HomeMy WebLinkAboutPermit Electrical 2006-3-13
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2-:5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~a~in9 r' -~0hj
ELECTRICAL PERMIT APPLICATION . '-. --- _y.u;- "
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City Job Number toM z.o () r- - 0 0 ~ 7 J Date ::. .- , ? ~G.Q_ '-'\0>
Signature of Supervising Electrician
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Owners Name /Alp. it-/:.. Cv-~ \.-...... lJ....6i
Address 2- 8' b "3 I2.cll f::;-fL '--^" fl.( L Lf E. rrvllsl':ell.aneous (Ser\'ice/fee~er ~\l~,qlCl~~Ii\(w..9~~Slall.U;;;'-'
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City -.b'()J:rbVe Phone 6r 3 - 6] S.s Pump oriWMti&'i\W\li \ll'll)t.'i\ ir\l'i) ~~\~tf.fl6\
Sign/Outij{t'fW8)lriilf:1) Q'i\ IS t>.1?>1'1'liJ" $ 50.00
Limited E~~'&~~?t.'i\IQI). I $ 25.00
Limited E"'t$Y/~~~ercial $ 45.00
Minimum Electric Permit Inspection Fee i(~+ Surcharges
4, ;sUntqfA,r. d";)iB~q'~'--- -- ,- ',-; l/ :;-
8%;tateS~rc;:r~;-"._""- _.~..... "'S6u ~
10% Administrative Fee '1)0
C;"J 10
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1. !.wqATION OFJNS!AI..LATIqN" .'.' ,
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LEGAL DESCRIPTION
/7 0 l. 5l{ 3lf
JOB DESCRIPTION
Lo ...J J" l t.--.,
OZboa
~
(-
. Permits are non-transferable and expire if work is
.e nol started within 180 days of issuance or if work is
Suspended for 180 days,
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2. LCO/VTRAg:OR INSTAi.IATiQ!V?.!VLl~
Electrical Contractor ('}?{);9etJ)s />>(1./
Address Jr:1 t, 5 ()) I . 7-n-.
f-<-(r;eNe t'?bhone c;"6S--(;;OOt)
,
City
Supervisor License Number '2 7'9 g L6A
Expiration Date IOIo! 12CX'J,>(
Constr. Contr. Number / 297.3 {;
Expiration Date (,/09/0 h
OWNER INSTALLATION
Tbe installation is being made on properly [ own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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3. :.COMPLETE FEESCHEDULE BELOW' .
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A. t:~~~.R.~siden~ia~ __,Si~~IC.~.M~,lti:f~l11i1yyc(d'\'Ciling,ul~l~ .'j
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. G~;'Yi~eS 6; Feeile;;-Jn;ta;;;;r;;:Aiterat;;;-;'-s ~;:-~~io~~,iilm::'~
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200 Amps or less $ 63.00
"' I"
201 Amps to 400 Amps ." ".,'\l\'cs ,$ 75.00
,_ ,"1 " ;1\, ~ 1\>111\1
401 Amps to 600 Amps .. \ 'II"" nruqO\ $t25.00n
. ,,-I 1\ C c.,f-;l 'Oll
601 Amps to 1000 ~mp~\:1hOSC rulcs ar\,\ ~,1,~~t991-
Over, 1 000 Amps1V01tS:OG1 0 \hfOUqll UI' e$,~7\~.90J'{
ReconnectOnlyi2..0Q1 bl in conieS 01 l" $" 50.00,
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C. 'l'l'empqI:(f;yISej-'~c'e~;of:-F"ee~'er~sU;j\t\~ \,,1':';11....,1 ~, ' .
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nsta atlOn, terahon or e DeatIon
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
. $ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
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D. l-'~ra'~ch c;ih:uits - '_. . ,. ',I
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
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TOTAL
Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application I-O).doc
.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 460 Mounlaingate Dr
ASSESSOR'S PARCEL NO,: 1702343402600
. CITYOFSPRlNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00973
ISSUED: 08/15/2005
APPLIED: 07/26/2005
EXPIRES: 09/13/2006
VALUE: $ 310,674.00
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence,
I CONTRACTOR INFORMATION I
10
Contractor License '!ou\Expiration Date
THOMAS W ALTER CUSTOM HOMES,Ji'Jl(.;N i~03~1(,10\\ \J ~\~11\07/I212008
BOB FISHER ELECTRIC IN~b~'. Ole~eo 'o'! 19~~;7a:, ale S~'2..0001/25/2008
OLD FIELDS INC p..\\t:.~ \ \es ado? \\'IOS't2973~p..t\ '3 \es 106/0912006
MARSHALLS INC \o\\o.'J'J ~~~O\\ Ce\\leIO\ 0 1\'I12~fi~ 0\ I\\e IU\'IO\\(12/23/2009
RS PLUMBING C01'!LRJ\€TINGOO\'O ~."i\\ C103~.~,e \e\e~. ~~1i!11/04/2008
I BU.-LDiN~ INioRMA i'iONl\\il'! ;:A)',
v. \\\\\(,1 'w '^e V'~'" 0'~~'2.''l.
,c'O Ie" II, , 00
lI'of.swries: is ,'V 2
....\,\\...... f\\e~
Height otJe 40,00
Type of Heat: Gas
Water Type: Gas
Range Type: Gas
Energy Patb: Path 1
Sprinkled n/a
I DEVELOPMENT INFORMATION I
Overlay Dist: ~\~~ \~ ~l\~
~~~~~~~,\\\\~\\1~
\\\\~~tte':-~~\~~~~~ 33,70
r>-1j\~?tc\\\Ct.U~~tl.\t)~,
IPuIri~lc; I~Jfd\rEMENTSI
t
FuJlv Improved
Yes
Owner: WALTER CUSTOM HOMES
Address: 2863 RIVERW ALK LOOP
EUGENE OR 97401
Contractor Type
General
Eleclrical
Low Voltage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
. Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
21.00
16,00
6.50
30.00
70,00
Subdivision Not Accepted
Street
. Storm Sewer Available:
Special Instruction:
Phone Number: 541-683-6355
Phone Number: 541-556-6536
Phone
541-683-6355
541-689-7973
541-485-6000
541-747-7445
541-461-4714
1
R-3
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
838
472
1,989
828'
3
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
To Storm Sewer .
Downspouts/Drains
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Slorm drainage piped to stub
provided rear of lot 8/1/2005 CAS
1 of 5
Status: Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Description
A.C. - Residen
Deck/Balconv
Dwellinl!s
Garal!e
Tvpe of Construction
AC - Residential
Deck
V Wood Frame
Garal!e
,.
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lOGic. Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
.- Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlels 1-4
Gas Outlets 4+
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Sidewalk Permit
.
I ValuatJ;lon Descriotion ,
$ Per Sq Ft
or multiplier
$4,00
$17,00
$96.00
$25,00
Square Footage
or Bid Amount
2,817,00
472,00
2,817,00
838,00
Total Value of Project
Fees P,IlirlJ
Amount Paid
$608.50
$10,00
$197,64
$138.35
$306,00
$31,00
$18,00
$1,251,40
$40,00
$80,00
$6,00
$9,00
$12,00
$30,00
$4,00
$2,00
$12,00
$1,539,98
$150,00
$204,91
$-30,00
$106,00
$76,00
$553,03
$727,03
$10,00
$865,31
$82,03
$176,45
$61.84
$805,70
$182,69
$80.00
Date Paid
7/26/05
8/15/05
8/1 5/05
8/1 5/05
8/15/05
8/1 5/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/1 5/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
8/15/05
2 of 5
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2005-00973
ISSUED: 08/15/2005
APPLIED: 07/26/2005
EXPIRES: 09/13/2006
VALUE: $ 310,674.00
Value Date Calculated
$II,268,OO 07/29/2005
$8,024,00 08/04/2005
$270,432,00 07/29/2005
$20,950,00 08/04/2005
$310,674,00 .
Receipt Number
2200500000000000979
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00973
ISSUED: 08/15/2005
APPLIED: 07/26/2005
EXPIRES: 09/1312006
VALUE: $ 310,674.00
$70,00
$50,00
$24,00
$1,000,00
$4.50
$3,60
$25,00
$20,00
8/15/05
8/15/05
8/15/05
8/15/05
3/13/06
3/13/06
3/13/06
3/13/06
2200500000000001090
2200500000000001090
2200500000000001090
2200500000000001090
1200600000000000292
1200600000000000292
1200600000000000292
1200600000000000292
$9,543,96
I Plan Reviews I
Initial Review 07/27/2005 07/29/2005 APP LLH
LDAP Review 07/26/2005 08/05/2005 APP VRJ Full Review LDAP, $600,00 due at
Issuance. Walter Custom Homes
suhmitted LDAP 7/26/05,
applicantion Is under review. VJ.
LDAP Review 08/04/2005 08/04/2005 APP VRJ LDAP is ready to Issue, $600,00 due
at issuance, Leave LDAP tag on
parcel until LDAP has been Issued,
VJ,
Plannlne Review 07/29/2005 08/05/2005 APP TAJ Solar Sethack based on insignificant
benefit of undevelople space on the
vegetation easement on the north
side of this property.
This site does have a Private
Vegetation Easement. As noted on
the plans the easement Is to be
protected with construction fencing
with no construction activity
allowed, See Private Vegetation
Easement Restrictions in the
MountalnGate Development Plan
Restrictions attached to lhe site
plan,
Public Works Review 07/29/2005 08/0 1/2005 APP CAS No hook-up 10 City Infrastructure
until Public Improvements accepted
by the City; Storm dralange piped t<
stub provided rear of lot; Possible
Encroachment pemit for storm and
sewer, 8/1/2005 CAS
Slructural Review 07/29/2005 08/04/2005 APP JB Approved as noted on plans
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.
3 of 5
.
. CITY OF SPRINGt'lJ!.L1i
Building/Combination Permit
PERMIT NO: COM2005-00973
ISSUED: 08/15/2005
APPLIED: 0712612005
EXPIRES: 09/13/2006
VALUE: $ 310,674.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed,
Sidewalk - Curbside: After forms are erecled but prior to placement of concrele.
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,
Special: See Plan Reviewer or Inspectors Notes for specific requirements,
Low Voltage: Prior to cover,
Curbcut - Slandard: After forms are erected but prior to placement of concrete,
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 Door 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,
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping,
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 bac~fill,
UnderDoor Plumbing: Prior to insulation or decking,
Rough Plumbing: Prior 10 cover and including required testing.
Water Line: Prior to filling trench and including required testing,
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
4 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00973
ISSUED: 08/15/2005
APPLIED: 07/26/2005
EXPIRES: 09/13/2006
VALUE: $ 310,674.00
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
Undernoor 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,
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 wiD 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 b located at the front of the property, and the approved set of plans wiD remain on the site
at all times during construction.
Owner or Contraclors Signature
Date
5 of 5
.
225 Fifth Street
S}ringfield, Oregon 97477
5'11-726-3759 Phone
.~.',-'i
Ua..WJ
~
,jjj,ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
J.:b/Journal Number
COM2005-00973
C()M2005-00973
ce'M2005-00973
COM2005-00973
Payments:
Tl1le of Pa)ment
CreditCard
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3/13/2006
,
RECEIPT #:
1200600000000000292
Date: 03/13/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
MICHAEL RIMMER
Received By
djb
I of I
Item Total:
l.:heck Number Authorization
Batch Number Number How Reeelved
037329 In Person
Payment Total:
1I:38:44AM
Amou nl Due
3.60
4.50
25.00
20.00
$53.1 0
Amount Paid
$53.10
$53,10