HomeMy WebLinkAboutPermit Electrical 2007-9-27
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number(l LJfY\'7.e-rO 1 - noK'5v
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1. LOCATION OF INSTALLATION
~ L> 4' 4' ~fL~ 'T ~ N <c:. {'1 N (0rrfI(
LEGAL DESCRIPTION
j'7tY:2. 5'{ S ~ 0 3':2 u iJ
JOB DESCRIPTION
sf-~
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,
CON1'RACTOR INS1'ALLATIONONLY
Electrical Contractor 5&E ~V(jC.,
Address p. (). Eo)C 7t3 bl
City ~ Phone ~;11 - a"bS
Supervisor License Number
3S=f:+ s
Expiration Date
lo"-I~(),
Constr. Contr. Number 14f' (8
-.".-".--....
/-/E;~::tion Date L{ -'3 D ... 01-
, Signature of Supervising Electrician '
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Owners Name C l~\"\'~
Address ~oq4 C~ ~tJ(E L--R
City ~~ Phone 51t-fr-~.
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OWNER INST ALLA nON
The installation is being made on property I own which
is not in~:~ for sajle, lea~e. or rent.
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qW, ~;rs'S,g n~rt . :
(... I
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.~"'_/' ~
l0usP"'tiOU Request' 726-3769
t~b: 10;01'6
fJJ-Q: Lj 1'2310 rt
Date
cf - ;)-r- {J 7
3.
COMPLETE [i'EE SCHEDULE BEL0111
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included :3 y'OO rr{.....- (j)./'
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
I '6 J.o
$ 19.00
i33
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. Services or Feeders - Installation, Alterations or Relocation:
n_ , 9\ JaNa~
200 Amps or less .(v\7BZ-ZBB-OO~ '" . 'a\:f\ ibl'.l~&wnU
201 Ampstfb~ Al!lnn UOUa.~~\~ ~4tilOO\IIeO
401 Amps tQ)i100-\~fli~~ al.n :adlO~~.""n(\-AetlUOO~O'0600
auUO S81 0" - ; ~ I ( ~et uvo U\
60 1 Amp~ ~~~ irtflVO 40nOJUl n tOO. ~0$1':'l~1't' m~U
Over 100(jJ.\Qh)j~~~k Sa\nJ 8S041 'JalU8i3'7~~bt~C\~J
Reconnec~ffi 'I l UOOaJO 8Lll AQ palaope'~:p~'311)ol
Al\\,ln I In. ba.J. Me\ UooaJO :NOl.l.l' .
0\ no/\s8J.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. BNO'tre~its,
New'F+ne-:fti9li\MlE:&M~\. ~~~F THE WORK
One ~l9q-qitORIZED UNDER THIS PERMl$l~.&\OT
Each.~~~~EtlJe:trfY~R lBtJABANDONtU FOR
ServIXt,\? ~1faebA~ERIOD. $ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges o-V
4, SUBTOTAL OF ABOVE,., d5 C;~
,I q5
If.
}o,. /')..
~ s- q (J
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc q 7
Jkd95-
225 Fifth'Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00854
COM2007-00854
COM2007-00854
COM2007-00854
COM2007 -00854
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000001507
Date: 09/27/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOUSEGUARD LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM 416617 In Person
Payment Total:
Page 1 of I
9:29:15AM
Amount Due
106.00
133.00
11.95
19.12
23.90
$293.97
Amount Paid
$293.97
$293,97
9/27/2007
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00854
ISSUED: 07/23/2007
APPLIED: 06/12/2007
EXPIRES: 03/27/2008
VALUE: $ 395,358.00
Status
Iss~ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6099 Graystone Lp
ASSESSOR'S PARCEL NO,: 1702343303200
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence - Mt Gate PH 4 lot 29
TYPE OF USE: New
Residential
Owner:
Address:
HOUSEGUARD
2295 COBURG RD
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
HOUSEGUARD LLC
STEVE HAUCK
DIVERSIFIED ELECTRONICS
SUNSET HEATING & AIR INC
ROUNDS PLUMBING
License
176411
147618
144685
171706
141736
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
30,00
Heat Pump
Gas
Gas
Path 1
n/a
1
R-3
VB
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
15.00
35,00
67,00
45.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Curbside 5'
To Storm Sewer
Phone Number: 541-2559
Expiration Date
OS/25/2011
04/09/2009
06/23/2008
08/17/2008
0110912008
Phone
541-514-2559
541-221-2665
541-484-9078
541-988-3181
541-726-5448
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,470
2,312
1,642
500
REQUIRED PARKING
Hillside
7
Yes
27,80
Total:
Handicapped:
Compact:
2
Fully Improved
Yes DownspoutslDrains:
Stormwater to be directed to on-site stormwater stub provided,
Notes: For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City Engineer: "that no
connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council",
Pal!e 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Frame
Garal!e
A,C, - Residen
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace ~ up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review/Residential Hourly
PW 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
Storm Sewer Each AddtI 100'
Temp Power 200 amps or less
Vent Fan
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
3,594.00
3,594.00
400.00
Total Value of Project
~
Amount Paid
$992,97
$10,00
$219,94
$116,38
$159,97
$306,00
$31.00
$6,00
$1,527.65
$80.00
$6.00
$9.00
$199.70
$15,00
$12,00
$4,00
$12.00
$198.00
$292,50
$-30,00
$752,04
$989.01
$10.00
$961.52
$91.61
$194,67
$64,53
$836,32
$189.58
$80.00
$1,353,88
$28,00
$50,00
$24,00
Date Paid
6/12/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7123/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7123/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7123/07
7/23/07
7/23/07
7/23/07
7/23/07
Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00854
ISSUED: 07/23/2007
APPLIED: 06/12/2007
EXPIRES: 03/27/2008
VALUE: $ 395,358.00
Value
Date Calculated
$14,376,00
$370,182.00
$10,800,00
$395,358,00
06/12/2007
06/12/2007
06/12/2007
Receipt Number
3200700000000000390
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
1200700000000000952
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low V oUage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
Planninl! Review
06/14/2007
06/14/2007
Public Works Review
06/14/2007
Structural Review
06/14/2007
$2,303.00
$5.00
$2.50
$4.00
$25.00
$25,00
$23,90
$11.95
$19,12
$106.00
$133.00
$12,451.74.
7/23/07
9/25/07
9/25/07
9/25/07
9/25/07
9/25/07
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
I Plan Reviews I
06/14/2007
06/22/2007
06/19/2007
07123/2007
OK NJM
APP T AJ
APP BRC
APP DLM
Pal!e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00854
ISSUED: 07/23/2007
APPLIED: 06/12/2007
EXPIRES: 03/27/2008
VALUE: $ 395,358.00
1200700000000000952
3200700000000000648
3200700000000000648
3200700000000000648
3200700000000000648
3200700000000000648
2200700000000001507
2200700000000001507
2200700000000001507
2200700000000001507
2200700000000001507
7 street trees are required: 3 along
the front property line and 4 on the
street side line, Must choose from
the list of Native Trees in hillside
Development attached to the street
tree handout.
For this parcel in Mt. Gate West, it
is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council",
Stormwater to be directed to
stormwater stub provided on lot. Be
Met w/ contractor to discuss
discrepancies between engineering
and plans. Engineer will fax revised
engineering 7/5/07dlm, Finshed
plan review, not approved. Truss
drawings are not for this building.
Called contractor requesting correct
truss dwgs, 7/6/07dlm, Received
revised documents 7/10/07dlm.
Started re-review, documents still do
not agree. Met w/ contractor to
review discrepencies 7/16/07dlm,
Received new drawings and
engineering, truss dwgs unchanged,
7/17/07dlm,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00854
ISSUED: 07/23/2007
APPLIED: 06/12/2007
EXPIRES: 03/27/2008
VALUE: $ 395,358.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouiredJnSDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete,
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,
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,
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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,
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,
Pal!e 4 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00854
ISSUED: 07/23/2007
APPLIED: 06/12/2007
EXPIRES: 03/27/2008
VALUE: $ 395,358.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete,
Low V oltage: Prior to cover.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete,
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 5 of 5