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HomeMy WebLinkAboutPermit Electrical 2006-1-3 . 't#~:' :.f;" . . ~ -'1,1. " -:~!:.,:"I:" '- , 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