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HomeMy WebLinkAboutPermit Electrical 2007-5-31 ZON ~... INIT[AL~ (\ ~.~o~..()1 DATE ~ _ ~_~ SOURCE ,,\ ~'t:1Y . - \ 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.. S -~/--6 f Date CO~MPLETE FEE SCHEDULE BELOlV 1. LOCATION OF INSTALLATION b'i bcf '1S~qwe.~J f 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. ~ ftJ& ~l\J Owners Signature: 8% State Surcharge 10% Administrative Fee ') ?b7euJ j{.e! TOTAL b )~ ~1 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