HomeMy WebLinkAboutPermit Electrical 2006-11-14
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C(JYv1 r;;)6].ft; .... f){)'L!.9,.l
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LEGAL DESCRIPTION: S - A. ~.N~~.:a.t;side~ti~t:JfS:~ng!~;t~.rT llM'ellingunit. , ' '
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JOB DESCRIPTION:
Date
Service Included
.- ", \ C I. , I;''': \' ' ,'" '" ,I Jfr\ I -
1000 sq. ft. orless ' ., , , (1~ ~=lW irC-",,,i. $106.00 ILl {tJ
Each addiii6~llJ506~f",'q,~ft;,:(fr:.;;:ed ~y< ~,.~ 'O'i~ ,'::, S YOU,' ~~;"
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'" ...1/',< S::j;)'''')1')a~n '. -0. ,..,,-~::: ssi <'i"nr
Each Manufact:d.Hom, "',e, or''''. I" mrciic:i1 CP':;:\ "'::r )'''',\,
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Modular l!wenmg~,~erVice'or:El;i1 cOp;ss C~';'1($5' 0'0-0' v.'. :
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ee er ...~-. :\'\.,::.-;. ro'T'=" "C:' oJ
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\.brtR:elocati~h:
N~;J ~~
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. B~
Electrical contract,or 5'/ Xl9,~ c(~c4'~, '-- {1!t~ 200 Amps or less
Z /0 20 1 Amps to 400 Amps
Address ~U.'){)Lo C:eCA.~V{} (L~ 401 Amps to 600 Amps
W'" .,., I ,
L' v--n 60 I Amps to lOOO Amps
City ~ Oc:.,Pf'l~ LAL-Phone e:;q~.-C) {(,~4ffi3 Over ]000 AmpsNolts
I . Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number ~[)(s:J:.)S
c.
Expiration Date L() ,!.tJL/c::2w.I)
Constr. Contr. Number (C; A fJ:::9
Exprr~)!o9'ate ;:: _ 0/ f?9
sigD.~tureh-:~i . g Electrician
- ."//') .
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o~e 'I J~ ?Juewd
- _ F=::'~'''':'' . ..,'. j+?,.:'" ',. -:7$-t: -' - ":_:_:::-?:<'~~~~'~.v":~.' ,~,,,'?i::t",,,,, _""(". ' -'or> ..-""'"-~-r-"-~~~.~~_."'~" . ",,_-,~_.-,.,~
Address ~(7q -5iey Iln~ Wunzl? E. ~~~~~I~",~~~~~k~~;~~1:i~~~~.~,~~;~,?~,~fi!U4.~~Lj~~~~~~~lli'~t~~~j
City &~ Phone)/{ / -9 / Lf-3'1).(o
Installation, Alteration or Relocation
N orl C E ,200 Amps or less
'20 I Amps to 400 Amps
THIS PERMiT &lrl*t.tt? ~~F THE WO-K
AUTHORIZ<fj~Mflb~!%hptl:l 1 "n" above.
G..OMME~C ,.,."ww
--- '1'9 ..1\
ANY 180 Dk, pf:m
'R W A1t'eP.Jrion or Extension Per Panel
$ 50.00
$ 69.00
$100.00
One Circuit'
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Inspection Request: 726-3769
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential I $ 25.00 ,.:;;(J
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. .:::1-f0, ol)
8% State Surcharge <9 ';2 ,<p I..J
10% Administrative Fee & 3 '~D'
5% Technology Fee .~r:::-'
TOTAL 3L/?: 09
Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06~doc
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cit--, 4)f Springfield Official Receipt
D .opment Services Department
Public Works Department
Job/Journal Number
COM2006-00492
COM2006-00492
COM2006-00492
COM2006-00492
CO M2006-00492
COM2006-00492
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
3200600000000000580
Date: 11/14/2006
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Low Voltage - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SUNSET ELECTRIC, INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 004973 In Person
Payment Total:
Page 1 of 1
]2:02:34PM
Amount Due
106.00
152.00
25.00
14.15
22.64
28.30
$348.09
Amount Paid
$348.09
$348.09
11/14/2006
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit,
PERMIT NO: COM2006-00492
ISSUED: 06/19/2006
APPLIED: 04/26/2006
EXPIRES: 04/11/2007
_\ '(ft/~!;.'i~j-008- ~ $;!38~;~2.~.00
..^"...^.,,',,~ I ,{,.",n IInf\'::>I1"'\ ::11111 lnl IAnlllnu
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6411 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702344304000
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_.._...-1_.__ _.... ._..._....\ .._'''1,",'''''''' nlIlIlO'\
---"'i--'-O;- ......-ay .-V-I'\i/ ~. -y- -
SPRI~'1G!'i!~'ili't~F; ~Fs~f)RKi.;J ~ipgle IRamily~~sltl~gfe
~OO-GC1n H\iO 46noJ41 0 ~OO- ~OO-GS6 8VO U! .
~woJ la~YJ.m ~JiI~SJio4ft;.~lua8 UO!lB:J!H!te~JdentIal
Single family residence - Mt Gate sub~I!~,u~0806eJO fl4l/~q peldope S€llnJ MOIIOJ
", n^A ~"''\!!Y1~'_nl "nDI 'Inn~.)'I"'\'!\Ir\! I t\1::J 11\-1
PROJECT DESCRIPTION:
Owner: JEFF PLUEARD
Address: 3779 STERLING WOODS DR
EUGENE OR 97408
Phone Number: 541-914-3426
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
PLUEARD CONSTRUCTION LLC
SUNSET ELECTRIC INC
SUNSET ELECTRIC INC
RS PLUMBING CONTRACTING
License
167960
158859
158859
103816
Expiration Date
01/09/2008
02/27/2008
02/27/2008
01/04/2008
Phone
541-683-5140
541-915-4883
541-915-4883
541-461-4714
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: 2 Lot Size:
Height of Struct\l,re 31.00 a 0 I ~~ tFth\WFU1{hb\NV
Type of Heat: tlOJJJaMOONMhkV SI~(}<'00@~Wn08
Water Typd.ON SIlllftJH3d 9fMi H3~RrJ/~rlml!1i r\!
Range TYP"HOM 3Hl:11 3~19t~ ll~~ rft~e/thi'j'ort
Energy Path: Pa~h'l 18(1<' r:dSI~l
Sprinkled Building: n/a Occupant:J3UON
I DEVELOPMENT INFORMATION'
23,288
1,502
1,222
1
R-3
U
VN
1,176
756
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
76.50
17.00
18.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
4
, Yes
22.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
Downspouts/Drains:
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the city;storm drainage piped to stub
provided 5/12/06 CAS
Paee 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Frame
Gara!!e
A.C. - Residen
Dwellin!!s
Gara!!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00492
ISSUED: 06/19/2006
APPLIED: 04/26/2006
EXPIRES: 04/11/2007
VALUE: $ 385,992.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
2,724.00
3,480.00
1,176.00
Value
Date Calculated
$10,896.00
$344,520.00
$30,576.00
$385,992.00
04/26/2006
04/26/2006
04/26/2006
Total Value of Project
~
Amount Paid
$971.85
$10.00
$217.20
$155.13
$306.00
$31.00
$12.00
$12.00
$1,495.15
$80.00
$6.00
$9.00
$232.80
$12.00
$15.00
$4.00
$1,664.10
$198.00
$-30.00
$686.52
$902.52
$10.00
$865.31
$82.03
$199.37
$60.57
$805.70
$182.69
$80.00
$50.00
$18.00
$1,000.00
$28.30
$14.15
Date Paid
Receipt Number
4/26/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
6/19/06
11/14/06
11/14/06
1200600000000000551
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
1200600000000000898
3200600000000000580
3200600000000000580
Pa!!e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00492
ISSUED: 06/19/2006
APPLIED: 04/26/2006
EXPIRES: 04/11/2007
VALUE: $ 385,992.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Low Voltage - Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$22.64
$25.00
$106.00
$152.00
11/14/06
11/14/06
11/14/06
11/14/06
Total Amount Paid
$10,692.03
I Plan Reviews I
Initial Review
Plannin2 Review
04/27/2006
06/07/2006
05/01/2006
06/07/2006
APP
APP
LLH
TAJ
Plannin2 Review
05/01/2006
OS/2412006
WE
TAJ
Public Works Review
05/01/2006
05/12/2006
APP
CAS
Structural Review
05/01/2006
OS/24/2006
WE
RWC
Structural Review
Structural Review
06/16/2006
06/06/2006
06/16/2006
06/06/2006
OK
WE
RWC
RWC
3200600000000000580
3200600000000000580
3200600000000000580
3200600000000000580
Place orange construction fencing at
the rear of the area of disturbance.
No construction activity or tree
removal allowed in outside the area
of disturbance.
The clump of big leaf maples
marked on the plot plan are to be
preserved unless a liscensed arborist
indicates that they are unsafe or in
danger of dying. Dead branches and
trunks may be removed. These tree5
may possibly be counted for one of
the required street trees. Contact
Mike Risely in PW Maintenance
(726-3615) regarding this. A letter
was recieved from Kyle King,
certified arborist, stating that the
trees should be removed. This is
approved. tara 6/16/06
On hold until tree information
provided. Spoke to Jeff Plueard and
will be getting this information in.
tara 5/23/06
No hook-up to City Infrasture until
Public Improvements accepted by
the city; Storm drainage piped to
stub provided 5/1212006 CAS PW
cannot review plan until info is
made available 5/2/06 CAS
need to get second copy of l)truss
details 2)beam calc's
Need to get an engineered
foundation from contractor
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.
Pa2e 3 of5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00492
ISSUED: 06/19/2006
APPLIED: 04/26/2006
EXPIRES: 04/11/2007
VALUE: $ 385,992.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
UeouiredJnsnections I
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.
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.
Drywall: Prior to taping.
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.
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.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
U nderfloor 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
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.
Pal!e 4 of 5
Status
Iss u ed
:ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00492
ISSUED: 06/19/2006
APPLIED: 04/26/2006
EXPIRES: 04/11/2007
VALUE: $ 385,992.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Electric Service: Approval required prior to utility company energizing service.
Storm Sewer Line: Prior to filling trench.
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
Pa2:e 5 of 5