HomeMy WebLinkAboutPermit Electrical 2007-11-30
Date
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (~ r] ~d (1
1. 3.
{,2..~O Fo<~ ~~l \
LEGAL qES~RIPROl"!:. J 1 O~~~4: A.
t'\ f)\/~ ~.-e.., )1I\,d \" I S III V\ t13tt:D Service Included
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\ I\"' '0'
, .
s;~a)1:l);;2--
Owners Name { " ~ if ~II\JT.
Address 1qOJ-; ~nf\'P.91~~M law requires ytiu
c:: - f' 11'; , ~I~S aqop..f~d ~"'"*~ Oregon Uti II
City \::..v~~i ,0. '~" ~H8Rt~'1'h~~MleS are set~ or irrigation i\'\t. \NO~l' $ 55.00
I i~uO~Ra~52-001-C010thrOUgt;,.9~R 95iS} ~~irl~ \'2> ~O\ $ 55.00
OWNER INSTALL~~You may orJ~8.:n fY~5j'tH~~+h Ms-)~~~ ~ ./ $ 28.00 ~--;tO
. ... ,..",:1.;,' t~p.~enJN' (t~cile;.H\'le-ta:Ull'P ~~11\ \":-;nn~ . "IS oC:>
!he m.stallatlon IS bemg ma'del~ r.ror~~~{):8~rr'8Wmy N.~I _ te ~~~fnmercJal $ 50.00 C7" '
IS not mtended for sale, rua~t& ~ Hf. e' _ 1-8U' U' 332-23IUWifiijn ric Permit Inspection Fee is $50.00 + Surcbarges
liente. IS r , i'"'0:tV.... .
C .' -'~Cl4) SO . ()~
l<' \ ," 8% State Surcharge 4. D b
10% Administrative Fee .~ . 0 \)
5% Technology Fee 1..~:iO
lol . Sb
JOB DESCRIPTION:
Av~ I~ ~4w , Dt.t..: Ct...,t ~4L'
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.
H1) 8lr<<.. TAl'.
. ,
Address b'b1 ~ &~.f "~;tD
City fAJF Phone \'~-4i~
Electrical Contractor
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
Owners Signature:
Inspection Request: 726-3769
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
$ 21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 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
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00214
ISSUED: 06/07/2007
APPLIED: 02/16/2007
EXPIRES: 05/30/2008
VALUE: $ 295,169.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6260 FERNHILL LP
ASSESSOR'S PARCEL NO.: 1702343405200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mountain Gate lot 44
Owner: RUHOFF HOMEBUILDERS INC
Address: 3993 MIRROR POND WAY
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
License
130797
149834
173726
102455
158262
Contractor
RUHOFF HOME BUILDERS INC
MAG ELECTRIC INC
THE HD STORE INC
JUNG ENTERPRISES INC
JAMMAL INC
BUILDING INFORM A TION 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
26.00
Gas
Gas
Gas
Path 1
n/a
1
R-3
U
VB
3
I DEVELOPMENT INFORMA nON'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
10.25
14.25
48.00
57.50
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
Residential
Phone Number: 541-334-6550
Expiration Date
07/13/2008
12/1312009
01/05/2009
11/17/2008
01/12/2008
Phone
541-334-6550
541-461-0387
541-683-4848
541-937-2688
541-484- 7 440
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,036
953
1,634
680
Hillside
3
Yes
29.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: Storm H20 to designated & approved lateraI.JLP 3/26/07
Pal!:e 1 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00214
ISSUED: 06/07/2007
APPLIED: 02/1612007
EXPIRES: 05/30/2008
VALUE: $ 295,169.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriution I
A.C. - Residen
Dwellinl!s
Garal!:e
AC - Residential
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
2,587.00
2,587.00
680.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$10,348.00
$266,461.00
$18,360.00
$295,169.00
02/16/2007
02/16/2007
02/16/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $781. 72 2/16/07 2200700000000000216
-Mechanical Issuance Fee- $10.00 617107 2200700000000000932
+ 10% Administrative Fee $205.50 617107 2200700000000000932
+ 5% Technology Fee $110.48 617107 2200700000000000932
+ 8% State Surcharge $151.33 617107 2200700000000000932
3 Baths One & Two Family $306.00 617107 2200700000000000932
Addressing Assignment $31.00 617107 2200700000000000932
Building Permit $1,202.65 617107 2200700000000000932
Curbcut Permit $40.00 617107 2200700000000000932
Curbcut Permit $80.00 617107 2200700000000000932
Dryer Vent $6.00 617107 2200700000000000932
Exhaust Hoods $9.00 617107 2200700000000000932
Fire SF Fee - Residential $163.35 617107 2200700000000000932
Fireplace (Listed) $15.00 617107 2200700000000000932
Furnace - up to 100,000 btu $12.00 617107 2200700000000000932
Gas Outlets 1-4 $4.00 617107 2200700000000000932
Miscellaneous' Plumbing $90.00 617107 2200700000000000932
Mountaingate Impervious Area $1,118.61 617107 2200700000000000932
Plan Review Major - Planning $198.00 6/7/07 2200700000000000932
Residence Wiring 1000 Sq Ft $106.00 617107 2200700000000000932
Residence Wiring Ea AddtI 500 $95.00 617107 2200700000000000932
Sanitary Sewer - Improvement $633.30 617107 2200700000000000932
Sanitary Sewer - Reimbursement $832.85 617107 2200700000000000932
Sanitary Sewer Each AddtI 100' $14.00 617107 2200700000000000932
SDC MWMC Administration $10.00 6/7/07 2200700000000000932
SDC MWMC Improvement $961.52 617107 2200700000000000932
SDC MWMC Reimbursement $91.61 6/7/07 2200700000000000932
SDC Sanitary/Storm Admin $167.29 617107 2200700000000000932
SDC Transpo Admin $66.40 617107 2200700000000000932
SDC Transpo Improvement $836.32 617107 2200700000000000932
SDC Transpo Reimbursement $189.58 617107 2200700000000000932
Storm Sewer Each Addtll00' $14.00 6/7/07 2200700000000000932
Vent Fan $18.00 617107 2200700000000000932
WiIlamalane Single Family $2,303.00 617107 2200700000000000932
Pal!:e 2 of5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00214
ISSUED: 06/07/2007
APPLIED: 02/16/2007
EXPIRES: 05/30/2008
VALUE: $ 295,169.00
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
Low Voltage - Residential
Minimum/Adjustment Electrical
$5.00
$2.50
$4.00
$28.00
$22.00
11/30/07
11/30/07
11/30/07
11/30/07
11/30/07
Total Amount Paid
$10,935.01
I Plan Reviews I
Initial Review 02/21/2007 02/21/2007 APP NJM
Public Works Review 02/21/2007 02/21/2007 WI JLP
Structural Review 02/21/2007 03/15/2007 10 LLH
Structural Review 03/15/2007 03/19/2007 APP LLH
Public Works Review
APP JLP
03/26/2007
03/26/2007
Plannine: Review
APP TAJ
02/21/2007
03/30/2007
1200700000000001449
1200700000000001449
1200700000000001449
1200700000000001449
1200700000000001449
Rcvd 2/21/2007---Waiting in order
PW rcvd for rvw.JLP
Plans forwarded to The Building
Department for Structural Review.
Plans reviewed and approved by
Shawn Eaton with The Building
Department under contract with the
City of Springfield
Storm H20 to designated &
approved lateraI.JLP 3/26/07
Place orange construction fencing
along the Conservation Easement.
No construction activity or
vegetation removal is allowed in this
area with an approved landscape
plan.
Plant native street trees from the list
of Native Trees for Hillside
Development in the street tree
handout.
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..ReollirerUnsnections .
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.
Pal!:e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00214
ISSUED: 06/07/2007
APPLIED: 02/16/2007
EXPIRES: 05/30/2008
VALUE: $ 295,169.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
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.
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: Wben all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Low Voltage: Prior to cover.
Pal!:e 4 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00214
ISSUED: 06/07/2007
APPLIED: 02/16/2007
EXPIRES: 05/30/2008
VALUE: $ 295,169.00
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
Pal!:e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00214
COM2007-00214
COM2007-00214
COM2007-00214
COM2007-00214
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001449
Date: 11/30/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
THE HD STORE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lIh
8174
In Person
Payment Total:
Page 1 of 1
10:26:06AM
Amount Due
28.00
22.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/30/2007