HomeMy WebLinkAboutPermit Electrical 2008-11-13
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225 FIFTH STREE~ . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION'
City Job Number (OiM 200 g - 003. 3. g
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LEGAL DESCRlPTION: poZ31l3J. 021(00 ~_----,--""...-'J1.-~.~-"'~-~-!!!!Y?I'--...--_gr-----,---
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JOB DESCRlPTION: (f
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Permits are non-transferable 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
Address
City
Phone
Supervisor License Number
'1~Y
AJ; ,
I
Expiration Date
Constr, Contr, Number
Expiration Date
Signature of Supervising Electrician
Address
7~,L50V\.
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Phone 7'/S-):!'(..l
Owners Name I nUl (..
,
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City
OWNER INSTALLATION
Tbe installation is being made on property I own which
is not intend. ed for sale, lease o7./'
~0/'.
Inspection Request: 726-3769
Date
Service Included
1000 sq. ft. or less
. Each additional 500 sq, ft, or
. portion thereof
$121.00
$ 22,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57,00
B.
200 Amps or less $ 73,00
201 Amps to 400 Amps $ 86,00
401 Amps to 600 Amps $143.00
601 Amps to 1000 Amps $186,00
Over 1000 AmpsN olts $426,00
.I, !'iei"i-:'IC'Re[dID'i;;cfoo~ reqUires you to $ 57,00
le:!iow nJies adcpi8C\ by,he Oregon Utility
NotificatiC'C ~~,~~,;"~~,\~,'~, ',"ili",,",l#,;_~.I~iI"~,~'
ir f)Af195~~ .' 1 '.' ,~", ,', ",~'t"tt'~~~~'1~~~jffiTItiMFi!M~
0090.You may obtain copies 01 the rules by
, <:alling,thJWt~~i~,~tt~tatidnlaflRllhJl:ation
number lo[!il\l~~.!s'~ility Nolilicalion
Cef2\W')fuip~fl,04~~~p14).
40 I Amps to 600 Amps
$ 57.00
$ 79,00
$114,00
Over 600 Amps or 1000 Volls see "B" above,
D.
New Alteration or Extension Per Panel
One'Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 50,00
$ 5,00
, '
E liilCif1~!lI'l~'ia~(S"4!iiI!!'!!!if)~~Ml!~1t'~1 "d--{' fi;"l!'-'ffiJJ'!li'I,Ml!ta'!I'U,;q't",lbylli
. . ~"~'!!~~~i;,,,,"=~~,~-:~~~~, J.l0 )m~ Due, J:l",:,~C~EJ ns", ,,,,~J,,Q~,'
NOTlteE: i~)i.tIt EXPIRE If THE WOR\{ $ 57,00
THIS ~ ~~~4>H\S PERMit I:; Nul $ 57.00
AUT \lreW'OO'i&1\./MIlWONED FUtl/ $ 29,00 Z ,
C~y' ' "flA'P'Pif{ID@Jnercial $ 52,00
~nimnm Electric Permit In~pection Fee Surcharges
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Z'o
6bQ!1..
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive{T:)!Building FurmslElectrical Pennit Application 1-og,doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00338
ISSUED: 07/31/2008
APPLIED: 03/11/2008
EXPIRES: 05/12/2009
VALUE: $ 600,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6082 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343302400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: LORNE PEARSON
Address: 834 S. 71ST
SPRINGFIELD OR 97478
Phone Number: 541-915-7367
I.CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
LJ PEARSON " ~~q7J(lu to
BARRY ELECT,ro.Cf;iliTGlN: orego; ~a~hr:6~~eWtJtility
OWNER loHow rules adopt\hJse rules are set forth
MARSHALLSINClcatl?~ ~~~_I~~'1 0 through Omm2-001-
GPC ENTERPg\~'S't&:<;:;M" nhtain copies oUUtilHroles by
- -~a!IIlBurumNWIN~ltM~;U;n
nun\u-d, ILf U I! !. - J, 2344) '..,
I c,\l\'l,ltm.it~OO-332-. 2
R-3 Height of Structure 34.00
.U Type of Heat: Forced Air Gas
VB Water Type: Gas
Range Type: Gas
Energy Path: Path I
Sprinkled Building: nla
Expiration Date
06/1612010
07/14/2010
Phone
541-915-7367
541-659-0476
12/23/2009
01/29/2009
541-747-7445
541-345-1931
5
Lot Size:
Sq Ft 1st Floor:
: Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
23,615
1,996
1,868
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1,218
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:,
23.00
30.80
15.00
75.00
55.00
I DEVELOPMENT INFORMATION I '
T\r.iJ' E 'f 1l\E WOl\~
N 0 \J~~ ' i~~"tt E'JO'IR ,,~p.tJ\\IfI~e~O'T
1\-1\$ gif' ~11\-1\S n:., fOl\
AU'\ih\OOiI e 15 ABANOONEO '\'es
, COMME~ rEMOU.' 28.10
AN'i ~80 OA'i _""".' '
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
FullV, Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: Storm to designated lateral
p'age I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estim~te
Fee Description
Plan Review Residential
Building Permit
Mountaingate Impervious, Area
Sanitary Sewer - Reimbursement
SDC MWMC Improvement
Willamalane Single Family
-Mech Iss 2+ Appliances-
+ ]00/0 Administrative Fee
+ 12% State Surc~arge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
BoilerlComp Up To 100,000 btu
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee' Residential
Furnace- more than 100,000
Gas .outlets 1-4
Gas Outlets 4+'
Heat Pump
Plan, Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer. Improvement
, SDC MWMC Administration
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00338
ISSUED: 07/31/2008
APPLIED: 03/11/2008
EXPIRES: 05/12/2009
VALUE: $ 600,000.00
I Va\uation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
600,000.00
Value
Date Calculated
Total Value of Project
$600,000.00
$600,000.00
03/1112008
Fpp,\~
Amount Paid
Receipt Nnmber
2200800000000000312
1200800000000000829
1200800000000000829
1200800000000000829
1200800000000000829
1200800000000000829
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830 .
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
1200800000000000830
2200800000000001632
Date Paid
$1,568.35.
$2,412.84
, $2,302.85
$1,100.17
$990.39
$2,513.00
$40.00
$351.19
$390.94
$181.64
$337.00
$35.00
$14.00
$85.00
$7.00
$10.00
$254.10
$17.00
$5.00
$2.00
$14.00
$205.00
$117.00
$189.00
$836.57
$10.00
$95.35
$255.82
$862.25
$195.48
$63.83
$85.00
$55.00
$28.00
$50.00
$5.20
3/11108
7/31/08
7/31/08
7/31/08
7/31/08
7131/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
, 811/08
8/1/08
8/1/08
8/1/08
. 8/1/08
8/1/08
8!l108
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
11112/08
Page 2 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00338
ISSUED: 07/31/2008
APPLIED: 03/11/2008
EXPIRES: 05/12/2009
VALUE: $ 600,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$6.24
$2.60
$28.00
$24.00
11/12/08
11/12108
11112108
11112/08
2200800000000001632
2200800000000001632
2200800000000001632
2200800000000001632
Total Amount Paid
$15,745.81
Initi~l Review
I Plan Reviews I
03/13/2008 03/14/2008 APP LLH
03/17/2008 03/19/2008 APP Storm to designated lateral
03/14/2008 04/03/2008 APP TAJ Place orange construction fencing
along boundary of conservation
easement. No construction activity
is allowed in the area.
Choose street trees from the list of
"Native trees in Hillside
Development" in the street tree
handout.
03/14/2008 04/08/2008 APP RWC
Public Works Review
Plannin2 Review
Structural Review
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.
I Ih..n;ra..J In<.nppt'on< .
~.. .1......
Erosion/Grading Inspection: Prior to ground dist~rbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected butprior to placement of concrete.
Erosion/Grading I~spection: 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 bnt 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.
Paee 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00338
ISSUED: 07/31/2008
APPLIED: 03/11/2008
EXPIRES: 05/12/2009
VALUE: $ 600,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Masonry:
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 filter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor 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 tilling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Backtlow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor Gas: After line is installed and required testing and capped ifnot attached to an appliance.
Rough Gas: After Iinds installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected toa 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.
Ufor Electrical Ground: Install ground rod at'footing and call for inspection in conjuction with footing andlor
. foundation inspection.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
Low Voltage: Prior to cover.
Page 4 of 5
Status
Iss u ed
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: COM2008-00338
ISSUED: 07/31/2008
APPLIED: 03/1112008
EXPIRES: 05/12/2009
VALUE: $ 600,000.00
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 structnre without permission of the Commnnity 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 eacb 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 cOl)struction.
Owner or Contractors Signature
'.
Page 5 of5
Date
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00338
COM2008-00338
COM2008-00338
COM2008-00338
COM2008-00338
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200800000000001632
Date: 11/12/2008
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State .Surcharge
+ 10% Administrative Fee
Paid By
PEARSON CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 05311 J In Person
Payment Total:
Page r of 1
10:36:03AM
Amount Due
28.00
24.00
2,60
6,24
5.20
$66.04
Amount Paid
$66,04
$66.04
11/1212008