HomeMy WebLinkAboutPermit Electrical 2008-5-20
3.
SPRINGFIELD ZON \ (;.J./
_.' ~"_ ~ t INITIALS l'J "'^
~ ,DATE 6~I-n't
~? 'SOURCE ~)
Sfr~ tff
I
CO~MPLETE FEE SCHEDULE BEL01V
225 FIFTH &TREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX' (541)726-3689
'-
ELECTRICAL PERMIT APPLICATION
CIty Job Number (Ov1l1 z...oc7- 00707
1.
LOCATION OF INSTALL4TION:
f6r-.l-rl{ l t
Ob/DO
b 0 ~t(
LEGAL DESCRIPTION
170L sCfJLf
JOB DESCRIPTION
Lovl V o(~ ?ttN / I,)
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONT&.4.CTOR INSTALIATION ONLY
Electncal Contractor 6tD R eLf) 5 / ~
Address It! 6 S- uJ ?/h
CIty )!;,oe#e
. ;
Phone f.[g 5=-IQOOO
SupervIsor License Number 26 - l./9:S C Lt
'7/;/og
Constr Contr Number / 29' 736
Expiration Date {P /9/ 0 s
Expiration Date
Signa of Supervlsmg Electnclan
~:Mj{N~ 2?98LeA
V
Owners Name LJA-H~ {"",~4.-- h---~
~SS- OA-lC.c...v~7 ~d
City e-u6-Gt/ t Phone b a 7 - b J.rr
Address
Date
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$106 00
$ 19 00
$50 00
B. Services or Feeders - Installation, Allerations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN o Its
Reconnect Only
$ 63 00
$ 75 00
$12500
$163 00
$37500
$ 50 00
C. Temporary Services or Feeders
InstallaAffeAlteration or Relocation
200 AmkfiY~~~N: Oregon 'aw reol1'ms raG ~B
20 I PNm$f~at~oPted by the Oregpr$ mf~
40 I A~ ~-Wf~~; ci"those r~le~ are tlil4wmt
OQQO J'J rOu~1I UAii 952-001
Over 6'daf1mWffroDOb.tam sop'!~' ~PffYS ru'es b ..
D. Br~\'lh15~,~enoter. (Note: the tefaph~ne y
e regon Utility NCJ"Jii ~... "
New Alterati6fl3b1ttEKxi&n!tii00?88f~4): "Q4dQn
One CircUIt $ 4300
Each AddItIonal CIrcUIt or WIth
ServIce or Feeder PermIt
$ 300
E. l\'lIscellaneous (Service/feeder not included) -Each Installation
Pump or lITIgatIon $ 50 00
SlgnJOutlme LIghtmg $ 50 00
OWNER INSTALLATION Limited EnergylResldentIal / $ 2500
The IllstallatlOn IS bemglT~~JP{operty I own whIch LimIted Energy/CommercIal $ 45 00
IS not mtended for sale, fA~%O~~~~fl.1T SHALL EXPIRE IVffi~wdR~tric Permit Inspection Fee is ~o + Surcharges
Owners Signature AUTHCRIZE:D UNDER THiS PER'MIF1S1MTTAL OF ABOVE 50
COMMENCED OR IS ABANDONEU'Bm3tate Surcharge b
ANY 1 SO DAY PERIOD. 10% Admmlstratlve Fee S
5% Technology Fee z,bo
Inspection Request: 726-3769
TOTAL
6) S()
Shared Dnve(T )/BUlldlOg FOIlTIs/Eleclncal PermIt ApphcatlOn 8-06 doc
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00707
ISSUED: 06/29/2007
APPLIED: 05/16/2007
EXPIRES: 11/20/2008
VALUE: $ 483,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6084 FernhilJ Lp
ASSESSOR'S PARCEL NO.: 1702343406100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 53 Mountain Gate
Owner: WALTER CUSTOM HOMES
Address: 855 OAKW A Y ROAD
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
THOMAS WALTER CUSTOM HOMES LLC
OLDFIELDS INC
OLDFIELDS INC
MARSHALLS INC
RS PLUMBING CONTRACTING
License
160287
129736
129736
25790
103816
I BUILDING INFORMATION'
# of Units: 1 # of Stories: 3
Primary OccupanAu ~ ~ Height of Structure 34.00
Secondary occu~~ee:8dopt8~ ~regurr~~~Clleat: Forced Air Gas
Primary Constrlmtific.,. Center. se 8, regwalJtilityPe: Gas
.....l'U:D.ft:r.ft . ru es a~ fl'rih.
Secondary Cons.u_llI.W~tOO1-OO10 throu h OA e~~ ,""e: Gas
# of Bedrooms: G08O. You may obtain doPi~S f th ~ath: Path 1
=~ the center. (Note: th~ te/J8W~~t;wBuilding: n/a
for., Or'::'l:IV11 ~L .
Cente,'a1-800-3, _ 'aPNmNT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
21.80
13.00
32.00
60.00
55.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-683-6355
Expiration Date
07/12/2008
06/09/2008
06/09/2008
12/23/2009
01104/2010
Phone
541-683-6355
541-485-6000
541-485-6000
541-747-7445
541-461-4714
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,848
1,258
1,489
585
603
REQUIRED PARKING
Hillside
3
Yes
15.80
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type
Fullv Improved ': Curbside 5'
Storm Sewer Available: Yes NOTICEbownspoutslDrains: To Storm Sewer
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: All storm H20 shall be tied to designated lateral. JLP APP 5/~MENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Page 1 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00707
ISSUED: 06/29/2007
APPLIED: 05/16/2007
EXPIRES: 11/20/2008
VALUE: $ 483,100.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
A.C. - Residen
Dwellin2S
Gara2e
Tvpe of Construction
AC - Residential
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
3,350.00
3,350.00
585.00
Value
Date Calculated
Description
Total Value of Project
$13,400.00
$345,050.00
$15,795.00
$374,245.00
05/16/2007
05/16/2007
05/16/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $1,178.87 5/16/07 1200700000000000584
-Mechanical Issuance Fee- $10.00 6/29/07 2200700000000001062
+ 10% Administrative Fee $271.14 6/29/07 2200700000000001062
+ 5% Technology Fee $142.13 6/29/07 2200700000000001062
+ 8% State Surcharge $201.17 6/29/07 2200700000000001062
3 Baths One & Two Family $306.00 6/29/07 2200700000000001062
Addressing Assignment $31.00 6/29/07 2200700000000001062
Building Permit $1,813.65 6/29/07 2200700000000001062
Curbcut Permit $80.00 6/29/07 2200700000000001062
Dryer Vent $6.00 6/29/07 2200700000000001062
Exhaust Hoods $9.00 6/29/07 2200700000000001062
Fire SF Fee - Residential $196.75 6/29/07 2200700000000001062
Fireplace (Listed) $15.00 6/29/07 2200700000000001062
Fixture $42.00 6/29/07 2200700000000001062
Furnace - up to 100,000 btu $12.00 6/29/07 2200700000000001062
Gas Outlets 1-4 $4.00 6/29/07 2200700000000001062
Gas Outlets 4+ $1.00 6/29/07 2200700000000001062
Heat Pump $12.00 6/29/07 2200700000000001062
Mountaingate Impervious Area $851. 79 6/29/07 2200700000000001062
Plan Review Major - Planning $198.00 6/29/07 2200700000000001062
PW Disc - 2nd Permit $-30.00 6/29/07 2200700000000001062
Residence Wiring 1000 Sq Ft $106.00 6/29/07 2200700000000001062
Residence Wiring Ea Addtl 500 $114.00 6/29/07 2200700000000001062
Sanitary Sewer - Improvement $771.83 6/29/07 2200700000000001062
Sanitary Sewer - Reimbursement $1,015.03 6/29/07 2200700000000001062
SDC MWMC Administration $10.00 6/29/07 2200700000000001062
SDC MWMC Improvement $961.52 6/29/07 2200700000000001062
SDC MWMC Reimbursement $91.61 6/29/07 2200700000000001062
SDC Sanitary/Storm Admin $170.20 6/29/07 2200700000000001062
SDC Transpo Admin $66.18 6/29/07 2200700000000001062
SDC Transpo Improvement $836.32 6/29/07 2200700000000001062
SDC Transpo Reimbursement $189.58 6/29/07 2200700000000001062
Sidewalk Permit $80.00 6/29/07 2200700000000001062
Temp Power 200 amps or less $50.00 6/29/07 2200700000000001062
Pa2e 2 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00707
ISSUED: 06/29/2007
APPLIED: 05/16/2007
EXPIRES: 11/20/2008
VALUE: $ 483,100.00
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
$24.00
$2,303.00
$5.00
$6.00
$2.50
$25.00
$25.00
6/29/07
6/29/07
5/20/08
5120/08
5120/08
5/20/08
5/20/08
2200700000000001062
2200700000000001062
2200800000000000713
2200800000000000713
2200800000000000713
2200800000000000713
2200800000000000713
Total Amount Paid
$12,204.27
I Plan Reviews I
Structural Review
05/17/2007
05/17/2007
APP RJB
Initial Review
05/17/2007
05/1812007
APP LLH
Public Works Review
05/18/2007
OS/29/2007
APP JLP
All storm H20 shall be tied to
designated lateral. JLP APP
5/29/2007
Plannilll! Review
05/18/2007
06/01/2007
APP TAJ
either place orange construction
fencing around the driplines of all
the trees to be preserved or fence off
the back of the property. Keep all
construction activities out of this
area. Follow the Tree Protection
During Construction guidelines
attached to the permit.
Plant native street trees chosen from
the list on pg 6-4 for hillside
development in the street tree
handout.
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.
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.
Pal!e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00707
ISSUED: 06/29/2007
APPLIED: 05/16/2007
EXPIRES: 11/20/2008
VALUE: $ 483,100.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Special Inspection: Weld 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.
Perimeter Foundation Drains: After gravel and filter 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.
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.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Low Voltage: Prior to cover.
Pa2e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00707
ISSUED: 06/29/2007
APPLIED: 05/16/2007
EXPIRES: 11/20/2008
VALUE: $ 483,100.00
225 Fifth Street, Springfield, OR
541-726~3753 Phone
541-726~3676 Fax
541- 726-3 769 Inspection Line
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
Page 5 of5
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 -00707
COM2007-00707
COM2007-00707
COM2007 -00707
COM2007-00707
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000713
Date: OS/20/2008
DescriptIOn
Low Voltage - ResIdentIal
MInImum! Adjustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
PaId By
MICHAEL RIMMER
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
dJb 08593D In Person
Payment Total:
Page 1 of 1
2:35:52PM
Amount Due
2500
2500
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/20/2008