HomeMy WebLinkAboutPermit Electrical 2007-5-31
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number 6:'M ZO 0 b -- 00 'Sz..
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Date
CO~MPLETE FEE SCHEDULE BELOlV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
liD Z '5'1'13 D Z-C'OO
JOB DESCRIPTION
4s- Y"
3.
A. New Residential-Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/0'
7h
I
c-f
$106.00
l/ tlU=!'
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
B. Services or Feeders - Installation. Alterations or Relocation:
CONTRACTOR INSTALLATION ONLY
2.
I&Jh g~>Z//i
200 Amps or less '-,N()\\.'f..
201 Amps to 4~q At1\'ps,~ ~~\
, 401 tI€~~tg-.~W~\0
,'\Y\ \S)~ ,.~\ \ sl(}m t\~~~Jlb~mlJs~\l;
5{)1-~:~\ \) \~~dO~~%\~~~t\iolts
\ (\ \{\~\\ -" ,\ \R~~hiiect Only
t\,~ '\'\ I.) v ~t?-. \\W
/J v/\ S' r'J\\iI'!\' \~'-{ y
'/ 0 U 1./'-'\'-' ,,~\\ \C.' Temporary Services or Feeders
\\ \" '
~ / () <,;( Installation, Alteration or Relocation
I
200 Amps or less
,Cl/-3 0""';-( aU \0
Constr. Contr. Number y./ . 20 I Amps to 400 ~'\\\.'1 $ 69.00
Exprrat;on Date ~/ (J V :\Ii'J\"\\O~J~~~~;~~~<~h'above $10000
Signature of Supervising Electrician ~\\O\fJ t~\~~e\~~~'H~joH~O~\\eru\ys~i
pr, II /7 (/~!;; ') \K\\',\,\"?,,~,,\,~O~I):'-,,_~eJJn*~~\tiO,,,' ~"~~~~~#S~%lfort>anel
/-j::.:)LfJ/ ,;C;1-4J \\\ C'\"'~n0 ~'C1r~'1\~O~8;..,\\\\! \~O\.I \
()C:;'j~J' , v \'(i016@'~ .,', oai 'e,tI;S:J.i~~ith
~ lJ \ C~<,\109 ~rW&. r F:s~?trmit
Owners Name f> PI ~ 6CJ ~ . \II'o\j~ \8\ \5 '\
. \Iv cell-
~17 77..""'J... ,} E. Miscellaneous (Service/feeder not included) -Each Installation
~~F~ Phone ~?( - .:?I'J (
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Electrical Contractor
""-;7
1-':) ,'//'. J ( uv
Address ,;; I/O vV. / {
City yj;C21lQ~ tf lf2'~hone
o
Supervisor License Number
Expiration Date
$ 50.00
$ 43,00
$ 3.00
Address
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
/B2
1'1 fb
(5ZO
9'0
SuBTOTAL OF ABOVE
~4.
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Owners Signature:
8% State Surcharge
10% Administrative Fee
') ?b7euJ j{.e!
TOTAL
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Inspection Request: 726-3769
Shared Dlive(T:)/Building FonTIs/Electncal Pelmit Application I-06,doc
.
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/18/2007
VALUE: $ 372,548.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6464 DOGWOOD ST
ASSESSOR'S PARCEL NO.: 1702344302000
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 86
Owner: BRIAN WOODMAN
Address: 597 72ND ST
SPRINGFIELD OR 97478
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor Type
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-221-3181
I CONTRACTOR INFORMATION I
Contractor ~~~~,\License
RYEN MARTIN MINGO ~ ,\~<.y \~ ~~ 137661
OWNER ~~'t. 'V. ~~ ~
DIVERSIFIED ELECTlt~~ ~'t.~\~\) ~~ 144685
OWNER .~'r-\; \y.."\ SJ\:j\'
GP~~~,&~~~ 't>.~~~ 136043
\~\"~ ~~~t'<-\\~Bfut~G INFORMATION I
~\~ ~\;<?- ~\-'
~ ~,~S ~~ # of Stories: 2 Lot Size:
,,~~ \ <o~ Height of Structure: 29.00 Sq Ft 1st Floor:
~~ Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
VN Water Type: Gas \0 Sq Ft Basement:
Range Type: 5 '4ra~ .~~'\ Sq Ft Garage/Carport
Energy Path: eo,~\~F~~\\ \0$1} Ft Other:
Sprinkled Buildin~0--.N \ O\e<ri'1i. 5e\ ~~upant Load:
,f'f'\\ ,'r\e f '3.\,'0 -;0(;..'2; ,-~
I DEVELOP :Pf'~ ;~~~;~~~:~:.
~<.'<' ~\l ~\o ~\eS 0 \0\e'l\\o'l>"o<;\
25.00 ' 0~~f}<D~t6\-C)C) i\~ (,0 ~e..~Iii\~€
8.00 " *$fr~~~~s ~q'if~ ~o 0\~'\'\ ';)bt~'
8.00 ~~~~~Qes~~0\~~e~0~_';)';)'2-7:- No
~~<3~~t ~a.~~ 'V~(J 22.90
c~\,0 ~ \0'( e'\ \5
('(\'Oe r p,0\!
\'':: -
I PUBLIC IMPROVEMENTS I
Expiration Date
08/23/2007
Phone
541-521-9969
06/23/2008
541-484-9078
01129/2009
541-345-1931
21,686
1,748
1,612
1,018
4
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
70.00
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage to curb & Gutter or Storm system downhill from Res. Driveway to be standard concrete, NOT
pervious pavers.
Paee 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
AC - Residential
V Wood Frame
Gara!!:e
A.C. - Residen
Dwellin!!:s
Gara!!:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Mountaingate Impervious Area
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
Vent Fan
WiIlamalane Single Family
Miscellaneous Copy Chgs
Replacement Plans per Hour
+ 10% Administrative Fee
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,360.00
3,360.00
1,018.00
Total Value of Project
~
Amount Paid
$944.39
$10.00
$210.98
$151.27
$306.00
$31.00
$1,452.90
$80.00
$6.00
$9.00
$218.90
$12.00
$15.00
$4.00
$12.00
$1,275.59
$198.00
$-30.00
$732.25
$962.98
$10.00
$865.31
$82.03
$184.12
$63.58
$836.32
$189.60
$80.00
$50.00
$24.00
$1,000.00
$6.00
$20.00
$4.50
Date Paid
7/28/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
9/18/06
5/8/07
5/8/07
5/21/07
Pa!!:e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/18/2007
VALUE: $ 372,548.00
Value
Date Calculated
$13,440.00
$332,640.00
$26,468.00
$372,548.00
07/28/2006
07/28/2006
07/28/2006
Receipt Number
1200600000000001156
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200600000000001304
2200700000000000671
2200700000000000671
2200700000000000786
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
Planninl! Review
07/31/2006
07/31/2006
Public Works Review
07/31/2006
Structural Review
07/31/2006
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/18/2007
VALUE: $ 372,548.00
$2.25
$3.60
$45.00
$18.20
$9.10
$14.56
$106.00
$76.00
5/21/07
5/21/07
5/21/07
5/31/07
5/31/07
5/31/07
5/31/07
5/31/07
2200700000000000786
2200700000000000786
2200700000000000786
1200700000000000663
1200700000000000663
1200700000000000663
1200700000000000663
1200700000000000663
Place orange construction fencing at
back of house as marked on the plot
plan and keep all construction
activity out of this area. Place
orange construction fencing to the
driplines of the 2 groups of trees
marked on the plot plan and follow
tree preservation guidelines
attached to the building permit. Thf
2 douglas firs on the east side of the
front of the property may count as
one of the required street trees.
Choose the other street trees from
the list of native trees for hillside
developments in the street tree
handout.
Storm drainage to curb & gutter, or
storm system downhill from bldg.
Driveway to be concrete, NOT
pervious pavers.
REQUIRES SITE ENGINEERING
SUBMITTED TO CITY AT
FOOTING INSPECTION.
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.
$10,292.43
I Plan Reviews I
07/31/2006
08/03/2006
APP SKG
APP TAJ
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
08/01/2006
APP JLP
09/11/2006
APP RJB
Pal!e 3 of5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/18/2007
VALUE: $ 372,548.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Curbcut - Standard: 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 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.
Pal!:e 4 of 5
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/18/2007
VALUE: $ 372,548.00
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 ~nd 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 aU 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.
~A~M/J
Owner or Contractors Signatu.r
S-/~'k/
r - /
Date
Pa!!e 5 of 5
225 Fifth Street
Springfield,'O'regon 97477
541-726-3759 Phone
Cit-. -.f Springfield Official Receipt
Dl "topment Services Department
Public Works Department
Job/Journal Number
COM2006-00952
COM2006-00952
COM2006-00952
COM2006-00952
COM2006-00952
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000663
Date: 05/31/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BRIAN WOODMAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1052
In Person '
Payment Total:
Page 1 of 1
IO:09:58AM
Amount Due
106.00
76.00
9.10
14,56
18.20
$223.86
Amount Paid
$223.86
$223.86
5/31/2007