HomeMy WebLinkAboutPermit Electrical 2004-9-16
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225 FIFTH STREET e SPRINGFIELD, OR 97477 0 PH:(541)726-3753 D FAX: (541)726-~~.9 ~
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ELECTIpCAL PERMIT APPLICATION ~<?/~'" Q: "0'
City Job ~J.lR) ....... - Co4...QU Date o~s.:l9"l'q
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LEGAL DESC IPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
3.
~ .
Service Incl~I;I~<[\j'1 ;Ci'~: Cregan law r 0.I'@ ~
1000 sq. ft. br.!lessl r~I:t:': 2.d0:J:8d by ine 0 ',061 tili 0 ~
Each addifib:n'ali5;OAQisJpf,Ctoni8r. Tho~ rules ar set rt::--" C'
portion th~r'fQfAR 952-001-001 0 thrfl4tgh O.$,fli v -0 ()
Each ManQQ~Ai Pi1h'1P<WY obtain copies of the rules by
Modular Dw€lUH~~~eeQifnter. (Not~~.~~e tJ;lJb~8o~e
Feeder number for the Ore8U'-' UlIllLY N'otlflcatlu"
2. B.
Electrical ContractorEv eN ,Tlw ~ ~f\I; ct 1~200 Amps or less
I 1 J 201 Amps to 400 Amps
Address PMf3 /32 65W-1 JJ/I.J1SIOJJ;N{ 401 Amps to 600 Amps
601 Amps to 1000 Amps
Phone 60'7- (..,1og Over 1000 AmpsNoIts
Recqrm.e,ct Only
l"jllf'e:rE*'
~~~~gG",. .
City E lX&~ 97~cH
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Supervisor License Number '-/ bO 3 s
/ all /lml-j
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Signature of Supervising Electrician
9tku-/Mff
Owners Narloa.Gy DEN'. ,
Addre~?, q SG, tl'\ lM.Y VbOO.jA)t1t l'
City lG ~ Phone 3 "t4 ". 0 ~o
() q1lJO~ .
OWNER INST ALLA TION
Expiration Date
Constr. Contr. Number
Expiration Date
The instalIation 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
c.
AU IZED UNDER THIS PERMIT IS NOT
Inst."lI"lio,nF AiJteratirrfl1or.::RelocatioDO NED FO R
e ~'HI I_'\VLU CiTl I\J'"'MU,",I"U
200/Andlps1~ae3AY PERIOD. $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Am s or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation '
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
1'14. 0-0
, 6 . 08"
L!:i. Lf.Q
~ 1 u(. l/g
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc
TYPE OF USE: New
PROJECT DESCRIPTION: ST Lucia PL lot 9 - tandem - same a~JOM~~,!'W~.1\res you to
ATTENTION:-,~r:+~rI h\1 the Oregon Utility
tOil ow I ulc;v ~~!! r - \ are ~llUI d I
Owner: COREY DEVELOPMENT LLC ~Q\iBc~~on Center. Those ru he~AR 9~~~~umber:
Address: 3956 MIRROR POND WAY EUGEN in YJ"Afi 9~001-0~+~~",t~~0~~s of the rules by
"
om:lu. lUU ."...., ~ =~_ I"ll)tp~ the telepnol.\\:'!
I CONT"~lIt:.uKf:J:NroRMA_TJQNi.' Notification
numoer IUI lll". 8. - !!l 00-332-2344).
Contractor Center IS 1-flcense Expiration Date
CONSTRUCTION CONSULTANTS LTD INC 120549 02/24/2006
EVERYDAY ELECTRICAL SERVICE 136371 08/12/2005
COMFORT FLOW 460 06/2712005
RS PLUMBING CONTRACTING 103816 01104/2006
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6808 Aster St
ASSESSOR'S PARCEL NO.: 1702344402600
Contractor Type
General
Electrical
Mechanical
Plumbing
# ofUhits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.50
7.00
0.00
10.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00404
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 148,275.00
Springfield TYPE OF WORK: Single Family Residence
Residential
541-344-0250
Phone
541-688-1907
541-607-6908
541-726-0100
541-461-4714
I BUILDING INFORMATION I
1
R-3
U-l
VN
# of Stories: 2 Lot Size:
Height of Structure 25.00 Sq Ft 1st Floor: 587
Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 902
Water Type: Gas Sq Ft Basement:
RangetFype~CE' Electric Sq Ft Garage/Carport 440
i~1 '.... R B .
~;:;::r!\i~~/d~~:IT SHALcnfJrlRE ~f~m~~~:
AIITHnRlhn IINnrR Tf-JIC: prRM11 Ie: flinT
I DEVELOPMEN1l7IINrF]IDRNtAIIION FljANDONED FOR
Al\lY ItlU UAY t-'tKIUU. REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 0 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage:
4
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Yes Downspouts/Drains: Curb and Gutter
Private drive, public sanitary and storm sewer. NO SANITARY SEWER CONNECTION OR
FINAL OCCUPANCY UNTIL APPROVAL OF PUBLIC IMPROVEMENT PLANS, See Ron
Sather for status of public improvement process #726-2240.
Notes:
Pa2e 1 of4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00404
ISSUED: 09/1712004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 148,275.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,489.00
440.00
Value
Date Calculated
Description
Total Value of Project
$137,583.60
$10,692.00
$148,275.60
05/04/2004
05/04/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 4/12/04 1200400000000000460
-Mechanical Issuance Fee- $10.00 7/1/04 1200400000000001019
+ 10% Administrative Fee $114.19 7/1/04 1200400000000001019
+ 7% State Surcharge $79.93 7/1/04 1200400000000001019
3 Baths One & Two Family $306.00 7/1/04 1200400000000001019
Addressing Assignment $31.00 7/1/04 1200400000000001019
Appliance Vent $6.00 7/1/04 1200400000000001019
Building Permit $724.90 7/1/04 1200400000000001019
Dryer Vent $6.00 7/1/04 1200400000000001019
Exhaust Hoods $9.00 7/1/04 1200400000000001019
Furnace - up to 100,000 btu $12.00 7/1/04 1200400000000001019
Gas Outlets 1-4 $4.00 7/1/04 1200400000000001019
Plan Review - Planning $103.00 7/1/04 1200400000000001019
Sanitary Sewer - Improvement $430.25 7/1/04 1200400000000001019
Sanitary Sewer - Reimbursement $566.00 7/1/04 1200400000000001019
SDC MWMC Administration $10.00 7/1/04 1200400000000001019
SDC MWMC Improvement $214.23 7/1/04 1200400000000001019
SDC MWMC Reimbursement $314.63 7/1/04 1200400000000001019
SDC Sanitary/Storm Admin $103.25 7/1/04 1200400000000001019
SDC Transpo Admin $53.85 7/1/04 1200400000000001019
SDC Transpo Improvement $727.42 7/1/04 1200400000000001019
SDC Transpo Reimbursement $164.89 7/1/04 1200400000000001019
Storm Drainage Impervious Area $714.56 7/1/04 1200400000000001019
Temp Power 200 amps or less $50.00 7/1/04 1200400000000001019
Vent Fan $24.00 7/1/04 1200400000000001019
Willamalane Attached (duplex) $924.00 7/1/04 1200400000000001019
+ 10% Administrative Fee $14.40 9/17/04 2200400000000001174
+ 7% State Surcharge $10.08 9/17/04 2200400000000001174
Residence Wiring 1000 Sq Ft $106.00 9/17/04 2200400000000001174
Residence Wiring Ea Addtl 500 $38.00 9/17/04 2200400000000001174
Total Amount Paid $5,971.58
Pal!e 2 of 4
-$J;G:Dfii
"war. I
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00404
ISSUED: 09/1712004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 148,275.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl!: Review
I Plan Reviews I
06/03/2004 06/03/2004 APP LLH
06/03/2004 WE The other half of this tandem is on
hold until can get a revised site plan.
tara 6/28
07/01/2004 07/01/2004 APP TAJ
06/07/2004 06/14/2004 APP VRJ NO SANITARY SEWER
CONNECTION OR FINAL
OCCUPANCY UNTIL APPROVAL
OF PUBLIC IMPROVEMENT
PLANS, See Ron Sather for status oj
public improvement process
#726-2240.
06/03/2004 06/03/2004 APP RJB
Planninl!: Review
Public Works Review
Structural 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.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Final Electric: When all electrical work is complete.
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.
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.
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 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00404
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 148,275.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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
Pa\?:e 4 of 4
225 Fifth Street
. 'Springfield, Oregon 97477
541-726-3759 Phone
~
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #: 2200400000000001174 Date: 09/17/2004 11:04:30AM
Job/Journal Number Description Amount Due
COM2004-00403 Residence Wiring 1000 Sq Ft 106,00
COM2004-00403 Residence Wiring Ea Addtl 500 38.00
COM2004-00403 + 7% State Surcharge 10.08
COM2004-00403 + 10% Administrative Fee 14.40
COM2004-00518 Residence Wiring 1000 Sq Ft 106.00
COM2004-00518 Residence Wiring Ea Addtl 500 38.00
COM2004-00518 + 7% State Surcharge 10.08
COM2004-00518 + 10% Administrative Fee 14.40
COM2004-00406 Residence Wiring 1000 Sq Ft 106.00
COM2004-00406 Residence Wiring Ea Addtl 500 57,00
COM2004-00406 + 7% State Surcharge 11.41
COM2004-00406 + 10% Administrative Fee 16.30
COM2004-00404 Residence Wiring 1000 Sq Ft 106.00
COM2004-00404 Residence Wiring Ea Addtl 500 38.00
COM2004-00404 + 7% State Surcharge 10.08
COM2004-00404 + 10% Administrative Fee 14.40
COM2004-00519 Residence Wiring 1000 Sq Ft 106.00
COM2004-00519 Residence Wiring Ea Addtl 500 38.00
COM2004-00519 + 7% State Surcharge 10.08
COM2004-00519 + 10% Administrative Fee 14.40
COM2004-00401 Residence Wiring 1000 Sq Ft 212.00
COM2004-0040 1 Residence Wiring Ea Addtl 500 76,00
COM2004-0040 I + 7% State Surcharge 20.16
COM2004-0040 1 + 10% Administrative Fee 28.80
Item Total: $1,201.59
P,ayments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check CONSTRUCTION ddk 3291 In Person $1,201.59
CONSULTANTS LTD. INC.
Payment Total: $1,201.59
9/17/2004
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