HomeMy WebLinkAboutPermit Electrical 2006-3-14
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)i7Z&-3~89. . ':.:' ... .::." ,~
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is -(
not started within 180 days of issuance orifwork is
Suspended for 180 days.
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Electrical Contractor 'b IV LVS, Pi p. 0 F ~ t-trnn / C S
Address ~ 1 ~ Wi \ S an :\t. LlY1 i+ C
City E,^-~ Phone ~~ J.f - q 0 7 g
Expiration Date
Supervisor License Number
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OwnersName ~loW,," ~e.u,d+-
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Address lq~.~ ~e-.
City ~ Phone ~4- b07P
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners$ignature:
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Inspection 'Request: 726-3769
A.
Service Included
1000 sq. ft. or1ess $106.00
Each additional 500 sq. ft. or
portion thereof $ 19.00
IHU lJfnEfact' d Home or
~UL<i?~nif1g;'$~M~ ~J/(PI REI F TH E W($~o
.1Jrn9t1rJORIZED UNDER THIS f-ltllMIT IS NOT
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200 Amps or less $ 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
Recormect Only $ 50.00
c.
Installation, Alteration or Relocation
200 Amps oATel"iENTION: Oregon la'lIJ reC$J5(f:6o~"
201 Amps tro'\l;C2.0N\mpss adopted by '1e Of8g.00
401 AmpNQJt!o.Qi\inp's Center. T:~:':J-; rUIE:$106:00
;~ n/l p or;;f) ,..,n" -001 n .tI,,'( . 'oh C'\I:
Over 600 lA\IIIlps'or '1'000 'Volts see ~'B" above. -' .1_ _
D.:"~t~~t~l!il~ff~!'~:~lli~8;~~;:!i~:i~:j::(jJ')j;:j~;~i~':"i;":::!:':::"
New Alteration..oor ,!T.,Xtension Per. Panel . i Iitv. > I
nU111 0\ IUI '"'" '-, ".n .,
One Circuit Center isi -'< 2-~$.)4,3.00
Each Additional Circuit or with
Service or Feeder Permit
$ 3.00
E.
Pump or inigation
Sign/Outline Lighting
Limited Energy!Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
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Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
45. !Jl)
3.bV
4-. S"()
5B,./O
(J/% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building ForrnslElectrical Permit Application 1-03.doc
CITY OF SPRINGFIELD .
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 09/14/2006
VALUE: $ 264,422.00
SITE ADDRESS: 6053 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406400
PROJECT DESCRIPTION: Single family residence.
Springfield TYPE OF Single Family Residence
N CE:
THIS fI'~I~~H~&: EXM~E IF THE WOR~esidentiaI
AUT~O~IZED UNDER THIS PERMIT IS NOT
r.nl\l1l\/l!-I\I('EC' (,)il'fl '10' "J- - .
- - t..\ IU n hIVU_lJj~cu rUH..
ANY 180 DAY PERlorf.hone Number: '541-484-0070
- Owner: ANSLOW & DEGENEAULT INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Tvpe
General
Electrical
Low Voltage Electrical
,: Mechanical
Plumbing
Contractor
ANSLOW & DEGENEAULT INC
GOOD CONNECTIONS
DIVERSIFIED ELECTRONICS
MARSHALLS INC
ABSOLUTE PLUMBING SERVICES INC
License
49169
160508
144685
25790
67664
Expiration Date
10/1612008
07/01/2006
06/23/2008
12/23/2009
07/11/2007
Phone
503-484-0070
541-434-6491
541-484-9078
541-747-7445
541-345-3055
3
I BUILDING INFORMATION. 1"0
..,.,,, , 'ireS V 0'.... l
~ ,"",T""."T'C"l1 'c,\i\1 l0\.......... o...J ,J ..'~1.'
# of Stories: f;~-~'~'-'--\C", ':'1';. ,~pt,~iz~:'":=0i- '~',dl.Y,
Height of;')\8'''' " ,~r,r_~2"4'J)o." ._, ~~q !"p,sJ:Floor.: c.,Cl,'lll
Type of Heat: "I r' 'Eorced' Air. 'Gas' "ScLFt2nd' Floor: ':-,' C- '-' ,-
I., ',_I . _ -. . r :- _ ' , .
Water Type: ire- -;, ~,~ ~Gas' :' '~q~FtBasem~!lt: :~ '~':
Range Type: ~ _. _ . -, I' Gas'ISqFtGar:age/C~rport
Energy Path: Path 1 Sq FtOther:. '""L,!;
Sprinkled ,. ' n/a Occupant Load:
11,761
2,382
# of Units:
Primary Occupancy Group:
~. Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
VB
715
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.00
7.00
18.00
11.00
0.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Hillside
3
Yes
34.40
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains
Curbside 5'
To Storm Sewer
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub
provided 12/6/2005 CAS
1 of 5
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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: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/0212005
EXPIRES: 09/14/2006
VALUE: $ 264,422.00
I Valuation Description I
Description
Dwellin2s
Estimate
Type of Construction
V Wood Frame
Estimate
$ Per Sq Ft
or multiplier
$96.00
$1.00
Square Footage
or Bid Amount
2,382.00
35,750.00
Value
Date Calculated
Total Value of Project
$228,672.00
$35,750.00
$264,422.00
12/02/2005
12/02/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $716.24 12/2/05 1200500000000001772
-Mechanical Issuance Fee- $10.00 1/5/06 1200600000000000014
+ 10% Administrative Fee $174.19 1/5/06 1200600000000000014
+ 7% State Surcharge $121.93 1/5/06 1200600000000000014
3 Baths One & Two Family $306.00 1/5/06 1200600000000000014
Addressing Assignment $31.00 1/5/06 1200600000000000014
Appliance Vent $6.00 1/5/06 1200600000000000014
Boiler/Comp Up To 100,000 btu $12.00 1/5/06 1200600000000000014
Building Permit $1,101.90 1/5/06 1200600000000000014
Dryer Vent $6.00 1/5/06 1200600000000000014
Exhaust Hoods $9.00 1/5/06 1200600000000000014
Furnace - up to 100,000 btu $12.00 1/5/06 1200600000000000014
Gas Fireplace $15.00 1/5/06 1200600000000000014
Gas Outlets 1-4 $4.00 1/5/06 1200600000000000014
Gas Outlets 4+ $1.00 1/5/06 1200600000000000014
Mountaingate Impervious Area $1,272.14 1/5/06 1200600000000000014
Plan Review Major - Planning $150.00 1/5/06 1200600000000000014
Residence Wiring 1000 Sq Ft $106.00 1/5/06 1200600000000000014
Residence Wiring Ea Addtl 500 $95.00 1/5/06 1200600000000000014
Sanitary Sewer - Improvement $553.03 1/5/06 1200600000000000014
Sanitary Sewer - Reimbursement $727.03 1/5/06 1200600000000000014
SDC MWMC Administration $10.00 1/5/06 1200600000000000014
SDC MWMC Improvement $865.31 1/5/06 1200600000000000014
SDC MWMC Reimbursement $82.03 1/5/06 1200600000000000014
SDC Sanitary/Storm Admin $162.12 1/5/06 1200600000000000014
SDC Transpo Admin $62.78 1/5/06 1200600000000000014
SDC Transpo Improvement $805.70 1/5/06 1200600000000000014
SDC Transpo Reimbursement $182.69 1/5/06 1200600000000000014
Sidewalk Permit $80.00 1/5/06 1200600000000000014
Temp Power 200 amps or less $50.00 1/5/06 1200600000000000014
Vent Fan $18.00 1/5/06 1200600000000000014
Willamalane Single Family $1,000.00 1/5/06 1200600000000000014
+ 10% Administrative Fee $4.50 3/14/06 1200600000000000304
+ 8% State Surcharge $3.60 3/14/06 1200600000000000304
Low Voltage - Residential $25.00 3/14/06 1200600000000000304
2 of 5
CITYOFSPRING.l11.ltLD'
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 09/14/2006
VALUE: $ 264,422.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Minimum/Adjustment Electrical
$20.00
3/14/06
Total Amount
$8,801.19
I Plan Reviews I
Initial Review 12/05/2005 12/05/2005 APP SKG
LDAP Review 12/02/2005 10 VRJ
LDAP Review 12/09/2005 12/09/2005 APP VRJ
Plan nine Review 12/05/2005 12/15/2005 APP TAJ
Public Works Review
12/05/2005
01/04/2006
APP CAS
Structural Review
12/05/2005
01/04/2006
APP DLM
1200600000000000304
LDAP application submitted and is
under review. Full review LDAP.
$600.00 due at issuance.
LDAP issued 12/9/05.
Place orange construction fencing
around the dripline of trees shown
to be preserved on site plan. Follow
the Tree Protection Guidelines
attached to permit.
Need pervious pavement submittal;
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
stub provided 12/6/2005 CAS
Requested corrections to plans, and
missing referenced details.
12/30/2005 dIm Received requested
information 1/3/2005 dIm See
documents for Plan review
comments
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.
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.
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.
3 of 5
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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: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 09/14/2006
VALUE: $ 264,422.00
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.
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
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 SPRINGlflELD '
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 09/14/2006
VALUE: $ 264,422.00
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 wiD 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
5 of 5
225. Fifth Street
Springfield, Oregon 97477
. 541-726-3759 Phone
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1Jjty of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01681
COM2005-0 1681
COM2005-01681
CpM2005-0 1681
Payments:
Type of Payment
CreditCard
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3/14/2006
RECEIPT #:
1200600000000000304
Date: 03/14/2006
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALAN R. WOOSTER
Item Total:
l.:heck Number AuUtorization
Received By Batch Number Number How Received
ddk 015021 In Person
Payment Total:
I of I
11:58:05AM
Amount Due. ;
25.00
20.00
3.60
4.50
$53.10
Amount Paid
$53.10
$53.10