HomeMy WebLinkAboutPermit Electrical 2007-6-22
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTlUCAL PERMIT APPLICATION
City Job Number COW\ z..o 06- 00 ttl 0,
1. LOCA..TION OF INSTALL4TION: ,.......
b ,7?=> J:v"? ,...~~
,
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INST ALLA nON Limited Energy/Residential I $ 25.00
TIle installation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for.~~I~: \~as~or ren~. I ," ._, ... . _i~~nimum Electric pe.:~it In~pection Fee ,~. Surcharges
. .. I [,~ I E.I 1\1/1 IT SHALL c)(PIKc 1:- ! !-IC4./llPD.lt....TO. I,I T OF .ABOVE ..:. ',' if r
Owners Slonature' .. . . 0'&15 n.L . . ... ~
b ;\'1 ~ !-ir)r:~IZEO Ui\IDER THlrj PEPI,!,I", !;if\lr1T' ........ . . 0
. _ ._ \,r.~r '>r; ..... .._' .-c _..... ,. i'-' S% State Surcharge 36
/ JI",I"liI"lJLU UI'1 !0 IJd~.lI""\!LI[)I\!f--.!' ~Ch 10%AdministrativeFee \.fro
'''i,i'.' i 'ilJ DAV PERIOC 5% Technology Fee Z:z.. J
S-~~
LEGAL DESCRIPTION:
i 80Z O-:3llf
01300
JOB DESCRIPTION:
LctJ ~~f f - t/A-LS'fS, T~iM
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
CONTR4CTQR/NStAii..4TIOliONLY.
;., - -.~.-~ . .
2.
Electrical Contractor aD H-eLl) S / ~
Address /t;'G S- uJ ?fh
City hOer/ e-
. i
Phone f{g .s-:lQOOO
Supervisor License Number 26'- Ll9:SC LC
'7/;/0 g
Constr. ContI'. Number /2?- 73 to
Expiration Date {P /'9/ () CO
Expiration Date
Signature of Supervising Electrician
~tJ.(jJ~ 2/95ft1ft
, (j
Owners Name Sc...~1f S~ __JA-~'\
980 _s- &Tk St-
City S~p~ Phone tlt 7 - 8'5? l
Address
Inspection Request: 726-3769
ZON
Date
b - Z 2-0 7
3.:C()!:!PLEtt~rfJ}H:e"LTL..EBEL0I1I"'H ,..:...'
f\I--,.... v ruleR.... / ,9017 law -
,'U,t'Cati '. qQoPteC;b,.,. requIres.
A. .New~JjrlentjJ!?; fij1jtJ~o~ lI;1;ult$~nfiW::~J~i~lfRg unit.
. 'vC0'J \'b ::---t;ul~0010'hu....CJ rl1/esQre 'l.lf!,flY
Service IItcJu(ie<Il! may obta' I rOUgh 01' ~ Set r0/th
/lil7g the ,In COOi.... ' ,rr 95~_(y,
1000 sq.rftJ,WcJgt~ "c.emer. (IV .' 'v.s Ofth./Ol.. $Llp-6.'tJe1~
Each additional CF8~l{Jft.@ff:() Gte:: ri7e t'.:1l", /, /,23 by
portion thereof en tel is 1-8~'?Onr Uti/iiy N~';~F~q9.100
u -002 j':\ ..Ication
Each Manufact'd Home or -v44).
Modular Dwelling Service or
Feeder
$50'.00
:,,:,,-!,'~: '." '"..:.~., ,~"'~.>,: -'-, " '.~-'-' ':-;_. "":''-.'--': ;", .:.,: ' >
B. ; ~~r,'ices .or Feeders"": Installation, Alterations or Relocation:
.:.... :~". ~ : ".'
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
. .
c. ,L-rempor~rySer,:i,sesor,feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. . Mj~cehalleous (Service/feeder'not included) -Each Installation
2\
TOTAL
Shared Drive(T:)/Buitding Fonus/Electrical Pennil Application 8-06.doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00919
ISSUED: 10/13/2006
APPLIED: 07/2112006
EXPIRES: 12/25/2007
VALUE: $ 358,589.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6776 Ivy St
ASSESSOR'S PARCEL NO.: 1802031401300
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Lot 11 South Hills North
Residential
Owner: SCOTT SINCLAIR
Address: 980 58TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Phone Number: 541-747-8392
" II IS:
I CONTRACT.o~I'N~RM.A\l'~N I
i/7 -"'ICqtio 1.'t::8 q(jo ":Yolf I. '
Contractor 00 Q,<jR 9$')/7 ~~geB~C1 b,,'lrX])~ation Date Phone
STEVE DAHL 90. Yo <-DOl, er. 11]0.Y tl]e 0 Ires Yo 541-543-1951
OWNER Cqlli/7 U I7)qy 0010 tl] se rUle regO/7 I I ~ to
/70 '9 tl] obh' rou S Qr Vb/it
OLD FIELDS INC I7)ber (, e Cer1t~7:3'6 Co . '91] 0 06;ij9:1~p~8I-Y
SUNSET ELECTRIC INC Ce or tl]e lf188$.9/0t~:es Of /Jfin$IJ..~~tl]
RS PLUMBING CONTRACTING /7teris \0~8'~ I t..:/he t"Jnf0\4,goff81,
BUILDING INFORMA TIO~ rJJ.2;~ IvOtl:;;fl~/7~ ~.Y
44). qbO/7
# of Stories: 3 Lot Size:
Height of Structure: 54.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
541-485-6000
541-915-4883
541-461-4714
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
1
R-3
U
VN
6,300
1,400
1,415
680
484
3
I DEVELOPMENT INFORMA nON I
~ [] I ~ C [8.00 Overlay Dist:
THIS PEW1~~r SHALL E'\~lffEtrrrff~f.R5tdJRK
AU'THOJh~~J UNDER lPJlI~~<b~f,i~'~lf?~:I\'OT
f22:00 o/J of Lot lCover~g~:
COMMENfouD OR IS ABANDONED FOR
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Hillside
2
Yes
35.90
f,N\' ~:8 8/\'/ ~:~:::.
I PUBLIC IMPROVEMENTS I
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: Storm drainage to existing storm system - downhill (N) side of property.
Pal!e 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
DwelIinl!s
Garal!e
V Wood Frame
Garal!e
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 - Additional Driveway
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fixture
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
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
Storm Drainage Impervious Area
Storm Sewer Each Addt1100'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2006-00919
ISSUED: 10/13/2006
APPLIED: 07/21/2006
EXPIRES: 12/25/2007
VALUE: $ 358,589.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
3,495.00
484.00
Value
Date Calculated
$346,005.00
$12,584.00
$358,589.00
07/21/2006
07/21/2006
Total Value of Project
~
Amount Paid
$914.81
$10.00
$205.84
$109.37
$148.75
$306.00
$31.00
$1,407.40
$50.00
$6.00
$9.00
$198.95
$70.00
$12.00
$15.00
$4.00
$12.00
$198.00
$890.57
$1,171.19
$10.00
$865.31
$82.03
$178.17
$63.94
$836.32
$189.60
$80.00
$797.09
$14.00
$50.00
$24.00
$1,000.00
$6.30
$3.15
Date Paid
Receipt Number
7/21/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
10/13/06
5/18/07
5/18/07
1200600000000001122
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
1200600000000001522
3200700000000000314
3200700000000000314
Pal!e 2 of 5
CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-00919
ISSUED: 10/13/2006
APPLIED: 07/21/2006
EXPIRES: 12/25/2007
VALUE: $ 358,589.00
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Miscellaneous Copy Chgs
Replacement Plans per Hour
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$5.04
$63.00
$44.00
$22.50
$4.50
$2.25
$3.60
$25.00
$20.00
5/18/07
5/18/07
6/22/07
6/22/07
6/25/07
6/25/07
6/25/07
6/25/07
6125/07
Total Amount Paid
$10,159.68
I Plan Reviews I
Initial Review
LDAP Review
Planninl! Review
07/2412006
07/21/2006
07/26/2006
07/26/2006
10/16/2006
09/07/2006
APP
APP
APP
LLH
BRC
TAJ
Public Works Review
07/2612006
JLP
07/27/2006
APP
Structural Review
07/26/2006
08/30/2006
WI
DLM
Structural Review
08/31/2006
08/31/2006
10
RWC
Structural Review
09/29/2006
09129/2006
APP DLM
3200700000000000314
3200700000000000314
1200700000000000809
1200700000000000809
1200700000000000818
1200700000000000818
1200700000000000818
1200700000000000818
1200700000000000818
Solar exempt based on slope.
Height modification to allow 40'
granted by Sarah Summers as
allowed in the Hillside Overlay
district.
Storm drainage to existing system in
PUE on downhill (N) side of lot.
Waiting for direction from planning
regarding building height.This is a
3-story structure as defined by the
Bldg. Code. (Bldg hgt.= 40.46ft. The
bldg height may be higher,
depending on resolution of fill-slope
issues 8/30/06 dim
field inspection with Tara to see the
lay of the land
To Request an inspection 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.
~eolliredJnsnections I
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Pal!e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00919
ISSUED: 10/13/2006
APPLIED: 07/21/2006
EXPIRES: 12/25/2007
VALUE: $ 358,589.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor 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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor 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.
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.
Underfloor 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.
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.
Low V oItage: Prior to cover.
Pae:e 4 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00919
ISSUED: 10/13/2006
APPLIED: 07/21/2006
EXPIRES: 12/25/2007
VALUE: $ 358,589.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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
Pal!e 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-00919
COM2006-00919
COM2006-00919
COM2006-00919
COM2006-00919
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000818
Date: 06/25/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 098628D In Person
Payment Total:
Page I of I
IO:54:49AM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
6/25/2007