HomeMy WebLinkAboutPermit Electrical 2007-3-22
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Com Q/)ob - D/%1 Date 3 /?-// D7
Signature of Supervising Electrician
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Owners Name t'Yto ~O\CMJ(..- LL-c...-
Address ID7 / ~;.) E. ~MhC~.llaneOU;-(Se;"~ice/fe~~~.~~; iIlclude~CEacll!-,,~t~i;;'~i~;I~
City ~ Phone~~3-0~
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LEGAL DESCRIPTION i.J
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JOB DESCRIPTION
Low VoLrno-e -.{)honc~. TV} va.c.tw.n, .
U I , ~+.~~"'.
_ Permits are non-transferable and expire if woJ'l{ IS . 1
.^ not started within 180 days of issuance or if work is
Suspended for 180 days.
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2. L(:QNTR.4ctOI,i Ii:{STAtpiiQN.'BNLIT ;
Electrical Contractor (Jtf)Retf)S /,A}{I./
Address ,FI h 5
W, '7Tf-..
r:7bhone tff)5"'-(p()()D
City f,vl4eNe
. l
Supervisor License Number '2 79 g L6A
Expiration Date I 0 10112CX'J~
Constr. Contr, Number / 29735 {;
Expiration Date C;/~9~"~ euJ
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for saie, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. . c.O}ll,fuIEFj;ifscHb'PUii'BEL()H(,' '.-.
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Service Included
Aft'It:II\II'VI~."""'I\."" ,., ,...I...,I......>/VlI.U
1000 sg. . or ess ...,' _I b. ,.. _ ~__ ~ $/06,00..
E h t;-d\'t"W 1"5'0''''0~ a't'ton eu 1 ."v ~"v",Cin \J1I~.f
ac aQ lona !\.q.. or
portidk:tli~otion Center. Those rule.:; ar~ 19:b50'
in OAR 952-001-001 0 IhruuYl' u/'\rl 952-0C
Eachdt'ffi~f~\)t'1Pfcl~'15btain copies of the rules
Modular'Dwelhng Service or! I ..
Feed calling ,nlil C3111er. (~ ote: the te,E~Jo!ooe
._ er.qumbar,iO~1I1~OJl'1!1Qn_UtilitYJ'lotif;f;atiOI'.. ,~
B. r'.~~;\'ices c)r.F~erls~,iIhs~~I"ja,tio1i;~A:lfera"troi1s or 'Relocation:
. .'-_....;.;..__ w-_..___ ...-..:..._._ ___ --..J
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpslV oIls
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163,00
$375,00
$ 50.00
c. t-~;m'por~.r~~rYi_ce~?~.!eedi~-; ~=~.~~=~~=-_~~
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps $ 69.00
401 ..w.GHOOo Amps $100,00
Over'W@S\HIjit1Mloo61h'MIls i:6fPBifabbJJ.-1E WORK
D. [j.:jiJ1ffuRiilfifu1iJOE~lHIS PER MIT JSI"iJof.: -=- -=~.~
New till~U~N G,EFMW.s\~n~~ ~!;\Q~ED FOR
One <Mt't\i~ 80 DAY PERIOD. $ 43.00
Each Additional Circuit or with
Service or Feeder Permit
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
I $ 25.00
$ 45.00
;:;'~(Jb
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. : SUBTOTAL OF ABOVE
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'f% State Surcharge
i 0% Administrative Fee
'5'1..
TOTAL
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3.6tJ
4.$7)
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Shared Drive(T:)lBuilding Fonns/Electrical Pcnnit Application I-03.doc
Status
Issued
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: COM2006-01464
ISSUED: 12/22/2006
APPLIED: 11/15/2006
EXPIRES: 09/15/2007
VALUE: $ 401,708.00
Springfield
TYPE OF WORK: Single Family Residence
SITE ADDRESS: 446 Mountaingate Dr
ASSESSOR'S PARCEL NO.: 1702343402500
TYPE OF USE: New Residential
All t:lI' IIV'" ~
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~otIIICc:t10n Ce:1I~P,hQii~'!."!\>.~!'is aM-g~h~?5
In OAR 952-001-0010 through OAR 952-00'
0090~.You may oblain COoies of thA .. ,1M
"''''''"';! "'''' ~<mlCr. (NOle: Ihe le~phone
I CONTRACTOR INFORMArm:ONrl the Oregon Utility Nolif'''' I'
. ' ",a Jon
. \.en,8r1S 1-800-33"l_2~~)
License Expiration'Dafe Phone
160287 07/12/2008 541-683-6355
136298 08/06/2007 541-953-6747
129736 06/09/2008 541-485-6000
25790 12/23/2009 541-747-7445
1038/6 01/04/2008 541-461-4714
PROJECT DESCRIPTION: Single family residence.
Owner:
Address:
MOUNTAINGATE DEVELOPMENT LLC
1071 HARLOW RD
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Low V ollage Electrical
Mechanical
Plumbing
Contractor
THOMAS WALTER CUSTOM HOMES LLC
BEAR MOUNTAIN ELECTRIC LLC
OLDFIELDS INC
MARSHALLS INC
RS PLUMBING CONTRACTING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
13.10
19.00
15.00
42.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
1
R-3
# of Stories: 2 Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Buildin~: n/a Occupant Load:
I1'1Y1l"!C'
I DEVELOPMENT INFruWAIft(j)NTI)HALL EXPIRE IF THE WOHK
AUTHORIZED UNOER THIS pB-~QU)REr;~ARKING
Overlay Dist: C9.MMENCEDf:lj!ls!l!eABANDtrlJfa'i1. FOR 2
# Street ~rees R9~y 180 DAY PERI6D. HandIcapped:
Paved Drive Rqd\ 'Yes Compact:
% of Lot Coverage: 34.20
10,304
1,523
2,061
VB
3
783
682
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsmrains:
Curbside 5'
To Storm Sewer
FullV Improved
Yes
Notes: Storm H20 to the provided & approved storm lateral.JLP
Paee 1 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
AC - Residential
Deck
V Wood Frame
Garaee
A.C. - Residen
Deck/Balconv
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
CurbcIlt - Additional Driveway
Curbcut Permit
Dryer Vent
ExhaIlst Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
MOIlntaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01464
ISSUED: 12/22/2006
APPLIED: ll/15/2006
EXPIRES: 09/15/2007
VALUE: $ 401,708.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$18.00
$99.00
$26.00
Square Footage
or Bid Amount
3,584.00
682.00
3,584.00
780.00
Value
Date Calculated
$14,336.00
$12,276.00
$354,816.00
$20,280.00
$401,708.00
12/07/2006
12/07/2006
11/15/2006
12/07/2006
Total Value of Project
li'..... P"ilLI
Amount Paid
$952.84
$10.00
$252.56
$115.66
$181.85
$306.00
$31.00
$6.00
$12.00
$1,547.15
$40.00
$80.00
$6.00
$9.00
$252.45
$12.00
$30.00
$4.00
$1,298.50
$198.00
$52.81
$-30.00
$106.00
$133.00
$752.04
$989.01
$10.00
$961.52
$91.61
$191.72
$64.71
$836.32
$189.58
Date Paid
Receipt Number
11/15/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22106
12/22/06
12/22/06
12/22106
12/22/06
12/22106
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12/22/06
12122/06
12122/06
12/22/06
12/22/06
Paee 2 of5
2200600000000001586
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
~~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01464
ISSUED: 12/22/2006
APPLIED: 11/15/2006
EXPIRES: 09/15/2007
VALUE: $ 401,708.00
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.
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.
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.
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.
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 iustalled and liue has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
ROIlgh Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechauical: 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 - Overwidth: After forms are erected bIlt prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Low Voltage: Prior to cover.
I
Paee 4 of5
_AINGl'IaD
-lA..
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726'3769 Inspection Line
Sidewalk Permit
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 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: COM2006-01464
ISSUED: 12/22/2006
APPLIED: ll/15/2006
EXPIRES: 09/15/2007
VALUE: $ 401,708.00
$80.00
$28.00
$50.00
$24.00
$1,000.00
$4.50
$2.25
$3.60
$25.00
$20.00
12/22106
12/22/06
12/22/06
12/22106
12/22/06
3/21107
3/21107
3/21107
3/21/07
3/21107
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
2200600000000001743
3200700000000000158
3200700000000000158
3200700000000000158
3200700000000000158
3200700000000000158
$10,930.68
I Plan Reviews I
Initial Review 11/27/2006 ll/27/2006 APP SKG
Plan nine Review 11/27/2006 12/21/2006 APP TAJ Solar exempt based on slope.
Contact Mike Risely (726-3615) if
can count the two trees being
preserved along the street as 2 of the
3 required street trees.
Place orange construction fencing to
the driplines of the trees.
Public Works Review 11/27/2006
Public Works Review 11/15/2006 ll/15/2006 WI JLP Rcvd overwidth application.
Forwarded to traffic dept.JLP
Public Works Review 12/18/2006 12/18/2006 APP JLP Storm H20 to the provided &
approved storm lateral.JLP
Structural Review 11/27/2006 12/07/2006 APP DLM Approved as submitted
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.
Ueollirerunsnections I
Curbcut - Overwidth: 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.
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.
Paee30f5
-:~
~
.
.
. CITY OF SPRINt.t< IJ'..LD
Building/Combination Permit
PERMIT NO: COM2006-01464
ISSUED: 12/22/2006
APPLIED: 11/15/2006
EXPIRES: 09/15/2007
VALUE: $ 401,708.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 J -726-3676 Fax
541-726-3769 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, BIlilding Safety.
I fIlrther 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
Pal!e 50f5
225 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
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Wic.
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Caof Springfield Official Receipt
~Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1464
COM2006-0 1464
COM2006-0 1464
COM2006-01464
COM2006-0 1464
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
3200700000000000158
Date: 03/21/2007
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OLD FIELDS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
ddk 052568 Phone
Payment Total:
Page I of I
9:52:56AM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
3121/2007