The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-3-10 Electrical Permit Application 225 Fifth Streett Springfield, OR 97477.PH(541)726-3753.FAX(541)726-36~9 j{f;,\'~;i_..~-',i-~'~'t'''-'i,,'::'''~'<'-':~i_ '",) ;,,~.:''''S!o-:'ii.,,1.,,';;'T~),i;''\l:.- ~-~_ ~~~~~~,~]~5~::rtH~,~~q~~)'#t~;~ COIM ZOIO - 0 0 / 5'~ Pennit no.: Date: :5 -/ 0 - I 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. " ,. J::QCAL, GOVERNMENT "A~RROVALCi",",~:"~',' "" Zoning approval verified? DYes D No i,Y':f~@fkfj1ic1~.CA1!EGORVi.OF.'C.ONSTRU.C:nON{;!,#i!;;)~f":;';i/~ ~esidential I 0 Government I 0 Commercial :~~'JOBW.SI;r:E~INF..ORMAnONWfAND%'l!:OCA1!10N~~~1fA'>i!! Job site address: h 2 ~ 0 Fnr> ",,1- .2..J U City: S "?r.~~ I State: oA- ZIP: 971./ 7 Reference: 1702 -g:l.( s.C{ I TaxlotO~SDO DESCRIPTION"OF. .wORK\ ',~i1R\;\:!$i;:~J ':.i;~.~ .J.L-., s.f: (JI rt...c ,., ".<< :,' ';,y-', ';:"'..:PROPERTV;OWNERi'"':'" . ,,'<'"'' '<",c Name: /1..o~,;ItS iJAL+f!Vt. c.,..;I. ~ Address: 8S~ C);+{Cw.A.,. ~.J~~~a City: fBAG-f;:"?1€ I State:()~ ZI~\ l!l~ Phone: - - I Fax: ""C't" "'~O '_to : ~\~ E-mail: .<\~'" ~~\e~ (j0~~v:..\~ CP' This Installation is being made onre~.P.ll'i:~~!:W~~\. .d owned by me or a member of my Im~~~~'~~ :t~~(\'''''''E Ql property is not Intended for sale, exchan ~~e, IilY~;\~(j.U' 479.540(1) and 479 560(1). :"",\).<~Q, ,do ...... IJ"-~~ l!l\ ~\'O. Signature' , c:; (je , " <::ONTRACTOR INSTAtLATIO I S, Business name: /J. ZA P e.\ec.t-rt c. Address: .r;:;9'S 'C" ilSLaJe D", City:~orl"c..c,.JJ I State: 0.. ZIP:97'i7'? Phone:91I-,'\ri~- J-/bO ( I Fax: - . E-mail: u)..nQ..\-mCl....f6)._OiYlc:-a~1-.i.1 e- t- CCB license no.: I '% .r:~ 4 '3 1 BCD license no.: 2 I:, 31 S Signing supervisor's license no.: :1..""3 l :s G"''''cr Print name of signing supervisor: Wl?,.:J 0\ )..L+-r.nu.. h S'ignature of signing supervisor: 11 }Jl '"_ 1 ~ ""'" ,,~~ '0 'O~ \~~ ~ \)J \.\ ~ %,\'''- ~ ~ ~& 440-2584.J (9/0B/COM) '. .FEESCHEDULE ., '<>..: 'i;.-' ':',J;!'" " .f}F;.\;l;.~ ",.' .:::.' :.'" - '~~!,;;~_,i!,;'\~;'l'.:: . '.,.' ,'<~'Cosf':.~, ~~'~Totar' ;NuI1lber,of:mspectlOnsper;itcml(;Y";~;j;Qty. ,'k;' - ",<,:,: 'F...-- .., ,:-,-i '~"';:-':i,Y,<<IO '.co _". .-,,~':J3':.; '.\:;;t,';_"J~>:"( - .i.c~',.;;_,,< ~-Y}i: i; ,-.t.,. '~t' 'Ai eJ~_;<-,rrS,Ui\\Cost ::,,::{, Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $/34 Each additional 500 sq. ft. or portion !( $ 25.00 $~C thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ 'dwelling service or feeder (2) Sen'ices or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 2 mps (2) $ 95.00 $ (2) $158.00 $ ':...r.f. (2) $205.00 $ 1 volts (2) $469.00 $ " $ 63.00 $ ien'ices or feeders: installation, alteration, relocation or less (2) $ 63,00 $ $ 87.00 $ $126.00 $ Over 60q _amps or 1,000 volts. see services or feeders section above to 400 amps (2) 40I to 600 amps (2) Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a senrice or feeder fee: Each branch circuit _1....:. 6.00 $ b. Fee for branch circuit.s WithO~\Ba%7h'ase ~ ~':r feeder fee: First branch circuit (2) _ ;<~,~?i~':.i'~~- ; ~ b ' 5~.~00 $ Each additional b~anch circ~v , _ ~ f::J~ 6:00 $ ~iscellaneOUS)iees~ s'c e ~'1uded Each or" ~~ $ 63.00 $ i . . ill 2~. $ 63.00 $ . UM;j~" i"!l5Jte panel, $ 63 00 $ .1 .~,,~ Mj\ ( . ..i:~~~~~:~ANi'[USE~~~~~~~~*-~ll111 (A) Enter subtotal of above fees (Minimu~ Permit Fee $58.00) $ 5-3~ (B) Enter 12% surcharge (.12 x [A]) $ L(001 (C) Technology Fee (5% of [A]) $ /671> TOTAL fees and surcharges (A through C): $ ? C/"'l -,[3 -"I CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ". PERMIT NO: COM201O-00155 ISSUED: APPLIED: EXPIRES: . VALUE: 02/05/20 I 0 09/04/2010 $ 385,495.00 SITE ADDRESS: 6280 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702343408500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: ***DPA***Single Family Residence, Lot 75, Monntain Gate. Ref: COM2007-00403- DO NOT FINAL VNTILL FEES ARE PAID ***DP A *** Owner: Address: THOMAS WALTER CVSTOM HOMES LLC 855 OAKW A Y RD EVGENE OR 97401 I CONTRACTOR INFORMATION ~ Contractor ~~~ License THOMAS WALTE~~~~ES LLC 160287 WELDON EA~"'~~~~'l:9~~i 185563 MARSHA ~~0'" \'" g ~.J:.0?!i, 25790 RSP.~ ~ N; ~. 103816 ~..'" r!:-e" ~a~\ . . INFORMATION ,,~(\J~ce~~~~~o 0~' r:,~' # of Vnits: '}t~<:!:''ip'''~'b-~ q e" \o{\ ~%tories: 2 Lot Size: Primary Occnpancy ~",~~N~O'l1i .'O\)\Y'Height of Structure 41.00 Sq Ft 1st Floor: Secondary Occnpancy ~iiJlP': ~(t,~fti$l '" \'- ' Type of Heat: Forced Air Gas Sq Ft 2ud Floor: Primary Constrnction TYJr/d>>-~ d~ Water Type: Gas Sq Ft Base":~JI!': Secoudary Constrnction TyptP"- Range Type: Gas Sq Ft g~i1-pige/!:",~port # of Bedrooms: 3 Energy Path: Sq F;t'!(}thel',.~'" "'-'- Sprinkled Building: No ..,pf{;~~~'\ !r.~; I DEVELOPMENT INFORMATION ~ -~t~~~~~liIi~ARKING Overlay Dist: . ~~~~ ~'\).~T6i~l; 2 # Street Trees R~(\,~. #- CS'\)~'\) ,c.,..;J>." HandIcapped: Paved Drive t\,C(j\ 'XY,,~ ~Y,,'V ~~ y~<;). . Compact: % of Lot Cover~~ R:J~ R,Y,,<;) ~~ '\ ~'\~ ~Y,,~ 'V~ PUBLIC IMPROVEME Contractor Type General Electrical Mechanical Plumbing Expiration Date 08/12/2010 02/19/2011 12/23/2011 01104/2012 Phone 541-683-6355 541-505-7223 541-747-7445 541-461-4714 21,337 1,523 2,061 783 157 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.30 8.00 27.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Fnlly Improve,!, ,,' Yes"::::' , , Sidewalk Type: DownspoutslDrains: Curbside 5' To Storm Sewer ..';"'," . '.,,- , Notes: , Paee 1 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00155 ISSUED: APPLIED: EXPIRES: VALUE: Descriotion Tvne of Construction Gararre/Misc SFlDuplex U VB Utilitv R-3 VB 1&2 Familv Fee Description Plan Review Residential SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid Structu ral Review Initial Review Planniu1! Review Pu blic Works Review Structural Review I Valu'ation:Description I $ Per Sq-Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 940.00 3,584.00 Total Value of Project ~ Amount Paid Date Paid $1,029.47 $10.00, $22.63 $372.05 $10.36 $40.08 $16.70 $134.00 $200.00 2/5/10 3/l/l 0 3/1110 3/1110 3/1110 3/10/10 3/10/10 3110110 3/10/10 $1,835.2?'il,i. '" '';' ';<;.'r>..,;; . I Plan Reviews I 02/08/2010 02/08/2010 0210812010 WE LLH 02/08/2010 02/1112010 APP DDK 02/08/20 I 0 02/1712010 APP BJG 02/19/2010 02/19/2010 WE KLK '., ",. ~,; Parre 2 of4 02/0512010 09/04/2010 $ 385,495,00 Value Date Calculated $35,456.80 $347,038.72 $382,495.52 02/08/2010 02/0812010 Receipt Number 2201000000000000110 1201000000000000185 1201000000000000185 1201000000000000185 1201000000000000185 1201000000000000217 1201000000000000217 1201000000000000217 1201000000000000217 Placed a call to Rebecca Gershow at Willamalane regarding their SDC's for this project. She returned my call and said she will review and call me later. Place orange construction fencing along the Vegetation Easement and keep all construction activity out of this area. Vse Native street trees from the Hillside list on page 4 of tll< street tree handout. Mailed, emailed and faxed comment letter- incomplete submittal. , , l' ~, . CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM201O-00155 ISSUED: APPLIED: EXPIRES: VALUE: 02/05/20 I 0 09/04120 I 0 $ 385,495.00 Structural Review 02/24/20 I 0 02/24/2010 APP KLK Provide Signed Electrical Permit Application from Electrical Contractor. Initial Review 02/25/2010 02/25/2010 APP LLH No additional Willamalane fees are. due per Rebecca Gershow at Willamalane. To Request an inspection call the 24 hour r~~ording 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. . l....ReoniredJnsnections' Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are instaIJed. 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 fioor 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. .',;.\!, -.., 1:l.j~ . . - .: ~ , Roof Sheathing/Nailing: Before covering sheatIiing with linisli material. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Bnilding Inspector. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Fina' Building: After all required inspections have been requested and approved and the hnilding is complete. Underground Plumhing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and lilter cloth is installed but prior to backlill. Underfioor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM201O-00155 ISSUED: APPLIED: EXPIRES: VALUE: 02/05/20 I 0 09/04/2010 $ 385,495.00 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. Undertloor Gas: After line is installed and required testing and capped jf not attached to an appliance. Undertloor 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 installed and line has been connected to a minimum of One appliance including required testing. Presure test done at this point. Final Gas: When all gas work is complete. Unde..floor Mechanical. Prior to insulation or deck;ing and including required testing. Rough Mechanical: Prior to Cover 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of coucrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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 ofOl'egon 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. 1. Owner or Contractors Signature Date Page 4 of 4 225'Fiftli Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000217 Date: 03/10/2010 10: 18:22AM Job/Journal Number COM2010-00155 COM20 1 0-00155 COM20 1 0-00 155 COM20 I 0-00 155 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment Cred itCard Paid By AZAP ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 134,00 200,00 40,08 16,70 $390.78 Amount Paid djb 456750 In Person Payment Total: $390,78 $390.78 '" " cRcceintl Page 1 of 1 3/1 0/20 1 0