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Home My WebLink AboutPermit Electrical 2005-10-20 (2) . '6 \O~:t:>0 ~"S' ~l> ~'('..... .~\0 c.: ~ :o<!" ~ ~r.:,ca: PI (- , ~~ ~O\ a 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~~!l"" m. ELECTRlCALPERMIT APPliCATION. -<,'('.'O~."~(, . ~/ r-'<::' ~~. r-\~ City Job Number {O"'2D6~ -00337 Date 19 Q'o 1.0 ,~~ 1'1 ;"'" 1'. .... ' , '.. ~ "h~: . '..CITYOE SPRfNGFIELD.OREGON '. . :'/'. . ';"., '.. '. ... . .'. . - ..,. .o..'\.V . 1. I)ftiQ@iioMOEij;~:'-,JN;r~:tioN:~. ., ,"J 3. Pi'e6MPI:.r.l;J;XiiE;SCHE.-i;iT....fD..#6~1ft'~~ . .' -_..._..=--"""W.._.._~-=--.,'_ "'l w.-,-~,~_...~._"....._.._p.~,.~~-,~~"""""'J tr)4t DilLIYWYld ~tm.e,t '.>",0" . . LEGAL DESCRIPTION /7033421 03200 A. ~rk~~dfrr~~~~w:~illmlUy;p.mj~j~. LnlAl VDlfMtf I rhl4taJ Va.-C. 5H,lJ,vift1J Service Included ~ 1000 sq. ft. or less S106.00 ,,I {\ It.r^" . . Each additional 500 sq. ft. or J.h1MM~lIg 01 ~.oJ:JLe, M,D, \/,c\Q,O portion thereof , S19.00 Permits are non-transferable and expire (fwork Is Each Manufact'd Home or' not started within 180 days of Issuance or lfwork.1s Modular Dwelling Service or $50 00 Suspended for 180 d.ys. Feeder ATTENTION: Oregon law requires ~u to ~q~OR"fiNST~)P4ffi)NO~ B. 1I1S;~~~~"i'~~.ffli'li~ltaoca'ti~n:. 2. ~ ,....'''''~''''''''_~~.!/'!:!''''',.~.."4:.>;;~~___~.~',.,.'''l~ ~-' . ~'t1'llAn-.'NI~---Pl'V~~,.":ocrl''t''.(\l!"e"..~..~".#-.;. - -\: ." - -'. ... I .......::rdlt;~'t:a lUll 200 AMP9~!Je~~2-001-001 0 through OA$l63:00001- 201 A~~\k40dJ...m~~ oblain copies of tt$o75\OOS by 401 AmR1~~lgoo !,t1lftisenter. (Nore: me teSt!2S!OOle dumber lor lne Oregon ulIIny NG"fi<::!b'Qon 601 Amp~ to 10~e}ffi!',Sis 1-800.;,.:.~_""..lP1)j~ Over 1000 AmpsIVolts l375.00 Reconnect Only $ 50.00 Electrical Contractor Address ~75 Wilson St. (,(J71+-~, City y, Wlj0N' Ph~ne +~-4 - q Drt Supervisor License Number " ?;gOJ}JLr::A IO-I-D~ Constr. Contr. Number /41la >l ,=>. Expiration Date '1-1- o..u ;71r-#t J Expiration Date ....... ~ Owners Name 5hafh./d / .Toe Address 10+ l /)t0vrr7rmd Sf City ~/~'tl.d. Phone .Io'8~- 6bS1' OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~,..~.'''''-.,~~~..U\d?'::;:.-",.,:i'5fl".....~~~~~~~~ C. FTempOrarr..Ser"vie~i9.r,lf..ee'deJ~,,;,:_T..~~i"''''''''''''J Installation, Alter.tlon or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amos or 1000 Volls see "a" .bove. D.l1!L~cfit~~ New A1ter.1iI1.lfl.nnMLTo~~Al&~PIRE IF THE WORK One Circui(lUTHORIZED UNDER THIS P.E~llT IS..NnT Each Addin~I(At&}i@R IS ABANDn~~n FOR Servtce or Ijl;NlFf8GnI)AY PERIOC. S"3~ $ 50.00 $ 69.00 $100.00 E ...I..-II..--""(~-'~"'-""'........iI\W.E~Ii."'I-II~ . ,1" ls~_.a~~..'!!j. ~~~f$~~~W.4!l~I.!!i!~J~~S,,~L~!!fl'""!ti~ Pump or irrigation $ 50.00 Sign/Oudine Lighting $ 50.00 Limited EnergylResidential / $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee I@ + Surcharges 4. ~~~'O""'VE~~4 '-I' ~bt;!~~~.t,>>.~~~ J z~ 7% State Surcharge 10% Administrative Fee ']/) 1/ ro 5Z~ TOTAL Shared Drive(T:)lBuilding FonnsIElectrical Pennit Appliclltion 1-o3.doc Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line '--, .,; . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/2512005 EXPIRES: 04/18/2006 VALUE: $ 217,975.00 SITE ADDRESS: 1042 Diamond Street ASSESSOR'S PARCEL NO.: 1703342103200 Springfield TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence, Aspen Park lot 15 Contractor License Expiration Date Phone DONALD WAYNE SEABLOM 106973 06/1312008 541942-7464 BURRELL BROS ENTERPRISES INC 136446 08120/2009 541-747-2724 MARSHALLS INC 25790ENTION: Oll212312005requir~ya~7tU445 NORTH DOUGLAS PLUMBING INC 162624' rules adol)l'i07l2jlOlle Orec~H!~.<\i.~22 I BUILDING INFORMA TioN~' .dllUII vemer. I nose rules are set forth IR 952-001-0010 through OAR 952-001- , # of Stories: 0090.You flay r.\Wliilf:opies of the rules bY7,501 Height of cal"ri3.b~s ceS!rFt I"sf.Fi'OJP:'3 telephone 2,125 Type of Heat: H~lit~'R\'ilr thfSI?F~2D'il 'Fllllll':Notification Water Type: Q;fsnter Sq FllBllsen.'Mt344). Range Type: Gas Sq Ft Garage/Carport Energy Patb: Path 1 Sq Ft Other: Sprinkled nla Occupant Load: Owner: JOE SCHAFFELD Address: 2185 NORWOOD ST EUGENE OR 97401 Contractor Type General Electrical Mechanical Plumbing # of Units: PrImary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Frontyurd Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Phone Number: 541-683-5654 I CONTRACTOR INFORMATION I 1 R-3 VN 559 3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: 18,00 5.00 5.00 10.00 31.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: 1 Yes 36.00 NOTICE: IPUBLIC IMPROVEMENT~i~~~~HMIT SHAll EXPIRE IF THE WORK flED W~JJE~. THIS PERMIT IS Nor Fullv Improved COMM~~OIM~g ABANDONED Fn{;uroside 5' Yes ANY 18t)_(jll~~ins CurlS'ilnd Gutter Notes: Storm drainage piped to curb face 3/29/2005 CAS 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line Description Dwelllnes Garaee Type of Construction V Wood Frame Garaee . . LIl fOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/18/2006 VALUE: $ 217,975.00 I Vah1latlon Descriotion I $ PerSq Ft or multiplier $96.00 $25.00 Square Footuge or Bid Amount 2,125.00 559.00 Value Date Calculated 03/25/2005 0312512005 $204,000.00 $13,975.00 $217,975.00 Total Value nf Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $616.95 3/25/05 2200500000000000344 -Mechanical Issuance Fee- $10.00 4/22/05 1200500000000000499 + 10% Administrative Fee $131.01 4/22/05 1200500000000000499 + 70/0 State Surcharge $91.71 4/22/05 1200500000000000499 2 Baths One or Two Family $254.00 4/22/05 1200500000000000499 Addressing Assignment $31.00 4122/05 1200500000000000499 Air Handling Unit Up to 10,000 $8.00 4/22/05 1200500000000000499 Appliance Vent $6.00 4/22/05 1200500000000000499 Building Permit $949.15 4/22/05 1200500000000000499 Curbcut Permit $80.00 4/22/05 1200500000000000499 Dryer Vent $6.00 4/22/05 1200500000000000499 Exhaust Hoods $9.00 4/22/05 1200500000000000499 Gas Outlets 1-4 $4.00 4122/05 1200500000000000499 Heat Pump $12.00 4/22/05 1200500000000000499 Plan Review Major - Planning $103.00 4/22105 1200500000000000499 PW Disc - 2nd Permit (Street) $-30.00 4/22105 1200500000000000499 Sanitary Sewer - Improvement $457.00 4122/05 1200500000000000499 Sanitary Sewer - Reimbursement $601.00 4/22105 1200500000000000499 SDC MWMC Administration $10.00 4/22105 1200500000000000499 SDC MWMC Improvement $865.31 4/22/05 1200500000000000499 SDC MWMC Reimbursement $82.03 4/22105 1200500000000000499 SDC SanitarylStorm Admin $147.99 4/22105 1200500000000000499 SDC Transpo Admin $61.42 4/22/05 1200500000000000499 SDC Transpo Improvement $772.49 4122/05 1200500000000000499 SDC Transpo Reimbursement $175.13 4122/05 1200500000000000499 Sidewalk Permit $80.00 4/22/05 1200500000000000499 Storm Drainage Impervious Area $1,225.16 4122/05 1200500000000000499 Temp Power 200 amps or less $50.00 4/22/05 1200500000000000499 Vent Fan $12.00 4122/05 1200500000000000499 WilIamalane Single Family $1,000.00 4122105 1200500000000000499 + 10% Administrative Fee $16.30 10/14/05 1200500000000001534 + 7% State Surcharge $11.41 10/14/05 1200500000000001534 Residence Wiring 1000 Sq Ft $106.00 10/14/05 1200500000000001534 Residence Wiring Ea Addtl 500 $57.00 10/14/05 1200500000000001534 + 10% Administrative Fee $4.50 10/19/05 1200500000000001572 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/18/2006 VALUE: $ 217,975.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Low Voltage - Residential Minimum/AdJustment Electrical $3.15 $25.00 $20.00 10/19/05 10/19/05 10/19/05 1200500000000001572 1200500000000001572 1200500000000001572 Total Amount $8,064.71 I Plan Reviews , Initial Review 03/28/2005 03/28/2005 APP LLH Plannlnl! Review 03/28/2005 04/14/2005 APP EMM Survey letter Included. Public Works Review 03/28/2005 03/29/2005 APP CAS Storm drainage piped to curb face 3/29/2005 CAS Structural Review 03/28/2005 04/07/2005 WE DLM Applicant to submit revisions and engineering 417/05 dim. Structural Review 04/13/2005 04/20/2005 APP DLM Applicant submitted revised plans and engineering 4/13/05 dim To Request an inspection caD the 24 hour recording at 726-3769. All inspection requested before 7:00 a.ID. will be made the same working day, inspections requested after 7:00 a.m. wiD 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. 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. 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. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00337 ISSUED: 04/22/2005 APPLIED: 03/25/2005 EXPIRES: 04/18/2006 VALUE: $ 217,975.00 Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. WallInsulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. Underl100r Plumbing: Prior to insulation or decking. Underl100r Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and Including required testing. Water Line: Prior to mling 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. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl100r 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. By signature, I state and agree;that I have carefully examined the completed upplicatinn 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 ofany structure without permission ofthe 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 frnm 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 cnnstructiolL Owner or Contractors Signature Date 4 of 4 '225 Fifth Street .Springfield,.Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00337 COM2005-00337 COM2005-00337 , COM2005-00337 Payments: T)1le of Payment CreditCard '. . , '.' I . < " 10/1912005 . RECEIPT #: ~: ~: ~ ..Jilty of Springfield Official Receipt .veIopment Services Department Public Works Department 1200500000000001572 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By ALLAN WOOSTER Received By djb I of I Date: 10/19/2005 Item Total: LDecKl'mmDer AuUlonzaUon Batch Number Number How Received' 04348B In Person Payment Total: 3:10:03PM Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52.65 $52.65