HomeMy WebLinkAboutPermit Electrical 2005-10-18 (2)
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125 P1FTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)n6:~eJllI'~",,)". ~\l .
ELECTJUCAL PERMIT APPLICATION ",i"~~:~' (\0\'
, '" 7 or \0110 <IV
C"y Joo'r-<umber ~Zoor-003~ Date 10 ~/Cf-O J ~".",~.~(\
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200 Amps or less
201 Amps to 400 Amps
Burrell Bros. Electric 401 Amps to 600 Amps
401'59 Booth Kelly Road 601 Amps i~ J.QQ~~'i-~
Springfield, Oregon 97478 . 0 ~}{ \W\St~Q\
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''"'" I.,or License Number D...~J " \~Q\\\l~~\)\l~~,\,. '. .. , ',~
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::"?",,,on D", \c:J.\Q,:"\ r.'r~ \e.~ O~ Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
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L:G,",L DESCRIPTION
170 "31l( 'Z- (
o S 200
:OD D:SCRI PTION
WI tft....re f-koA ~ e-
PamiIS;H{' non.(r:lns(erable and expire if work is
nOI "'''cd within 180 days of Issuance or if work is
Suspended for 180 days,
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~it:~nc::l ContraClor
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COOSIr Corm, Number ~~~\....o
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~r"rwre or' Supervising Eleclrician
CJ Villli \\kMili ,j
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Phone 6, 13 - 5bS"Y
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UII'\E R J"ST,-U.LA TJON
Tnt' ~n:i{3I1aljon is being made on property I own which
i~ nel! Intended for sale, lease or rent.
0..,'nt:T) Sign3{Ure:
Illspc'rrioll Reques!: 726,3769
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Service Included
1000 sq, fL or less
Each addilional 500 sq, ft, or
portion tllereof
I $106.00 IDb
> $ 19,00 57
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S50,OO
Each Manufacc'd Horne or
'Modular Dweiling Service or
Feeder
B.
S 63,00
$7500
$125.00
$163.00
$375.00
S 50,00
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$ 50,00
$ 69,00
-S I 00,00
Over 600 Amps or J 000 Volts see "B" above.
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New Alteration or Extension Per Pane\O
One Circuit . Ie'" 'iO~",'\\-l $ 43.00
Each Additional Circuil ~ ~m\\1 Q,of'> V' ,o~'(\
Service or Feeder p~rn\n "e Ole ~ ..e\ _~.3,OO
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\?UIT1p'(,~iiji'rl,g~39'n'Cl ~ilf'> cO~\e..\'(\e ,,,,\I\IC<s 50,00
"'''~~''(.)~ I"'o:.;t.L. IiI'o'O I~O "Wi'
01g ,y,ut In. I,g mg'el. ~ 1,)\1' _nl>.ll,'t. $ 50,00
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L~'(ltl~tlr E.her.gy{Rfsi'lgQ\lalg nO'?:>?:>?" $ 25,00
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Limilo<:l'Energy^",ommOf.crbl S 45 00
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Minimum EThctric Permit Inspection Fee is $45,00 + Surcharges
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4.
16J
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190 7(
7% Slate Surcharge
10% Adminisrrative Fee
TOTAL
Sbared Drive{T:yauilding FormslElectrical Permit Applicatioc I.(,!) tlU(
. CITYOFSPRII~ul'IELD
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 04/1112006
VALUE: $ 217,975.00
.
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecdon Line
SITE ADDRESS: 1042 Diamond Street
ASSESSOR'S PARCEL NO.: 1703342103200
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Aspen Park lot 15
, DEVELOPMENT INFORMATION I
~UlRED PARKING
, iOU
Overlay Dlst: leo.uiles \Jili\lJ:
# Street Trees Q,ofl \a.\IJ b lJleQofl .M!litdl'a.pped:
Paved Drlv~~~~\O~" Ole \eO 'oi \~M\es a.le <;lSl/.nlPliYt:
% of Lot~overaBW~ a.oo\l ,nqJC:~'9n Op..\'- u\eS 'oi
\0\\0\IJ I. fI cefl\el. ~O \nlO\) s 0\ \ne I r,ofle
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IPUBLIC IMP~~~-.;MENTS~~i O\JW""~O\e" ~~~, ~O\I\\C"'"
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091j. ,- \ne cefl I e^"1k ,- ":044,.
Fullv Improved 0 Ca.\XlflQ \01 \nElS!JI \ ~~Ij:D'pe.
Yes flulfl'oel Cefl\eoD'OwnspoutslDralns
Owner: JOE SCHAFFELD
Address: 2185 NORWOOD ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor _' License
DONALD WAYNE SEABLOM C~'io. 106973
BURRELL BROS ENTERPRIS~,\Il'~ ~ ~C\ 136446 '.
MARSHALLS INC ~Y!-.~~l' \~ 25790
N~W.~Hr~~~~~'r' ~Q~ 162624
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# of Units: ~Ca\ll\ll'C.~.....,," f\\\'Y';fStories:
Primary Occupuncy Group: \':.~~i ~V'"" Height of
Secondary Occupancy 1'" Type of Heat:
P'rimary Construction Type VN Water Type:
Secondary Construcdnn Range Type:
# of Bedrooms: 3 Energy Path:
Sprinkled
Contractor Type
General
Electrical
Mechanical
Plumbing
1
23.00
Heat Pump
Gas
Gas
Path 1
nla
Frontyurd Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
10.00
31.00
street
Storm Sewer Available:
Special Instruction:
Notes: Storm drainage piped to curb face 3/29/2005 CAS
1 of 4
Residential
Phnne Number: 541-683-5654
Expiration Date
06/13/2008
08/20/2009
12123/2005
01/07/2007
Phone
541942-7464
541-747-2724
541-747-7445
541-836-2022
Lot Size: 7,50 1
Sq Ft 1st Floor: 2,125
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 559
Sq Ft Other:
Occupunt Load:
2
Curbside 5'
Curb and Gutter
)
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 04/11/2006
VALUE: $ 217,975.00
I Valuation DescriDtion I
Dwellines
Garaee
Type of Construction
V Wood Frame
Garaee
$PerSqFt
or multiplier
$96.00
$25.00
Square Fnotage
or Bid Amount
2,125.00
559.00
Value
Date Calculated
03/25/2005
03/25/2005
Description
Tntal Value of Project
$204,000.00
$13,975.00
$217,975.00
~
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
- + 7% Slale Surcharge $91.71 4/22/05 1200500000000000499
2 Baths One or Two Family $254.00 4/22/05 1200500000000000499
Addressing Assignment $31.00 4/22/05 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 OuUets 1-4 $4.00 4/22105 1200500000000000499
Heat Pump 512.00 4/22/05 1200500000000000499
Plan Review Major - Planning $103.00 4/22/05 1200500000000000499
PW Disc - 2nd Permit (Street) 5-30.00 4/22/05 1200500000000000499
Sanitary Sewer - Improvement $457.00 4122/05 1200500000000000499
Sanitary Sewer - Reimbursement $601.00 4122/05 1200500000000000499
SDC MWMC Administration $10.00 4/22/05 1200500000000000499
SDC MWMC Improvement $865.31 4122/05 1200500000000000499
SDC MWMC Reimbursement $82.03 4/22/05 1200500000000000499
- SDC Sanitary/Storm Admin ' $147.99 4/22/05 1200500000000000499
. SDC Transpo Admin $61.42 4/22/05 1200500000000000499
SDC Transpo Improvement $772.49 4/22/05 1200500000000000499
SDC Transpo Reimbursement $175.13 4/22/05 1200500000000000499
Sidewalk Permit $80.00 4/22/05 1200500000000000499
Storm Drainage Impervious Area 51,225.16 4/22/05 1200500000000000499
Temp Power 200 amps or less 550.00 4/22/05 1200500000000000499
Vent Fan $12.00 4/22/05 1200500000000000499
WilIamalane Single Family $1,000.00 4/22105 1200500000000000499
+ 10% Administrative Fee $16.30 10/14/05 1200500000000001534
+ 7% State Surcharge 511.41 10/14/05 1200500000000001534
Residence Wiring 1000 Sq Ft 5106.00 10/14/05 1200500000000001534
Residence Wiring Ea AddU 500 $57.00 10/14/05 1200500000000001534
2 of 4
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CITY OF SPKll"\.Jl'1~LD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 04/1112006
VALUE: $ 217,975.00
Total Amount
58,012.06
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 4nt05 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.m. 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 bnt 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.
Curhcut - 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.
3 of 4
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 04/11/2006
VALUE: $ 217,975.00
Wall Insulation: 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.
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.
Shower Pan. Prior to covering 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.
By signature, I state and agree, that 1 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 tn the work described herein,
and that NO OCCUPANCY wiD be made ofany 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 constructiolL
Owner,or Contractors Signature
Date
4 of 4
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....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
. 225 Fifth Street
'\\Springfield, Oregon 97477
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1:'1541-726-3759 Phone
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Job/Joornal Number
c'OM2005-00337
COM2005-00337
COM2005-00337
: COM2005-00337
. Payments:
,~ Type of Payment
\: CreditCard
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10/14/2005
RECEIPT #:
1200500000000001534
Date: 10/14/2005
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JASON BURRELL
Received By
djb
I of I
Item Total:
Lheck Number Anthorization
Batch Number Number How Received
04990B In Person
Payment Total:
3:12:26PM
Amoo ot Due
106.00
57.00
11.41
16.30
$190.71
Amount Paid
$190.71
$190.71