HomeMy WebLinkAboutPermit Electrical 2007-5-21
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELE\;l.klC~PERMIT APPLICATION"
City Job Number t nm ? l.'J1)Cg ~ [rJq 5 0'.. Dilte
;1. I LOCA~ OF INSTALLATI9N 3. I COMPLETE FEES,CHE~ULEBELOW
~~~2J l..JC:Jt>~ A. I New Res;dentia'- 8;n.le .. MoW-Family pe. dwemn. nn;'.
\ l 0 ~ , S 4 43 ()? ~ Service Included
JOB DESCRIPTION
J
~~-\~ ~llfl'dLD .(}lld~
Permits are nJJ;ransferable and expire ifw~rk is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRACTOR INSTALLATION ONLY I
Electrical Contractor JJVR,d~F~A "E;#aL'"'fIi'u
Address J?f W#n --Ii C
City ~1~ ~Phone ~frl4/J1.f
Supervisor License Number 3Rtl.? L-~.4.
Expiration Date
/P//II!/J'1
Constr. Contr. Number
.-/
OWners Name ~n t.r\.'Y" fAJrTl'd(Y'l()..lY'-
Address EPn 72-,..0 61
City Rfl J:: Phone ~ -a I - 31 8' I
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B.I Services or Feeders-Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
$ 63.00
$ 75.00
, $125.00
$163.00
$375.00
$ 50.00
c.1 Temporary Services or Fee~~~__
I
.-J
InstaUation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. " Miscellane9':1s (S~D'ice/fe~der n~t inclu'!t:d) -E!loch In!i!allation..J
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial I $ 45.00 '<fCS . ~
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
7% State Surcharge
10% Administrative Fee
TOTAL
<J5,~
'~.r ;;> '-5
6-"0
4-5'6
, Shared Drive(T:)IBuilding FormslElectrical Permit Application 1-03.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
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
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Phone Number: 541-221-3181
I CONTRACTOR INFORMATION I
License
137661
Expiration Date
08/23/2007
Phone
541-521-9969
Contractor
RYEN MARTIN MINGO
OWNER
DIVERSIFIED ELECTRONICS
OWNER
GPC ENTERPRISES INC
# 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:
25.00
8.00
8.00
70.00
144685
06/23/2008
541-484-9078
136043
01/29/2009
541-345-1931
BUILDING INFORMATION.
1
R-3
U
VN
# of Stories: 2 Lot Size:
Height of Structure: 29.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: idlEl'IT\ON:C6as]on IS'Q'IJFf~'g~/~2}bt9t
Energy Path:\ allow rules al3l!JibU~d b~qlro ~pn Unllty
Sprinkled Bui~(linga' t'\On CPIYl8r. Tho@ec~ ROOmet fo/1
, ,dTlIJ ~ , ' Q^ 0 0&:1) on
I DEVELOPMENT I-NF.:O~~1~~lTi~~: ~'~~~~n~~~~~~: of' the rul~S \
J",~J. - . h..R.ij(,}.I,UIWiil>PARKING
calling the center. (Note. .t. \::-l ~m........."
Overlay Dist: number for the IIiJB~n Utlht~aWlcatlon 2
# Street Trees Rqd: ' .. T ""'L?Mil~,icapped:
Paved Drive Rqd: No Compact:
% of Lot Coverage: 22.90
21,686
1,748
1,612
1,018
4
I PUBLIC IMPROVijM-ENT~j
Street Improvements: Partially Improved THIS PERMIT ~W~L11~~pfRE IF THE wnRK Curbside 5'
Stor~ Sewer A~ailable: Yes P.UTHORIZED ~~IT~ff~~ftp~~~s~IT IS 'Curb and Gutter
SpecIal Instruction: COMMENCED OR NOT
IS ABANDONED FOR
Notes: Storm drainage to curb & Gutter or Storm system dow~~iYI ir~lh ~~ B~cHylYY. to be standard concrete, NOT
pervious pavers.
Paee 1 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
I Valuation Description I
A.C. - Residen
DwelliDl!:S
Garal!:e
Tvpe of Construction
AC - Residential
V Wood Frame
Garal!:e
$ 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
Value
Date Calculated
Description
Total Value of Project
$13,440.00
$332,640.00
$26,468.00
$372,548.00
07/28/2006
07/28/2006
07/28/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $944.39 7/28/06 1200600000000001156
-Mechanical Issuance Fee- $10.00 9/18/06 2200600000000001304
+ 10% Administrative Fee $210.98 9/18/06 2200600000000001304
+ 8% State Surcharge $151.27 9/18/06 2200600000000001304
3 Baths One & Two Family $306.00 9/18/06 2200600000000001304
Addressing Assignment $31.00 9/18/06 2200600000000001304
Building Permit $1,452.90 9/18/06 2200600000000001304
Curbcut Permit $80.00 9/18/06 2200600000000001304
Dryer Vent $6.00 9/18/06 2200600000000001304
Exhaust Hoods $9.00 9/18/06 2200600000000001304
Fire SF Fee - Residential $218.90 9/18/06 2200600000000001304
Furnace - up to 100,000 btu $12.00 9/18/06 2200600000000001304
Gas Fireplace $15.00 9/18/06 2200600000000001304
Gas Outlets 1-4 $4.00 9/18/06 2200600000000001304
Heat Pump $12.00 9/18/06 2200600000000001304
Mountaingate Impervious Area $1,275.59 9/18/06 2200600000000001304
Plan Review Major - Planning $198.00 9/18/06 2200600000000001304
PW Disc - 2nd Permit $-30.00 9/18/06 2200600000000001304
Sanitary Sewer - Improvement $732.25 9/18/06 2200600000000001304
Sanitary Sewer - Reimbursement $962.98 9/18/06 2200600000000001304
SDC MWMC Administration $10.00 9/18/06 2200600000000001304
SDC MWMC Improvement $865.31 9/18/06 2200600000000001304
SDC MWMC Reimbursement $82.03 9/18/06 2200600000000001304
SDC Sanitary/Storm Admin $184.12 9/18/06 2200600000000001304
SDC Transpo Admin $63.58 9/18/06 2200600000000001304
SDC Transpo Improvement $836.32 9/18/06 2200600000000001304
SDC Transpo Reimbursement $189.60 9/18/06 2200600000000001304
Sidewalk Permit $80.00 9/18/06 2200600000000001304
Temp Power 200 amps or less $50.00 9/18/06 2200600000000001304
Vent Fan $24.00 9/18/06 2200600000000001304
WilIamalane Single Family $1,000.00 9/18/06 2200600000000001304
Miscellaneous Copy Chgs $6.00 5/8/07 2200700000000000671
Replacement Plans per Hour $20.00 5/8/07 2200700000000000671
+ 10% Administrative Fee $4.50 5/21/07 2200700000000000786
Pal!: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
Status
Iss u ed
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
$2.25
$3.60
$45.00
5/21/07
5/21/07
5/21/07
Total Amount Paid
$10,068.57
I Plan Reviews'
Initial Review
Planninl! Review
APP
APP
SKG
TAJ
07/31/2006
07/31/2006
07/31/2006
08/03/2006
Public Works Review
07/31/2006
08/01/2006
APP
JLP
Structural Review
07/31/2006
09/11/2006
APP
RJB
2200700000000000786
2200700000000000786
2200700000000000786
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. Th(
2 douglas firs on the east side of the
front of the property may count as
one of the req uired 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.
~eouireCUnsnections I
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
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
Pal!e 3 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00952
ISSUED: 09/18/2006
APPLIED: 07/28/2006
EXPIRES: 11/1812007
VALUE: $ 372,548.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Pa!!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00952
ISSUED: 09/1812006
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 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
Pae:e 5 of5
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
c:....... of Springfield Official Receipt
1. dopment Services Department
Public Works Department
Job/Journal Number
COM2006-00952
COM2006-00952
COM2006-00952
COM2006-00952
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200700000000000786
Date: OS/21/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
DIVERSIFIED ELECTRONICS NJM 001490 Fax
Payment Total:
Page I of I
lO:54:03AM
Amount Due
45.00
2.25
3,60
4.50
$55.35
Amount Paid
$55.35
$55.35
5/21/2007