HomeMy WebLinkAboutPermit Electrical 2004-9-16
.'
.' . , - ",' ""\ j' " , " ' ,. ',,', , 1 ',. .
,~',':' '.! ;" " CITY,:Q}t .~-:eRINGFIELD, OREGON:. . ,\~), : '
. . ~+ .~ . ):. .... ... !,.." . ': ~"~ . .' -. - <.
~ ~ ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (5~~-~9
ELECTR.1~PERMIT APPLICATION () vq! q"o- ~,or9-;'
. (r1 "'e ~ &.5' eOI
CIty Job Nu e _ m I If"\ Date -\ 0". "0 Ql.5'
~ Or.' "''' '" r. .5'",
Service Included
JOB DESCRIPTION
Of UwYL (}0 iF JA
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
06.
4 ~9.00
I
Each Manufact'd Home or I~ ' ;-"s \lnU to
M d J'-~T'\!-,~"-I'lntd' (".'''''''''\1 C).\1V requ,i.., )V, -,
o u ar vwel mg-.:>ernce'0r, 1$':'"
Feedp.r~""l"" .-,r'o'''''c'Oci b'JI the Oreqon scmo
~~,:!O\\f t.J L. :......., 1..Jc.V , -r +h
. ' -'-'- <00 ,,!p ~.re set tur l
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
B.
Ei . Th. ri ,t. c_ _ I~ I (""or, v~)lI ,ray olJlain copies 0 e
Electrical Contractor V el1J~ E::::.lNl.c1. ~ <t 1~200 Amg~~~~il:Sf~'~ center. (Note.: the te\~~
I I, J 201 Ampsio4'bOfS-fm~ Oregon I. Jtiiitv NOt$I~tJOm
Address PM8 I 32 (; 5W-l ]')I\Jl SIOM;N~ 401 AJi~J1'oO~de&mgiiS 1_800-332-2344)$125.00
601 Amps to 1000 Amps $163.00
City E lr&N? 97'1C1-i Phone bO'7 - C:.'1og Over 1000 AmpsNolts $375.00
!f ~ Reconnect Only $ 50.00
Expiration Date
Supervisor License Number 1-( (;0 <g s
/ 0/ / /l{^{)t1
I I
/3b3'71
?: II 2!jOO?;"
f '
Signature of Supervising Electrician
1A~~/~2lL
/
Owners Nam~ dJ..J( ~ .
Addre3q s& rnlJ}'Yol r:bYld. fA ti( E.
Ci~<\"JU Phone 3 \.[ '{ .. oa~
OWNER I~]$$ION
c.
Constr. Contr. Number
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. ""'os,,"''!;<\'
New Alte~~~i~~,~f;l~!!St!)!J,il1eli,p~neb PlhiVll-[ l~ NuT
One Circut5UiV::\1ti~CtD Ok IS Aof\~~UUl1J~61,dOJR
Each, Addi>>onal.p.r6uf)Rlj'~rnIOO. $ 3.00
ServIce ortp~'l:he~ 'flermlt
$ 50.00
$ 69.00
$100,00
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
4.
Inspection Request: 726-3769
TOTAL
2S<6,6V
:20 l~
i$",- Ro
jj 3 3(P . 1~
7% State Surcharge
10% Administrative Fee
Shared Drive(T:)fBuilding ForrnslElectrical Permit Application I-03.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 268,184.00
A TTFI\/Tlnl\" r..~ _ -- I
-, -~~., ..." I c;YUlltiS you to
fn/ln,., ro.I~,~;; _I_,.I.J L
SITE ADDRESS: 6807 Aster St 205 S 67th Ct ~ttfiftMdn- aOO1~..Ofh~~~rMiPe!1ti1ity
ASSESSOR'S PARCEL NO.: 1702344402900 in OAR 952-001-0010 tWAJ..! h e~~ oset forth
0090. You mify8~Q~ li80P Nt\V'52-001- Residential
PROJECT DESCRIPTION: St Lucia PL lot 12 - same as CO~"~QA9Pd~h~ 9 P es of the rules by
er. (Note: the telephone
number ff"lr thQ nr'"'....~'" L't'I'l , \
. - b - r. e. . j 1 ~VLlII"4C10n
Owner: COREY DEVELOPMENT LLC Center IS 1-800-33t~umber: 541-344-0250
Address: 3956 MIRROR POND WAY EUGENE OR 97408
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor Type
General
Electrical
Mechanical
Plumbing
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTORl1~J<uRMATION I
Contractor License
CONSTRUCTION CONSULTANTS LTD INC 120549
EVERYDAY ELECTRICAL SERVICE 136371
COMFORT FLOW 460
RS PLUMBING CONTRACTING 103816
I BUILDING INFORMATION I
Expiration Date
02/24/2006
08/12/2005
06/27/2005
01104/2006
Phone
541-688-1907
541-607-6908
541-726-0100
541-461-4714
2
R-3
U-l
VN
# of Stories: 2 Lot Size:
Height of Structure 28.00 Sq Ft 1st Floor:
Type 0~'~0,t~ C IE: Forced Air Gas Sq Ft 2nd Floor:
:aa~;: iw~ PERMIT SH~~~IRE~! :arm~rport
EnergyrpfltlliOR1ZED UNDEP1.thli.IS Ps~~b~JJ:OT
Sprinkl~d)BU-d~giED OR ISnABANDcmfli\>(i'*Load:
M\'" 1 JJ ON.' rCnlOD.
I DEVELOPMENT INFORMATION I
572
1,386
1,386
6
28.60
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
21.00
0.00
3
Yes
32.60
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fullv Improved
Yes Downspouts/Drains: Curb and Gutter
Set back on Aster Street, curb side on Soufreiere Court. NO SANITARY SEWER CONNECTION
OR FINAL OCCUPANCY UNTIL APPROVAL OF PUBLIC IMPROVEMENT PLANS, See Ron
Sather for status of public improvement process #726-2240.
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
Gara2:e
DwelIin2:s
Gara2:e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Attached (duplex)
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
/
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,752.00
572.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$184.09
$128.86
$254.00
$306.00
$62.00
$12.00
$1,114.90
$75.00
$12.00
$18.00
$24.00
$8.00
$103.00
$-30.00
$705.61
$928.24
$10.00
$428.46
$629.26
$155.30
$111.55
$1,454.83
$329.78
$75.00
$850.72
$50.00
$42.00
$1,848.00
$28.80
$20.16
$212.00
$76.00
Date Paid
4/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
7/12/04
9/17/04
9/17/04
9/17/04
9/17/04
Pa2:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 268,184.00
Value
Date Calculated
$254,284.80
$13,899.60
$268,184.40
04/12/2004
04/12/2004
Receipt Number
1200400000000000457
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
1200400000000001066
2200400000000001174
2200400000000001174
2200400000000001174
2200400000000001174
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 268,184.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $10,337.56
I Plan Reviews I
Initial Review 06/03/2004 06/03/2004 APP LLH
Planninl! Review 06/03/2004 07/07/2004 APP TAJ
Public Works Review 06/07/2004 06/1512004 APP VRJ NO SANITARY SEWER
CONNECTION OR FINAL
OCCUPANCY UNTIL APPROV At
OF PUBLIC IMPROVEMENT
PLANS, See Ron Sather for status oj
public improvement process
#726-2240.
Structural Review 06/03/2004 06/03/2004 APP RJB
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.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Second: 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.
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.
Pal!e 3 of 4
"_6~6.:',LDiii, '"'.,.".,..,,.., ,I,:,....
~_ I
,~ .
~ ~ I
" w... .... ._....... ... ."'".___.~ .' ~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 268,184.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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
Springfield, Oregon 97477
541-726-3759 Phone
r'ity of Springfield Official Receipt
tvelopment Services Department
Public Works Department
Job/Journal Number
COM2004-00403
COM2004-00403
COM2004-00403
COM2004-00403
COM2004-00518
COM2004-00518
COM2004-00518
COM2004-00518
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00404
COM2004-00404
COM2004-00404
COM2004-00404
COM2004-00519
COM2004-00519
COM2004-00519
COM2004-00519
COM2004-00401
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
Payments:
Type of Payment
Check
9/17/2004
RECEIPT #:
2200400000000001174
Date: 09/17/2004
Description
Residence Wiring 1000 Sq Ft
,Residence Wiring Ea Addtl500
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft '
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
, Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CONSTRUCTION
CONSULTANTS LTD. INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 3291 In Person
Payment Total:
Page 1 of 1
11:06:06AM
Amount Due
106.00
38.00
10.08
14.40
106.00
38.00
10.08
14.40
106.00
57,00
11.41
16.30
106,00
38.00
10.08
14.40
106,00
38.00
10.08
14.40
212.00
76.00
20.16
28.80
$1,201.59
Amount Paid
$1,201.59
$1,201.59