HomeMy WebLinkAboutPermit Electrical 2004-9-16
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 e FAX: (541)726-3689
ELECTR1~ PERMIT APPLICATION
City Job Numb :t:Y>1d m ~ .!'K1Y-O;JDate !lj/ ~/ {JL,/
1.
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LEGAL DdCRIPTION
/7tJ~ d4'~6~0tJV
JOB DESCRIPTION
~
c:f Lu. ~~ --- f/[, 3
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
I , '"""...". $106.00 /O~
'fIr;. $19.00 l3 g
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 Manufatt'dHomeotJC,r: 1;-;\'1 V'C~r,! ';'( \'~'! j
ModularDwelling-Berviceof"( ,Yo $50.66
Feeder f<,~,,;c coti:." ,,:;r
2. B.
Electrical Contractor EveN.T'.tw a.eJ ~f\I; <:t ft,'e..)OO Amps Jf~U~~g the ce;t~r.. (Note: thr~ $='6@!OOOne
I I J 201 Amps?~~o~1[~~~the Oregon ~~'11:~ t$'?MOO3tion
Address P/V1.8 I 32 65W-1 1'')I\Jl SloJJ /+Jf. 401 Amps to 600 Amlfster IS 1-8UU-jj~-2j'$1Ii5.00
601 Amps to 1000 Amps $163.00
City Elx&N' 97L./rJ-) Phone 60i-b1og Over 1000 AmpsNolts $375.00
tf - Reconnect Only $ 50.00
Supervisor License Number '-! ~O <g s
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I I
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Signature of Supervising Electrician
~1< ~ ~2Jl
Owners Name CbLZe (J I ~eJ..fi) Uc
Address \3QSV? m/ryor" pOr1/:) Wy E.
City Gi~f:/7 40 ";ne .jtl'f - CJ~ S6
OWNER INST AtLA TfoN
c.
Expiration Date
Installation, Alteration or Relocation
20p i\ml?s~oI' ~ess $ 50.00
201 ~~p? to, ~9q?\tNl,~., L L 'i i I f: $.'9~jPq\
401. Amps to i~OO,A mn~ ; i~ L ,','-:" .'.1- u P '1. i r 'I'l:'l (;)[\.t:)fl
r.\.-"I,\...r.1LLLJ"UV~......,-II' rr-rror
O\@t..J1QQvKrN:i~ 19t) 1 {J$O ~'Orts:&~MJtliati4t[; 0 R
D. c.
Constr. Contr. Number
Expiration Date
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
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
Owners Signature:
4.
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building FonnslElectrical Pennit Application I-03.doc
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Status
Issued
CITY OF SPRINGFI~Lj)
Building/Combination Permit
PERMIT NO: cOM2004-00403
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
SITE ADDRESS: 6798 Aster St
ASSESSOR'S PARCEL NO.: 1702344402000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: ST Lucia PL lot 3 - Tandem - Same as COM2004-00402
New
Residential
Owner: COREY DEVELOPMENT LLC
Address: 3956 MIRROR POND WAY EUGENE OR 97408
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-344-0250
CONTRACTOR INF . regon law requires you. to
th Oregon UtIlity
follo"i {ules adopted by e fr-rth
Contractor i i~~nter.~faMiiSD'a~e<)et Phone
CONSTRUCTION CONSULTANTS L T~~i\~!.b01-001 0 tromJ4Y~OO6\R 95~-~~{~688-1907
EVERYDAY ELECTRICAL SERVICE ~090 1Vaa7may obtain <08Y-li~Jio05he r~ fS-:'1%07-6908
COMFORT FLOW i(RB the center. (t08i~7&"OOse\~P 0~~i-726-0100
RS PLUMBING CONTRACTING ~~rr #l~'~r the Oreg<01/oIty~~~~~tltlca5~f~461-4714
f' . 1 8UU-,j,j~-~""-r""T)'
I BUILDING INFORMATION tenter IS -
# of Units:
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1
R-3
U-l
VN
# of Stories: 2
Height of Structure 33.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
440
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
607
905
4
20.00
8.00
I DEVELOPMENT INiij~q.ioN ~
I MI\:l n:nlVIII HALL EXPIRE ~~fV% ~~ARKING
. AUTHORIZED UNDER THIS PERM)'''''' ~1\()1
Overlay Dlst: OR IS ABANDOIirBlfoR 2
# Street Trees ~J1MENCED O' Handicapped:
Paved Drive Rq'fi:JY 180 DAY PER\QQ. Compact:
% of Lot Coverage:
10.00
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Yes Downspouts/Drains: To Storm Sewer
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.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit'
PERMIT NO: cOM2004-00403
ISSUED: 09/17/2004
APPLIED: 04/1212004
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 Description I
Dwellinl!s
Garal!e
Type 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 1200400000000000459
-Mechanical Issuance Fee- $10.00 6/22/04 1200400000000000955
+ 10% Administrative Fee $109.19 6/22/04 1200400000000000955
+ 7% State Surcharge $76.43 6/22/04 1200400000000000955
3 Baths One & Two Family $306.00 6/22/04 1200400000000000955
Addressing Assignment $31.00 6/22/04 1200400000000000955
Appliance Vent $6.00 6/22/04 1200400000000000955
Building Permit $724.90 6/22/04 1200400000000000955
Dryer Vent $6.00 6/22/04 1200400000000000955
Exhaust Hoods $9.00 6/22/04 1200400000000000955
Furnace - up to 100,000 btu $12.00 6/22/04 1200400000000000955
Gas Outlets 1-4 $4.00 6/22/04 1200400000000000955
Plan Review - Planning $71.00 6/22/04 1200400000000000955
Sanitary Sewer - Improvement $430.25 6/22/04 1200400000000000955
Sanitary Sewer - Reimbursement $566.00 6/22/04 1200400000000000955
SDC MWMC Administration $10.00 6/22/04 1200400000000000955
SDC MWMC Improvement $214.23 6/22/04 1200400000000000955
SDC MWMC Reimbursement $314.63 6/22/04 1200400000000000955
SDC Sanitary/Storm Admin $106.18 6/22/04 1200400000000000955
SDC Transpo Admin $53.66 6/22/04 1200400000000000955
SDC Transpo Improvement $727.42 6/22/04 1200400000000000955
SDC Transpo Reimbursement $164.89 6/22/04 1200400000000000955
Storm Drainage Impervious Area $769.37 6/22/04 1200400000000000955
Vent Fan $24.00 6/22/04 1200400000000000955
Willamalane Attached (duplex) $924.00 6/22/04 1200400000000000955
+ 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 $5,938.63
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00403
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
Initial Review
Planninl! Review
Public Works Review
. 06/03/2004
06/03/2004
06/07/2004
I Plan Reviews I
06/03/2004 APP
06/22/2004 APP
06/14/2004 APP
LLH
TAJ
VRJ
NO SANITARY SEWER
CONNECTION OR FINAL
OCCUPANCY UNTIL APPROV Al
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.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00403
ISSUED: 09/17/2004
APPLIED: 04/12/2004
EXPIRES: 03/17/2005
VALUE: $ 148,275.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa2;e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
.541-726-3759 Phone
L""'tty of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00403
C;OM2004-00403
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
COM2004-0040 1
COM2004-0040 1
COM2004-00401
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 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 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
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
11:04:30AM
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