HomeMy WebLinkAboutPermit Electrical 2008-1-22
I, ,0. CITY OF SPRn.JGFII~iD~ OREGON . .
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SPA,', 'NQRELD ~' ZON' LCtZ-
j it. - ,INITIALS A.:J;....A..-
.....- A!.. DATE / -;:) ":J--r'Y
"II!iIiIIllo. 'l/iIIlI' SOURCE _/"Yy' ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL~![; APPliCATION
City Job Number I , (f[); /' rm;;Jl
;;/G~h%i-4~~~'!);L'
LEGAL DESCRIPTION: {}
i Yili ();g /O(]()JZrD
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,JOB DESCRlPT~On .
~h~ .ihfj lull _
Dale
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'~.-::T"""7.'l;,-::<'>",..,:;<:'!i: " :-._'.~-,"~'"j ~",:",g~"-;<'S:-";,,,;;,;,,,:;:r:,"'::;"-'__ .--c---:,~,~:O;:?;-~;:-'_"
c,:(:OMPLETE'FEE'SCHEDULE>BELOWc,,', ",..,',
",-.'."'-'-'.'i""'"" ,-' """'''';':-;7~' c;"" _", .' ,
o~~_"i'''''7-,--' -: . - -:--~_~-_C:'?-'C:?-_~T_:';'::: ~",,<: ::;~;,:,":;>.-. '~~':---~: ;"','~:;: '~_ _:_ _ ..
A. )New~itesidentiai8:Singl~6IJijulii'Fa-l]Iiiy'per;a,,:~lIing unit
. " "_" ~.'. , .'~~ '_,""."' ,..,-,., 0 , . _-. ,.,0, , ..' ,
Service Included
1000 sq, ft, orIess $117.00
Each additional 500 sq. ft. or
portion thereof $ 21.00
Permits are non-translerable and expire il work is
not started within 180 days 01 issuance or ilwork is
Suspended lor 180 days,
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
2, '~ONTiiAdOR 1fJST~lfO"Jif;Nix~" B. ~t[fFi~~J~:~~~!~llJt~lt~iti,t~'{~ti~~~b~~~!~MionGo
ElectricalContractor 5u nY~cJit,.200Ampsorless / $70.00 70. /
/J () I 201 Amps to 400 Amps $ 83.00
Address r.D fDfJj. 70Lft/8; 11'10; 401 Amps to 600 Amps $138.00
~. 601 Amps to 1000 Amps $180.00
City " Phone ,41 - gB~)S Over 1000 Amps/Volts $413.00
Reconnect Only $ 55,00
Supervisor License Number ':SD/t>{) <-
Expiration Date 'D , ' I nil
Constr. Contr. Number ~
C.T~o,;;p~;~rtS~~i~#~;:::f~~dHt; .-
':.t;
X
I
Installation, Alteration or Relocation
200 Amps or less
20] Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76,00
$110.00
Over 600 Amps or 1000 Volts see "B" above,
~~_"',,:-,,;,~:.,~o, ',:~r::.; ,_;:.::.;:-S:.i~'::';:,::p,,~---"?-?'r:;:";:,'i~_;~\f-,;, :,.". -,' '-r:" ':';'~' ',:t -i ~.."::.::' ' -'-. ,- . '
D. ;;,l!rancc~'!,,:I~<:III~TifENTT'01(mol~i:ron'1aw reqG1res'You ,to
New Alteration olcli~~lfsiOlI!N~'I'Iil~ by the Oregon Utility
One Circuit NotificatIOn Center, Those$1,\\r.~.Ilre set forth
E hAdd" 1.~~2.n01-0010tiIlOUgncJ)\Rge2Qg1
ac Itlona I wttfl' . .
, S' F d 't ou may obtain cO"""il flbthe rules by
ervlCeor ee e l t"J)-. I'
!I/ _ ca mg the cerner. \"lU,e: the te ct-" 'v, '"
~S/ ~fQ6 "~~~~,~~~~~s'(g~AJPc~~~rHe~W~~~~f~~r.;,I?a~ion
Phone!i!if -~ Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55,00
OWNER TALLATlON NOTICE: Limited Energy/Residential $ 28,00
The installation is being made on property ~'?1T3 rk!fflvllT SHA,L'r!~~Rrf~lffi'rWEfR~1 $ 50,00
IS not mtended for sate, tease or rent. ,"IUTHO~IZE_D m~'/.;~ll~cffi!'Bfv1rr,:I~,~~~~~~nFee is $50.0,0-: Surcharges c)\J
Owners Signature: ": 'i":;ENC~D ffi.11~YY~9~~~,l{l>;: " ($ '16 .
, '" "r:,t, ," '-? L-U
" \. I' ,:r~,"ll'!< .State Surcharge ,,] . "--' "
-ffi%Administrative Fee 'K ' q u
5% Technology Fee .,. 0 V
(lit K<{, 9'0
7
Signature
Address
Cit
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc
22~ Fifth-Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00627
COM2007-00627
CQIy12007-00627
, COM2007-00627
Payments:
Type of Payment
CreditCard
.-'....'.....-...,-~-
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000000082
Date: 01/22/2008
I1:SS:2IAM
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ ] 2% State Surcharge
,:. 10% Administrative Fee
Amount Due
70,00
3,50
8.40
7,00
$88. 90
Paid By
SUNSET ELECTlC/CHERYLS
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
077484 In Person
Payment Total:
$88,90
$88.90
,
Page I of I
1/22/2008
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00627
ISSUED: 07/0212007
APPLIED: 05/0112007
EXPIRES: 07/22/2008
VALUE: $ 524,629.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6621 Forest Ridge Dr
ASSESSOR'S PARCEL NO,: 1802031000800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 120, Mountain Gate
Hillside
5
Yes
23.40
ATTENTION' Ore ,
fnUn.., -"':: ~.L ,~~nu aw requIres vPI':~"
I PUBLIC IMPROVEMENTSlJtlfication Cent;', Tho~~~~, uregon Utlltty
~OAR>>'~2-0Aj 9(1 th es are set forth
Fully Improved 0090,. %?fnl~;~~&f~ c~op~~~ ~~ ~52cQR.t~ide 5'
Yes CaIlInDcfl1il~f.D(IWl!e: the telj~Wj&RYsewer
numbe~fOrtthe, Oregon Utility Notificat~:n
en eT IS 1-800-332-2344).
Owner: BARRY STEIN
Address: 41578 MCKENZIE HWY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
, Electrical
Mechanical
Plumbing
Contractor
SWEARENGIN
SUNSET ELECTRIC INC
SUNSET HEATlNG'& AIR INC
KEVIN MARK COHEN
License
130021
158859
171706
131326
BUlLDI~G INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
#~Smri~ 3
Height of Structure 43,00
Type of Heat: orced Air Electric
Water Type: Electric
RangeType: Electric
Energy Path: Path I
r
Sprinkled Building: n/a
3
I DEVELOPMENT INFORMATION I
Fl'Ontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
45.00
19,00
56,00
90.00
0,00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Acceptell
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Storm to designated lateral.
NOTICE: RE IF THE WORK
THIS PERMIT SH~~~ ;X~~ PERMIT IS NOT
f,UTHORIZED UONR'lS ABANDONED FOR
COMMENCED '
ANY 180 DAY PERIOD.
Paee I of 5
. ~ -,. .. _. ."
Residential
Phone Number: 541-896-0883
Expiration Date
02/0] /2008
02/27/2008
08/17/2008
09/04/2008
Phone
, 541.767-3952
541-915-4883
541-988-3181
541-607-9208
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
47,824
1,934
1,648
1,186
816
475
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
--,-~lllli!:l.~~I!!,I,;l;l,4-""
I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
A,C. - Residen
Deck/Balcony
Dwellin2s
Dwellin2s
Dwellin2s
Gara2e
Type of Construction
AC .'Residential
Deck
V Wood Frame
V Wood Frame
V Wood Bonus Rm
Gara2e
Fee DescriDtion
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Air Handling Unit 10,000 & Ovr
Building Permit
Curheut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylSto,'m Admin
SDC Trallspo Admill
SDC Transpo Improvement
SDC Trallspo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
Vent Fan
Willamalalle Single Family
I,valuation Descrintion I
$ PerSq Ft
or multiplier
$4.00
$19.00
$103,00
$103.00
$89,00
$27.00
Sqnare Footage
or Bid Amount
4,768,00
475,00
1,934,00
1,648.00
1,186.00
816.00
Total Vallie of Project
~
Amount Paid
$1,212.67
, $10.00
$272.99
$137.75
$194.15
$306,00
$31.00
$15.00
$1,946,90
$80,00
$6,00
$9.00
$302.95
$12,00
$198,00
$C30,00
$831.20
$1,093.11
$10,00
$961.52
$91.61
$211.65
$63.57
$836.32
$189,58
$80,00
$1,491.14
$28,00'
$50.00
$24,00
$2,303.00
Date Paid
5/1/07
7/2/07
7/2/07
712107
712107
712107
712107
712107
712107
7/2(07
7/2(07
7/2/07
7/2/07
7/2/07
7/2(07
7/2(07
712107
712107
712/07
7/2/07
7/2/07
7/2107
712107
712107
712107
712107
712/07
7/2/07
7/2107
712107
712107
, Pa2e 2 of 5
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00627
ISSUED: 07/02/2007
APPLIED: 05/01/2007
EXPIRES: 07/22/2008
VALUE: $ 524,629.00
Value
Date Calculated
$19,072.00
$9,025,00
$199,202.00
$169,744.00
$105,554,00
$22,032.00
$524,629.00
05/0212007
05/0212007
05/02/2007
05/0212007
05/0212007
05/0212007
Receipt Number
2io0700000000000632
1200700000000000855
'1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
1200700000000000855
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
!
Wood Stove/Insert
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 100/0 Administrative Fee
+ 12% State Surcharg'e
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Public Works Review
05/02/2007
Initial Review
05/02/2007
Public Works Review
05/1012007
PlanniD!! Review
05/02/2007
$30.00
$34.00
$17.00
$27.20
$25.00
$106,00
$209.00
$7,00
$8.40
$3.50
$70.00
$13,506.21
7/2/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
1/22/08
1/22/08
1/22/08
1/22/08
I Plan Reviews I
05/01/2007
05/02/2007
05/10/2007
05/3112007
WI
APP LLH
APP JLP
APP T AJ
Pa2e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00627
ISSUED: 07/02/2007
APPLIED: 05/0112007
EXPIRES: 07/22/2008
VALUE: $ 524,629.00
1200700000000000855
2200700000000001394
2200700000000001394
2200700000000001394
2200700000000001394
2200700000000001394
2200700000000001394
2200800000000000082
, 2200800000000000082
2200800000000000082
2200800000000000082
JLP
Rcvd 5/1/2007---Waiting in order
PW rcvd for rvw.JLP WI 5/9/07
For this parcel in Mt. Gatc 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. Architect to provide
new Site plan with storm H20 plan,
JLP APP 5/10/07
Place orange construction fencing to
the driplines of the trees marked on
the plot plan to be preserved,
The 20" fir may count as one of the
required street trees, Follow the
Street Tree Protection During
Construction guidelines attached to
the street tree handout.
Plant only native species for street
trees. See list on page 6-4 of the
street tree handout.
Solar exempt based on ROW,
Height is 27' measured from 10'
hillside bonus to mid-point of gable,
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00627 .
ISSUED: 07/02/2007
APPLIED:, 05/01/2007
EXPIRES: 07/22/2008
VALUE: $ 524,629,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
05/02/2007
06/07/2007
APP
DLM
This lot requires a site specific
Geotechnical investigation. I called
the contractor to request the report.
He will contact a gcotech engr, to
start the investigation. 5/1I/07dlm
Received a preliminary geotech
report from Hill & Dale Engr'g
6/I/07dlm.
See documents for Plan review
comments.
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,
~rI Tnf;'.np('t~
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.
Slab: To he made after all inslah building service equipment, conduit piping and other equipment items are in
place but prior to concrete,
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping,
Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State
Certified Special Inspector with approval from the City of Springfield, Copies of inspection results shall be
provided to the City of Springfield.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underslab Plumbing: Prior to filling the trench and including required testing,
Perimeter Foundation Qrains: After gravel and filter cloth is installed but prior to backfill,
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,
Pa~e 4 of5
__:J;~1~~,';~~,~I~~J' ~,1",~"-'i\;1*~
~I
(
Status
Issued
225 Fifth Street, Springfield;OR
541-726-3753 'Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00627
ISSUED: 07/02/2007
APPLIED: 05/01/2007
EXPIRES: 07/22/2008
VALUE: $ 524,629,00
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Temporary Electric: Approval reqnired prior to Utility Company energizing pole,
Rongh Electric: Prior to Cover
Electric Service: Approval reqnired prior to ntility company energizing service.
Low Voltage: Prior to cover.
Final Electric: When all electrical work is complete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 strnctnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther 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
Page 5 01'5
Date