HomeMy WebLinkAboutPermit Electrical 2005-1-24
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541~l~~~
ELECTRICttPERMIT APPLICATION ro,oro:~ q'J;/.I.9,o
City Job Numbe IYVl-'1rmt..j -OLLD..5 Date "J - ;;;'/~ - 0 JOqt. : 0'0&;%"1
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LEGAL DESCRIPTION
/-7 Ct ~ 31 ;J I m flII1) Service Included
,JOB DESCRIPTION (l/in '"""\ 1000 sq. ft. or less
~~;~:r~~~~~~;r(a~~2t;:fS~:o~::;::;::?:f:r~r; '.';:"'.: r.'~ ,;~'.;
not started within 180 days of issuance or if work is ModularDwelJP,1g;Seryice<;>r-.:, '.',: c'~ " I
Suspended for 180 days. Feede( ,~ ,.' J. ~~ L}., I LJ . ".., \"j i..' 'J i'; ,n I) tl.l1:L $50.00
1\' I , r
B.
2.
Electrical Contractor 1)\ vets 11 ,..oct tt f~ t(L1 200 Amps or less
? l) 201 Amps to 400 Amps
Address () '6 u ^ q OS Lf""X 401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
City ~~
Phone JJ1, 4 -l:} D '7Y
Supervisor License Number 3 ~q6 L7r+ c.
Expiration Date {.- 0 \- 0 l~
Constr. Contr. Number ~ fl
J.
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 6~elIWION: Oreaon law re$1ldOMJ)'OU to
Over 600 Amp1olIDV0G1U~I~l?tfw'~~ Oregon Utility
D.
New Alterat~B~~..Eta~.fmlgffflSbpies of the rules by
One Circuit calling the center. (Note: tlllEllEOOpho!l8
Eac~ Addition~~~T%Ft~ Oregon Utility ~otiiicatiun
ServIce or Feede~~mitenter is 1-=800 0-J2~3LP..~.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
/ /15, u..)
Limited Energy/Residential $ 25.00 Q' -
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges dO . cJO
4.
~. (!}O
3./~
l./ . g)
5'l.G:S
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T: )/Building FormslElectrical Permit Application 1-03.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD 0
Building/Combination Permit
PERMIT NO: COM2004-01103
ISSUED: 10/1312004
APPLIED: 09/03/2004
EXPIRES: 06/14/2005
VALUE: $ 330,903.00
SITE ADDRESS: 729 Aspen Street SwJngtield. TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1703342102000 U ll)j U liQ,;it:
T HIS PER iFlYPE 1(1)'fL USK:p I R N,w Residential
PROJECT DESCRIPTION: Single Family Residence, Aspen pJ.l-kl-i6tfJ/ZED UN'[JER THIS ;ERr THE WORK
COiVJlVIENCEO nR Ie: 1\ 0/\ w,~; .~fT IS NOT
ANY 1800 ,- ""UU'~L.:U rUM
Owner: RODNEY & RENE STEWART AY PERIOD. Phone Number: 541-689-7160
Address: C/O 1460 BEEBE LANE
EUGENE OR 97404
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DONALD D ELLIOTT
L YNNS ELECTRIC
COMFORT FLOW
CHAPIN ENTERPRISES INC
Phone
541-698-7160
541-726-7895
541-726-0100
541-485-1146
Fully Improved
Yes
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
8.00
5.00
23.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
43148
102316
460
81994
Expiration Date
11/14/2005
10/14/2007
06/27/2005
05/06/2008
4
BUILDING INFORMATION I
# of Stories: ATTENTION: QleglSilzlaw requires you to 8,475
Height of Structure follow aJI~ ad~em Ib~_~fegon Utility 1,940
Type of Heat: FflllOllfJclMcfAl€ent~ IftlZltmF[daaare set forth 1,313
Water Type: in OAR 9~01-00I1.{i)ttfl~~~AR 952-001-
Range Type: 0090. yo{flffiay ~~ ~~~/f}jltlP9rrtJles by 1,248
Ene.rgy Path:.. callirf"Wt~ ce~Sr!V1~r{he telephone
Sprmkled Bulldmg: numbgf~or the ~~)~3W'Uri~f?Notification
I DEVELOPMENT INFORMATION tenter IS l-~UU-"v'::-'::v'+"tJ'
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
..,2 '0"
Yes
37.60
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hookup to Public Facilies until subdivision has been accepted by City.
Pa2e 1 of 4
,_GPAINGF.liEl.,O
1
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01103
ISSUED: 10/13/2004
APPLIED: 09/03/2004
EXPIRES: 06/14/2005
VALUE: $ 330,903.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood,Frame
Gara2e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
3,253.00
1,248.00
Value
Date Calculated
Description
Total Value of Project
$300,577.20
$30,326.40
$330,903.60
09/03/2004
09/03/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $855.66 9/3/04 2200400000000001122
-Mechanical Issuance Fee- $10.00 10/13/04 2200400000000001284
+ 10% Administrative Fee $200.64 10/13/04 2200400000000001284
+ 7% State Surcharge $140.45 10/13/04 2200400000000001284
3 Baths One & Two Family $306.00 10/13/04 2200400000000001284
Addressing Assignment $31.00 10/13/04 2200400000000001284
Appliance Vent $6.00 10/13/04 2200400000000001284
Building Permit $1,316.40 10/13/04 2200400000000001284
Curbcut Permit $75.00 10/13/04 2200400000000001284
Dryer Vent $6.00 10/13/04 2200400000000001284
Exhaust Hoods $9.00 10/13/04 2200400000000001284
Furnace - up to 100,000 btu $12.00 10/13/04 2200400000000001284
Gas Fireplace $15.00 10/13/04 2200400000000001284
Gas Outlets 1-4 $4.00 10/13/04 2200400000000001284
Plan Review Major - Planning $103.00 10/13/04 2200400000000001284
PW Mult Disc - 2nd Permit $-30.00 10/13/04 2200400000000001284
Residence Wiring 1000 Sq Ft $106.00 10/13/04 2200400000000001284
Residence Wiring Ea Addtl 500 $152.00 10/13/04 2200400000000001284
Sanitary Sewer - Improvement $584,96 10/13/04 2200400000000001284
Sanitary Sewer - Reimbursement $769.28 10/13/04 2200400000000001284
SDC MWMC Administration $10.00 10/13/04 2200400000000001284
SDC MWMC Improvement $865.31 10/13/04 2200400000000001284
SDC MWMC Reimbursement $82.03 10/13/04 2200400000000001284
SDC Sanitary/Storm Admin $183.12 10/13/04 2200400000000001284
SDC Transpo Admin $59.05 10/13/04 2200400000000001284
SDC Transpo Improvement $772.49 10/13/04 2200400000000001284
SDC Transpo Reimbursement $175.13 10/13/04 2200400000000001284
Sidewalk Permit $75.00 10/13/04 2200400000000001284
Storm Drainage Impervious Area $1,584.10 10/13/04 2200400000000001284
Temp Power 200 amps or less $50.00 10/13/04 2200400000000001284
Vent Fan $24.00 10/13/04 2200400000000001284
WilJamalane Single Family $1,000.00 10/13/04 2200400000000001284
+ 10% Administrative Fee $4.50 1/24/05 2200500000000000093
+ 7% State Surcharge $3.15 1/24/05 2200500000000000093
Low Voltage - Residential $25.00 1/24/05 2200500000000000093
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01103
ISSUED: 10/13/2004
APPLIED: 09/03/2004
EXPIRES: 06/14/2005
VALUE: $ 330,903.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Minimum/Adjustment Electrical
$20.00
1/24/05
2200500000000000093
Total Amount Paid
$9,605.27
I Plan Reviews'
Initial Review
Planninl! Review
09/07/2004
09/07/2004
09/07/2004
09/20/2004
APP
APP
LLH
TAJ
Aspen Park Plat recorded on
8/18/04.
911012004 - Subdivsion not yet
accepted. No hookup to public
facilities until subdivision is
accepted by the City. - MS
See documents for plan review
comments.
Public Works Review
09/07/2004
09/10/2004
APP
MS
Structural Review
09/07/2004
09/28/2004
APP
DLM
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
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.
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
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01103
ISSUED: 10/13/2004
APPLIED: 09/03/2004
EXPIRES: 06/14/2005
VALUE: $ 330,903.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Low Voltage: Prior to cover.
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
Pae:e 4 of 4
{- ..
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01103
COM2004-01103
COM2004-01103
COM2004-01103
Payments:
Type of Payment
CreditCard
1/24/2005
RECEIPT #:
Description
Low V oltage .~ Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
~".e.'~.t:~~.I..'~.~"-:......,....,.,. ...............'.'......
1tIr', "', ,
" . I
.~;"_'..,' .1
~<"~~:"!#""',~}".,.."'\~~"'I""!':". .,'1,..--..~c\t.'. ".,
('ity of Springfield Official Receipt
lelopment Services Department
Public Works Department
2200500000000000093
Page 1 of 1
Date: 01124/2005
3:37:26PM
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
DIVERSIFIED ELECTRONICS ddk 005995 In Person
Payment Total:
Amount Due
25.00
,20.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65