HomeMy WebLinkAboutPermit Electrical 2007-11-2
3.
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ('I//A '2m97 --/)/J 94 '/
-. - -,
1.
7~ ,#I1JptJ;?/fj/tf'-/IfE 7k f
LEGAL DESCRIPTION:
/fb(!) 7-" fj ~ 2- / tJ07 tJ()
JOB DESCRIPTION:
-5r/'185 f4~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.
2.
Electrical Contractor
l1t1t1~,c-
Address '7 Lf 1 ~ ,g. gl-.sS ~<..,.W,,, ~ l{
I
City ~I() JC Phone Sf 1-3) ? - YSY 9t:
Date
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$II 7.00
!/?triJ
/2b crJ
/
6
$ 21.00
$55,00
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
I
n '
Supervisor License Number l{o;9-.~:i;i}R;, ~J~!,:_" ;' ~~~_,! / ,>,'
Expiration Date 1 0 ~ J r ~t[) 1 D :<, '.'.' : i_' ~ IJji, 'I~~allatio~ A'it~ration; Qr Relocation
~ I~I,., J - _ '.-JI..-. _! ..',--" }~':-'.-::' . '-'~'- Q,,(
~ ,:';u L" -: 200 Amp~.or less I i I,;: , '~
JII'l'"O<!l I I " , '-~' !JT
Constr. Contr. Number '1, -:> I ~ ' ,'~,: 2Q~ Amps to 400' ~~s
40 I Amps to 600 Amps
Signa~upervi'ing Electrician
~"'Name ffiwr/kc ~
Address 7~t) J./KI \hJ)ek 4/2 m~ Me!- E.
. I. . _' -
City 8~"X),1 Phone S "f/- 3/ L - ')6 fO Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
OWNER INSTALLATION . t Limited Energy/Residential $ 28.00
. .ATTENTION: Oreqonlaw requIres yo.u ,0 . , .
The mstalIat10n IS oemg.,made'oo p~p'ertvrlloewn,wl 18chity LImIted Energy/CommercIaI $ 50.00
. . fr.:,iIIJlM fLlIGS Ci,aODt8U; lllB.lL; \:jv I '"
IS not mtenu~d TO. saIl? lease ouen . I s are S"'['O 'thMinimum Electric Permit Inspection Fee is $50.00 + Surcharges
NotificatIon venter. I nose ru e '-' I I .
Owners Signatli'r&.52-001-001 0 through OAR 952-001 ~ 4.
009{}-4!~'-' m~~jn copies of the rules by
calling tne cemer. (I~Ult;. t: IC, ~G:~~ho~e
number for the Oregon Utility Notification
r.2'1ter is 1..800-332 2344).
Inspection Request: 726-3769
Expiration Date
1-8 - 'Z.CII
$ 55.00
$ 76.00
$110.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
2Jf-'? 0-0
I '3,-;Z-~
''2 </. 3Q
I') ,II
, -
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL 2/93 (~f7
Shared Drive(T:)/Building FormslElectrical Permit ApplicatIon 7-07.doc .
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00947
COM2007-00947
COM2007-00947
COM2007-00947
COM2007-00947
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001366
Date: 11/02/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
STEPHEN FLORENCE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DLM 055028 In Person
Payment Total:
Page I of 1
3:18:22PM
Amount Due
117.00
126.00
12,15
1 9.44
24.30
$298.89
Amount Paid
$298.89
$298.89
11/2/2007
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00947
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 355,273.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 725 MOUNT AINGA TE DR
ASSESSOR'S PARCEL NO.: 1802032100700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 108
Owner: HERITAGE CUSTOM HOMES
Address: 780 NW YORK DR SUITE 204
BEND OR 97701
Phone Number: 541-312-9640
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor
MANNHOLE ENTERPRISES INC
THT ELECTRIC
CHAPIN ENTERPRISES INC
License
116293
Expiration Date
04/09/2009
81994
05/06/2008
Phone
541-549-6391
541.312-4548
541-485-1146
BUILDING INFORMATION I
4
# of Stories: 2
Height of Structure: 37.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
11,632
1,530
1,268
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
715
354
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
27.70
18.50
9.30
50.00
62.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
3
Yes
26.50
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Street Improvements: SIdewalk Type
Fullv Improved ': Curbside 5'
Storm Sewer A vailabla . I w r u res'lcfu to Downspouts/Drains: To Storm Sewer
Special Inst~1ti~: N. .F~!~~ffi~~r nfoRUfll~st, it is the recommendation to the Building Division, by the City
fOIl~W r~ e~a~~~RBs'etMite%%f@rmtt~~m shall be made to sanitary or storm H20 systems, until the
Notes: ~o~~:~~~-o~f~~~~'O%~fff1~~~W-~f\Y. Council". Storm to eXisting. ~ateral. Architect to provide new Site
0090. You mayo:mar"Mf5l~~H~It\w!-s by J'j,PTU:E;
calling the center. (Note:.t.he tel~pho~e fHIS PERMIT SHAll EXPIRE IF THE WORK
number for the. Oregon Utility ~~tlflcatlon AUTHORIZED UNDER THIS PERMIT IS NOT
Center IS 1-800-332-23 ). ~gMMENCED OR IS ABANDONED FOR
~NV 180 DAY PERIOD.
Paee 1 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00947
ISSUED: 08127/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 355,273.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
A.C. - Residen
Dwellin!!:s
Gara!!:e
Tvpe of Construction
AC - Residential
V Wood Frame
Gara!!:e
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
3,152.00
3,152.00
667.00
Value
Date Calculated
Description
Total Value of Project
$12,608.00
$324,656.00
$18,009.00
$355,273.00
06/26/2007
06/26/2007
06/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $908.47 6/28/07 2200700000000001060
-Mechanical Issuance Fee- $10.00 8/27/07 1200700000000001090
+ 10% Administrative Fee $201.10 8/27/07 1200700000000001090
+ 5% Technology Fee $107.28 8/27/07 1200700000000001090
+ 8% State Surcharge $145.41 8/27/07 1200700000000001090
3 Baths One & Two Family $306.00 8/27/07 1200700000000001090
Addressing Assignment $31.00 8/27/07 1200700000000001090
Building Permit $1,397.65 8/27/07 1200700000000001090
Curbcut Permit $80.00 8/27/07 1200700000000001090
Dryer Vent $6.00 8/2 7/07 1200700000000001090
Exhaust Hoods $9.00 8/27/07 1200700000000001090
Fire SF Fee - Residential $193.35 8/27/07 1200700000000001090
Fireplace (Listed) $15.00 8/27/07 1200700000000001090
Furnace - up to 100,000 btu $12.00 8/27/07 1200700000000001090
Gas Outlets 1-4 $4.00 8/27/07 1200700000000001090
Plan Review Major - Planning $198.00 8/27/07 1200700000000001090
PW Disc - 2nd Permit $-30.00 8/27/07 1200700000000001090
Sanitary Sewer - Improvement $653.09 8/27/07 1200700000000001090
Sanitary Sewer - Reimbursement $858.88 8/27/07 1200700000000001090
SDC MWMC Administration $10.00 8/27/07 1200700000000001090
SDC MWMC Improvement $961.52 8/27/07 1200700000000001090
SDC MWMC Reimbursement $91.61 8/27/07 1200700000000001090
SDC Sanitary/Storm Admin $162.32 8/2 7/07 1200700000000001090
SDC Transpo Admin $66.55 8/27/07 1200700000000001090
SDC Transpo Improvement $836.32 8/27/07 1200700000000001090
SDC Transpo Reimbursement $189.58 8/27/07 1200700000000001090
Sidewalk Permit $80.00 8/27/07 1200700000000001090
Storm Drainage Impervious Area $1,036.38 8/27/07 1200700000000001090
Temp Power 200 amps or less $50.00 8/27/07 1200700000000001090
Vent Fan $18.00 8/27/07 1200700000000001090
Willamalane Single Family $2,303.00 8/27/07 1200700000000001090
+ 10% Administrative Fee $24.30 11/2/07 1200700000000001366
+ 5% Technology Fee $12.15 11/2/07 1200700000000001366
+ 8% State Surcharge $19.44 11/2/07 1200700000000001366
Paee 2 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00947
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 355,273.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$117.00
$126.00
11/2/07
11/2/07
1200700000000001366
1200700000000001366
Total Amount Paid
$11,210.40
I Plan Reviews ,
Initial Review 06/27/2007 06/27/2007 WE LLH Waiting for plan review payment
Initial Review 06/29/2007 06/29/2007 APP LLH
Planninl! Review 06/29/2007 07/03/2007 WE TAJ On hold because of height problems.
Left message for Pete Mann on 7/3.
Plan nine Review 07/10/2007 07/10/2007 APP TAJ Per Pete Mann the roof pitch will be
changed to 8/12 to lower roof so that
it is 30' at mid-point of gable. He
said he would contact Building
about what is needed for them.
Choose street trees from the list of
native trees in hillside areas on page
6-4 in the street tree handout.
Public Works Review 06/29/2007 07/02/2007 APP BRC 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 H2O
systems, until the subdivision is
accepted by City Council". Storm to
existing lateral. (Talked to Pete
Mann, 7/2/07 to verify driveway sq
ft.) BRC
Structural Review 06/2912007 07/13/2007 10 LLH Forwarded to the Building
Department for review.
Structural Review 07/13/2007 07/18/2007 APP LLH Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
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..
~eolJirecUnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: 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 andlor
foundation inspection.
Footing: After trenches are excavated.
Pa!!:e 3 of5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00947
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 355,273.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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.
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.
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.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building 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.
Paee 4 of5
Status
Issued
CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2007-00947
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 355,273.00
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
Paee 5 of 5