HomeMy WebLinkAboutPermit Electrical 2007-4-30
ELEw.;J.iUClL~'~ APPUCATION
Cityl~NumL., ..C-.ocA/'\?L>O 7 - 00' z..-,,<{
Date
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~ALDESCIW uON:
17D2 I 'it.{ 3 0 $ZOO
lOB DESCRIPllON:
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Permits lift DOD-InDIferableaDd "'" 'It ,'.11 " if_o'" is
Dot sfal1cd widdD 180 cia", olislHlallee or if... it
Supended for 180 daJL
~ - .,,, .
. J'? ~ L ;;::>/ -/. ;
Electrical Contnu:tDr f.Ja teYl4at-? CJ.edY) c..
Address Cf3-/ J;/ 7ol/tA bocu .j Cb1/1-€
CityS;;MU1I"V1~~ Phone tJ'f/9107/?/
Supervisor ~ Number ;)c~;C)b ~(.>
E..,.;..~:OD DaIle / - / C? - 0 "/
.' '~~II
c.""....., Coatt. NUlllbcr :...,,: r.l,
r..,.,:.~ Dale / - / -0 cy
Sigaature of Sup.... j :..:ng EIecIridaD
q7~(4~-r:
Owners Name , k~ L. 7
Addzas Z S- b 0 'Z 71-'"'- )1-
S Pp \) Phoue 510 p :5Fb c(
City
OWNEllINSTAl.LATION
The iDsbtl1atiQD is beiDg madt; on ~ I own which
is not ;,~~" ,lied for sa~ lease or RDt.
Ow.oets SigIWure:
J~"""" '126-3769 . #
~~ \'0
(\~~ \.D
0\Y\9!\;
3.
r:-:-.f_
. ,,~"~~~"
J~
~..:.
n " '". . bn:huIed
1000 sq. tl or Jess
Ead1 additioDal SOO sq. ft. or
poJ1:ion t1 ..,,,.r
Each )4-nfiu!t'd Home or
ModuJar DwelliDa SerY.ice or
Feeder
I $117.00 /17
b' . S 21.00 I Z/.,
$SS.OO
~
S 70.00
S 13.00
$138.00
SIIO.oo
$413.00
S 55,00
i. ~
200 Amps O! Jess
201 Amps to 400 Amps
401 Amps to 600 Amps
601 AuJps to 1000 Amps
Over 1000 AmpsIVoJls
L.............~ Ouly
c.~. .:.;._~,~~'f~"''''''''"
.. f. _ . ..:1i1,;"~ ,,~-.
~AItentioa orllelocaUoD
200 Amps or less S 55,00
201 Amps to 400 Amps S 76.00
401 Amps to 600 Amps $1 \0.00
;~'!}~~~~..'~"!."-..:""'~"~\~
0.=;.,,,,.,,,,, J!r -~ "",,:=~
)IIew At~.." ,&i,,,.,,, or ~ Per PaIIe1
ODe Circoit
Eac:h AdditioDal Cimdt 01' with
Service or Feed.ct Pamit
S 48.00
$ 4,00
PmDponm./IIi"..I,. $55.00
SignlOut1ine Lightiug $ 5S.00
LL,l,j. J En"'b:/.1Raklaatial $ 28.00
Limited :::,.."....... .'C~...",;J $ 50.00
MlaimUID Electric: PenIIit tupectiou Fee is.... + f, I.., ,J, ~,rges .'
4~~~~~~~F~ ZC{ 3-
12% State f) ,01 , .L""',p.e 2 J I r-
10%~..~JeFee ,-f( 'S C>
S% Tedmology Fee f Z. I J-
..h AL 3D8 ,. b (
SIand Drivc(T:}/BuiJdiJIgfClllllSlE.,_:.. ~ PclmitAppliCllliOA l.oS.cJoc
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00924
ISSUED: 09/25/2007
APPLIED: 06/21/2007
EXPIRES: 10/29/2008
VALUE: $ 276,077,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3497 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194308200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Ambleside 1st Add lot 150
Residential
Owner: THORSBY TROY J & CARRIE J
Address: 2560 N 27TH ST
SPRINGFIELD OR 97477
Phone Number: 541-510-3864
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
REGAL HOMES BY SHELLEY
BA TEMAN ELECTRIC INC
OWNER
HOME COMFORT HEATING & AIR 84164
CRAIG ARNEY ATTENrrON~ nrAO l _ 167015
J~:~~tl,_~l~~,/~o
1 ::'~~~~~~P.sl~ th~~~~~bA~e9set_ f~~
R-3 calling~9~lli\~lf)i9s of the ri~.~&1-
U nUmber l~PfhgPWf..t(Note:lfklec~e}j~J:G.\RY
VB CfftieF~ )~9on UtIlIty NOflf;cJf,~Sn
Range Ify )~OO-332-2344)~lectnc
Energy Path: Path 1
Sprinkled Building: n/a
License
168831
151911
Expiration Date
02/28/2010
06/21/2008
Phone
541 998-3897
541-998-7187
06/25/2011
01/30/2008
541-345-2838
541. 736-9582
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,332
947
780
780
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
15.00
5.25
40.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
28.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
I PUBLIC iKWR<<WViRlL tArlRE IF THE WUKt\
Atffll~r\1 ER THIS PERMIT IS NOT
Fullv Improved COMMENCED OR IS AB'Awo~Eb'roR
Yes ANY 180 DAY PERIOD. Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: Stormwater and sanitary sewer to be directed to stubs provided on the lot.
Pal!e 1 of 5
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00924
ISSUED: 09/25/2007
APPLIED: 06/21/2007
EXPIRES: 10/29/2008
VALUE: $ 276,077,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellin2s
Dwelline:s
Gara2e
v Wood Frame
Bmt Semi-Finished
Garae:e
$ Per Sq Ft
or multiplier
$103.00
$26.00
$27.00
Square Footage
or Bid Amount
2,279.00
780.00
780.00
Value
Date Calculated
Description
Type of Construction
Total Value of Project
$234,737.00
$20,280.00
$21,060.00
$276,077.00
06/2112007
06/2112007
06/2112007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $741.59 6/21107 1200700000000000800
-Mechanical Issuance Fee- $10.00 9/25/07 1200700000000001231
+ 10% Administrative Fee $177.89 9/25/07 1200700000000001231
+ 5% Technology Fee $95.75 9/25/07 1200700000000001231
+ 8% State Surcharge $126.95 9/25/07 1200700000000001231
3 Baths One & Two Family $306.00 9/25/07 1200700000000001231
Addressing Assignment $31.00 9/25/07 1200700000000001231
Appliance Vent $6.00 9/25/07 1200700000000001231
Building Permit $1,140.90 9/25/07 1200700000000001231
Curbcut Permit $80.00 9/25/07 1200700000000001231
Dryer Vent $6.00 9/25/07 1200700000000001231
Exhaust Hoods $9.00 9/25/07 1200700000000001231
Fire SF Fee - Residential $191.95 9/25/07 1200700000000001231
Fireplace (Listed) $15.00 9/25/07 1200700000000001231
Furnace - up to 100,000 btu $12.00 9/25/07 1200700000000001231
Gas Outlets 1-4 $4.00 9/25/07 1200700000000001231
Miscellaneous Copy Chgs $17.50 9/25/07 1200700000000001231
Plan Review Major - Planning $198.00 9/25/07 1200700000000001231
Plan Review/Residential Hourly $112.50 9/25/07 1200700000000001231
PW Disc - 2nd Permit $-30.00 9/25/07 1200700000000001231
Sanitary Sewer - Improvement $-65.75 9/25/07 1200700000000001231
Sanitary Sewer - Improvement $831.20 9/25/07 1200700000000001231
Sanitary Sewer - Reimbursement $1,093.11 9/25/07 1200700000000001231
SDC MWMC Administration $10.00 9/25/07 1200700000000001231
SDC MWMC Improvement $961.52 9/25/07 1200700000000001231
SDC MWMC Reimbursement $91.61 9/25/07 1200700000000001231
SDC Sanitary/Storm Admin $191.06 9/25/07 1200700000000001231
SDC Transpo Admin $63.78 9/25/07 1200700000000001231
SDC Transpo Improvement $836.32 9/25/07 1200700000000001231
SDC Transpo Reimbursement $189.58 9/25/07 1200700000000001231
Sidewalk Permit $80.00 9/25/07 1200700000000001231
Storm Drainage Impervious Area $1,149.15 9/25/07 1200700000000001231
Storm Sewer Each Addtll00' $14.00 9/25/07 1200700000000001231
Temp Power 200 amps or less $50.00 9/25/07 1200700000000001231
Pae:e 2 of 5
Status
Issued
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
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Structural Review
06/25/2007
Initial Review
06/22/2007
Public Works Review
06/26/2007
Planninl!: Review
06/25/2007
Initial Review
09/19/2007
$24.00
$2,303.00
$5.00
$6.00
$2.50
$25.00
$25.00
$24.30
$29.16
$12.15
$117.00
$126.00
9/25/07
9/25/07
4/25/08
4/25/08
4/25/08
4/25/08
4/25/08
4/30/08
4/30/08
4/30/08
4/30/08
4/30/08
$11,446.72
Plan Reviews'
WE
06/22/2007
APP LLH
06/26/2007
APP BRC
06/28/2007
APP T AJ
09/19/2007
APP LLH
Pal!:e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00924
ISSUED: 09/25/2007
APPLIED: 06/21/2007
EXPIRES: 10/29/2008
VALUE: $ 276,077,00
1200700000000001231
1200700000000001231
2200800000000000525
2200800000000000525
2200800000000000525
2200800000000000525
2200800000000000525
2200800000000000550
2200800000000000550
2200800000000000550
2200800000000000550
2200800000000000550
DLM
Returned one set of plans to
contractor for corrections 7/31/07.
Need engineering for: lateral
bracing, load bearing members, load
path of all loads to the foundation,
including truss loads and cantilever
retaining wall design for side wall of
bldg. dIm
Plan review completed after 12:00
noon. Public works will not accept
plans after noon. I will deliver
Monday a.m. (6/25/07)
SDC's calculated and review is
complete.
Stairs in the front need to be at least
10' from the front property line
unless they are less than 2.5' high.
Engineering submitted as requested
by Don Moore. Applicant returned
his approved plans along with two
sets of engineering. I placed the
information on Don Moores chair.
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00924
ISSUED: 09/25/2007
APPLIED: 06/21/2007
EXPIRES: 10/29/2008
VALUE: $ 276,077,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
09/19/2007
09/24/2007
APP DLM
Additional engineering as required.
One set of marked-up plans was
resubmitted. Copies of marked-up
sheets made and inserted into 2nd
set. 9/24/07dlm.
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,
l..-PeouiredJnsnections I
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.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low V oItage: Prior to cover.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Pae:e 4 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00924
ISSUED: 09/25/2007
APPLIED: 06/21/2007
EXPIRES: 10/29/2008
VALUE: $ 276,077.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Drains: 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.
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
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
Pa2e 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00924
COM2007-00924
COM2007-00924
CO M2007 -00924
COM2007-00924
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000550
Date: 04/30/2008
Description
ResIdence WIrIng 1000 Sq Ft
ResIdence WIrIng Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstratIve Fee
Paid By
DOUGLAS SHELLEY
Item Total:
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How ReceIVed
dJb 04665C In Person
Payment Total:
Page 1 of 1
9:11:14AM
Amount Due
11 7 00
126 00
12 15
2916
2430
$308.61
Amount Pa,d
$308 61
$308.61
4/30/2008