HomeMy WebLinkAboutPermit Electrical 2006-9-5
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
, F.l,ECTR1CAL PERMIT APPLlCATION,- ~
City Job Number (0""'2:.00(0 - OObCi~ Date 7/S-,l::'b
, /
3. COMPI,ETE FEE SCHEDULE BEl,OW
I.
,r;o<;..\TION 0I'INS1';\LLATION
wt r: G- rA- -,-~
457
LEO'>;L DESCRIPTION
1702- 3L(JC{
03f.{OO
JOB DESCRIPTION
LoIP V 0 (.f- -' V kc Sv'5 rev\./'-.
,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended foc 180 days.
'~p~"'" "ou to
Installation, Alteration or,IRelocatton 1'\li8
_,<,",\,,\ Orl?{"d I'..... or(,','J" u, _'
,-\\'200Amps or l.ss.\ l1,! InO . .' ,e"II;I' In$ 50.00
f"\ - _ .1r1CI:l"~ \eS arc ...'
1C1IIJ.20]''''"'l\stotOO.~.mps3!U ,," ..",r, (,,\$69.00
'- , ,.....t..1. nOr\l. \
\\'C"J".~0I"Amps:to600,~l'(Ips)U9 \ II" ",I:', :\$100.00
. ~ '-;' or:.') 001.UV. . .."aleS 0 .- ,I. ..,..'
I" 0: Over 600 A!l1P.sor.I\OOO Volts\see~'B: ,abOve.
,~ ,{oll \1\'" .' Nola' ,. <.'- " .' \10(1
OlO::J., BI'~r,~~ 8!iq\lils \ U\,\\W Nulll'v'
C, 'lIt; .,. orct,nn .'~ '\
NewrAlteration or Extensloo'Per\Panel
llUl\"'~- . __ . :.. '\U'.,IV .
One Circuittt:f I.'
Each Additional Circuit or with
~~ (deL! Service or Feeder Permit
CON'/'Rr\C'/'OR INSTAl,LA'/'ION ONLY
2.
Electrical Contractor f111JP,K<ffi',p.d 8P.rtltroit~
\!\;l! <is'fln l{)tnu
Phone lf~ -101 ~
~70
City flJ.iJt XU>
Address
Supervisor License Number
/;)<&q~LEA
10-61-07
/ 4/.-1 If; ~C:J
1.1 - L3:-0~
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
t
~'\1 E"'iL V Atley
Address rO (?" ~ ~:$ Z
City Swart }/.....,;- Phone -n6 -0330
Pump or irrigatioo $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALL "'" ~ Limited Energy/Residential / $ 25.00
The installati .s being made on ~~ope't I own which Limited Energy/Commercial $ 45.00
is not intend d for sale. leasl:..[lUCll' ., . Minimum Electric Permit Inspection F~surcharges
~ t '\L ' . "Hot Ir 111t ~.I..II"\
o 'j;ign rel: 1 I liS D: :'.'. 4;" SuW(rl)'/Lfl, OF AlWlI!0 I" if J.
'.. " u'.C'k1111::'r'lKi\I'll...'. . !
.L H[1I,Z J. .' ""J!ll" S{,O
M '1' ~.'" r, 0 I.~%j State Surcharge
u.1 It ,- L{SO
. , . . 10% Administrative Fee j -
'I. ?dfA~"'or"" 1>55 ZJ.. ZZ~-
'Shared Drive(T:)/Building Forms/Electrical Pennit Application I-06.doc
Owners Name
~
Inspection Request: 726-3769
q 7/f1l'{
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A. :-\rw Residcntial- Singl(' or Multi-Fnmily per dwl'lling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufac!' d Home or
Modular Dwelling Service or
Feeder
$106.00
$19.00
$50.00
B. Sef\'il'es or feeders -In!'rltnllution. Alterlltions Of Reloclltion:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Tempurary Services or F('('ders
$ 43.00
$ 3.00
E. Misel'llalll'ous (Sl..'I",'in'/fl'l'dl..'r nut indudl..'d) -E:I('h JlIstllllllliull
ZS-
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06123/2006
APPLIED: 05/30/2006
EXPIRES: 03/06/2007
VALUE: $ 315,098.00
.
~i:i::
-'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 457 Mountaingate Dr
ASSESSOR'S PARCEL NO.: 1702343403400
Spriogfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 23
Owner:
Address:
RIVER VALLEY BUILDERS
PO BOX 832
SWEET HOME OR 97386
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
RIVER VALLEY BUILDERS INC
G & E ELECTRIC INC
DIVERSIFIED ELECTRONICS
MIDW A V MECHANICAL INC
ALAN DOUGLAS HAlMA
License
134566
54468
144685
154166
] 63929
BUILum~ INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of,Structure) 28.50
rp,...ol\t:;;;:) ,-
Se~ondary Occupa~cy Group: ,AJN.. OregO(\ TYp.~no!~~JaU(\ UtillF:orced Air Gas
Primary ConstructIon Type I\IIENIVN' doled l'Yate,r Ty, pe:e set torth Gas
\c- a 0 . -;.;.;, R,[
Secondary Construction Typ~.:,\\oW !u ,~ nt~! w.~ang'e'T~p~~ 952.00~' Gas
# of Bedrooms: Not,\;:;(ltlO!3C~~ OO~O ~!IergyPa:t~;n rules bY Path 1
. OJ\\~ S52.0, - bt '11.Sp!inkledl BU,i1ding:'le nla
In . ...........\'0 a I -. ....no ,\p\CO\I~
OU~'J. ,~. . .n" ..~. '. ........
Ci:,'.in9 t,le 1.;DEVEI;OPMEN:fIINFORMA TlON I
bO!ler ,,'v.- ~()0_332-'t".t~/'
(\um ~ ,ter IS ~.B
18.20,e, Overlay Dist:
10.00 # Street Trees Rqd:
11.10 Paved Drive Rqd:
33.10 % of Lot Coverage:
0.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rcaryard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Residential
Phone Number: 54]-726-0330
Expiration Date
04/15/2007
09/15/2007
06/23/2008
01/30/2007
03/29/2007
Phone
541-760-7881
541-967-7045
541-484-9078
541-928-2423
541-967-7686
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,057
2,595
698
349
Hillside
3
Yes
34.40
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Sidewalk Type:
DownspoutslDrains:
To Storm Sewer
Fully Improved
Storm Sewer Available: .'''''iT;';' Yes
Special Instruction: \,... ;"'M! SHI\LL tXt"IKt IF 1HE WUKi\
rH~S p~~"~ 11~In~Q 1H\S PERM111S N01
Notes: Storm drainage pipedlt@cur15 face 6/1'/Q6ACAS~DONED FOR
'OMMEf\!CED OR \~ tJl\l
MIY 1 f\~ ~I-\" "ERiOn
I
,
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54 ]-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Dwellines
Dwellines
Garaee
AC - Residential
V Wood Bonus Rm
V Wood Frame
Garaee
Fee Description
+ ] 0% Administrative Fee
+ 80/0 State Surcharge
Plan Review Residential
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 8% State Surcharge
3 Baths Ooe & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut- Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - more than 100,000
Gas Fireplace
Gas Outlets 1-4
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
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
Vent Fan
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$85.00
$99.00
$26.00
Square Footage
or Bid Amouot
2,595.00
349.00
2,595.00
698.00
Total Value of Project
~
Amount Paid
$5.00
$4.00
$739.47
$50.00
$10.00
$185.28
$133.65
$306.00
$31.00
$6.00
$12.00
$1,267.65
$40.00
$80.00
$6.00
$9.00
$182.10
$15.00
$15.00
$16.00
$1,211.02
$198.00
$84.50
$629.31
$827.31
$10.00
$865.31
$82.03
$168.3]
$62.36
$805.70
$182.69
$]8.00
Date Paid
5/30/06
5/30/06
5/30/06
5/30/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
Paee 2 of4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 03/06/2007
VALUE: $ 3 I 5,098.00
Value
Date Calculated
$10,380.00
$29,665.00
$256,905.00
$18,]48.00
$315,098.00
05/31/2006
05/31/2006
05/30/2006
05/30/2006
Receipt Number
]200600000000000724
t200600000000000724
]200600000000000724
]200600000000000724
1200600000000000940
1200600000000000940
]200600000000000940
]200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
]200600000000000940
1200600000000000940
1200600000000000940
]200600000000000940
]200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lioe
Willamalaoe Single Family
+ 10% Administrative Fee
+ 8% State Surcharge
Residence Wiring] 000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Inilial Review
Plannine Review
Public Works Review
Structural Review
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 03/06/2007
VALUE: $ 315,098.00
$] ,000.00
$22.00
$17.60
$]06.00
$114.00
$4.50
$2.25
$3.60
$25.00
$20.00
6123/06
8/18/06
8/18/06
8/18/06
8/18/06
9/7/06
9/7/06
9/7/06
9/7/06
9/7/06
1200600000000000940
1200600000000001293
120060000000000]293
120060000000000]293
120060000000000]293
1200600000000001385
1200600000000001385
1200600000000001385
1200600000000001385
1200600000000001385
$9,572.64
I Plan Reviews I
05/31/2006
05/31/2006
05/31/2006
06/21/2006
APP LLH
APP TAJ
Place orange construction fencing
along Vegetation Easement. Choose
Hillside species for street trees. See
handout.
Pervious pavement submittal being
review by Eric Walter (approved
6/5/06)otherwise approved 6/1/2006
CAS
05/31/2006
06/05/2006
APP CAS
05/3 ]/2006
06116/2006
APP RWC
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~~np,.tion~'1
Temporary Electric: Approval required prior to Utility Company energizing pole.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Final Gas: When all gas work is complete.
Final Mechanical: Wheo 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.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut- Standard: After forms are erected but prior to placement of concrete.
Paee3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 03/06/2007
VALUE: $ 315,098.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
fouodation inspection.
Footing: After treoches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Ooor insulation or deckiog.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before coveriog 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.
Final Buildiog: 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.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor 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.
Final Plumbing: Wheo all plumbing work is complete.
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
UnderOoor Gas: After Iioe 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 relluired
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
By signature, I state and agree, that I have carefully examined the completed application aod 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 readahle 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 Fifth Street
Springt}eld; Oregon 97477
541-726-3759 Phone
e
~
.. of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
COM2006-00645
COM2006-00645
COM2006-00645
COM2006-00645
COM2006-00645
Payments:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
1200600000000001385
Date: 09/07/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
ALAN WOOSTER
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb 077947 In Person
Payment Total:
Page 1 of I
2:33:33PM
Amount Due
2.25
3.60
4.50
25.00
20.00
$55.35
Amount Paid
$55.35
$55.35
9/7/2006