HomeMy WebLinkAboutPermit Electrical 2007-11-28
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICA}r!~ERll#T...APPLICATION
City Job Numbe(J)1'Y!b(;fJ1)7 - !J119~
1. LOCA110N OF INSTALLA110N:
(oOd..{ Fernh;/I GJfJn
,
LEGAL DESCRIPTION:
b O~ 3~ S .ytJ rf:; LlDJ
JOB DESCRIPTION:
1L&D W-i~~
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. CONTRACTOR INSTALLATION ONLY,
Electrical Contractor G~ G 1St e artt ( In @.
Address ?o B oX I roeb
City 1+ bJ,VL~/phone5lfl. Qtp7-6h:l7
(
Supervisor License Number ;;( q 50.5
Expiration Date (/t11 J 0 6
Constr. Contr. Number S L/ Y tp A
Expiration Date q II.'=) J () C1
I .
x;g~~g~mn. Q,-~
Owners Nrrle({;17fcP ~Uv
Address~() ~. %' d:;)'
~()rZeI-OO()1tJ-JPhone 7;;&- (B30
60/J I;' /lY--. _ _-
OWNER INStxttATlON .
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date
3. COMPLETEFEESCHEDULE.BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included /0(0 /'"
1000 sq. ft. or less / $106.00
Each additional 500 sq. ft. or 8 !5;)
portion thereof $ 19,00
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
8. Services or Feeders '- Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps t9 400 Amps $ 75.00
40 I Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 A~SLllolts.. ( . $37.5.00 _'
R t 0 dll:l\i ;I.)N: Ore(:JVII law I e~!)Il6lS: yuu lU
econnec n V - ~ I d t - -.. t' :>U.oo U"
" :nJIIQ"V,tliesa OPbul..JY lIt:: reg on l.i1ly.
.,,' . Notification C,,'nter. Those rules are set forth
C. TemporawY~rn':i.~Q{)g~C9erro through OAR 952-001-
0090. You may obtain copies of the rules by
Installation, ttlatii~ttJf1J"~W1l\ti~itlote: the telephone
200 Amps orll\Y~ber for the Oregon Utility ttbmdtication
20 I Amps to 400 Am~enter if~ 1-i:jUU-;);:Ii!-~e '
40 I Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. . 8ranNO<;j't~ ' ~DmE \F~HE WORK
New Aft~rT J~~AAW~9,il\fleJ\-Yan'ell ER 111]1 IS NOT
One Cir1MtU I lZED UNDER T\1\S p., ~D3fflR
Each AJd\tib~'\Qfft~raRt~S M3ANUU\~-
Service ([HB'MMF-i>e'tm~ PERIOO. $ 3.00
ANY 180 DJ.\l
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential I $ 25.00 :),<, .r
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
:2(j~
2':J...wl(
,;;. ~ ' '2, ()
/'I.IS'
$' 3LfB ,OC!
4. SUBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building fonnslEleclrical Permit Application 8.06,doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: OS/29/2008
VALUE: $ 371,550.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6021 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406700
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence - Mt Gate lot 59
TYPE OF USE: New
Residential
Overlay Dist: Hillside Total:
# Street Trees Rqd: 2 Han~'ca~p'ed:
Paved Drive Rqd: ATTENTION: OWyon law ~t>>fI ~@tYou to
% of Lot Coverage.:!oll.~w r~les ~~Ii'2ed by the Oi'i gon Utility
lVotltlcatron Cenler. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
I PUBLIC IMPROVEMEM~~i, YOU may omaln copies ot the rules by
. .-.ng the center. (Note: the telephone
number fsr&wai4'~:Utility NotificatioR- . ,
Fully Improved Center is 1-800-332-2344) CurbsIde 5
Storm Sewer Available: . Yes Downspouts/Drains: . To Storm Sewer
Special InstrU(N~TlCE: Storm drainage should be directed to the stub provided to the lot
Not", 19~~:J~~~ 3~~~~ ~~~E~J~E,:~~~
ANY 180 DA$ ~E~:~~BANDONED FOR
Owner: GREG LARKIN
Address: PO BOX 832
SWEETHOME OR 97386
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
RIVER VALLEY BUILDERS INC
G & E ELECTRIC INC
MIDWAY MECHANICAL INC
ADH PLUMBING INC
License
134566
54468
154166
175077
BUILDING INFORMATION I
# of Units: .
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: 2
Height of Structure 41.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
2
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
23.50
5.00
5.00
61.00
0.00
Street Improvements:
Pa!!e 1 of 5
Phone Number: 541-726-0330
Expiration Date
04/15/2011
09/15/2009
01130/2009
04/03/2009
Phone
541-760-7881
541-967-7045
541-928-2423
541-967-7686
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,000
1,975
1,005
1,556
562
REQUIRED PARKING
2
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
Deck
V Wood Frame
Garal!:e
A.C. - Residen
Deck/Balconv
Dwellinl!:s
Garal!:e
Fee Description
+ 5% Technology Fee
Overwidth Application Fee
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
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 Addtll00'
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
2,980.00
562.00
2,980.00
1,556.00
Total Valne of Project
~
Amount Paid
$2.00
$40.00
$984.27
$232.25
$120.63
$165.41
$337.00
$35.00
$7.00
$14.00
$1,596.60
$85.00
$7.00
$10.00
$254.90
$17.00
$14.00
$5.00
$205.00
$53.52
$-30.00
$591.72
$778.17
$10.00
$961.52
$91.61
$156.82
$69.15
$862.25
$195.48
$85.00
$1,028.72
$32.00
Date Paid
8/14/07
8/14/07
8/14/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
Pal!:e 2 of5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: OS/29/2008
VALUE: $ 371,550.00
Value
Date Calculated
$11,920.00
$10,678.00
$306,940.00
$42,012.00
$371,550.00
08/15/2007
08/15/2007
08/14/2007
08/14/2007
Receipt Number
1200700000000001036
1200700000000001036
1200700000000001036
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: OS/29/2008
VALUE: $ 371,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
$28.00
$2,303.00
$28.50
$14.25
$22.80
$117.00
$168.00
8/31/07
8/31/07
11/29107
11/29/07
11/29/07
11/29/07
11/29/07
1200700000000001135
1200700000000001135
2200700000000001755
2200700000000001755
2200700000000001755
2200700000000001755
2200700000000001755
Total Amount Paid
$11,699.57
I Plan Reviews I
Public Works Review
08/14/2007
08/14/2007
10
BRC
Took in an overwidth application.
Routing to traffic. BC
Initial Review
08/15/2007
08/15/2007
APP LLH
Public Works Review
08/15/2007
08/16/2007
APP MS
Storm drainage to be directed to
storm sewer stub provided. -MS
8/16/2007
Plannin!!: Review
08/15/2007
08/30/2007
APP TAJ
Survey required because of
minimum side setbacks.
Follow LDAP approval for tree
preservation.
Plant native street trees chosen from
the list for Hillside Development in
the street tree handout.
Approved as noted
Structural Review
08/15/2007
08/30/2007
APP DLM
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.
~e(]uiredJnSDections 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.
Vfer 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.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Pa!!:e 3 of5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: OS/29/2008
VALUE: $ 371,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Shower Pan. Prior to covering 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.
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.
Low Voltage: Prior to cover.
Pa2e 4 of5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: OS/29/2008
VALUE: $ 371,550.00
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
Page 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
Payments:
Type of Payment
Check
Check
cReceint 1
RECEIPT #:
2200700000000001755
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/29/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
G & E ELECTRIC, 1NC
G 7 E ELECTRIC, 1NC
nJm
nJm
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
14111
14113
ByMail
By Mail
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
G & E ELECTRIC, 1NC
G 7 E ELECTRIC, INC
nJm
njm
Page 1 of 1
14111
14113
ByMail
By Mail
Payment Total:
1:57:40PM
Amount Due
117.00
168.00
14,25
22.80
28.50
$350.55
Amount Paid
$348,09
$2.46
$350.55
Amount Due
117,00
168.00
14,25
22.80
28,50
$350.55
Amount Paid
$348.09
$2.46
$350.55
11/29/2007