HomeMy WebLinkAboutPermit Electrical 2010-4-29
EI~ctrical Permit Application
-
225 Fifth Streett Springfield, OR 97477 tPH(541)726-3753 t FAX(541)726-3689
SPRINGFIELO ~~
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Pennit no, (!Q07-()(J1cr
Date: /j' .-- C) / - /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.
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:;iz;,1t . 'liilM~l1iOGP.illG€l;.zERNMENT~ \lXeER0Vi,t(~,.: "'. .'t~~1 ,.. ',-. ~Q~'; .
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Zoning approval verified? DYes DNa ~~;;~;:i1~,~~ :~I, .~
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~..,_, ..... 1" .~_ ,__ ~.__.... -_~__.. ..~-<=_~_.\__~ _~._..-'~...._.'_,.._<.._t! ;i,l....-_"""".%"'~,.~ Residential, per unit, service incJudc-d: .
0:Residential ,I 0 Government o Commercial
~i~@'!i~!r!3jf$iiTcEjJL~)tl\\BMht1fi9Jif.~.N!\J~g~G'.~;ljIQNt~';;j~; 1,000 sq. ft, or less (4) $134.00 $
Job site address: (Ill ~ r n. " ~ Each additional 500 sq. ft. or portion $ 25.00 $
thereof
City: )y ".~d'C',.. io{ I State: 01< ZIP: '17'f78' Limited energy (2) $ 32.00 $
Subdi~ision\)' Lot no.: Each manufactured home or modular $
Zlf~~~.,1~~{j~ID:!;S€RiRmI0N.l.0F..i;iVil0R~~J;;~1l~~~ dwelling service or feeder (2) 63.00 $
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L...~, jC. ~ .~. b, ~ "A.."II:,..: Services or feeders: installation, alteration, relocation
, 200 amps or less (2) , $ 81.00 $
~~"";"g'i!&~t>;ill(eR0gERiRr'~@W~ER",,;;,\,ti~MW,,~.\i1~t~';,:;ti!' 201 to 400 amps (2) $ 95.00 $
~, . . . !';~ '. i.1, . :-", ~ .r;'.;.,~.".:",...' ..;~.c.,,,....~"-<,~ '_.":,;;"'.mitr.?'''''"~;:':;:'':I;'';:'':';'~, t.~,.:,.,":;-'-tj":
Name: ~'\~ ':o>r. _ . 401 to 600 amps (2) $158.00' $
I --"~" 601 I ,000 amps (2)
Address:C'f ,tQ~ 5.vO, ~ \\\ r~QN l\:-tH:1. "/l0 to $205.00 $
City: \"'T,c, . ....... .:1 ',', I'" State: 6 P. ZIP:R'7)Pt., ,Over 1,000 amps or volts (2) $469.00 $
Phon<~<II'-2<:'T" <>:-{<g-t Fax: Cf,l- 2Z-3-Y '7 z.z. Reconnect on Iy (2) $ 63.00 $
E-mail:tVlilA-I\"\' L\, . -,..D~. ~ IJ G, . f>LtC-1 t"'-/- ..1. . Temporary services or feeders: installation, alteration, relocation
This installatiou is being made on re5rdential or fann property c.e '200 amps or less (2) $ 63.00 $
owned by me or a member of my immediate family. This 201 tn 400 amps (2) $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). 401 tn 600 amps (2) $126.00 $
Signature: Over 600 amps or 1,000 ,volts, see services or feeders section above
.-ilt~~~G(;rNil1it(iZGilf€f~iNSillA:~Wkl1I0N~>,lF,,'!<"~i',}} Branch circuits: new, alteration, extension per panel
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Business name: Ion \\l>~(h F lec a. Fee for branch circuits with purchase ofa service or feeder fee:
Address: ,.)O~ -1"1 ( Ov "''1 Ct Each branch circuit I $ 6.00 $
City: &: ,,0\ I State: oR. ZIP: b. Fee for branch circuits without purchase of a service or feeder fee:
Phone :.5111 -317 - ('11.. . First branch circuit (2) $
Fax: - - 55.00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: It-L. 3Gc. I BCD license no.: I .22r1. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: A r:-;",~ Each pump or irrigation circle (2) $ 63.00 $
J
Print name of signing supervisor: I~ -:.~, ~\ .."l;", Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor:<l ~ ~ ri:- ,\;.~,. Signal circuit or a limited-energy panel,
I' -- ~' . alteration, or extension (2) $ 63.00 $
(J Each additional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $
"0' Q/I ~ o..~ (B) Enter 12% surcharge (.12x [AD $
~~ ~~~~ (C) Technology Fee (5% of [AD $
TOTAL fees and surcharges (A thrnugh C): $
w-
440-2584-J (9/08/COM)
CITY OF SPRINGFIELD
Building/Combimition Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 10/29/2010
VALUE: $ 386,268.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6156 Graystone Lp
ASSESSOR'S PARCEL NO.: 1802032205400
~,.. i ;
, ..SPIUNGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence; Mt Gate West lot 83
Residential
I DEVELOPMENT INFORMATlO~
.~ ~o-> S\ IGW~EQHbWO PARKING
, '("'7,Z,~,r.'?'<~_d al.\. 101 Je<.1
Overlay DlSt: ~'''?8''\iO\~ !.\.,\\"HJlISld~J~\Ueo a~iiil\~\,eo 2
# Street Trees R~?6 d'G\") al.\. :G\ON) ~'Il QO f.'IluH1li*li(jj\Y,~~d:
Paved Drive Rq'il: ~J el.\\lO sa\dO~i)OO- ~OO<all6p\.~p' .
% of Lot covffl8~~96 't:l'VO l.\6nq~9 ~'JelUeQ UO\\Il0\1\'0~
-~OO s are sa\1U as04 doP'll sainI MOllO
\l0\ \II f.Q pel. u.'4
PUBIJIC IMPROVE aJlnbaJ MilL
Owner: HERITAGE CUSTOM HOMES
Address: 780 NW YORK DR SUITE 204
BEND OR 97701
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Low Voltage Electrical
Plumbing
Contractor License
MANNHOLE ENTERPRISES INC 116293
THT ELECTRIC ' .,. " 145059
THT ELECTRIC, LLC 145059
CHAPIN ENTERPRISES INC 81994
BUILDING INFORMATlON_
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure 43.00
Type of t'~at: . Forced Air Gas
,WaterType: . Gas
"..". ,:'
Range Type: Gas
, E..nergy Path: Path I
:S'j)~inkled Building: nla
I
R-3
U
VB
3
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
21.70
21.20
16.00
55.90
0.00
Subdivision Not Accepted
Pbone Number: 541-312-9640
Expiration Date
05/09/2010
0110812011
01/08/2011
05/06/2010
Phone
541-549-6391
541-312-4548
541-485-1146
Lot Size:
Sq Ftlst Floor:.
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
15,239
1,213
2,210
741
Sidewalk Type:
Fully Improved Curbside 5'
Storm Sewer AYall~8E: 'Yes DownspoutslOrains: To Storm Sewer
Special Instruction:: PER~ral.prcel in Mt. Gate West, it is the recommendation to the Building Division, by the City
, I Ii" I.J !:vD,nc Ie TLJ"~.,^
AUTHORI . . "Hfljt,no.conn..ci,,,,,,,,'H41 be made to sanitary or storm H20 systems, until the
Notes: "0 Z~1I t~uro'rt iSfa~e:pf(<j~l!joTqBmD>'Pncil". Storm to existing lateral. Architect to provide new Site
J,.,,~ ~ ~N? Pr.~:illi ~tRlrn\~:tqJ!'.~'FO R
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.\ ',~',,~~ 'J . V~:
-P:.r:: i,;\,
Street Improvements:
::,L~.l-
~
Page 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Dwellings
Gara!!e
AC - Residential
V Wood Frame
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Mountaingate Impervious Area
Overwidth Application Fee
Plan Review Major - Planning
PW Disc - 2nd Permit
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
Temp Power 200 amps or less
Temp Power' 200 amps or less
Vent Fan
WilIamalane Single Family
l J,
I Valuation Description I
$ Per Sq Ft
or multiplier
$4;00 ',"j:>
"c .
$103.00
$r'OO "
Square Footage
or Bid Amount
3,423.00
3,423.00
741.00
Total Value of Project
~
Amount Paid
$973.96
$10.00
$222.46
$119.22, , '
$161.'31 :
$306.00
$31.00
$1,498.40
$80.00
$6.00
$9.00
$208.20
$15.00 ::1
".'.1'
$42.00 ~\'; , " ',,'
$12.00""'(
..k ."
$4.00'.',' ';
$1,580.08
$40.00
$198.00
$-30.00
$633.30
$832.85
$10.00
$961.52
$91.61
$192.07
$64.69 '
$836.32
$189.58
$80.00
$50.00
$50.00
$24.00
$2,303.00
i?':1i .
':.1\0.',
Date Paid
: 6/28/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8127/07
8/27/07
8/27107
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/2 7/07
8/27/07
,8/27/07
8/27/07
8127/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8127/07
8/27/07
8/27107
Page 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 10/29/2010
VALUE: $ 386,268.00
Value
Date Calculated
$13,692.00
$352,569.00
$20,007.00
$386,268.00
06/26/2007
06/26/2007
06/26/2007
Receipt Number
2200700000000001057
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000QOI093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
1200700000000001093
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Minimum/Adjustment Electrical
Renew Building Permit
Renew Mechanical Permit
Renew Plumbing Permit
Total Amount Paid
Initial Review
Initial Review
Public Works Review
PlanniolZ Review
Structural Review
Structural Review
,
, ,
-~J/
. "
,
\41.
..~-,-. ,~ >,
$26.40
$13,20
$2L12
$117,00
$147,00'.
$6,96
$23.40
$2,90
$9,75
$58,00
$58,00
$79,00
$58,00 '..
$12,426,30"-;:7
I Plan Reviews ,
06/27/2007
06/27/2007
06/29/2007
06/29/2007
06/29/2007 07/03/2007
! 1':P"
06/29/2007 07/10/2007
", '~1'~ .~
. ..,.,.. Ii<' .. ~,
06/29/2007
o7ii 3/2007
07/13/2007
07/18/2007
11/2/07
11/2/07
1112/07
11/2/07
11/2/07
4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
WE
APP LLH
APP BRC
APP T AJ
10 LLH
APP LLH
Paee 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 10/29/2010
VALUE: $ 386,268.00
3200700000000000733
3200700000000000733
3200700000000000733
3200700000000000733
3200700000000000733
2201000000000000426
2201000000000000426
2201000000000000426
2201000000000000426
2201000000000000426
2201000000000000426
2201000000000000426
2201000000000000426
LLH
Waiting for plan review payment
For this parcel in Mt. Gate West, it
is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council". Storm to
existing lateral.
Place orange construction fencing
along the conservation easement and
keep all construction activity out of
this area.
choose street trees from the list of
native trees for hillside development
on pg6-4 of street tree handout.
Forwarded to the Building
Department for review.
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 10/29/2010
VALUE: $ 386,268.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
To Request an inspect'ion 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.
l,JeCluirecUnsnections ~
Erosion/Grading Inspection: Prior to ground disturbance aud after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Final Plumbing: When all plumbing work'is'complete. --
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Vfer 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 Ooor 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 insp~ctions have been approved:
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
, .1";
Perimeter Foundation Drains: After gravel a~d filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to filling trench and includi~g required testing. ,
'-II jf ~;W' il:i . ' . .
VnderOoor Mechanical. Prior to insulation or decking and including required testing.
, .~-.'
Vndertloor Gas: After line is installed and,re,quired 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 beeu connected to a minimum of one appliance including required
testing. Presure test done at this point.
Paee 4 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00945
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 10/29/2010
VALUE: $ 386,268.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Mechanical: Prior to Cover
Temporary Electric: Approval required prior to Utility Company energizing pole.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete. -_~~. :.'~' .;~:';.,'.....:;::..,
,'.
"", , J-'
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 hereiri, and
that NO OCCUPANCY will be made of any Structnre 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 durin st c' n.
t{-fl-(o
Date
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225 J.?i~th Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000426
10:15:IOAM
Date: 04/29/2010
Job/Journal Number
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
COM2007-00945
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Renew Building Pem,it
Renew Plumbing Penn it
Renew Mechanical Permit
+ 12% State Surcharge
+ 5% Technology Fee
Minimum! Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
58.00
58.00
79.00
23.40
9.75
58.00
6.96
2.90
$296.01
Paid By
HAYDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
029081 In Person
Payment Total:
$2960 I
$296.01
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Page 1 of 1
4/29/20 I 0