HomeMy WebLinkAboutPermit Electrical 2005-4-25 (2)
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Electrical Contractor .Ot()pf,,,,l~ oJ €iealroVl0:, 200 AlIIfJ./Ilu%;81!t Z~Otv.. 0" $,63.00'
201 An&J @4W"!.AnJp~ aO'Op ego" <, $ 75.00
Address Jb....&->i 'l/()F>4f?, 401 ~'~~Oe/)Ie~ leO'jlj:,.'l11"9.:jj,"i,5.00
601 AwGstii,106o~'l-oo;O ""OS~"190~1~"'lJlb
City h1097i./Ot./ Phone t./fft/-Cj/J'18 Over fffooJ;&N Oblai/) lI,ro, 'VI9s'll~fl~'ro
Reconnect~Orl" 'l/tel; /. CoAi-~/l0""l~<l:!l9/'{Y
el]~ e 0" 1?v0~. :.. 01,' 9$? "11!f.
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Installation, Alteration or Relocatl~. C'q1t01l
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volls see "B" above.
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LEGAL DESCRIPTION
17033 Lj"2-\
() Z. 8'60
JOB DESCRIPTION
Supervisor License Number 3Rq~ L.cA
10J, Jo~
Constr. Contr.Number /41/(0 R1;
Expiration Date
Expiration Date
"
Signature ~f Supervisin
(Jl~(1NV
Co
Owners Name ':b J 'S>
Address 2. <6 bo
City F:lA &over
J:'^....~.J..V'L_I ~
MIl~\'/I//~..,..
Phone 5/7- ':;"S"'S'O
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
$50.00
New Alteration or Extension Per Panel
Onedi~/CF.' ' '
Each~dditioiW.F,ircuit or with
Service: or feOe~dI:rP~tl A " "Np $ 3 .00
nU/N RI.-"F1~~ ~ I"'L:~', .
#"0 _ AI r-..... H~ E :j1J.l~lA1nr,.
E. iP.i~~lia1fJlu 's;,.cJi{rJ~fn'Jf';Il"I~l. -Ea~lii'st:liiti~ii:~
. .' au ,/w'. ,~;rtfR!\;ilci!yr6F'6~7~,fl!';'''-''-~''_'"J
Pump orirrigatio~' PU~.I[)!). l, ',-" ,$ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential I $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permlt Iaspectlon Fee is ~ Surcbarges
$ 43.00
~s-
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4. ~<<Sl1BTOTAL:'OFABOVE~;~;:~).~~l~~i':~...;,:t.:1f1':}' \'J):
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'1r-
"10-
If f"
~2b.!:-
7% State Surcharge
10% Administrative Fee
TOTAL
ShBTed Drive(T:)lBuilding FormslElectriclll Permit Appliclltion 1.03.doc
Status
Issued
225 Fifth Street, Spriagfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectioa Line
.
. CITY OF ~rKll'l\jl'l~LD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 0212212005
APPLIED: 01/2112005
EXPIRES: 10/25/2005
VALUE: $ 241,886.00
SITE ADDRESS: 1084 Diamoad Street
ASSESSOR'S PARCEL NO.: 1703342102800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -Aspen park subd lot II
Owner: DJS INVESTMENTS LLC
Address: 2860 MARTINIQUE AVE
EUGENE OR 97408
Residential
Phone Number: 541-485-2655
, AmNTIn~!?~.~ f
I CONT~;rQR 1lSF ;ROO requ res you to
NOffflcation Ce !. _. Oregon Utility
Contractor In OAR 952-00;~~lil~@ nlleEi;5illliti'4'dlDate
DJS INVESTMENTS LLC 0090 You m ~ P.iough OAR l'O'til9lruo6
BOB FISHER ELECTRIC INCCarilng the ~ o~ opies of thelfl\l1WP6
MARSHALLS INC number for en ~5 ote: ~he tefeJJ~/2I3fl005
JAMMAL INC "'''ft.~~?Js~:~~I!~~~tifiJl.~jiz12006
I BUILDING INFORMATION I J.
Contractor Type
General
Electrical
Mechaaical
, Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvemeats:
Storm Sewer Available:
Special Instruction:
1
R-3
U
VN
21.30
5.60
5.60
5.60
0.00
Phone
541-485-2655
541-689-7973
541-747-7445
541-484-7440
3
#~Stori~ 2
Height of Structure 27.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path I
Sprinkled Building: nla
607
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
1,488
878
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd: 1
~a~ed.Drlve Rqd: Yes
N L'o}.lorft<.t Coverage: 30.60
THIS PERMIT SHALL EXPIRE IF THE WORK
AIITI Innl"7"""'" '..t........... _..._ ___
- ..._.............~ L..~....~... ....."'.. rLnlVlI1 10 I~UI
I p{jB.lJl~m,PR@,\!~M,EJNiI<S'i~DONED FOR
F II I ANdY 180 DAY PERIOD Sidewalk Type:
u y mprove .
Yes DownspoutslDraias:
Curbside 5'
Curb and Guttcr
Notes: No Hook-up to City Infrastructure until Public Improvements accepted by the City 1/2512005 CAS
Paee 1 of5
~1IIr~~A.~:~!ll~'
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Status
Issued
225 Fifth Strcet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garal!e
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance V cnt
Building Permit
Curbcut Pcrmit
Dryer Vent
Exhaust Hoods
Furaace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit (Strect)
Residence Wiriag 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursemcnt
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanltarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvcment
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Faa
Wlllamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltagc - Rcsidcntlal
.
,. l..1i r OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 02/2212005
APPLIED: 0112112005
EXPIRES: 10/25/2005
VALUE: $ 241,886.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$96.00 .
$24.30
Amouat Paid
$667.65
$10.00
$164.12
$114.88
$306.00
$31.00
$6.00
$1,027.15
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$103.00
$-30.00
$106.00
$76.00
$493.56
$649.08
$10.00
$865.31
$82.03
$132.69
$62.75
$772.49
$175.13
$75.00
$861.18
$50.00
$24.00
$1,000.00
$4.50
$3.15
$25.00
Square Footage
or Bid Amount
2,366.00
607.00
Value
Date Calculatcd
$227,136.00
$14,750.10
$241,886.10
01/21/2005
01/2112005
Total Value of Project
F",,<. p"W
Date Paid
Receipt Number
1/21105
2122105
2/22105
2/22105
2122/05
2/22105
2/22105
2/22/05
2/22/05
2/22/05
2122105
2/22/05
2122/05
2122105
2/22/05
2122/05
2122/05
2122/05
2122/05 '
2122/05
2122105
2122/05
2122105
2/22105
2/22105
2/22105
2122105
2/22105
2122105
2/22105
2/22105
2/22105
4/25/05
4/25/05
4/25/05
3200500000000000029
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
1200500000000000233
2200500000000000485
2200500000000000485
2200500000000000485
Pal!e 2 of5
.
.. CITY OF 1SrI<.J.l'l\jt<1~LD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 02/22/2005
APPLIED: 0112112005
EXPIRES: 10125/2005
VALUE: $ 241,886.00
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
4/25/05
2200500000000000485
Total Amount Paid
$8,008.67
I Plan Reviews I
Initial Review
Plaaninl! Review
01/24/2005
01/24/2005
01/24/2005
02/1512005
APP
APP
SKG
TAJ
Public Works Review
01/2412005
01/25/2005
APP
CAS
Needs survey because of minimum
side setbacks.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City 1/2512005 CAS
Actual review days for this plan was
1/25/2005 and completed on
2/21/2005. Entry was not made in
computer but I could not "back
date" entry for February. I
calculated the workiag days to be
accurate (19).
Structural Review
0210212005
03/01/2005
APP
JB
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.
IRpn~
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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 Insulatioa: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Iaspection: Prior to cover and after all rough in inspections have bee a approved.
Walllnsulatlon: 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.
Pal!e 3 of5
.
.
l..U l' OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 02/22/2005
APPLIED: 0112112005
EXPIRES: 10/25/2005
VALUE: $ 241,886.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required Inspections have been requested and approved and the buildiag is complete.
Perimeter ,Foundation Drains: After gravel and filter cloth Is Installed but prior to backfill.
UnderOoor Plumbing: Prior to insulation or decking.
UnderOoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and Including required testing.
Showcr 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 testiag.
Storm Sewer Line: Prior to filliag trench.
Final Plumbing: When all plumbing work Is complete.
UnderOoor Mechanical. Prior to insulation or deckiag and lacluding required testing.
UaderOoor Gas: After line Is Installed and required testing and capped if aot attached to an appliaace.
Rough Gas: After line is installed and required testiag 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
Flaal Gas: When all gas work Is complete.
Fiaal Mechanical: Whea 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.
Fiaal Electric: When all electrical work Is complete.
Masonry:
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
Low Voltage: Prior to cover.
Paee 4 of5
.
. CITY VI< sr'tui'lljNELD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 02/22/2005
APPLIED: 0112112005
EXPIRES: 10/25/2005
VALUE: $ 241,886.00
Status
Issued
225 Fifth Street, Spriagfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
By signature, 1 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 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 pIa as will remain on the site at all
times during coastruction.
Owner or Contractors Signature
Date
Pa2e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~.
llllllliiity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
Job/Journal Number
COM2005-0Q091
COM2005-00091
COM2005-00091
COM2005-00091
Payments:
Type of Paymeut
CreditCard
,
"
'f
,
.,
'f
4/25/2005
..
,
RECEIPT #:
2200500000000000485
Date: 04/25/2005
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ALAN WOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIved
djb 016949 In Person
Payment Total:
Page 1 of I
12:07:48PM
Amount Due
25.00
20.00
3.15
4.50
$52.65
Amount PaId
$52.65
$52.65