HomeMy WebLinkAboutPermit Electrical 2006-11-27
I
CITY OF SI'RI!\i'-JFIH.D. OREGON
~ ZON LI't?_
INITIALS N fV\
LA AL DATE j I - ;;ii-(\J0
-.... 'IliV' SOURCE~
Date )//2, lOb
225 FIFTH STREET. SPRINGFIELD, OR 'T/477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City JobNwnber COM.ZOOb - blO 'i Z-
t. I LOCATION OF INSTALLATION:
5S 80 F""flI.'M td,.... 1rlv.l
LEGAL DESCRIPTION;
I B03JOID
3. I COMPLETE FEE SCHEDULE BELOW
o OlOO
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Included
JOB DESCRIPTION;
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufacl'd Home or
Modular Dweiling SelVice or
Feeder
$106.00
few-I ?,owGL
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
2. I CONTRACTOR..!!:!STALLATION ONLY J B. I Services or Feeden - Installation, AUeration. or Relocation:
<.) (\ s>.., r--"r... l .,
Electrical Contractor p<-'t.f>Q. _ ~I 0 h
Address <(\0\'1'" 11 \)~nl 1 ~
City ~l\.l Phone l.i9>la-O~05
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
(VII....
SupeIVisorLicense Nwnber \ 5lo (f., S ' _ ~ ..~'J -t,.~. ,I. Temporary Sen'ices or Feeders
, ',' -\' ~.... ;..'~
\ () I ,f\ /) 0" '~9',I()rN' ~ ~ '''r' :':" '.
Expiration Date \ 'cJ-OO I. vC"rl" 5", In.tallation,Alteration'oljRelocation 5-'--'
. . Y, -'( I, . f, I). "'/i-aO' "98 I - '-'
('''t' OlJ '7200 Amps odess., h^ Yo,., $50.00
C" '\ I .1-'1. \ Cl{j'f7 'I j"'" ~ fr, >'J. -~ t," '1.#0,.., cu
Constr. Contr. Nwnber <J1..\~o 171'~" gi/)", 20I~~psto4~Airips:>?v "Ut',.. $69.00
\ \ -.:11'< c C'4-01'A~'I/'to-600V.';!b. - 'e IS "'Y $100 00
q 'Or i' I~PS ~~ups"i D Sf < .
,...--il 11 D t ~ ~ 1'\ IC\.L\. t A C""~ '"' . ril./r:t--t-"C$ I"'!.t . j r:.)~ .VI'i
( xpira 'on a e au N-LJ\.) ". Sl)tr."Ovef600AIiij>s or IOOO,voltS see;;B7 above.
Signa~SupervisingEIeCtriCian >>:'1 Briin~Iiirii"cl'il{'I'/e',!, . ".
0\1':),..,- 'VO'''~' .v/I<Q '"
J ~ '/J /~ New Alteratioi1;c!r~IteD'!!'e6er Panel
'<".../"1/1.., 0/~~ _ OneCrrcwt 'J. 11 $43.00
Each Additional Circuit or with'
Owners Name CAl-los., ~c, I(rtl!c(. Service or Feeder Pennit $ 3.00
Address I 9 ~ 'i A ~l4-ko.....4u~J'&LiH~ E. I Miscellaneous (Service/feeder not included) -Each Installation I
-. ~ ~"I.J 11Sft.
CIty f::::v..G-l:::-Nf.- Phone.g UN. ~~Jh~gation $50.00
78, [0 0 D(~~tI\l1t7~ting $50.00
OWNER INSfALLATION OD,</y p 'IT /s~{Jd~~n,tiaI $ 25.00
Theinsta1Iation is being madeonr..r..., Iownwhich 'f1T/O[}~ kJllArp~ $45.00
IS not mtended for saie, lease or rent Minimum Elect j"",,~r1i@p:tion Fee i. $45.00 + Surcharges
Owners Signature. 4. I SUBTOTAL OF:.wOVE I SO
8%SmteS~c~e ~
10010 Administrative Fee S
5% Technology Fee Z SO
Inspection Request: 726-3769
b/~
oq I ~ol ;;(cro(
TOTAL
Shared Drivc(T:)lBuilding FonnslElectrical Permit Application 8-06.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 5580 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803101000200
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: OS/21/2007
VALUE: $ 183,656.00
Eugene
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
Owner: CARLOS ANGELO
Address: 1959 ANTHONY WAY
EUGENE OR 97404
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-895-3200
I CONTRACTOR INFORMATION I
Contractor
ADAIR HOMES INC
ROSE CORPORATION
ROSE CORPORATION
3T PLUMBING INC
Phone
503-645-1156
541-686-0905
541-686-0905
503-932-2719
Overlay Dist:
l!JI~treet Trees Rqd:
7; P~;.!lrive Rqd:
A It,~Affit Coverage:
ritl7; 'I:/1!1
/",,, Itn,., w//~_
-'/Ii.ii~Crlj:;iNffiRQVBME,l'ITS I
\ ,
'(/0 0-4~u O/1'vt:/1 l'~~I-'I/1c Sidewalk Type:
r P IS -4 'tiS If:' 1;
Storm Sewer Available: No '1:/110 8-4tU PC!?, .()..o'U)SpoutslDrains:
Special Instruction: ~ VOtU iZtll'; V/1,r
'1:0 fj 0' NO
Notes: Storm water will be piped to existing ditchline per pbone conversationQ/25 w;Anne R @ Adair Homes. Billy is
following up with LDAP issues & approval. Septic system to be approved by Lane County Sanitarian.JLP
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
75.00
12.00
5.00
Street Improvements:
License
593
54431
54431
147077
Expiration Date
03/19/2008
09/30/2008
09/30/2008
03/0212009
1
R-3
U
VB
BUILDING INFORMATION I
.,:..-.....
'6 1/ ,-.....
# of Stories:'/!) 1... i '--. 1
Heigh,<J~Struciut~~.'" I". 17.00
Type.ofHeat: 'ie,. -~ " Wall Heat
vr '!~ G . ,', ~
Water Type:' ,13:.) ", Electr'ic.
Range'.T'YJl~~'I;':;"(';i. ';'Electric.
En{;;'" Path:;.., ":' ~, .J7~i>;;thJ
eir,(.)~ '.f.... ,~~.... ',... ,
Sprinkleil'Building;".' 1,;'] ri/a"
" ' ....J'.., ~,. C,.
484
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
, lsq Ft Otber:
',Occupant Load:
c'
1,728
I DE\o"LvrI.IENTINFORMATION'1 ,:_~'I.'_ ". '
. ._ ,', " ~., ,.: -REQUIRED PARKING
, - . ~ ' '-.
Urb'an I:ringe .[ - 0' Total:
. 'I. -.'" - Handicapped:
Compact:
2
7.20
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Batbs One or Two Family
Addressing Assignment
Buildiug Permit
Dryer Vent
Exbaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mecbanical
Piau Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer Each Addtll 00'
Vent Fan
Water Line - Eacb Addt1100'
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcbarge
Temp Power 200 amps or less
Total Amount Paid
Initial Review
08/25/2006
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: OS/21/2007
VALUE: $ 183,656.00
I Valuation Des,crintion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,728.00
484.00
Value
Date Calculated
$171,072.00
$12,584.00
$183,656.00
08/25/2006
08/25/2006
Total Value of Project
Fpp< V"i<l I
Amount Paid
$200.00
$10.00
$143.93
$76.33
$106.29
$254.00
$31.00
$838.65
$6.00
$9.00
$110.60
$18.00
$198.00
$106.00
$57.00
$40.74
$814.88
$14.00
$12.00
$14.00
$5.00
$2.50
$4.00
$50.00
$3,121.92
Date Paid
Receipt Number
8/24/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
11/22/06
11/22/06
11/22/06
11/22/06
2200600000000001192
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001680
1200600000000001680
1200600000000001680
1200600000000001680
I Plan Reviews I
08/25/2006
APP LLH
Exempt from Willamalane SDC's.
See attacbed documents.
Paee 2 of 4
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: OS/21/2007
VALUE: $ 183,656,00
.
-1tr;!I'~!a.~~-
.1' ._.,
-, ""
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
08/25/2006
10/06/2006
APP T AJ
Public Works Review
08/25/2006
09/25/2006
APP JLP
Structural Review
08/25/2006
.OK DLM
1) Property is zoned LDR, but
designated LMI. It is OK to remain
residential until urban services are
available and annexation occurs per
Gret Molt. 2) Access is via a
recorded easement (reception #
61658, LCOR). 3) Preserve the
trees along the Franklin Blvd
frontage in lieu of required street
trees. 4) Tree Felliug Permit is
required if more than 5 trees 5" dbh
or greater are felled.
Storm water will be piped to existing
ditchline per phone conversation
9/25 w/Anne R@AdairHomes.
Billy is following up with LDAP
issues & approval. Septic system to
be approved by Lane County
Sanitarian.JLP
Master Plan from the State of
Oregon.
See documents for City Bldg. Div.
plan review comments.
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.
~rp.rl 'n~nections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Vfer Electrical Ground: Install grouud 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 Iloor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspectious have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Fiual Building: After all required inspections have been requested and approved and the building is complete.
Vnderlloor Plumbing: Prior to insulation or decking.
Paee 3 of 4
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: OS/21/2007
VALUE: $ 183,656.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Storm Sewer Line: Prior to filling trench.
Line to Septic Tank: Prior to filling trench and required testing.
Fiual Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energiziug service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 ofauy 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 remaiu on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
_irji'1IILO, '
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1Iitit- . j
., ~ .i
-",;': -....
,,,,,,__,~"---">"" ,".
Ci~f Springfield Official Receipt
"opment Services Department
Public Works Department
Job/Journal Number
COM2006-0I092
COM2006-0 I 092
COM2006-0 I 092
COM2006-01092
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000001680
Date: 11/22/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
ROSE CORP
Item To1al:
(;heck Number Authorization
Receiv"ed By Batch Number Number How Received
djb 005019 In Person
Payment Total:
Page I of I
3;03:15PM
Amount Due
2.50
4.00
5.00
50.00
$61.50
Amount Paid
$61.50
$61.50
I 1/22/2006