HomeMy WebLinkAboutPermit Electrical 2007-7-16 (2)
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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ELECTRICAL PERMIT APPLICATION
City Job Number ..cD V\t1 Wc;k, .'~ loc;t;
pump~.N: Oregon law requlreS~Blh<l~
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Limit~I1Rer~4:6Mi)\ebtal!n copies of thp, ~u1~:9~y
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<1:/% State Surcharge S, G:1O
10% Administrative Fee -,.00
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SCAN N EO TOTAL <YP,tO
Shared Dtive(T:)IBuilding FonnsJElectncal Pennit Application 1-D3.doc
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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. Permits are non,transferab1e and expire if work is
-" not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor I..,;, C ~~/(..,
Address PO. f>o ~ III 30
City I:::;ub~e.
Phone <;fl - 6ff mb
Expiration Date
Z;t7 5 ':;<;3 S
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Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature of{fii~e~
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Owners Name ...L.. " .:.-. -" / I '-f'.1 t'/ /5-
Address "')? j' I b ~WI ;41/ ~
City *,Y/Yfj(,e!) Phone "7 ij t/.-O{, /..fO
OWNER INSTALLATION
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o&!J;WS\J!lli.Q"lJNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR,
ANY 180 DAY PERIOD_
Inspection Request: 726,3769
UfO ~ 5/4-\O~
7110/01
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19.00
$50,00
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200 Amps or less ..J,. $~ ...:10. (Jf)
201 Amps to 400 Amps $ 75,00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsIVolts $375,00
Reconnect Only $ 50,00
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Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
Over 600 Amps or 1000 Volts see "B" above.
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
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.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 ,Inspection Line
SITE ADDRESS: 3751 GEM AVE
ASSESSOR'S PARCEL NO.: 1702314207500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: MIKE MCGINNIS
Address: 3751 GEM STREET
SPRINGFIELD OR 97477
Phone Number: 541,744,0640
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
License
8699
Expiration Date Phone
12/1812010
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VN
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2 Lot Size:
28.00 Sq Ft1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Path I Sq Ft Other:
nla Occupant Load:
1,248
280
I ur.. r.LOPMENT INFORMATION ,
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback: 7.70 # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: 64.11 % of Lot Coverage:
Solar Setbacks-,_ _ _' 0.00 ATTENTION: Oregon law requires Y?~,~.o
11J 111.11.. follow nlles aaOpltlU uy "'" ,,,~,,v.. v\../.,
THIS PERMIT SHALL EXPIRE IFI1)I~IH'Jp~rPROVEMENTS INotlfication Center. Those rules are set forth
Street ImlJ\'B"il1W~ED UNDER THIS PERM1T~NOT In O~IIlOl1rllll:10 thro~gh OAR 9 5~'OO~-
- OR IS ABANDONW'V,J 009Q... You maYllbtaln caples olthe ru es Y
Storm Sew.etl!\':'M~I/i'.ED ca/ti~!l~fIY'l!lii\R/r.'i~~ote: th~w.wF'Jiel/~ovide
Special In~.N1l't\<OO DAY PERIOD. num~er for the Oregon UIP.lV~liIlog\itetring
Center 18 1-800-332-2344).
Notes: Rcvd Approved Drywell calcs IO/03f06JLP Hold until rcv drywell caJcs(t1ko wfowner 8/30). All other approved as
currently submitted.JLP
Total:
Handicapped:
Compact:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541,726,3753 Phone
54 I ,726,3676 Fax
541-726-3769 Inspection Line
, Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
Initial Review
Plannine:. Review
Public Works Review
08/17/2006
08/17/2006
08/1 7/2006
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,248.00
280.00
Total Value of Project
!<pp<. P1ilU
Amount Paid
$433.16
$10.00
$103.48
$47.92
$76.67
$666.40
$76.40
$112.00
$33.00
$112.00
$45.00
$336.44
$442.45
$42.81
$77.28
$45.00
$12.00
$45.00
$18.80
$9.40
$15.04
$48.00
$140.00
$2,948.25
Date Paid
8/1 6/06
11/3/06
11/3/06
11/3/06
11/3106
11/3/06
1113/06
11/3106
II 13/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3106
1113/06
11/3/06
II 13106
7116/07
7/16/07
7/16/07
7/16/07
7/16/07
I Plan Reviews ,
08/17/2006
09/25/2006
08/29/2006
APP LLH
APP TAJ
WE JLP
Paee 2 of4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11103/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
Value
Date Calculated
$123,552.00
$7,280.00
$130,832.00
08/1 6/2006
08/1 6/2006
Receipt Number
2200600000000001149
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
1200600000000001600
2200700000000001132
2200700000000001132
2200700000000001132
2200700000000001132
2200700000000001132
Hold until rcv drywell calcs(t1kd
w/owner 8/30). All other approved
as currently submitted.JLP
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/1612006
EXPIRES: 12115/2007
VALUE: $ 130,832.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
09/25/2006
09/25/2006
WE JLP
Public Works Review
09(26(2006
WE JLP
09/26/2006
Public Works Review
10/03/2006
APP JLP
10/03/2006
Structural Review
08/17/2006
APP RJB
09/20(2006
. CITY OF SPRINGFIELD'
Lft msg wlperson @ McGinnis home
744,0640 ,Need drywell calcs before
PW can release.JLP
, Rcvd drywell calcs. They did NOT
pass Matt's rvw. I called the geotech.
explained we need "high water
table" issues detailed in his
narrative on the drywell calcs.
Called and tlkd with Mrs. &
explained process is waiting on
geotech.J LP
Received revised drywell cales,
approved by Matt S. SDC
Worksheet recalculated to include
drywell.JLP
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.
~ In(',nprtinn\l
ErosionlGrading Inspection: 'Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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.
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 cnver.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filler cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
,
Rough Plumbing: Prior to cover and including required testing.
Paee 3 of 4
.
. CITY VI' ~rKm'-'I'I~LD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-0I055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and including required testing.
Line to Septic Tank: Prior to filling trench and required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
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: When all electrical work is complete.
By signature, I state aud 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 tbat 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, Dnd
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
Paee 4 of 4
.
225 Fiftli Street
Sprjngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006,Ol055
COM2006,O I 055
COM2006,Ol055
COM2006-01055
COM2006,Ol055
Payments:
Type of Payment
CreditCard
cReceintl
~~,
~
_ of Springfield Official Receipt
~elopment Services Department
Public Works Department
RECEIPT #: '2200700000000001132
Date: 07/16/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Eo Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MR, MICHAEL MCGINNIS
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
ddk 07511 B In Person
Payment Total:
Page I of I
9:33:22AM
Amount Due
140,00
48,00
9.40
15,04
18,80
$231.24
Amount Paid
$231.24
$231.24
7/16/2007