HomeMy WebLinkAboutPermit Easement 2007-11-2
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DATE \\.C\.01
SOURCE - )1~(2A
Date II r-Od-- 07
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEL1.KlCAL PERMIT APPLICATION
City Job Number (/ ~ () (] q ~5
Cer,l8' is ~1()_.,j-JJ~23C;'I).
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
401 ~VJf'}E~.Amps $110.00
Over _ . . 1000 Volts see "B" above.
a
D. s
New ~Uerafwn(9~~~~nA W~Ji.~{iMIT IS NOT
One efiiOM80 DAY PFRtnn ANDONED f{):Rl.OO
1 1_ Each Additional Circuifor *tfh
___J) '/-4 /l. h ~/><-(5:. Service or Feeder Permit $ 4.00
ers Name ~ / m ~~ W --S (J}Y\...,
Address -7 c!5O N ~ Vo SJv IF 20,,-/
t
City~1jJ j)} () tf1--"" Phone
1.
&.150 ~f-rlA /
LEGAL DESCRIPTIOIf
/X:O:;;J. Oi:, d ~ 05 yo 0
~~
JOB DESCRIPTION:
SJ0v
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
-rH-- -r bl eJ-- -r ; C-
Address J L{ 'l 5 p; '- ~,- -1e.s<:" c0 y -J).L/
City Be~ oi~
Phone S'-i I ..~~ld- ~s98
YQgs'5
lO~l-a()tO
Constr. Contr. Number } l[ $'0$9
I ~ g-;W1\
Supervisor License Number
Expiration Date
Expiration Date
OWNER INSTALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
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
/ $117.00 //1, OV
<7 $ 21.00 /Lj'7. l}tJ
$55.00
B.
200 Amps or less $ 70.00
201 Amps to 400 Amps $ 83.00
401 Amps A~tJ'I~: Oregon law requlrl!a ~o~.o
601 Amp!f~dQO~dopted by the Ore~~d:UjltyL.
Over IOd'fIooti sMPtgenter, Those rule" a~M!~ art..
Reconne4ud\~ 9S2-001-001 ~ t; 1\ uugl1-8-A r?".(,}O~01-
~1lI'" _ ,_. __ ~f rti're-j h\l
0090. You may obtain C"'-'IJ'V" , [I I -.
"- ,-~, + 1 -. ne
C.
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.
(:;) {; /-.j. ()V
/~.;;)o
Q / - / ::J...
;:) to . 40
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL 3::2Ly .-7~
Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 386,268.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6156 Grayst.one Lp .
ASSESSOR'S PARCEL NO.: 1802032i05400
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION; Single family residence - Mt Gate West lot 83
Owner: HERITAGE CUSTOM HOMES
Address; 780 NW YORK DR SUITE 204
BEND OR 97701
Phone Number: 541-312-9640
I CONTRACTOR INFORMATION I
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
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type;
# of Bedrooms:
3
# of Stories: 2
Height of Structure: 43,00
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 GaragelCarport
Sq Ft Other:
Occupant Load:
15,239
1,213
2,210
1
R-3
U
VB
741
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Storm Sewer Available:
Overlay Dist: Hillside Total:
# Street Trees Rqd: 3 Handicapped:
pav~-pf~~,..Rqd' y'es Compact:
% 0 ,lot CoUi?~~epm~on law r~lfGs you to
nOW viLilSf) @ltJQpt~d by the ufegon Utility
Notification Oanter. Those rules are set fol1h
lo-. ~ 'M', ....,,/-.'" . -,,,,, l) mrougn UAH ~52-o01
I PUBLIC W'J.?;R~~~!\'n~:.+Sr1J$.'ln copies of the rules by
calling the ce.nter, (NQsme.~af.1attr~Qne
Fully Improved numper for Hw Orego.\1 u~m~ Notification Curbside 5'
Yes Center ic:. 'j _!;:)~,_'Do~~SDOqtsfIJraliis: To Storm Sewer
. Y. ,'(0 ~ ....~.... ~ ...............,..
Special Instruction: For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City
NOTiCe. Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
'MIf:m~!~Hfllte<tMf<Vl.ij}lKuncil'" Storm to existing lateral. Architect to provide new Site
1~~H~~ZEDIUNDE'Rsm~ 'ffilV/fV1iS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
21.70
21.20
16.00
55.90
0.00
2
Subdivision Not Accepted
Street Improvements:
Notes:
Pae:e 1 of5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 386,268.00
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
Dwelline:s
Garae:e
Tvpe of Construction
AC ~ Residential
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$4.00
$103,00
$27.00
Square Footage
or Bid Amount
3,423.00
3,423.00
741.00
Value
Date Calculated
Description
Total Value of Project
$13,692.00
$352,569.00
$20,007.00
$386,268,00
06/26/2007
06/26/2007
06/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $973.96 6/28/07 2200700000000001057
~Mechanical Issuance Fee- $10.00 8/27/07 1200700000000001093
+ 10% Administrative Fee $222,46 8/27/07 1200700000000001093
+ 5% Technology Fee $119.22 8/27/07 1200700000000001093
+ 8% State Surcharge $161.31 8/27/07 1200700000000001093
3 Baths One & Two Family $306.00 8/27/07 1200700000000001093
Addressing Assignment $31.00 8/27/07 1200700000000001093
Building Permit $1,498.40 8/27/07 1200700000000001093
Curbcut Permit $80.00 8/27/07 1200700000000001093
Dryer Vent $6.00 8/27/07 1200700000000001093
Exhaust Hoods $9.00 8/27/07 1200700000000001093
Fire SF Fee - Residential $208.20 8/27/07 1200700000000001093
Fireplace (Listed) $15.00 8/2'://07 1200700000000001093
Fixture $42,00 8/27/07 1200700000000001093
Furnace - up to 100,000 btu $12.00 8/27/07 1200700000000001093
Gas Outlets 1-4 $4.00 8/27/07 1200700000000001093
Overwidth Application Fee $40.00 8/27/07 1200700000000001093
Plan Review Major - Planning $198.00 8/27/07 1200700000000001093
PW Disc - 2nd Permit $-30.00 8/27/07 1200700000000001093
Sanitary Sewer - Improvement $633.30 8/27/07 1200700000000001093
Sanitary Sewer - Reimbursement $832.85 8/27/07 1200700000000001093
SDC MWMC Administration $10.00 8/27/07 1200700000000001093
SDC MWMC Improvement $961.52 8/27/07 1200700000000001093
SDC MWMC Reimbursement $91.61 8/27/07 1200700000000001093
SDC SanitarylStorm Admin $192,07 8/27/07 1200700000000001093
SDC Transpo Admin $64.69 8/27/07 1200700000000001093
SDC Transpo Improvement $836.32 8/27/07 1200700000000001093
SDC Transpo Reimbursement $189.58 8/27/07 1200700000000001093
Sidewalk Permit $80.00 8/27/07 1200700000000001093
Storm Drainage Impervious Area $1,580.08 8/27/07 1200700000000001093
Temp Power 200 amps or less $50,00 8/2 7/07 1200700000000001093
Temp Power 200 amps or less $50,00 8/27/07 1200700000000001093
Vent Fan $24.00 8/27/07 1200700000000001093
Willamalane Single Family $2,303.00 8/27/07 1200700000000001093
Pae:e 2 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 386,268.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
$26.40
$13.20
$21.12
$117.00
$147.00
1112/07
1112/07
1112/07
1112/07
1112/07
Total Amount Paid
$12,130.29
I Plan Reviews ,
Initial Review 06/27/2007 06/2712007 WE LLH
Initial Review 06/29/2007 06/29/2007 APP LLH
Plannine: Review 06/29/2007 07/10/2007 APP TAJ
Public Works Review
06/29/2007
07/0312007
APP BRC
Structural Review
06/29/2007
07/13/2007
10 LLH
Structural Review
07/13/2007
07/18/2007
APP LLH
3200700000000000733
3200700000000000733
3200700000000000733
3200700000000000733
3200700000000000733
Waiting for plan review payment
Place orange construction fencing
along the conservation easement and
keep all construction activity out of
this area.
choose street trees from the list of
native trees for hillside development
on pg6-4 of 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". Storm to
existing lateral.
Forwarded to the Building
Department for review,
Plans reviewed by Shawn Eaton
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.
l..ReouirecUnsDections I
ErosionlGrading Inspection: Prior to gro~nd disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: 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.
Foundation: After forms are erected but prior to concrete placement.
Pae:e 3 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 386,268.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Post and Beam: Prior to tloor 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.
Undertloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench,
Water Line: Prior to filling trench and including required testing,
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor 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
Temporary Electric: Approval required prior to Utility Company energizing pole.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
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
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Pae:e 4 of5
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 05/02/2008
VALUE: $ 386,268.00
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
Pae:e 5 of 5
225 Fifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
Payments:
Type of Payment
CreditCard
cReceiot I
RECEIPT #:
3200700000000000733
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
nJrn 014468 In Person
Payment Total:
Page 1 of 1
3:12:31PM
Amount Due
117.00
147.00
13.20
21.12
26.40
$324,72
Amount Paid
$324.72-
$324,72
11/2/2007