HomeMy WebLinkAboutPermit Electrical 2007-4-30
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2Z5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job NumbeG >'Yl 7.<-101 ~ OOD 00
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Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is - Modular Dwelling Service or $50 00
Suspended for 180 days. "lrFeeder .
2 cONTRAcTqiINS! AfIATIO[i o~i y -: ,':'~/1i~~'WQlij;Fe;~;~~'::- i~~~aii~!i~~; A;;e~~ti:;';,.;o;' R;I~c~,ti~~: : ~'.
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Electrical Contraclor 5eLuY.s:..-re~ y, .I;.JL. v090 ~ fJ&~.~'rrImf/jI.~Wi by f,.,;eqU/1:os $ 63.00
0"1.' YObO,lnAa1>'Ot)4~.s Or8n Yo/" $ 75.00
q ~/n :2." W,v;"...:: rUle .,On {j 'v
'I"mb g t\9J c mpv~/n v""-'tYg,., S are l/'lit} $125.00
er f6011fr.lfu'j!fJlr) (Rl(jl~gs O",~ 9.~ef fo,_ $163.00
Phone 91-.2837 overl60~'llN.OIV,eOff"'er~<'OO $375.00
Reconnect 6O'ry Utilih. fe/eph teS.. $ 50.00
-,~ :{ IVOli. Orie
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Supervisor License Number 3:<95' LF A
"1';
1011/68 r.~ rftO~/:'~!' r .)'" 1 Installation, Alteration or Relocation
c -4N~hll1flV~C:U U~/~'il ! ..200"Amps or less $ 50.00
Conslr. Conlr. Number / ')(_ (./f{ '81) /J. tD nil f:f{ /201 Amps 10400 Amps $ 69.00
./ / 'ii/y P.c-~ /s ,q8'A'46~ b\m~~fo"60Q,Amps . $100.00
8/8 0'7 4)i/0. ,.,Nfl 1';;:;,'1/, n"v..;'
~ O~01l.'i'l1m~.WOO.0~VO!~ ,se!, ':~",~bo~e~
D . Bral1ch~uits!~ ,.':." ';_' '\:~:"';:"~':";,'l"F;:>:.
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LEGAL DESCRIPTION:
~.-f..t~'-f~~
JOB DESCRIPTION:
\102.- 3'f 33o-;;l~O
Address
.")i~1 .NAi),...,:~ BlVD
. City
~ iA.<.;> "---
v
Expiration Date
Expiration Date
Signa e of pervising Electrician
/ __r>".~
/
Owners Name ~ H H t ~ I CC)-t(ft2./
Address 537S th. e. Ie... . WJ.5 Ut...i 1/-[3
City~~ Phone((j1<G, - q'-l~
OWNER L'ISTALLATlON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Dale '1/30/07
3. ~'-COifPLIH'lFEE SCHEDUiE nELoiv 7'. .. ''''-'.:.~ ;,.
1:". ,'__.:i..',..1 '-_"__~....l...,----'--'-"""---:-"':"d_"~""""'__:" o/.,.:..-:.:~_ _ .~__.:.... t..""-_':.. "',..c",-':'
A. .'~~N~~~;R~;i~~1i~'i':"; si~~~ie~h~'~~rt:lfi~'F a" ~'tj~)~;" (J~:~l'li~~~'.b~ir.~-'?:.
_"__..-'-o__.~...~.<...._~ ....__ _ ::1..__....,.-..1_..__.....<:..... -.....
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$ 106.00
$ 19.00
New Alteration or Extension Per Panel
One Circuit
Each Addilional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
_~,... -; e:\~~,;:'-';-:'\.;::': ;""'f:;.;y " .~.;":~~'<~t~:::--,~-:. :'"': .~,,,,,.,-. ,-; _ '.;-:w . T''':. Y'"'1'.: . ". '-'.t'< '-.,~,\,
E. . Miscellalleous (Serviee/feeder.not included) ":Each'htstallation',
.;.. "'- ...1;..",-, "-I"",,,,--.f."---'-~ ._' _'~.~ .... .::.-__::.......; ....._,,-.,::.. ~ ._,,;._...;.-,:
Pump or irrigalion $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential ______ $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. '-S"uB1;OTALOFABOVE';' ..,..._...".~:..,'.)~._;T.._'~_.'._.-.: S
L.,.;.!..l_.~, ,..:.;.<-'.....:_""....;.~......: ":;w~, .~-." --. -- -...... .
8% State Surcharge ,!;l , :;;J)-
10% Administrative Fee :;> . C-,o
5% Technology Fee W . s-o
TOTAL
SS.3J
Shared Drivt.:(T:)/Building Fonns/Ekctrical Permit Applic::nion S..o6.doc
i
225--Fi(th Street
SpJ;ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
COM2007-00060
. Payments:
Type of Payment
CreditCard
cReceint 1
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WIt. .
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Caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
3200700000000000242
Date: 04/30/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
L:heck'Number Authorization
Paid By Received By Batch Number Number How Received
SECURE TECH, INC.lRONALD njm 036933 036933 In Person
GERMAN
Payment Total:
Page I of I
2: 1\ :08PM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
4/30/2007
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 04/27/2007
APPLIED: 01/12/2007
EXPIRES: 10/30/2007
VALUE: $ 433,906.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6096 GRA YSTONE LOOP
ASSESSOR'S PARCEL NO.: 1702343302800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 12, Mountaingate West
Residentiat"
Owner:
Address:
BRUCE WIECHERT
3375 PARK HILLS
EUGENE OR 97405
Phone Number: 541-686-9458
Contractor Type
General
Electrical
Low V ollage Electrical
Mechanical
Plumbing
,..,.,..c:~ITI()N'Oreaon law requireS YO_U.l.U
:\~~_... ^~ ",noptedOytneult.\jvtl vul..,
I CONTRACTOR Ir~ORMA.l\jgN'ier. Those rules are set for
'u.-' -001-001 0 through OAR 952-00
Contractor In OAR ~tt~~~ 'obt&l\mlltromOO~ ruiP-lidne
BRUCE WIECHERT CUSTOM HOMElPfi.IC . f9,~t J center. (Nt!!!EJ6~83lephQ!~-686-9458
L & E ELECTRIC INC Calh~lJ5\o~the Orego~mU2.qolllotifica!.inr933-2653
SECURETECH INC numtys'6618 . _ _ ~nllllffl8120(J71tl.). 541-521-2837
COMFORT FLOW 460 06/27/2007 541-726-0100
STEVE R JOHNSON 65065 03/12/2008 541-342-3765
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
BUILDING INFORMATION I
# of Stories: 0 TI C i= . 2 Lot Size:
Height of slructurt: . 33.00 Sq Ftlst Floor:
Type ofHUt!S PEiF~H:e"'A!iHGas:XPIsq:1fP~4EflJlifjRK
Water Type~THOR IZED L~!tcffiCTHIg;flrl~~~,el'beNDT
Range TY~. ea M MEN C ED 0 R I~a~ BANSR.,I;Ir.(;~~a(:J'.('--arport
Energy Pa.lh:v 1 R n Path I SitF OlhJ..,
Sprinkled'Bililding: DAY PEPn'/~D. Occupant Load:
1,589
1,719
4
919
899
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
24.00
10.00
25.00
84.00
55.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
3
Yes
27.40
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fullv Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
Downspouts/Drains:
Notes: For this parcel in Mt Gate West, it is the recommendation to the Building Division, by the City Engineer: "that final
occupancy should not be given until the subdivision is accepted hy City Council". Storm H20 to designated
lateral.JLP 2/16/07
Paee I of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Frame
V Wood Bonus Rm
Garaee
Use Bid Amount
A.C. - Residen
Dwellines
Dwelliues
Garaee
PatiolPorch
Fee Description
Curbeut ~ Additional Driveway
Plan Review Residential
-Mechanical Issuance Fee--
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Cui-bcut Permit
Dryer Vent
Exhaust Hoods
Fireplace (Listed)
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planuing
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtl1 00'
.
.\..11 i' OF ~rKlj'lGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 04/27/2007
APPLIED: 01/12/2007
EXPIRES: 10/30/2007
VALUE: $ 433,906.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$89.00
$27.00
$1.00
Square Footage
or Bid Amount
3,817.00
3,308.00
509.00
919.00
7,800.00
Value
Date Calculated
$15,268.00
$340,724.00
$45,301.00
$24,813.00
$7,800.00
$433,906.00
01112/2007
01118/2007
01112/2007
01112/2007
01118/2007
Total Value of Project
L.F""< P-.ilU
Amount Paid
$40.00
$1,058.46
$10.00
$239.52
$136.16
$191.61
$306.00
$31.00
$1,651.15
$80.00
$6.00
$9.00
$30.00
$42.00
$12.00
$4.00
$198.00
$-30.00
$106.00
$133.00
$850.99
$1,119.14
$10.00
$961.52
$91.61
$219.28
$63.19
$836.32
$189.58
$80.00
$1,590.15
$28.00
Date Paid
1112/07
1112/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22107
2/22/07
2/22107
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22/07
2/22107
2/22/07
Paee 2 of5
Receipt Number
1200700000000000033
1200700000000000033
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
1200700000000000190
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low V ollage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 04/27/2007
APPLIED: 01/12/2007
EXPIRES: 10/30/2007
VALUE: $ 433,906.00
-'
$50.00
$18.00
$2,303.00
$4.50
$2.25
$3.60
$25.00
$20.00
$4.50
$2.25
$3.60
$25.00
$20.00
2/22/07
2/22107
2/22/07
4/27/07
4/27/07
4/27/07
4/27/07
4/27/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
1200700000000000190
1200700000000000190
1200700000000000190
2200700000000000607
2200700000000000607
2200700000000000607
2200700000000000607
2200700000000000607
3200700000000000242
3200700000000000242
3200700000000000242
3200700000000000242
3200700000000000242
$12,775.38
I Plan Reviews ,
Initial Review 01116/2007 01118/2007 APP LLH
Planoine: Review 01118/2007 02/20/2007 APP TAJ Place orange constuction fencing
along the houndary ofthe
Conservation Easement. Keep all
construction activity out of this area.
Choose street trees from the list of
Native Trees in Hillside
Development on page 6-4 of the
street tree handout.
Puhlic Works Review 01118/2007 01119/2007 WI JLP Waiting in order PW rcvd for
rvw.JLP
Public Works Review 02/16/2007 02/16/2007 APP JLP For this parcel in Mt Gate West, it is
the recommendation to the Building
Division, by the City Engineer: "thai
final occupancy should not be given
until the subdivision is accepted by
City Council". Overwidth driveway
approved by transportation. Storm
H20 to designated lateral.JLP
2/16/07
Structural Review 01118/2007 01124/2007 APP LLH Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
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.
Paee 3 of5
-WtrS~~N.~'~i . .
. .
.. .
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00060
ISSUED: 04/27/2007
APPLIED: 01112/2007
EXPIRES: 10/30/2007
VALUE: $ 433,906.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Rp'\Uirprlln..np~
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.
Post and Beam: Prior to Iloor 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 cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
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.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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
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.
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.
Sidewalk - Curbside: After forms are erected hut prior to placement of concrete.
Pa~e 4 of5
..
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00060
ISSUED: 04/27/2007
APPLIED: 01/12/2007
EXPIRES: 10/30/2007
VALUE: $ 433,906.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Eleclric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complele.
Low Voltage: Prior to cover.
Low Voltage: 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 thai any and all work performed shall be done in accordance wilh
Ihe Ordinances of the City of Springfield and Ihe Laws of the Stale of Oregon pertaining 10 the work described herein, and
Ihat NO OCCUPANCY will be made of any struclure without permission of the Community Services Division, Building Safety.
I further certify Ihat 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, thai each address is readable from the
slreet, that the permit card is located at the front of the property, and the approved set of plans will remain on Ihe sile al all
times during construction.
Owner or Contractors Signature
Date
,
Paee 5 of5