HomeMy WebLinkAboutPermit Electrical 2007-12-28
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Z,;5 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726.3753 . FAX (541)726.3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number ("Owl? 007 - 0 I "3 ~ .J Date
--- ~
3 'COMPLETE FEE SCHEDm.E BELOW
I LOCATION OF INSTALLATION:
15'2. ~s:--- 5~-7i4-s1
A ~~ew Reslden~lIal- ~!~~!~~ Multl.Famlly per dwelhng umL
LEGAL DESCRIPTION
/8oz..0L/ ( (
o '!If Or:::,
ServIce Included I
1000 sq It or less $]]700 1/7
Each addItIOn a] 500 sq It or '] b5
portIOn thereof $ 2] 00
Each Manufact'd Home or
Modular Dwe]ltng Service or $5500
Feeder
JOB DESCRIPTION
Nt..,) ~e.~A~." <--
PermIts are non.transferable and expIre If work IS
not started wltbm 180 days of Issuance or Ifwnrk IS
Suspended for 180 days
B : ServIces or Feeders - Installation, Alterallons or Relocallon-
2 : CONTRACTOR INSTALlATION ONLY
E]ectncal Contractor :::D tv\ \-(- r I~ ~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Phone 617-305'7 Over ]000 AmpsNo]ts
ATTENTION Reconnect Only
: Oregon law requIres you to
follow rules adQpted !:!Y 111ft Qr@ I WIlt..
Supervisor License Number LJ 5" 54 5Notlflcatlon 6entM."\IW~'It;sa~&lg~rs
I In OAR 952-001-0010 Ihrouah OAR 952-!lQl
ExpiratIOn Date \0 I n I 2_0 10 0090. You ma}l~~~lf~6fe%~j:atlon
I J calling the C~~J\n(~BldBe telephone
2.ti _ L\ 5",q c- number for t'%9~t:1~t!,l~blY ~ihcatlon
Cente~1l\ Xft.~q-~tiij8Wbs
7/, /z..tJo8
/ I
SIgnature ofSupervlsmg Electnclan
$ 70 00
$ 83 00
$13800
$18000
$4]300
$ 55 00
57 TH s f-~<---(-
7Bo
5..,
Address
City ~DYIY1J .(!,JJ
$ 55 00
$ 76 00
$] 10 00
Constr Contr Number
ExpIratIOn Date
Over 600 Amps or 1000 V o]ts see "B" above
D : Branch CIrcUIts
~~"--~~ ~ - ~~'" ~~ - ~- -~ - ~~
t-">
1
New AlteratIon or ExtenSIOn Per Panel
One CirCUit
Each AddltlOna] CirCUit or WIth
ServIce or Feeder Permit
~" v\1
c..---
Owners Name 120,...1
$ 48 00
$ 400
G..;4- (( ~ILA-ry'
~ \ .tel sf-
Phone S26 - t./,y J ~
Z2b'l
SPF"-
E c~~'hscellaneous (Serv,,=,feeder not included) -Each Installallon
Address
City
Pump or irrigatIOn $ 55 00
SIgn/Outhne Llghtmg $ 55 00
OWNER INST ALLA TION Lumted Energy/ResldentIa] $ 28 00
The mstallatlon IS bemg made on property I own whIch LimIted Energy/Commercial $ 5000
IS not Intended for sale, lease or rN'br'CE: Mmllllum E~ectnc Permit Inspe~lI~"-l'e,,-,s $50 00 + Surcharges
Owners SIgnature THIS PERMIT SHAlL EX~I~ SV~l wAL OF ~O~ c /80
AUTHORI7~n 'INDER THIS r~JfJffH&Q~e fiI'fo
COMMENCED OR IS ABA ~tJ&.NQllve Fee 18
ANY 180 DAY PERIOD. NDQNmdieRogy Fee 5-
Inspection Request 726.3769 TOTAL Z Z I ~
Shared Dflve(T )JBUlldmg Forms/Electncal Penmt ApphcatlOn 7-07 doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2007-01395
ISSUED 10/10/2007
APPLIED. 09/12/2007
EXPIRES: OS/2812008
VALUE' $ 196,684,00
225 Fifth Street, Spnngfield, OR
541.726.3753 Phone
541.726.3676 Fax
541-726-3769 InspectIOn LlOe
SITE ADDRESS 952 S 56TH ST
ASSESSOR'S PARCEL NO 1802041109400
SPRINGFIETYPE OF WORK SlOgle Family ReSIdence
TYPE OF USE
PROJECT DESCRIPTION SlOgle famdy res.dence. Lauren Estates lot 8
Owner RONALD & K GALCERAN
Address 2264 33RD ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA TION I
Contractor License
GALCERAN CONSTRUCTION INC 164708
DONALD MARVIN HORTON 116021
~N"'>l>I'lI.o4!'1ONl901lWM.U;~g~~IN 164497
MbW ...........dQllt~~ @fflQ~.. 140768
nOUlI...--UUUII\.IVIII.Vh h'Ht".~t.J~- _____n .;
InOAR952.oo1.oo1~ U(""I1/. TION I
0090. You may obtaiii"COj)l8i" oi t e ru ell 11,
# of U mts calling the ~nter. (Notao4lS&l\tllaphone 2
Pnmary Occupancy Groulbumber fdHhe Oregon Utl\tl1tQjD!l~@fl, 24 00
Secondary Occupancy Glnup Center 181-800~41~t Forced AIr Gas
Pnmary ConstructIOn Type VB Watel Type Gas
Secnnddry ConstructIOn Type Range Type Gas
# of Bedrooms 3 Energy Path Path 1
SprlOkled BuddlOg n/a
t' ~TI"I:.
, PUBLIC IMPROvfflt~1~m SHAll EXPIRE IF THE WOKI(.
AUTHORIZED ~II'1'~PERMIT IS NOT
COMMENCED~IS ABANtlONED FOR
outslDrams
For thIs parcel 10 (Lauren Estates) , It AtMe 1!,\Q,.g~~ ~o the BUlldlOg DIVISIOn, hy the City
EnglOeer "that no connectIOns shall be made to samtary or storm H20 systems. unhl the
Storm water dl almbdnmqlllUlkcatIttfrbbtnffl!lJttinuncd"
Contractor Type
General
Electncal
Mechamcal
PlumblOg
Frontyard Setback
Side I Sethack
S.de 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer Available
Specml InstructIOn
Notes
I DEVELOPMENT INFORMATION I
1990
500
II 00
3000
500
Overlay Dlst
# Street Trees Rqd
Pdved Dnve Rqd
% of Lot Coverage
Paee I of 4
New
Resldentml
Phone Number 541.520.6645
ExpIratIOn Date
05/1712009
07/25/2009
07/11/2009
03/0112008
Phone
541.520.6645
541.726.9021
541.461.1282
541.995.4725
Lot SIze 5,781
Sq Ft 1st FloOl 1,748
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/CarpOl t 540
Sq Ft Other
Occupant Load
REQUIRED PARKING
2
Yes
3950
Total
HandIcapped
Compact
2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES:
VALUE
COM2007-01395
10/10/2007
09/12/2007
OS/28/2008
$ 196,684.00
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ,valuation DescrmtIon I
Dwelhn!!s
Gara!!e
V Wood Frame
Gara!!e
$ Pc. Sq Ft
or multlpher
$10300
$2700
Square Footage
or BId Amount
1,76800
540 00
Value
Date Calculated
Descrmtlon
Tvpe of ConstructIOn
Total Value of Project
$182,10400
$14,58000
$196,68400
09/12/2007
09112/2007
l.F~p< P~111
Fee DeSCriptIOn Amount Paid Date PaId ReceIpt Number
Piau ReVieW Resldeullal $630.57 9/12/07 2200700000000001436
-Mech Iss 2+ Apphances- $40 00 10/10/07 1200700000000001295
+ 10% AdmlllJstratlve Fee $15515 10/10/07 1200700000000001295
+ 5% Technology Fee $88 56 10/10/07 1200700000000001295
+ 8% State Surcharge $11489 10/10/07 1200700000000001295
3 Baths One & Two Family $33700 10/10/07 1200700000000001295
Addressmg ASSIgnment $35 00 10/10/07 1200700000000001295
Buddmg PermIt $970 10 10/10/07 1200700000000001295
Curbcut Pel mlt $85 00 10/10/07 1200700000000001295
Dryer Vent $700 10/10/07 1200700000000001295
Exhaust Hoods $10 00 10/10/07 1200700000000001295
FIre SF Fee - ReSldenllal $11540 10/10/07 1200700000000001295
Flfeplace (LISted) $1700 10/1 0/07 1200700000000001295
FurnJce - up to 100,000 btu $1400 10/10/07 1200700000000001295
Gas Outlets 1-4 $500 10/10/07 1200700000000001295
Plan ReVieW Major - PlanUlng $205 00 10/10/07 1200700000000001295
PW DISC - 2nd Permit $-40 00 10/10/07 1200700000000001295
Sallltary Sewer - Improvement $571 31 10/10/07 1200700000000001295
SaOItary Sewer - Reimbursement $751 33 10/10/07 1200700000000001295
SDC MWMC AdmmlStrJtlOn $1000 10/10/07 1200700000000001295
SDC MWMC Improvement $961 52 10/1 0/07 1200700000000001295
SDC MWMC ReImbursement $9161 10/10/07 1200700000000001295
SDC SJllltary/Storm Admm $15915 10/10/07 1200700000000001295
SDC Transpo Admm $68 96 10/10/07 1200700000000001295
SDC Transpo Improvement $862 25 10/10/07 1200700000000001295
SDC TrJnspo ReImbursement $195 48 10/10/07 1200700000000001295
SldewJlk Perm.t $85 00 10/10/07 1200700000000001295
Storm Dramage ImpervIOus Area $1,11868 10/10/07 1200700000000001295
Temp Power 200 amps or less $55 00 10/10/07 1200700000000001295
Vent FJn $2100 10/10/07 1200700000000001295
Wlllamalane Smgle Family $2,303 00 10/10/07 1200700000000001295
+ 10% AdmmlStratlve Fee $1800 12/28/07 1200700000000001530
+ 5% Technology Fee $900 12/28/07 1200700000000001530
+ 8% State Surcha. ge $1440 12/28/07 1200700000000001530
ReSIdence Wmng 1000 Sq Ft $117.00 12/28/07 1200700000000001530
Pa!!e 2 of 4
CITY OF SPRINGt<u..LD.
Building/Combination Permit
PERMIT NO: COM2007-01395
ISSUED: 10/10/2007
APPLIED 09/12/2007
EXPIRES. OS/28/2008
VALUE: $ 196,684.00
-iiiC
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
ReSIdence Wmng Ea AddU 500
$63 00
12/28/07
Total Amount Paid
$10,26536
Plan RevIews I
ImtI.lI Review
09/13/2007
09/13/2007
APP NJM
Pubhc Works Review
09/13/2007
09/14/2007
OK LKW
Structural RevIew
10/04/2007
10 LLH
09/13/2007
Structural RevIew
10/04/2007
10/09/2007
APP LLH
Planume: Review
09/13/2007
10/10/2007
APP T AJ
1200700000000001530
For thIS parcel 10 (Lauren Estates) ,
It IS the I ecommendatlOn to the
BUlldmg DIVIsIOn, by the CIty
Engmeer "that no connectIOns shall
be mJde to samtary or storm H20
systems, until the subdivIsIOn IS
Jccepted by City Conncll"
PIJns forwJrded to the BUlldmg
DepJrtment for structural revIew
Plans revIewed by Shawn Eaton
WIth the BUIld 109 Department under
contract WIth the City of Spnngfield
The eXlStmg 18" DF may count as
one of the reqUIred street trees
Follow tree protectIOn gUldehnes 10
the street tree handout mcludmg
fencmg the dllphne of the tree With
orange constructIOn fencmg
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
~r'lIrp~ T~snections I
Ufer Electncal Glound Install ground rod at footmg and call for mspectlOn 10 conJunctIOn With footmg and/or
foundallon mspectlOn
Footmg Alter trenches are excJvated
Foundallon After lorms Jre erected but pnor to concrete placement
Post and BeJm Pnor to floor msulatlOn or deckmg
Floor InsulatIOn Pnor to decking
Shear Wall Nading Before covenng sheathing With fiUlsh matenJls
Frammg Inspection PrIor to cover and after all rough In inspections have been approved
Pa2e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE:
COM2007-01395
10/10/2007
09/12/2007
OS/28/2008
$ 196,684 00
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 InspectIOn Lme
WalllnsulatlOn Pnor to covel
Cellmg InsnlatlOn Pnor to cover
Underfloor Plumbmg Pnor to insulatIOn or deckmg
Rough Plumbmg Pnor to cover and mcludlng reqUIred testmg
Water Line Pnor to filhng trench and Includmg reqUIred testing
Samtary Sewer Line Pnol to filhng trench and including requlI ed testmg
Stolm Sewer Line Pnor to filhng trench
Underfloor Mechamcdl Pnor to insulatIOn or deckmg and including reqnlred testing
Underfloor Gas After hne IS Installed and required testmg dnd capped If not attached to an apphance
Rough Gas Aftel hne IS Instdlled and reqUIred testing and capped If not attached to an apphance
Gas ServIce After hne IS Installed and hne has been connected to a mmlmum of one apphance mcludmg requlfed
testmg P, esure test done at thIS pomt
Rough Mechamcal PrIOr to Cover
TempOl ary Electl Ie Approval I eqUlred pnor to Ullhty Company energIZIng pole
Fmal Mechamcal When all mechamcal work IS complete
Final Gas When dll gas work IS complete
Final Plnmbmg When all plumbing work IS complete
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the hUlldmg IS complete
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By Slgnatllre, I state and agree, that I have carefully eXdmmed the completed apphcatlOn and do hereby cerllfy that all
mformatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shall be done 10 accordance Wltb
the OrdlDances of the City of Spnngfield and the Laws 01 the State of Oregon pertaining to the work descnbed herem, and
that NO OCCUP ANCY will be mdde of any structure wIthout permISSIon of the Commumty ServIces DIVISIon, Bulldmg Safety
I fUl thel certlty thdt only contractors dnd employees who a, em comphance wIth ORS 701 005 will be used on thIS proJect
I further agree to ensure that all reqUIred mspectlOns are I equested at the proper lime, that each address IS I eadable from the
street, that the permit card IS located at the front of the property, dnd the approved set of plans wIll remam on the SIte at all
times dUI mg construction
Owner 01 Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Spnngfield, Oregon 97477
,
541-726-3759 Phone
City of Springfield Official Receipt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2007-01395
COM2007-0 1395
COM2007-0 1395
COM2007-01395
COM2007-01395
Payments
Type of Payment
Check
,
cRecemtl
RECEIPT #.
Date. 12/28/2007
1200700000000001530
DescriptIOn
ReSidence W IflUg 1000 Sq Ft
ReSidence Wifing Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmlUlStratlve Fee
Paid By
DMH ELECTRIC
Item Total
Check Number Authonzatwn
Received By Batch Number Number How Received
dJb 1297 In Person
Payment Total
Page I of I
1043 IIAM
Amount Due
11700
6300
900
1440
1800
$22140
Amount Paid
$221 40
$221 40
12/28/2007