HomeMy WebLinkAboutPermit Electrical 2007-12-19
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i COMPLETE FEE SCHEDULE BELOW
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number( 5ly\n 7 fill! - N') ~o-. \
/ ~ I LOCATION OF INSTALLATION '1 3
(i.lIo--:fY(j( ,
) LEGAL DESCRIPTI~N
6TIJ n~ \i\n 'S2-CJD
JOB DESCRIPTION 1000 sq ft or less
/1 ,Ii ,,",, ~ 1/ J, \(,\ J.l4^ ' Eachaddltlonal500sq ft or
U,J.uMAJ " Jr1!Ilf'?o. tJ,J1iJ, VUCJ -<r .JIru y~ porllon thereof
Permits are non-transferable and expire .fwork IS U Each Manufact'd Home or
not started wltbm 180 days Oflssu8nce or .fwork IS Modular Dwelling Service or
Suspended for 180 days. Feeder
01
A, I New Resldentlal- SIOgle or Multi-Family per dwelhng UOII
Semee Included
$10600
$ 1900
$50 00
2 I CONTRACTOR INSTALLATION ONLY I B ~rvlees or Feeders - InstallatIOn, Allerallons or Reloeatlo~.J
Electncal Contractor J) I V.!rS,Fll"d 'llnftt:J7Jtc.5;Il7c).f)O Amps or less $ 63 00
201 Amps to 400 Amps $ 75 00
Address 875 11 JdS/Jnc::,J--=t1 0 401 Amps to 600 Amps $12500
601 Amps to 1000 Amps $16300
City 7Uj<,n"~ 97ifO:JJ'hone . -<iRq. 9073 Over 1000 AmpsIVolts $37500
Reconnect Only $ 50 00
Supervisor License Number 3 S? Cf3 L E /'I
ExpiratIOn Date I {) - tJ / - 0-;
Constr Contr Number ~ t/ If (p !? S--
Explfallon ~ '_kd3 -.,Z 00 g
f[r o~ ~rvlSID
X (; yf)
Owners N~ D0{ y/Jl!:-I) L~
Address-;;:O"X-7 a\~Q\c'.b~
ci5P\~?8,-, _ Phone61 y-- ~85Cj
cp-' CQ'>LCl7
OWNER INST AtLA nON
The mstallatlon IS bemg made on ..v._..j I own whIch
IS not mlended for sale, lease or rent
Owners Signature
Inspecbon Request 726-3769
c I Temporary Services or -"eeder; - -_
-~-J
---
InslallatlOn, AlteratIOn or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 602 ":'!'1'.s_~OOO Volts see "B" above
D I Branch Circnlts
New Allerabon or ExtenSIOn Per Panel
One CircUit
Each AddItional CircUit or WIth
Service or Feeder Permit
$ 50 00
$ 69 00
$10000
$ 43 00
$ 300
E.I M,scellaneous (ServIce/feeder not mcluded) -Each Installabon I
Pump or IrrIgation
SIgn/Outhne Llghtmg
Lllmted EnergylResldentlal
Llmlled Energy/CommercIal
$ 5000
$ 50 00
$ 25 00
$ 45 00
,-9,") .:;()
/
Mlmmum Electne Penmt Inspecbon Fee IS $45.00 + Surcharges
4 rSUBTOTAL OF ABOvzi----
7"/0 State Surcharge
10% AdrnlmslralJve Fee
GO
SO
L\(jO
6 . [5\.J
I
11 (r::;7)
~
TOTAL
'0
$~l ~
Shared Dnve(T }'BuLldmg FormslElectncal PenDlt ApplicatIOn 1-03 doc
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
.ePRINQFI-'U."~
;'-~" I ,
-.: -' .
CIty of Sprmgfield OffiCial Receipt
Development Services Department
Pubhe Works Department
Job/Journal Number
COM2007 -0099 I
COM2007 -00991
COM2007 -00991
COM2007-0099 I
COM2007-00991
P.ymenls
Type of Payment
CredltC.rd
cRecemtl
RECEIPT #,
3200700000000000816
Date, 12/19/2007
Descnptlon
Low Volt.ge - ReSidential
MIDlmumlAdJustment Electncal
+ 5% Technology ree
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALAN R WOOSTER
Item Total
t:heck Number AuthOrization
Received By Batch Number Number How Received
nJm 00518A Fax
Payment Tol.1
Page 1 of 1
2 09 46PM
Amount Due
2800
2200
250
400
500
$615U
Amount Paid
$61 50
$6150
12119/2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-00991
ISSUED, 08/14/2007
APPLIED, 07/05/2007
EXPIRES, 06/19/2008
VALUE' $ 299,70000
-~jiJ
.,
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6695 Ivy St
ASSESSOR'S PARCEL NO 1802031003200
Spnngfield TVPE OF WORK Smgle FamIly ReSIdence
ReSldenllal
TVPE OF USE
PROJECT DESCRIPTION Smgle famdy resIdence, 101144, mountamgate
Owner HOUSEGUARD
Address 2787 OL VMPIC #8
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electneal
Low Voltage Electncal
Meehameal
Plumbmg
Contractor
HOUSEGUARD LLC
STEVE HAUCK
DIVERSIFIED ELECTRONICS
SUNSET HEATING & AIR INC
ROUNDS PLUMBING
License
176411
147618
144685
171706
141736
BUILDING INFORMATION I
# of UnIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones 2
HeIght 01 Slrueture 3000
Type of Heat Forced AIr Gas
Water Type Gas
Range Type Gas
Energy Palh Palh 1
Sprmkled Buddmg n/a
I
R-3
U
VB
4
I DEVELOPMENT INFORMATION I
New
Phone Number 541-2559
Expiration Date
OS/25/2011
04/09/2009
06/23/2008
08/17/2008
01/09/2008
Phone
541-514-2559
541-221-2665
541-484-9078
541-988-3181
541-726-5448
LOI SlLe
Sq Ft 1st Floor
Sq FI 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq FI Other
Oceupanl Load
1,858
904
400
REQUIRED PARKING
Front yard Setback 2700 Overlay Dlst H.llslde Totdl 2
S,de I Setback 1900 # Street Trees Rqd 5 Handledpped
SIde 2 Setback 1000 Paved Dnve Rqd Ves ~tto
Rearyard Setback 3000 % 01 Lot CoverM'\ ENTION OreM'7ga~hr:6~~gon Utility
Solar Selbacks 000 follOW rUl:s,,~~~f}e~ho'{;e rules a~e _s~t f.?l~h
S/lf(a'f\~O' Accepled I PUBLIC IMPROVE~t#Tij',2-001.001~~h;~~I~~ ~ft;"e~;~e~bY
Stree I [~OOALL EXPIRE IF THE W u r..' oosJ 1~\l may ~bta I~jle the telephone
",;~nfP \m JIMnER THIS PEI'\~Jlilfllllr(l!0'ld calling the c'l! ~~ on Utility Notification CurbSIde 5'
Stofm ~ijQf~!WlIlrabl\t ONED FOR Ves number for tbll~~1i&?'I~~t!lf44). To Storm Sewer
SPcS@!,lnsoMbdJl.OR IS .te~f\UQl'areel 10 IVIt Gate 2nd Addlllon, It IS the Q!elllIUn\\lna:llPo~ to the BUlldmg DIVISIon, by the
ANY 180 DAY PERIO~,ty Engmeer "that no connectIOns shall be made to samldry or slorm H20 systems, unlll the
Notes subdIVISIOn IS accepted hy CIty Couned" Storm 10 eXlslmg lateral
Paee 1 of 5
~iii:~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00991
ISSUED' 08/14/2007
APPLIED' 07/0512007
EXPIRES: 06/19/2008
VALUE: $ 299,70000
225 F,fth Slree!, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
I Valuation DescrmtlOn I
A C - ReSlden
Dwelhn!!s
Gar d!!e
AC - ReSldent131
V Wood Frame
Gara!!e
$ Per Sq Ft
or multlpher
$400
$10300
$2700
Square Fooldge
or BId Amount
2,70000
2,70000
400 00
Value
Date Calculated
DeSCriptIOn
Tvpe of Construchon
Total Value of ProJecl
$10,80000
$278,10000
$10,80000
$299,70000
07/0512007
07/05/2007
07/0512007
L-Fpp<, P~Hl J
Fee DeSCriptIOn Amount PaId Dale PaId ReceIpt Number
Plan ReVieW ReSldenhal $870 25 7/5/07 1200700000000000865
-Mech Iss 2+ Apphances- $40 00 8/14/07 1200700000000001032
+ 10% AdmIDlstratlve Fee $224 49 8/14/07 1200700000000001032
+ 5% Technology Fee $121 59 8/14/07 1200700000000001032
+ 8% Stale Surcbarge $16695 8/14/07 1200700000000001032
3 Balhs One & Two FamIly $33700 8/14/07 1200700000000001032
AddressIDg ASSIgnment $35 00 8/14/07 1200700000000001032
Apphance Venl $700 8/14/07 1200700000000001032
Boder/Comp Up To 100,000 btu $1400 8/14/07 1200700000000001032
BmldIDg PermIt $1,33884 8/14/07 1200700000000001032
Curbcut PermIt $85 00 8/14/07 1200700000000001032
Dryer Venl $700 8/14/07 1200700000000001032
Exbaust Hoods $10 00 8/14/07 1200700000000001032
Fire SF Fee - ReSldenhal $15810 8/14/07 1200700000000001032
Fireplace (LISted) $17 00 8/14/07 1200700000000001032
Furnace - up to 100,000 btu $1400 8/14107 1200700000000001032
Gas OutIels 1-4 $500 8/14/07 1200700000000001032
Plan ReVIew Major - PldnUlng $205 00 8/14/07 1200700000000001032
PW DISC - 2nd PermIt $-30 00 8/14/07 ]200700000000001032
ReSIdence WIrIng 1000 Sq Ft $117 00 8/14/07 1200700000000001032
ReSIdence WIrIng Ed Addtl 500 $10500 8/14/07 1200700000000001032
Samtary Sewer - Improvement $652 93 8/14/07 1200700000000001032
SanItary Sewer - ReImbursement $858 67 8/14/07 1200700000000001032
SDC MWMC AdmIDlstratlOn $10 00 8/14/07 1200700000000001032
SDC MWMC Improvement $96] 52 8/14/07 1200700000000001032
SDC MWMC ReImbursement $9] 61 8/14/07 1200700000000001032
SDC SaUltary/Storm AdmID $15978 8/14/07 1200700000000001032
SDC Transpo AdmID $68 90 8/14/07 1200700000000001032
SDC Transpo Improvement $862 25 8/14/07 1200700000000001032
SDC Transpo ReImbursement $19548 8/14/07 1200700000000001032
Sldew dlk Permll $85 00 8/]4/07 1200700000000001032
Storm DraIDage ImpervIOUs Area $94118 8/14/07 1200700000000001032
Storm Sewer Each AddtI 100' $32 00 8/14/07 1200700000000001032
Temp Power 200 amps or less $55 00 8/14/07 1200700000000001032
Pa!!e 2 of 5
-~I'I
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Vent Fan
Wlllamalane Smgle Family
+ 10% AdmmlstratIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltdge - Residential
Mmlmum/AdJustment ElectrIcal
Total Amount PaId
Imtlal Review
Pubhc Works Review
07/06/2007
07/06/2007
Plannme Review
07/06/2007
Planum!! Review
08/0312007
$28 00
$2,303 00
$500
$250
$400
$28 00
$22 00
$11,21504
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2007-00991
ISSUED: 08/14/2007
APPLIED 07/05/2007
EXPIRES: 06/19/2008
VALUE: $ 299,70000
8/14/07
8/14/07
12/19/07
12119/07
12/19/07
12/19/07
12/19/07
1200700000000001032
1200700000000001032
3200700000000000816
3200700000000000816
3200700000000000816
3200700000000000816
3200700000000000816
I Plan ReViews I
07/06/2007
07/06/2007
07/3112007
08/03/2007
APP LLH
APP BRC
For thIS parcel m Mt Gate 2nd
AddItIon, It IS the recommendatIOn
to the BUlldmg DIVISIOn, by the City
Engmcer "that no connectIOns shdll
he m.lde to ;amtdry or storm H20
systems, until the subdiVISIOn IS
accepted by Ot} Council" Storm to
eXlSlmg laleral
APP TAJ
Follow Iree protectIOn gUldehnes m
the LDAP for the 2 trees to be
preserved
Plant 4 street tI ees on S 67th and I
on Ivy Choose street ~pecles from
Ihe HillSIde hst 10 the street tree
handout
APP TAJ
ReVISed SIte plan OK
Paee 3 of5
-~~
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO
ISSUED
APPLIED.
EXPIRES,
VALUE'
COM2007-00991
08/14/2007
07/05/2007
06/19/2008
$ 299,700,00
Issued
Structural RevIew
07/06/2007
08/10/2007
APP DLM
Truss dwgs do not agree w,th bldg
plans Structural engmeenng and
plans not coordmated Met w/
contractor-I equested
clanficatlOns 7/7/07dlm Contr
submllted reVISed plans & revIsed
truss dwgs (mlssmg truss layout
dwg) and revIsed ngr'g7/9/07
Engmeenng and truss dwgs "ere 10
the folder lor P W /PlanUlug
Restarted review - 'Ite pldu dud
floor plan do not agl ee Called
contractor, he resubmitted revised
bldg plans & engmeenng
Forwarded sIte & bldg plans to
plannmg for re-rcvlew 8/2107dlm
Talked 10 engmeer fOJ clanficatlOn
and corrcl,oll 011 dwgs, OK 8/10/07
See documents for PldD reVIeW
commellts 8/10/07dlm
To Request an IDspectlOn call the 24 hour recordlDg at 726-3769 All inspections requested before 7'00
a m, Will be made the same worklDg day, IDspectlOns requested after 7 00 a m Will be made the followlDg
work day,
IRpn~
EroslOlI/Gradmg IlIspectlOlI Pnor to ground dIsturbance alld after erOSIOn measures are mstalled
Curbeut . Standard After forms are erected but prlOI to placement of concrete
SIdewalk - CurbsIde After forms are el ectcd bul pnor 10 placement of concrele
Ufer Electncal Ground IlIstall ground rod at footmg and call lor mspectlOn 10 conJunclIolI wIth footmg and/or
foundatIOn IOspectlOn
Footmg After trellches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnor to floor msulatlOlI or deckmg
Floor InsulalIon Pnor to deckmg
Shear Wall Na,IIng Before covenng sheathmg wllh fiUlsh matenals
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved
Walllnsulahon Prior to cover
Ce"mg InsulatIOn Pnor 10 cover
Drywall Pnor to taplllg
Paee 4 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2007-00991
ISSUED 08/1412007
APPLIED: 07/0512007
EXPIRES' 06/19/2008
VALUE. $ 299,70000
225 FIfth SII eet, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Hold Downs Inslalled Spec.al InspectIOn performed pnor to placemenl of concrele ProvIde report to CIty
Bulldmg Inspector
Fmal Bulldmg After all required mspectlOns have been requested and approved and the bUlldmg .s complete
Underfloor Plumbmg Pnor 10 msulatlOn or deckmg
Underfloor Dram PrIor to cover or placement of concrete
Rough Plumbmg Pnor 10 cover and meludmg reqUIred testmg
Penmeter Foundallon Drams After gravel and filter cloth .s mSlalled but pnor to backfill
Water Lme Pnor 10 fillmg trench and meludmg reqUIred testmg
Samtary Sewer Lme Pnor to filhng Irench and meludmg reqUIred testmg
Storm Sewer Lmc Pnor to filhng Irench
Fmdl Plumbmg When all plumbmg work IS complete
Underfloor Gas After hne IS msldlled and required testmg and capped .f not attached to an apph.mce
Rough GdS Afler hne .s mstalled and reqUIred lestmg dnd capped If not attached to an apphance
Gas Serv.ce After hne .s mstalled and hne has been connected 10 a mm.mum of one apphance mcludmg reqUIred
teslmg Presure test done al th.s poml
Rough MechanICal Pnor to Cover
Fmal Gas When all gas work IS complete
Fmal MechanICal When all mechanICal work .s complele
Temporary Eleclnc Approval required pnor 10 UlIhly Company energIZIng pole
Rough Electnc Pnor to Cover
Eleclnc ServIce Approval required pnor to ullhly company energIZIng servIce
Fmal Electnc When all electrical work .s complete
Low Voltage Pnor to cover
By sIgnature, I state and agree, thai I have carefully eunllned the completed apphcatlOn and do hereby corllfy that dll
mformallon hereon IS true and correct, and 1 further cerllfy that any and dll work performed shall be done 10 accordance w.th
the Ordmances of the CIty of Sprmgfield and the Laws of the Stale of Oregon pertammg to the work descllbed herem, and
that NO OCCUPANCY wIll be made 01 any structure wllhout pel mIss 1011 ollhe Commumly ServIces D.vls.on, Bulldmg Safely
I further cerllfy Ihal only contractors and employees who are 10 comphance wIth ORS 701 005 WIll be used on thIs proJecl
I further agree to ensure that all reqUIred mspecllons are requesled at the proper lime, Ihal each address .s readable from the
street, Ihat Ihe perm.t card IS locdted at the Irol11 of the properly, and Ihe appl oved sel of plans will remam on the s.te at dll
tImes durmg constructIOn
Owner or Contractors Signature
Date
Paee 50f5