 of 5
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: COM2005-00655
ISSUED: 08/0112005
APPLIED: 06/0112005
EXPIRES: 07/03/2006
VAL UE: $ 345,664.00
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
5 of 5
2~5 Fifth Street
S'~ringfield, Oregon 97477
541-726-3759 Phone
S'..~. I:QF.;Oii. ...... '.'.l.....
Wic! ,
-_.... ',___ i
;..u j
_.-......__.__.__..~, . j
JQb/Journal Number
C.oM2005-00655
COM2005-00655
d)M2005-00655
COM2005-00655
Payments:
Type of Payment
Check
Cash
Change
:)
JQb/Journal Number
COM2005-00655
COM2005-00655
COM2005-00655
COM2005-00655
I~
~
P~.yments:
TWe of Payment
Check
Cash
Change
Job/Journal Number
COM2005-00655
COM2005-00655
COM2005-00655
cbM2005-00655
Q
Payments:
Type of Payment
Gpeck
C\lsh
Q~ange
11
J
'1
'r
,
,1
1/3/2006
tl
RECEIPT #:
"3Y of Springfield Official Receipt
~elopment Services Department
Public Works Department
1200600000000000003
Date: 01/03/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
THE HD STORE
THE HD STORE
THE HD STORE
Received By
djb
djb
djb
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
THE HD STORE
THE HD STORE
THE HD STORE
Received By
djb
djb
djb
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Item Total:
Check Number Autnorization
Batch Number Number How Received
6436 In Person
In Person
In Person
Payment Total:
Item Total:
Check Number Authorization
Batch Number Number How Received
6436 In Person
In Person
In Person
Payment Total:
Item Total:
Check Number Au tnorization
Received By Batch Number Number How Received
djb 6436 In Person
djb In Person
djb In Person
Payment Total:
Paid By
THE HD STORE
THE HD STORE
THE HD STORE
1 of I
1:21:21PM
Amount Due
3.60
4.50
25.00
20.00
$53.10
Amount Paid
$52.65
$1.00
($0.55)
$53.10
Amount Due
3.60
4.50 .
25.00
20.00
$53.10
Amount Paid
$52.65
$1.00
($0.55)
$53.10
Amount Due
3.60
4.50
25.00
20.00
$53.10
Amount Paid
$52.65
$1.00
($0.55)
$53.10