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Home My WebLink AboutPermit Electrical 2007-3-21 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION COYn~.. blO 9-? City Job Number I . '" .,7....'(;.,;" :.f'" 1. ?~9C.~1:IirilQF::I!fsr#L4TIJfN{r,';:.. ,;;('< ..... 0~4i.' fu~"e;~lli. \J LEGAL DESCRIPTION \1U7, 34-34 ()~lf<Y0 . JOB DESCRIPTION IlJuJ VD~ . Permits are non-transferable and expire if work is .'- not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor l:JilJRf!tj)S //(}{'./ Address / i/ rJ 5 uJ I ~ 7'J1... City b-t~&Ve Obhone c;'35-:-roOOf) Supervisor License Number 2 79 g Lt::A Expiration Date 10;0 Ilzcx:Xx Constr. Contr. Number 1297 }5 (; Expiration Date c;/69 ~ (!) ~ bJJ SigZ;;:C;7iJL , U OwnersName -LeMJt~ l~ Address J.,.1.,.ZO M~ ~ Phone 5/ S- · 0 l...f2, 7 City ~. 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 .f{) 11-4 01 Date 3. ::_;C.?jMPLE11i1<j;~.~CHEi?U:fEBllio.l~ ."'</'> '.~. ,," : :~ :'- -'::';'" :-'::_~';'-":: ::=,'.~:,; , ,,"', ": .'~:: -':," '-':~-~::-. :.. "".<' ',"~::'-:" :": .:":"'" .' .,.':'" :":~":":- ,~ ", :"'".:">. ' .,;......,; ',:~::.,':".,-"...:y:.-~.... A. i;~:~\VResidentiaL7.SinW~of NIulti-Family kera,veiIingililit:~ ."...~.fl!::!\!i'~9"~"" ........ ,- Service Indli'di!dl)~' "~;...~ ....'~'o.. ',~I- " ... . . '1.... . \f t:(::~~-~. 1....'" G..u iJ~ed b~, -I-h . lo.oI,.." lVL ..d 1000 sq, ft. ~11~~~nOfl CeMer. -:-;-;/ i '~.o$q!Q'6JWL .~!;A '., Each addif1ona'~$0(i)JSjf!.4X9~_CO'" 0 :, 'V~ n.iIOS ai'S set fo~'" portion t1i~9f):..You may obt,l; mrQ~gh C$:\1r~'~l52 O~. r.",pc'" ~h a.11 cOP/€s of ~r. Each Manuf;<l.g.,,~6~e;ot;sntnr. fNot.,.. " "~,e rules Modular Dwblllliif~$8tv,i'ct.eieJ O'~'-~D J ~'. ~h(j~te5~;:'Q.Db'10ne F d "''\ ' ~..n dt",h, !O ee er I.A';nt~( 'S.1 1:" .... -J . m/fICCltIO-' v ~"" . -C1t. \ ..'" ~)I"..l..' ,,, ~" t . ". ..~ , , ". __ _, '... 1.?,:J~..".-,.'=l.~,Ai\, . I ,'< Y" <, \ ~~1>\,;."")fi~~1f .. >, B. ;SetviCes orFeeders"~Jnstallation,Alterations'or Relocation::. 2:,:,:~~1&:h:L>.~. :3h<.~): ~\lh, .: ~,;//'L,::_;'. Lk>:L~_Ji\-;):?1t::~; ,:-J:.i.J.c.;' ~%i~.: ;:,:.~,:.:;:,:<:_~.;...;'.~~,..~>.'~;, '~~_;:; ;. _.-, L'_ ~,:.~.; '.,'.:,',L~, 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 f F .T~tri~g'tirfrSef~i~~~1;'a.t ii~~~~i~;J<;F;~1,:" NO ICE:'.'."...'"'. ,. ..~ .'. .," .'. TH I S R@RMJWiS?f~rrMJRor ~elocation AUTHcm~Z,gjpBMjrn E IF THE WORK COMMma'PrfD~ t~ohti~~ PERMIT IS NOT ANY 1 Bti1~f~~~~ Q'AmP~DONED FOR D. Over 600 or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 s:;. ~'., '. ': .~_ "', _'--~~:'~~:"''J'_:'~'''':'':~':r<~~-~ m,,,,vt~":'~'''"':f:r-~_','<''-_7_':', ':"..... :-;-"':""""""}\:'" ~"----,_>::'- - E. [,:Miscellimeous (Ser'~iCe/feedelirnoJ,iIichided) -Each Installation i::::;..:'~.;.:i\.. :, ::;L;:..:.;...~::}_':<'::;'J:;:,<._.J\.Tt...: ..>-T.fi}",' ", ':'/;:i,:;,.., -';;.':',;):::;':.:': c_2YiL .~:, .,:.x:;.;~~..._~~;. ':: '- _ - ,:~i...:',:._. '; ',~-~: - . , Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 ~oo f Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~'iD 3. ~ 1) 'fS'D 2-.~ c-r- r,~ U...,ol'~ Shared Dnve(T:)/Building Fonns/Electrical Pennit Application I-03.doc ~% State Surcharge 10% Administrative Fee c; ''ju TOTAL CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 09/2012007 VALUE: $ 316,902.00 dTTl=I\ITH :", 'I' . -r,., , , '_11_.......,_.. _"'~d..-'~~.: .-:: .~.::-'u"o~ yuu t() . -"- n . _.~~ ...."''"',.......... IJ}' u'c; \.Jltlpnn Ufl/P'/. N,Sp'''f:ingfield C,a~'ENPEJ-OF....'.XORK:. sittgle.yamily Residence "" ...~. .."'.. 'Qi 1\",.. 1110.:".. T(jjt-)t; are $€' to'1 ASSESSOR'S PARCEL NO.: 1702343408400 in OAR 952uoo1-0010 ihrQu. h OAR 952-0~: 0090. VOll may obTcfihE mdJsE: ~ew PROJECT DESCRIPTION: Single family residence - Mt Ga,te,lot 7.:&h' caples of lhe rules rt l;(i lint! I ~ cGntor. (Not!!}: theterephone Q"'I!"I~1",,~,,'3rn-.r:.'t.Io''''''''n.._. _ . ;.... . .-"'- .'. .-. ,..". ..... "'~VII Vlllllf l"lvur!(;~!!Ofl Center is 'i.80Q-33~2~~%r.uml)er: . 541-515-0427 # of Stories: 2 Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: OTICe" Gas Sq Ft Basement: Range Type:N " Gas S~ Ft Gar~e/~~f&t Energy Path1HIS PERMIT fthW\I.1L EXS'q~ €rthlerrF Sprinkled BuA~rMORIZED UOOER T~f1.:li\lllrthL1)d& NOT -~~Jl'~ I~ f\Of\i~uer;4~~ ~Ofl I DEVELOPMENT INFOmvtA"l'fON . ANY IOU U/"\l I RIOO. REQUIRED PARKING Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6242 FOREST RIDGE DR Owner: Address: LEWIS LARRABEE 2220 MCLEAN BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor BRANDON SCOTT DEVERS BIG C ELECTRIC LLC OLDFIELDS INC PACIFIC AIR COMFORT INC CRAIG ARNEY PLUMBING LLC License 150457 156428 129736 39237 167015 Expiration Date 02/19/2008 07/25/2007 06/09/2008 03/25/2010 10/25/2007 BUILDING INFORMA nON. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 2 Yes 19.70 Total: Handicapped: Compact: 20.00 12.20 10.60 103.00 0.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUIJLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: Storm & Sewer to 10' PUE & Infrastructure within. Pa2e 1 of 5 Residential Phone 541-607-6970 541-744-8946 541-485-6000 541-672-9510 541-736-9582 17,026 1,743 1,155 708 2 Curbside 5' To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellin2s Gara2e AC - Residential V Wood Frame Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Mountaingate Impervious Area Plan Review Major - Planning PW Disc - 2nd Permit 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 Sidewalk Permit CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 09/20/2007 VALUE: $ 316,902.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,898.00 2,898.00 708.00 Value Date Calculated $11,592.00 $286,902.00 $18,408.00 $316,902.00 08/09/2006 08/09/2006 08/09/2006 Total Value of Project ~ Amount Paid $826.09 $22.00 $11.00 $17.60 $106.00 $114.00 $10.00 $188.92 $91.95 $136.71 $306.00 $31.00 $1,270.90 $80.00 $6.00 $9.00 $180.30 $12.00 $15.00 $4.00 $12.00 $1,126.25 $198.00 $-30.00 $771.83 $1,015.03 $10.00 $961.52 $91.61 $184.97 $65.14 $836.32 $189.58 $80.00 Date Paid Receipt Number 8/9/06 10/31/06 10/31/06 10/31/06 10/31/06 10/31/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 I 1/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 Pa2e 2 of5 1200600000000001232 1200600000000001584 1200600000000001584 1200600000000001584 1200600000000001584 1200600000000001584 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical Total Amount Paid Initial Review Plannin2 Review Plannin2 Review Public Works Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: . 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 09/20/2007 VALUE: $ 316,902.00 $50.00 $24.00 $1,000.00 $4.50 $2.25 $3.60 $25.00 $20.00 11/16/06 11/16/06 .11/16/06 3/21/07 3/21/07 3/21/07 3/21/07 3/21/07 2200600000000001596 2200600000000001596 2200600000000001596 3200700000000000159 3200700000000000159 3200700000000000159 3200700000000000159 3200700000000000159 Place orange construction fencing as shown on the plot plan. Keep all construction activity out of this area. No tree removal allowed within this area. Place orange construction fencing to the dripline of the 18" fir near the deck and follow the tree preservation guidelines attached to the building permit. Choose native street trees from the Hillside list in the street tree handout. On hold for tree info. Spoke to Branden Devers 8/23/06. Storm & Sewer to 10' PUE & Infrastructure within. Have first engineering report, will have second report after cut on lot has been inspected by Pam H. from Hill & Dale Engi. 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. . $10,080.07 I Plan Reviews I 08/11/2006 10/06/2006 08/11/2006 10/06/2006 SKG TAJ 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. 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. APP APP 08/11/2006 08/23/2006 WE TAJ 08/11/2006 08/29/2006 JLP APP 08/11/2006 09/14/2006 RJB APP Pa2e 3 of 5 CITY OF SPRINGFIELD C Building/Combination Permit Status Issued PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 09/20/2007 VALUE: $ 316,902.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Sheaf 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 tes.ting 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. Pa2e 4 of5 :::ITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 09/20/2007 VALUE: $ 316,902.00 225 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 Pa2e 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cj~- ()f Springfield Official Receipt n iopment Services Department Public Works Department Job/Journal Number COM2006-0 1 023 COM2006-0 1 023 COM2006-0 1 023 COM2006-0 1 023 COM2006-0 1 023 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 3200700000000000159 Date: 03/21/2007 Description Low Voltage - Residential Minimum! Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OLDFIELDS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 023945 Phone Payment Total: Page 1 of 1 9:52:47 AM Amount Due 25.00 20.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 3/21/2007