HomeMy WebLinkAboutPermit Electrical 2007-3-16
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225 FIFTH STREET. SPRINGFIELD, OR 91411 . PH:(541)126-3153 . FAX: (541)126-3689
ELEl.a1dCAL PERMIT APPLICATION
City Job Number W/YJ 2tr7J'7 - (JOQ(J q
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
\ n ~ . .. fI Service or Feeder Permit
Owners Name'i--AI }f rIJJ '+' 1..;)~0l2fYtl..u-L~ -aLe,
Address I Cf5 3 &lLV/Lrvi ~f.u..,./ E. '_ Miscellaneous (Service/feeder not included) -Each Installation
City ~~ {J~j 'Phon~ Lf <6'4 - (JlJ 70
, & cTYl
OWNER INST LLATION
II" WCATION~STALLATION
(IJO&5 l::e/Un fh L..L-
LEGAL DESCRIPTION
/7 nA 3 </..34 ()~.:S (]V
.. .
JOB DESCRIPTION
~L(~ft'/lf#D C,Jlnm ~,~,
Permits are non-transferable ~ ~xpire if~
not started within 180 days ofissuance or if work is
Suspended for 180 days.
tp
2.
CONTRALl vR INSTALLATION ONLY
Electrical Contractor Diversified Electronics
Address
875 Wilsbn-:Street He
City Eugene
Phone 484-9078
Supervisor License Number
3893LEA
Expiration Date 10-0107
Constr. Contr. Number
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 126-3169
3.
COMPLETE FEE SCHEDULE BEWW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact' d ~JPJll~ or
Modular DwellingrnlllNilCi: $50.00
Feeder THIS PERMIT ~HALL txplRE IF THl: WURK
B. Services or F~YrtI:Hi~fililib~ Wi~ItWfs ~fj~dt46)rN 0 T
COMMENCED OR IS ABANDONED FOR
200 Amps or less ANY 180 DAY PERIOD. $ 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 AmpsNolts $375.00
Reconnect Only $ 50.00
, I-\t'TEi\ii \.)1'1 I}. Wi "..... '~'iU';-'"' ,/uu.u
C. ' TemporarycJtmi~~~2.Fe.(dbp:ed by the Oregon um ~y
- -- - 'lotffication Center. Those rules are set for:
Insta1lation',~~<\~99~r(,~lO({-~'9g ihrough OAR 952-00
200 Amps o9~em. You may obtain COpi~5oc0uthe rules I
201 Amps to 40.9&iNwp.~ the cHntor. (i'lote$tlm:oterephone
401 Amps to 6Qg,4\wrii ~Ol' tl'ic:: (H,:~t?OnU~~@~"oootif~ation
Over 600 Amps or 1000:Volis;seeS"B"[~bdV~~32n2344).
D. Branch Circuits
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential / $ 25.00 1) S-
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection F~ $45.00 + Surcharges
4 ' S'WJ.T~T4L O~ ~ 1lf)~/ ') ./ /.f::"T C5'tJ
62:/1iCh I~~ ?:fJ -y v
rJ% State Surcharge 6 . ~ . ~S
10% Administrative F e ijSv / 3. r;, 0
TOTAL ~ ""V. 6"0
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01/02/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6065 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406300
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - lot 55, Mountain Gate Subdivision
Residential
Owner: ANSLOW & DEGENEAUL T INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
Phone Number: 541-484-0070
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
AN SLOW & DEGENEAULT INC
GOOD CONNECTIONS
DIVERSIFIED ELECTRONICS
MARSHALLS INC
ABSOLUTE PLUMBING SERVICES INC
License
49169
160508
144685
25790
67664
Expiration Date
10/16/2008
07/01/2008
06/23/2008
12/23/2009
07/11/2007
Phone
541-484-0070
541-434-6491
541-484-9078
541-747-7445
541-345-3055
BUILDING INFORMATION I
4
# of Stories: An 1::1\1 II' 2" uL9t Sjze: ' 17,860
......,11 'Ie J ~lj& I, ~ 1"1"" (-...
Height ofStructure:fol/o'w r,3J2.0.0a;;./OSg-FtJ.st Flo(friL.lit;.;:, YUu IV 2,980
pr&::; u ""le-ilI,,\f~Ii~n.. .
Type of Heat: I\,Eo,rcefLArr"G..as t Sq l'.t 2nd. Flo.or,:egOn Utrp ~y 1,350
V,III\,;aTfUI1 L"en eO' 'Tb~"r.> ,.. ,,_
Water Type: in OAR Q5:y-as Sq Ft'uasement:: are S0t fan
Range Type: 0090 ~l~,ct?i~ 1-0~q ~t.t(!r:i'iliige1€..~r,p~)Jj52_00 1,052
Energy Path: '. Opa'tilC.1Y otSqlFit(Ol~e!lS of the rules ~ 558
Sprinkled Building: Ca.I"~g ~~ ~enttm:cpp~(1M-1~llBtetephone
.nIJr.lh~,..,.,..,..,... 1""\... _" . .,...
, ,- -- -. ~:;iv" UlIiHY l'wtmcati
I DEVELOPMENT INFORMATIONAIr:teris "-80t)-33:'1~?::MIi\ on
REQlJII<.ED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
11.00
8.00
21.00
19.30
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
o
Total:
Handicapped:
Compact:
2
31.10
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
, I PUBLIC IMPROVEMENT$~IS PERMIT SHALL EXPIRE IF THE WORK
, A THOi~I~~9~ THIS PERMIT IS NOT
Fullv Improved ' COMMFNCED OR ~'ABANDONED FoCfiurbside 5'
Yes Do, IDS: To Storm Sewer
No Occupancy until subdivision infrastructure1'sN.);c~~PeA~~t~ ~.
Notes: For this parcel in Mt Gate, it is the recommendation to the Building Division, by the City Engineer: "that final
occupancy should not be given until the subdivision is accepted by City Council". Storm & Sanitary to designated
laterals.JLP
Pae:e 1 of 7
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
Garal!e
A.C. - Residen
Deck/Balcony
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
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fixture
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
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 Addtll00'
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
4,330.00
558.00
4,330.00
1,052.00
Total Value of Project
~
Amount Paid
$1,195.77
$10.00
$287.38
$140.13
$208.37
$306.00
$31.00
$1,839.65
$6.00
$9.00
$269.10
$70.00
$12.00
$15.00
$4.00
$3,039.34
$198.00
$115.20
$106.00
$171.00
$930.16
$1,223.25
$10.00
$1,923.04
$183.22
$335.48
$132.56
$1,672.64
$379.16
$42.00
$24.00
$2,303.00
$4.50
Date Paid
1/2/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/16/07
Pal!e 2 of 7
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01/02/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
Value
Date Calculated
$17,320.00
$10,602.00
$445,990.00
$28,404.00
$502,316.00
01/02/2007
03/14/2007
01/02/2007
01/02/2007
Receipt Number
1200700000000000002
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
2200700000000000362
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
Planninl! Review
01109/2007
01109/2007
Public Works Review
01109/2007
$2.25
$3.60
$25.00
$20.00
$17,246.80
3/16/07
3/16/07
3/16/07
3/16/07
I Plan Reviews I
0110912007
03/0912007
01112/2007
APP SKG
APP T AJ
WE JLP
Pal!e 3 of 7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01102/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
Kitchen improvements (sink, stove,
range hood and fridge) are deleted
per email from Gordon Anslow
3/02/07. Owner will apply for an
ADD later. In the meantime, no
kitchen is allowed and this is not
considered a second dwelling unit.
The lot is very close to capacity for
coverage. It's unlikely any
additional coverage would be
allowed.
Waiting in order PW rcvd for
rvw.JLP ***
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
02/01/2007
03/14/2007
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/1412007
APPLIED: 01102/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
APP JLP
Pal!:e 4 of7
Rcvd phone call from James @
Ang&Deg. Tld him they are #19 in
41cases waiting for rvw & date PW
rcvd was 1/12/07JLP *** *** Cld
484-0070 @ 3:50pm, project
manager not in office. Lft msg
w/Rachael. Need to supply all
necessary geo-tech & other reports
for pervious pavers to show how run
off will be collected. I faxed
requirement sheet & memo on max
500sq/ft impervious credit to
Rachael, so project manager would
have when he returns. PW will hold
until rcv call, due to potential for
design changes.JLP2/12/2007 ***
Rcvd voicemail today 2/14/07 from
Gordon. I c1d him back @ 484-0070
10:45am. Per Rachael at same, he
not available. I 1ft msg I was
returning his call & I can be reached
after Ipm today.JLP 2/14/07 ***
Rcvd voicemail from Gordon, I c1d
back he not in 2/15/07JLP. ***
Rcvd voicemail.Icld Gordon back
@ 1:15pm 2/16/07-- X sd will not be
changing sq/ft on drive, but will get
all necessary documents for perviom
paving/Storm H20 requirements.
Tld X I will process & forward to
Tara. When XX completes planning
rvw, XX will return, and PW will
hold until rcv necessary documents
& approval of same before PW
approvaI.JLP2/16/07 *** For this
parcel in Mt Gate, it is the
recommendation to the Building
Division, by the City Engineer: "thaI
final occupancy should not be given
until the subdivision is accepted by
City Council". Storm & Sanitary to
designated laterals. Impervious area
cales include 500 sq/ft deduction for
pervious pavers as layed out by
building & PW division guidelines (
see Jim Donavan for clarification ).
Passing file on to Tara to expedite
process. Tara will return to PW
when she is has completed Planning
Rvw. PW can not "approve" until
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01102/2007
EXPIRES: 09116/2007
VALUE: $ 502,316.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
01109/2007
0111112007
10 LLH
we receive & approve pervious
paving& storm H20 plan.JLP
2/22/07 *** 10---Rcvd file back
from Tara, I forwarded to Eric for
pervious paver/design review.JLP
*** Rcvd pervious paver docs back
from Eric W. --Denied--. Before I
made cntct w/A&D, rcvd call from
Jeff of A&D @ 2:05pm 3/13/07. I
explained submittal was denied by
Eric & what is required to correct.
Waiting for A&D to submit correct
information & pass PW review prior
to release.JLP 3/13/07 *** Tlkd
w/Dana @ counter, he to bring in
remaining info for pervious system
to meet criteria req by Eric. Will
approve pending that info is
complete.JLP 3/12/07 *** Rcvd info
from Tara, ADD is being deleted,
reduced DFD by one kitchen sink,
made changes to SDC fees,
worksheet, and file. Passing on to
Don for completion of permit packet
& issuance today (per Don) in PM.
JLP 3/14/07
Plans sent to Building Department
for review under contract with the
City of Springfield.
Plans reviewed by the Building
Department, Dave Mortier, under
contract with the City of Springfield.
Structural Review
01111/2007
01118/2007
APP LLH
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.
~eouiredJnsnections I
Dfer 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 5 of7
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01102/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
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.
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Low Voltage: Prior to cover.
Pal!:e 6 of7
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00009
ISSUED: 03/14/2007
APPLIED: 01/02/2007
EXPIRES: 09/16/2007
VALUE: $ 502,316.00
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
Pal!e 7 of 7
225 Fif{h Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00 131
COM2006-00 131
COM2006-00 131
COM2006-00 131
COM2006-0013 1
COM2007-00009
COM2007-00009
COM2007 -00009
CO M2007 -00009
COM2007 -00009
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
c:...., of Springfield Official Receipt
.. e10pment Services Department
Public Works Department
2200700000000000362
Date: 03/16/2007
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By Received By
DIVERSIFIED ELECTRONICS nJm
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
05548A In Person
Payment Total:
1:55:47PM
Amount Due
25.00
20.00
2.25
3.60
4.50
25.00
20.00
2.25
3.60
4.50
$110.70
Amount Paid
$110.70
$110.70
3/16/2007