HomeMy WebLinkAboutPermit Electrical 2006-10-31
ZON
INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54])726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COvV\ZOOb- Q/olJ
1. LOCATiON OFINSTALIATIOlV.'t}:'
'6 2Lt'Z ~'r;;VH;~~~'~
.
LEGAL DESCRIPTION U
J 70 Z J'fJ<..( D 8' ,CC)
JOB DESCRIPTION
W I (Lt.
'~I'6~L~-
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, CONTRACtORlNSTAl;LATTqNQNLlr;
E'lectrical cont~~~tor S j ;'{!2kc{-~~~' {C
/
Address 3t..; <-j ('~Urt, 0 r , -,::-/ f e :5 i.
City Sf fee _ Phone 7'1;tf?fr 'Ie
Supervisor License Number
"? l/.'J Lj S'
Expiration Date
/6" D (- 07
Constr. Contr. Number J '5 b l( 2 &"
<("-()(~ t) 7
Expiration Date
Signature of Supervising Electrician
~c(h
C p. d A<
Owners Name /El"l \
Z2ZD
City e KG- t7l1tf-
\ ,,\lLAk-1P
JAA L(e.~( v"J
Phone 9) O,<Z,
Address
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
Date
3.
':' ,:"'-~:"':'C'_":;':'_::;':~"~;>"''<<.'"'' ,,~.~,' ,
'. .':..",:.',"::. .'.--:,:,,,>';:..':<..'i-..,.'_;h,.':;,_::;.:-,,.... '~','--'-:>";: ;,_:.....:'.y_:_ "",~~'~.:';,"'_~-' r~,,'>-:'
A. New Residentiat-Single orlVlulti-Family per dwelling' unit.,
, ....:..A; or. . : ':;.;" ~ . ,".'.._, .. ..,. '..' ":"'" ",- ',.>-.;- _.; _.>._...' .;'."";,_._,.n ,^' _',. '....;..". " ... <.,. '_~' ,,'.c.'-'>
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
lob
/ It.(
I
,
$ 19.00
Each Manufact:d.Home or
Modular D'7'~lih~:;~'1?'ice or $50.00
Feeder IS Pc. '..
B. .. ~~~'fi?JJ~~~ffllit:tlJi$~~na.tiO. 11,Aiterations or Relocati~n:
/i;vj:V/jl1r/vtJ::DlJIVD~tCt~P ; ,.',
200 Amps oM~V cD OR 'fit Iii;' 'IRE I.f:! 63.00 .
201 Amps to 400 ~~ /S 48 "8 PFf1 ~.tj9,
401 Amps to 600 Amps R/O!) '4;VDo~%1/iI18-2ffl/(
601 Amps to 1000 Amps P.o..t,3~5ftr
Over 1000 AmpslVolts $375.00
~econnect Only $ 50.00
. C.
Installation, Alteration or Relo\;ation
200 Amps or less
20 I Amps to 400 Amps
. 40 1 Amps to 600 Amps.
$ 50.00
$ 69.00
$100.00
. .~.
Over 600 Ampsor;~ 000 vons see "B" above.
D. Branch Circ~ljts .... .
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. '''Miscellane.ous(S:l,;yice/feeder not included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SV11TOTALOF ABOVE
220
'7'-2-
zz
II
8% State Surcharge
10% Administrative Fee
Tfuli rec:,.J-
.---- --?~
S Z70 ~//
Shared Drive(T)/B . ing Fonns/EJecllical Pei,nit Application 1-06.doc
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~TrY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01023
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/09/2006
03/14/2007
$ 316,902.00
SITE ADDRESS: 6242 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702343408400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate lot 74
Owner:
Address:
LEWIS LARRABEE
2220 MCLEAN BLVD
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number:
541-515-0427
I CONTRACTOR INFORMATION I
N01\Ct: Elf 1\1E WORK
. E\\i~~~~\f\llE~m~aJ;iW~rs tiClThone
1\1\8 Po~I.1 ?uNOER 1\1'6l?t~)i J~fOR 541-607-6970
f\U1\1 t)1 R \8 f\B~@~ W7 541-744-8946
COMME~ W pO ER\OO. 03/25/2010 541-672-9510
~NY 1 Bf6M~ 10/25/2007 541-736-9582
Contractor
BRANDON SCOTT DEVERS
BIG C ELECTRIC LLC
PACIFIC AIR COMFORT INC
CRAIG ARNEY PLUMBING LLC
Fully Improved
Yes
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
12.20
10.60
103.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
1
R-3
U
VN
# of Stories: 2 Lot Size:
Height of Structure Sq Ft Ist(1J:looIJU lv
f ".o!:')(P.n. ~~;:, 'J
Type of Heat: Forced Air..Gatln \2S'q iFt2nd Floor.:,iliW
_ -IO\\.j"\..."'-ti' n..eauII U'
Water Type: .\"i"lENll," - 'd Gasd b\/S'Q\'.Ft-Basement:tior--.(
f'"\1 _ a alll\;j J .I_~ ~re:;,o
Range Type: ~olloW rU\Er.. <';. as"'i"hoSq Fit Garage/.Gar.t~o-rt
I . , C 1:.'ItP.L I II -- "'6.1"'\ 'dO&. "'-
Energy Path:, tilicatlon epatliol 0 t\l~9lFJtOfli~r: ruleS b~
Sprinkled B~illiingA 952.-001i/~ 1 'n (.~'iS.I!P-aiit IThPad~ ne
In Ul-'_..'" nbtal ....." ~C\\eOIIO
I DEVELOPMENT INFOR.M~J-~O.:N;'lnter. ~\\\~lUti'iitY ~o~iiicat'O"
....~ ber 10r tnS oregoo 332.-:RE'~tJIRED PARKING
nUm t r:.i.~ 1-80 -
Overlay Dist: Cen e'Uillside Total: 2
# Street Trees Rqd: 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 19.70
17,026
1,743
1,155
708
3
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: Storm & Sewer to 10' PUE & Infrastructure within.
Paee 1 of 4
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
A.C. - Residen
Dwellines
Garal!e
AC - Residential
V Wood Frame
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
Plannine Review
08/11/2006
10/06/2006
Plannine Review
08/11/2006
Public Works Review
08/11/2006
Structural Review
08/11/2006
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
2,898.00
2,898.00
708.00
Total Value of Project
~
Amount Paid
$826.09
$22.00
$11.00
$17.60
$106.00
$114.00
$1,096.69
Date Paid
I Plan Reviews I
08/11/2006
10/06/2006
08/23/2006
08/29/2006
09/14/2006
APP
APP
WE
APP
APP
Paee 2 of 4
:ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01023
ISSUED:
APPLIED:
EXPIRES:
VALUE:
8/9/06
10/31/06
10/31/06
10/31/06
10/31/06
10/31/06
SKG
TAJ
TAJ
JLP
RJB
08/09/2006
03/14/2007
$ 316,902.00
Value
Date Calculated
$11,592.00
$286,902.00
$18,408.00
$316,902.00
08/09/2006
08/09/2006
08/09/2006
Receipt Number
1200600000000001232
1200600000000001584
1200600000000001584
1200600000000001584
1200600000000001584
1200600000000001584
Place orange construction fencing as
shown on the plot plan. Keep all
construction activity out of this
area. No tree removal allowed
within this area. Place orange
construction fencing to the dripline
of the 18" fir near the deck and
follow the tree preservation
guidelines attached to the building
permit. Choose native street trees
from the Hillside list in the street
tree handout.
On hold for tree info. Spoke to
Branden Devers 8/23/06.
Storm & Sewer to 10' PUE &
Infrastructure within.
Have first engineering report, will
have second report after cut on lot
has been inspected by Pam H. from
Hill & Dale Engi.
:::ITY OF SPRINGFIELD'
Building/Combination Permit
Status
OK to Issue
PERMIT NO: cOM2006-01023
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/09/2006
03/14/2007
$ 316,902.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
~eouire<Unsnections I
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.
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.
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.
Framing Inspection: Prior to cover 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.
Paee 3 of 4
:ITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: cOM2006-01023
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/09/2006
03/14/2007
$ 316,902.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 aU 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 aU
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Spril'lgtield', Oregon 97477
541-726-3759 Phone
Cit-- "f Springfield Official Receipt
Dl "pment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 023
COM2006-0 I 023
COM2006-0 I 023
COM2006-0 1023
COM2006-0 I 023
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200600000000001584
Date: 10/31/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Paid By
LEWIS LARABEE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
0034] 5 In Person
Payment Total:
Page I of]
2:50:39PM
Amount Due
11.00
] 7,60
22.00
106.00
1]4.00
$270.60
Amount Paid
$270,60
$270.60
10/31/2006