HomeMy WebLinkAboutPermit Electrical 2005-5-3
._~.NGFlELO. '''"''':;''~''':':l
225 FIl'TH STREET . SPR!N<mELD, OR 97471 . PH:(S41)726-3753 . FAX: (S41)72603689 \:.i ~ ;
ELEt.;l1dCALPERMITA,PPUCATION. . ~ ~~ 0,,", ~ ...',
City Job Number C~, - OO'Z l' Date r,/ ~~~ : ..... %~.~\ ~~ ~%61:%(>,.." .
1. . ,~~fjjl2fr;-Q~~~jQ~:1riii.i;:1~ 3. ~~~QiYm~~~~;.~~g:~[>>tf,~,l!fi;ffi~~~E~JBl
J?l. AS~eN ~r _ "9'i . %~~
~~~~ ..~~ 7;: ~ ~~~:~~g~t~'~t"i~~i~~
, , ,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days. .
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
'jfc.q~7i:fQJj}W$fJ!'!t)~:rTiQ~~riNki1 B. :~~,_ '\~~MIi~~IltJi ti;":~;~~~;i~'~'~ti~'~~~71
2. ,,;,,"".;-',="---'-&.~:"A-'&k"'''-'-''' ...~"',"','~""'_,A..,.......,.::~~:".,,,"":i!dj folfdW" ~.~~:tl;"",. -- "'!E1M!-:!:!!..~.&'lJdr&~..L.', .. ,w",. .!"u._.". J
'II &. 'At. ru.,. . '. a opted by the Oregon Uilitv
Electrical Contractor.. 0\1'){J(;<;l'-H LA ~lpc 0V1~0 'Nbf.tOOjioo-~ter. Those rules are set 03.20
''l~~~@aa i06If() through-O.^.P. ~S2- ~~o
Address 1.(") ~,( 4011 t./ 8 04m~~1)J lJlIii1 alntmin copies ofthe fUr 1iloo
66flRVWstlbet ~Jenp{Note: the teIArt,o~~roo
8~JP!W)f~gon UtilitY. Notifil'..::Itij,15.00
Reconne&0'ilt9r is 1-800-332-2344)_ $ 50.00
City ~~ Cf1 40 '-I Phone I./81.91J7fS
Supervisor License Number ,:'58931. .,c A
J(j} I /OS
Expiration Date
Constr. Contr. Number /14 hAC;
Expiration Date ~;::;.-...
Si7JJ;;:fi;J0L
Owners Name &e;O f2.. /c.- :fC::-S.'S.It."
Address .-Zb85"" COvE;"-/r../ . Wy
City Eo, C:- E /I{t Phone 68.' r - '1 ~ 19)
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
c. ~~~~pi3:~tij;fil~r~r!mr~3.
Installation, AlteratiQn or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
&tG6olC..tritps or 1000 Volts see "B" above~
D. ". "tmerr1iilit~t~~.
i\~D'll:1ljmLnr ",...,,'(" - .
l' <<:13 ~J::j.tfQn OJ.Jt:l1i~JlSIG".1 'lir Panel . ~
Cp.~ ~r-F ~f~CtD'UH I~ A 3ANDONED FO~43.00
EiC~ Y\du1tioQil\Ci~cfu~ ~ ~th
Service or Feeder Permit $ 3.00
,,".- ';'". '~/;:f-~' ,":"~', :{~~'-:~~):~'7~"'~~-:'~:;r:'~~,'"r~-:_.~,:>':'" '_'" '..'"::,'~_~7N:"~_'I'":;~~"_~~;<O
E. j.~ JW(sc'~!I~ii~i4s'lSe'0i~e)f~~<ie-f:n~~i1~lud~dj'~E~~h'I11~taljati~h:1
~..;.;;:.!~"'$.';c:;:;~ -..',......,."... ...''l.;..f~~~:tL;,;~.;~~~~:.,.ti:..o..i;O;j:;:':':''';',''!''~ .....1...:.....:.:...::.:i.~~.;.;.,'1~.::..l,;~.1
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential I $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee i~O + Surcharges
2$""
4. 2!~1~r~'~{~~~S~0fD~.:jr~~~';~~~"i
7% State Surcharge
10% Administrative Fee
-
4~
Sir
qiC
S 2- b,E
TOTAL
Shared Drive(T:)lBuilding FolTllSlElectrical Pennit Application I-03.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/22/2005
EXPIRES: 11/02/2005
VALUE: $ 248,494.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 721 Aspen Street
ASSESSOR'S PARCEL NO.: 1703342101900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Aspen park subd lot 2
Residential
Owner: GEORGE JESSIE
Address: 2085 COVENTERY WAY
EUGENE OR 97402
Phone Number: 541-689-4019
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DJS INVESTMENTS LLC
BOB FISHER ELECTRIC INC
MARSHALLS INC
JAMMAL INC
License
131714
96275
25790
158262
Expiration Date
10/09/2006
01125/2006
12/23/2005
01112/2006
Phone
541-485-2655
541-689-7973
541-747-7445
541-484-7440
BUILDING INFORMATION.,
3
A M~d~: Or~.9..on taw re . 2 ~ot Size:
fOl~&'8t~ L~'t 8c)red q~~~yo~ Ft 1st Floor:
Noti BtJ& ~~~i p T~II ~21' Uti ~Ft 2nd Floor:
. in 0 Its e~ er. ose rutes6~ set f~ t Basement:
I~~- )j:-0010 through OM~52-=t Garage/Carport
009 (lWI !m~btaln copies qfdhl3trule~Q1fi't Other:
C ~QfA cmnfttfng{Note: thedQ!ephOll8ccupant Load:
nurri.bm:,fnr thA ()rAgnn Ilti'it.v t..IQtjfi~itl~p.
....
I DEVELOPMElQll!aj)j1~M~).
7,649
2,144
335
. # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
608
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
19.00
5.50
19.50
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
35.70
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
. I PUBLIC IMPROVEMENTS I
NOn t;t:: . .Sj.d~wfllkf:l\ffi'er.b)
Fully ImprovedTH1S PERMIT SHALL EXPh'lc It .I~':l~'~~~
Yes AUTHORIZED UNDER THISllbiif~~p,Qut~~liams:
COMMENCED OR IS ABANDONED rtm
No hook-up to City Infrastructure until PuJ}li~l1.ihp~Qe~e~fsPalQt1ted; storm drainage piped to curb face
2/28/2005 CAS
Curbside 5'
Curb and Gutter
Subdivision Not Accepted
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
V Wood Bonus Rm
Garaee
DweIlines
DweIlines
Garaee
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/22/2005
EXPIRES: 11/02/2005
VALUE: $ 248,494.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$96.00
$82.00
$25.00
Square Footage
or Bid Amount
2,144.00
335.00
608.00
Value
Date Calculated
$205,824.00
$27,470.00
$15,200.00
$248,494.00
02/22/2005
03/10/2005
02/22/2005
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $625.40 2/22/05 2200500000000000203
-Mechanical Issuance Fee- $10.00 3/15/05 1200500000000000323
+ 10% Administrative Fee $161.19 3/15/05 1200500000000000323
+ 7% State Surcharge $112.83 3/15/05 1200500000000000323
2 Baths One or Two Family $254.00 3/15/05 1200500000000000323
Addressing Assignll!ent $31.00 3/15/05 1200500000000000323
Appliance Vent $6.00 3/15/05 1200500000000000323
Building Permit $1,049.90 3/15/05 1200500000000000323
Curbcut Permit $80.00 3/15/05 1200500000000000323
Dryer Vent $6.00 3/15/05 1200500000000000323
Exhaust Hoods $9.00 3/15/05 1200500000000000323
Furnace - up to 100,000 btu $12.00 3/15/05 1200500000000000323
Gas Fireplace $15.00 3/15/05 1200500000000000323
Gas Outlets 1-4 $4.00 3/15/05 1200500000000000323
Heat Pump $12.00 3/15/05 1200500000000000323
Plan Review Major - Planning $103.00 3/15/05 1200500000000000323
Plan Review Residential $54.92 3/15/05 1200500000000000323
PW Disc - 2nd Permit (Street) $-30.00 3/15/05 1200500000000000323
Residence Wiring 1000 Sq Ft $106.00 3/15/05 1200500000000000323
Residence Wiring Ea Addtl 500 $76.00 3/15/05 1200500000000000323
Sanitary Sewer - Improvement $365.60 3/15/05 1200500000000000323
Sanitary Sewer - Reimbursement $480.80 3/15/05 1200500000000000323
SDC MWMC Administration $10.00 3/15/05 1200500000000000323
SDC MWMC Improvement $865.31 3/15/05 1200500000000000323
SDC MWMC Reimbursement $82.03 3/15/05 1200500000000000323
SDC Sanitary/Storm Admin $125.80 3/15/05 1200500000000000323
SDC Transpo Admin $63.42 3/15/05 1200500000000000323
SDC Transpo Improvement $772.49 3/15/05 1200500000000000323
SDC Transpo Reimbursement $175.13 3/15/05 1200500000000000323
Sidewalk Permit $80.00 3/15/05 1200500000000000323
Storm Drainage Impervious Area $1,033.08 3/15/05 1200500000000000323
Temp Power 200 amps or less $50.00 3/15/05 1200500000000000323
Vent Fan $12.00 3/15/05 1200500000000000323
WiIlamalane Single Family $1,000.00 3/15/05 1200500000000000323
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/22/2005
EXPIRES: 11/02/2005
VALUE: $ 248,494.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimum/ Adj ustment Electrical
$4.50
$3.15
$25.00
$20.00
5/3/05
5/3/05
5/3/05
5/3/05
2200500000000000523
2200500000000000523
2200500000000000523
2200500000000000523
Total Amount Paid
$7,866.55
Structural Review
I Plan Reviews I
02/24/2005 02/24/2005 APP SKG
02/24/2005 03/11/2005 APP TAJ
02124/2005 02/28/2005 APP CAS No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
curb face. 2/28/2005 CAS
02/24/2005 03/10/2005 APP TCM
Initial Review
Planninl! Review
Public Works Review
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.
Erosion/Grading Inspection: After all erosion measures are in place.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Plumbing: Prior to insulation or decking.
Ceiling Insulation: Prior to cover.
Water Line: Prior to fIlling trench and including required testing.
Electric Service: Approval required prior to utility company energizing service.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Low Voltage: Prior to cover.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Foundation: After forms are erected but prior to concrete placement.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
Floor Insulation: Prior to decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/2212005
EXPIRES: 11/02/2005
VALUE: $ 248,494.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Gas: When all gas work is complete.
Wall Insulation: Prior to cover.
Final Plumbing: When all plumbing work is complete.
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Shear Wall Nailing: Before covering sheathing with finish materials.
Storm Sewer Line: Prior to filling trench.
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underfloor Drain: Prior to cover or placement of concrete.
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
Pal!:e 4 of 4
~~
225 Fifth Street
SpriIigfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
Payments:
Type of Payment
CreditCard
5/3/2005
rity of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000523
Date: 05/03/2005
7:54:51AM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Amount Due
3.15
4.50
25.00
20.00
$52.65
Paid By
ALLAN WOOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 032147 In Person
Payment Total:
$52.65
$52.65
Amount Paid
Page 1 of I