HomeMy WebLinkAboutPermit Electrical 2006-8-21
o CITY OF~t>RINGFIELD, OREGON '.
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f25 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ~
ELECTRICAL PERMIT APPLICATION '()J ~Y'
City Job Number l/)lM'Z.OoE:.. oObl.{~ . Date X-'-1--(C) (0
Each Manufact'd Home or
Modular Dwelling Se..vice'or to
Feeder ,,' 'J ,il:1y
, .... .'_ -.-r.............A.r..... l=tI'P sf"tinrlh . -. .
2. " ~ONT~c:rf!~ INSTALLATION <}NL Y B. Se7\<e~ 1~f. .r~~~e~ c ~~~_~ll'!ion, A.lte~Ations or: ~elocAtio~:
. I IE C\.Dr:t"Hc 'rVlc. 2 .".. '.u!t..3rulesby $63.00'
Electrical ContrActor 0'1' [;:. L.J- ~ r 00 Amps.or less ,I
'201 \.\ :"':')40Se;\~"lcp 10:06 $ 75.00
() 0 0..0 V I' - D.. L " . ".~P,snt?J"'Y l~g~:rication
Address t', ' [) f' WCJI(},iL.."u~v '''401 Amps to 600 Amps $125.00
511 ( CL. :lL160\ \~~-t~~I~o%;jt;';Jps $163.00
6. \ bd rt \1 Phone q 10 L' CJ1{O 2.7 Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
I. LOCA'110N OF INS'FALLATlQN
Ll5t VV\D u Vlqa,tn.ir~:-
LEGAL DESCRIPTION . 1702. 34 34 .
~O rl'Mfuelt( , c5e 0'3400
- J-O\ DESCRl~ION
() . A t J" f^ '" Il
VIew ~Y"I:-Z
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
Supervisor License Number ~ q R 0'5
Expiration Date 10 - I -:- 0 r..;' '.
Constr. Contr. Number
~L{2..15~
JO- ('- OCo
Expiration Date
B5"'"~~_;M
Q
Owners Name i2. """"
Address +>0 .t[?o;t'
City ~?- Hr-v
~It... ~t' IdcL\
8'3'l.
Phone _7t.D . '71l'
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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3.
COJifPI.ETE FEE SCHEDULE BELOW
'.
A. New Residelltial- Single or Multi-Fa.mily per dwelling unit.
.. ./ "--
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
/
fo
/ /)(0 "
1-4 Lf r'
$106.00
$ 19.00
$50.00
C. Temporary Services or Feeders .
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
.
Over 600 Amps or !OOO Volts see "B" above.
D. _. Br.anch <:;!~cuits . ._'_.t. ~ ~..,. .
New Alteration or Extension Per Panel \NO""'"
nile; Cirquit \ '!-'i'I'r->:' \I' "\ ~~ Ie. 1'$;4:3.00
~'a'1h\A'\;ditLonatt?ir~uil gr~ith'i'>:'\'.I~\" ~"'r-
Ser:vice:oFF~Jder'P,erin.It \ "\~\n('\"(:\'\ 'v $ 3.00
\ \'"I,..... 'r-ll>:.1J iJ"~ - JI,'OJI,I'Vv,
E.JI,\.~~~eIlRile'Olis ~;;\i<./feedel: no'l included) -Elich Installalion
1:,0\'111"'-' '\)JI,i \'t\"l v-
P",v ~ I,l,(j. .
!Imp or Irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
/);)'0"'-
~~()
, '. .00
'-_ q,1d')
4. SUB1'OTAL OF ABOl'E'
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Orive(T:)lBuilding Forms/Electrical Permit Appliclltion )-Q6.doc
.
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
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 02/17/2007
VALUE: $ 315,098.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 23
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ir>o.U\\- ,,(\ \J..,......~\'(\
I CONTRACTOR'INFORMATlON "l\)\-
,,' 'e'" - n':l~ "
. " I\)' "'?- '" s 'ch
Contractor ",.\')Jc Cl\License~e ,Expiration Date
. 0g \ "'~ 0(\"
RIVER V ALLEY BUILDERS INC' . Q \'(\10 \C~134~M3~'(\ :i.'0(\ 04/]5/2007
G & E ELECTRIC INC ,- .' ,,(\ co<:t e.,5.446~~0:i."i'C'cl' 09/15/2007
MIDWA Y MECHANICAL ]NC ., ')'.-;1. ~0'\,jl.54i9,6",ll.1' 01130/2007
ALAN DOUGLAS HAlMA ',<2-,";"',<,sP".. <.1&3929 03/29/2007
..~ ...,~
BUILDlNGINFORMATION I
'(\v" , \.... Ce\\~
# of Stories:
Height of Structure 28.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Eoergy Path: Path 1
Sprinkled Building: nla
REQUIRED PARKING
Hillside Total: 2
3 Handicapped:
Yes Compact: 'f\'f..
34.40 1\'Ir.. \NO
r..~I'II'\r.. II' II IS ~Ol
.,n>f\(',t:. _ <"ul\,\"\" .~ ot:RWI _~
I PUBLIC IMPROVEME'~~s.:,rr..\\~~Q \l~Dr..\\ ~~~~DO~r..\J fV' .
fl.\} \ i-\OI'\ISide.wflN~"e:
Fully Improved c.OWlWlr..hv - ~ 1'r..\'I,I;W'
Yes fI.~'\ i 'O\J)b\~nspoutslDrains:
Owner:
Address:
RIVER VALLEY BUILDERS
PO BOX 832
SWEET HOME OR 97386
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructioo Type
Secondary Constructioo Type:
# of Bedrooms:
1
R-3
U
VN
3
Frontyard Setback:
Side i Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.20
10.00
11.10
33.10
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-726-0330
Phone
541-760-7881
541-967-7045
541-928-2423
541-967-7686
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
10,057
2,595
698
349
I DEVELOPMENT ]NFORMATlON I,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot <::overage:
To Storm Sewer
Notes: Storm draiuage piped to curb face 611106 CAS
r
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Bonus Rm
V Wood Frame
Garaee
A.C. - Residen
Dwellines
Dwellines
Garaee
Fee Description
+ 10% 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 One & Two Family
Addressing Assigoment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut- Additional Driveway
Curbcut Permit
Dryer Veot
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 - Reimbursemeot
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Traospo Improvement
SDC Transpo Reimbursement
Vent Fan
.
.Lll i OF ~rKlJ~GFIELD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 02/17/2007
VALUE: $ 315,098.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$4.00
$85.00
$99.00
$26.00
Square Footage
or Bid Amount
2,595.00
349.00
2,595.00
698.00
Value
Date Calculated
$10,380.00
$29,665.00
$256,905.00
$18,148.00
$315,098.00
05/3 ]/2006
05/3112006
05/30/2006
05/30/2006
Total Value of Project
Fpp< P~ilU
Amouot 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
$]82.10
$]5.00
$]5.00
$16.00
$1,211.02
$198.00
$84.50
$629.31
$827.31
$]0.00
$865.31
$82.03
$168.31
$62.36
$805.70
$182.69
$]8.00
Date Paid
Receipt Number
1200600000000000724
t200600000000000724
]200600000000000724
1200600000000000724
1200600000000000940
1200600000000000940
]200600000000000940
1200600000000000940
]200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
1200600000000000940
5/30/06
5/30/06
5/30/06
5/30/06
6/23/06
6/23/06
6/23/06
6/23/06
6123/06
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 of 4
.
.CITY OF SPRI~l"< l~LD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 02/17/2007
VALUE: $ 315,098.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
+ ]0% Administrative Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$1,000.00
$22.00
$17.60
$106.00
$114.00
6/23/06
8/18/06
8/18/06
8/]8/06
8/18/06
1200600000000000940
1200600000000001293
120060000000000]293
1200600000000001293
1200600000000001293
Total Amount Paid
$9,517.29
I Plan Reviews I
Initial Review
Plannine Review
05/31/2006
05/31/2006
05/3 ]/2006
06/2112006
APP
APP
LLH
TAJ
Public Works Review
05/31/2006
06/05/2006
APP
CAS
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
Structural Review
05/31/2006
06/16/2006
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.
Ueouire~nsnections I
Temporary Electric: Approval required prior to Utility Compaoy energizing pole.
Erosion/Gradiog Inspection: Prior to ground disturbance and after erosion measures are installed.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility compaoy energizing service.
Final Electric: When all electrical work is complete.
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.
Ufer Electrical Ground: Install grouod rod at footing and call for inspection in conjunction with footiog 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.
Paee 3 of 4
-i:i:;,'~.' "
~.,
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00645
ISSUED: 06/23/2006
APPLIED: 05/30/2006
EXPIRES: 02117/2007
VALUE: $ 315,098.00
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Floor Insulation: Prior to deckiog.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspectioo: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved aud 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 aod including required testing.
Water Line; Prior to fiIliog trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Undernoor Mechanical. Prior to insulatiou or deckiog and including required testing.
Undernoor Gas: After line is iustalled 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
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 Ordioances 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
Paee 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-375~ Phone
.ii~
<aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00645
COM2006-00645
COM2006-00645
COM2006-00645
Payments:
Type of Payment
Check
cReceiol1
RECEIPT #:
1200600000000001293
Date: 08/18/2006
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
G&E ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
11902
In Person
Payment Total:
Page 1 of I
3:34:59PM
Amount Due .
106.00
114.00
17.60
22.00
$259.60
Amount Pnid
$259.60
$259.60
8/18/2006