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Home My WebLink AboutPermit Electrical 2004-8-2 Date <[- d .- 0 L( B. Electrical Contractor )u(j<:;ed- zJeohQ...k 200 A~;;~{~~~ \,)\\\\\'1 n D.Amott: GJ~9.?a~'l<t~~~hfe set ~O~~ _ Address 3!Do ( p <; f'a tJlV [--f-~ ;U\eS a~@P~,~e>m'9\~~~ 902-0 P') I ~\\~~~~~~Q'el?6' ~e f\.l\eS City -5:~)l:I' Inl Phone <:;C({-~\~*,~~\~a~~~~~ste\e?~O~~~ ~90. ~oU ~l~Ri~t~~\W\\'/ ~O\\'\Ca \IV . ^ \~e V"' n . sowS ~\\\O~ . ~et <19,,\8 Expiration Date If) - 0 L( Installation, Alteration or Relocation 200 Amps or less Constr. Contr. Number IC:::R &)'9 201 Amps to 400 Amps ^, /' ~ 401 Amps to 600 Amps Expiration Date C~ ,:) ~ 0 L.f' Over 600 D. 1. 3. ~lo ~ Avv-A(J(' 50 n LEGAL DESCRIPTION A. (70333 (I 0-070 ( JOB DESCRIP310N J A )f'(A) /!~rJ(/ff"C' / fV~w G'1Jrcc-Li~ f 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. Supervisor License Number s~~p~_ ~ Owners Name !It, /i1 _~r7rf' P1 9t(O H-vvy 77 City l::--tA &67Ve Phone t11;::} - nr rf() Address OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 .J Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 /0 (;; ~ & 3t..iff2. , ,.:) $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 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 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges :f/~lf ..lQ 1005:1' ll(lfO Ihtt(g 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc TYPE OF USE: New PROJECT DESCRIPTION: New single family residence (parcel #2). Do we need to add Electrical to this '. permit?(swb) ...",~ ......cL \I~~ -.m.4'I~ . \)\\\1 Owner: BENSON VERN W ~.,tff' '~'&~~~ft '-' "'Q~ Address: 940 HWY 99 N EUGE~' Bd ~ ",8. ~eS ate s~~oo~. ~~'~:~..d __"o,eN ~~~g5 ~\I ~-~~~~~:ON.I O~ gS'2; a'f 0 l~o\e:. . . .. ~o\\\~9.~~?' Cont}q~tw:~OU ~ cef\\et. ,,'U\\\\\'I.. 44). LIcense BENS~lNA~i~~~~.~~"'''' 143021 SUNSET i~ ~ ,\.~ 158859 CHITTIl\' ENTE SES I INC 47396 THOMAS ANTHONY RYDER .152323 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 863 Anderson Ln ASSESSOR'S PARCEL NO.: 1703331100701 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 50.00 8.00 7.00 10.00 8.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2003-00890 ISSUED: 03/11/2004 APPLIED: 09/11/2003 EXPIRES: 10/01/2004 VALUE: $ 112,888.00 Springfield TYPE OF WORK: Single Family Residence Residential Expiration Date 05/15/2004 02/27/2006 03/08/2005 07/26/2004 Phone 541-688-8897 541-915-4883 541-461-2101 (541)343-0975 BUILDING INFORMATION I # of Stories: 2 Lot Size: Height of Structure 24.50 Sq Ft 1st Floor: Type of Heat: Forced Air Elect Sq Ft 2nd-Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft G~rge/carport Energy Path: Path 1 S~: Sprinkled Building: n/a . \~ ~ ad: 'r.~ ,'~~. I DEVELOPMENT INFO~~\\~ \>~~~~ ~(,)\'\ \\,,\~-L~~\ ~7..~~~\)fJ REQUIRED PARKING Over~~~ ~t't.\) (,)~ \~ ~ Total: 2 # Str~~~iJ~~ ~c,~\) \>~~\j~' 1 Handicapped: Paved ~ "~-ci..(\ \)~. Yes Compact: % of Lot l"l\ge': 23.70 - ~ 5,676 846 400 500 I PUBLIL 11VIPROVEMENTS I Sidewalk Type: Downspouts/Drains: Paee 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00890 ISSUED: 03/11/2004 APPLIED:. 09/11/2003 EXPIRES: 10/0112004 VALUE: $ 112,888.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellines Garaee V Wood Frame Garaee $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,246.00 400.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $112,887.60 $9,520.00 $122,407.60 09/11/2003 09111/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $395.14 9/11/03 220200000000001512 -Mechanical Issuance Fee- $10.00 3/11/04 1200400000000000299 + 10% Administrative Fee $93.79 3/11/04 1200400000000000299 + 7% State Surcharge $65.65 3/11/04 1200400000000000299 2 Baths One or Two Family $254.00 3/11/04 1200400000000000299 Addressing Assignment $8.00 3/11/04 1200400000000000299 Building Permit $607.90 3/11/04 1200400000000000299 Dryer Vent $6.00 3/11/04 1200400000000000299 Exhaust Hoods $9.00 3/11/04 1200400000000000299 Furnace - up to 100,000 btu $12.00 3/11/04 1200400000000000299 Gas Fireplace $15.00 3/11/04 1200400000000000299 Gas Outlets 1-4 $4.00 3/11/04 1200400000000000299 Heat Pump $12.00 3/11/04 1200400000000000299 Plan Review - Planning $71.00 3/11/04 1200400000000000299 Sanitary Sewer - Improvement $344.20 3/11/04 1200400000000000299 Sanitary Sewer - Reimbursement $452.80 3/11/04 1200400000000000299 SDC MWMC Administration $10.00 3/11/04 1200400000000000299 SDC MWMC Improvement $214.23 3/11/04 1200400000000000299 SDC MWMC Reimbursement $314.63 3/11/04 1200400000000000299 SDC Sanitary/Storm Admin $89.86 3/11/04 1200400000000000299 SDC Transpo Admin $54.82 3/11/04 1200400000000000299 SDC Transpo Improvement $727.42 3/11/04 1200400000000000299 SDC Transpo Reimbursement $164.89 3/11/04 1200400000000000299 Storm Drainage Impervious Area $665.52 3/11/04 1200400000000000299 Vent Fan $18.00 3/11/04 1200400000000000299 Willamalane Single Family $1,000.00 3/11/04 1200400000000000299 + 10% Administrative Fee $14.40 8/2/04 1200400000000001167 + 7% State Surcharge $10.08 8/2/04 1200400000000001167 Residence Wiring 1000 Sq Ft $106.00, 8/2/04 1200400000000001167 Residence Wiring Ea Addtl 500 $38.00 8/2/04 1200400000000001167 Total Amount Paid $5,788.33 Paee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00890 ISSUED: 03/11/2004 APPLIED: 09/11/2003 EXPIRES: 10/01/2004 VALUE: $ 112,888.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review I Plan Reviews I 09/17/2003 WE ,DJB 09/12/2003 Initial Review 09/1712003 09/18/2003 APP DJB Initial Review 09/18/2003 09/19/2003 APP LLH Plannine Review Public Works Review 09/19/2003 09/19/2003 03/05/2004 09/25/2003 APP WE TAJ VRJ Public Works Review 03/04/2004 03/04/2004 APP SB Structural Review 09/1912003 10/15/2003 APP RJB Site plan provided was not adequate. Need additional information in order to proceed with plan review routing. Transferred information to new site plan in order to get plans moving. Don Moore requested information on electrical contractor in order to process electrical permit. Electrical permit is not included at this time. Waiting for 'PW's approval of Public Improvement plans. See Don Branch. Driveway needs to be 12 feet wide. SDC's charged on 12 foot wide driveway. Virginia's hold requirements were met. No concreh in Lane COunty Right-of-way. Applicant must get a Lane COunty Driveway Permit and they will provide specifications for connection to their pavement in right-of-way. 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. ~eouiredJnsnections I Erosion/Grading Inspection: After all erosion measures are in place., 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. 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. Paec 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2003-00890 ISSUED: 03/11/2004 APPLIED: 09/11/2003 EXPIRES:' 10/01/2004 VALUE: $ 112,888.00 225 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. 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. 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. 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 Paee 4 of 4 '225 Fifth Street Sprihgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00890 COM2003-00890 COM2003-00890 COM2003-00890 Payments: Type of Payment Check 8/2/2004 RECEIPT #: C'ity 'of Springfield Official Receipt velopment Services Department Public Works Department 1200400000000001167 Date: 08/02/2004 9:56:53AM Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRIC INC Amount Due 106.00 38.00 10.08 14.40 $168.48 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1041 In Person Payment Total: Amount Paid $168.48 $168.48 Page 1 of 1