HomeMy WebLinkAboutPermit Electrical 2007-7-16
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
- _.
City Job Number t O~ z...OO'7_. COO S..s
1. LOCATION OF INSTALLATION:
.1
50C) S; 7 z ~"lr.:'!/l
LEGAL DESCRIPTION:
/7bZ 55) L(
D5~CL
JOB DESCRIPTION: 5e.cov~i :/-/;/ {'. eLl i/
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~!~ f-t'AA'-'1..
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. CONTRACTOR INSTALLATION ONLY
. A-h I'..:. ,Cr:-I"/7f1Lt",oyS .
Electncal Contractor :70(I,lnr;:!-'l LJ. /JA('1,"'<- U- L/
I
Address i)/)' [Sc'jX Zi/.'5-J
City 6;("'i-.e~ -
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Phone -sYl-l../lS Jd? 7
Supervisor License Number
/7/3LE,4-
Expiration Date
16 - 0 g-
/t Ci seZ
Constr. ContI, Number
Expiration Date
7-0<6
Signature of Supervising Electrician
0~'
.-7' ~/ U~.,,~--=/
r;;..' -- -
/ c:..e: .,:..: ct/t/,6..----
Owners NameG.lK" J~ (J,rl!"t f:l,t.k-"- J
Address Br8 bJ ~; .lc:-t;"1..vA...
City~;~A,'-+- ~ i ~hone ' 'J I S- - -333-7
,
\- Up
_..- ,-',
Date
3. COMPLETE FEE SCHEDULE BELOW
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
$117.00
$ 21. 00
$55.00
B. 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 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c. ,Temporary Services or Feeders
Install,. ~i~...., i" .ation or Relocation
di :'.J! ld:::.
200 Anm~ .MIT- Sl-U,1 L EYfll~f:. t,??tO,O,... ...
201 A~!\f?" s ".0. - ..:' ~",...I~t7~~~\~'
401 A PLY. . s ! HL.I mi.~~ro!9bNU I
~A.~ k~M .~ Q[t1S AbANUUNEO fOR
Over 6~H\4~a~~~t ~~Aioll"B' aoove.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
OWNER INST ALLA TION Limited Energy/Residential I $ 28.00
The installation is being made on property I own which Limited Energy/Commercial $ 50.00
is not intendei~~e W'rent. . Minimum Electric Permit Inspection Fee is $50.00 + Surcharoes
'N: uregon law requires you to . '" 0
Owners Sia rule. adoptad by the Oregon Utmtt SUBTOTAL OF ABOVE ~
~~n Center. Th,ose fl:les l1!e set forth 8% State Surcharge L{
~AA ....,2-001-0010 it II YUij' I JAR 952-001- 10% Administrative F ee ~
_I'.' You may obtain copia~ 01 the rules by 5% Technology Fee e ) -
Iiiaf In9 the center. (Note: tne telephone C
'''p,ction ~~egO" Utility Notlflcalion TOTAL (,./ ~
t . 1..aoo-332-2344). Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00055
ISSUED: 03/13/2007
APPLIED: 01112/2007
EXPIRES: 01116/2008
VALUE: $ 547,282.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 560 S 72nd St
ASSESSOR'S PARCEL NO.: 1702353405002
Springfield
TYPE OF WORK: Single Family Residence
Residential
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Owner: EV ANS GORDON BRET & LINDA M
Address: 85865 RIDGEWAY RD
PLEASANT HILL OR 97455
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
GORDON BRET EVANS 102721
LYNNS ELECTRIC 102316
ABLE BROTHERS SECURITY & MORE LLC160882
PACIFIC AIR COMFORT INC 39237
DONALD CLEWIS 33076
BUILDING INFORMA nON I
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure: 33.00
Secondary Occupancy Group: U Type of Heat: orced Air Electric
Primary Construction_\ype VB Water Type: Electric
Secondary ConHOT&Q:type: l CVplRE IF ~~ -IW(JW{e: Electric
# of Bedrooms:TH1S PERMIT SHAL 5''' ~~h: Path 1
AUTHORIZED UNDER THIS PER Pfb\\~ed "Building: n/a
l.;UIVIMtl~i:~ on IS ,~M,t\.wDnNF .
ANY 180 DAY PERlOD. I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
11.60
5.00
5.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-915-3837
Expiration Date
10/20/2008
10/1412007
07/26/2008
03/2512010
06/10/2007
Phone
541- 7 46-4803
541- 726- 7895
541-463-8077
541-672-9510
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,015
2,914
3,024
1,632
384
3
Yes
36.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
~II ~
folio UtIlity
Street Improvements: Notiflca. tlon Center. Those rules are set fcMAewalk Type:
FD\IOAmB2f601-OO10throUghOAR952~ . Curbside 5'
Stor~ Sewer A~ailable: 0090, You\lwaY obtain COpies of the rules wnspouts/Drams: Curb and Gutter
Special Instruction: calling the center. (Note: the telephone
number for the Oregon Util~ NotiflMtIftft
Notes: Storm H20 to curb & gutter. Overw~*t''13i~I3IA)~heryT8'uring PIP project/process. JLP 2/23/07
Pal!e 1 of 6
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: COM2007-00055
ISSUED: 03/13/2007
APPLIED: 01/12/2007
EXPIRES: 01116/2008
VALUE: $ 547,282.00
I Valuation Description I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
A.C. - Residen AC - Residential $4.00 4,700.00 $18,800.00 03/12/2007
Carport Carport $20.00 22.00 $440.00 03/12/2007
Carport Carport $20.00 648.00 $12,960.00 01/12/2007
Deck/Balconv Deck $19.00 430.00 $8,170.00 03/12/2007
Dwellinl!s V Wood Bonus Rm $89.00 384.00 $34,176.00 03/12/2007
Dwellinl!s V Wood Frame $103.00 4,316.00 $444,548.00 03/07/2007
Garal!e Garal!e $27.00 984.00 $26,568.00 01/12/2007
Garal!e Garal!e $27.00 60.00 $1,620.00 03/06/2007
Total Value of Project $547,282.00
~
Fee Description
-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)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Amount Paid
Date Paid
$10.00
$315.74
$158.23
$226.93
$306.00
$31.00
$2,021.65
$80.00
$6.00
$9.00
$320.70
$30.00
$12.00
$4.00
$12.00
$198.00
$1,533.77
$-30.00
$106.00
$228.00
$752.04
$989.01
$10.00
$961.52
$91.61
$224.73
$62.92
$836.32
$189.58
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
Pal!e 2 of 6
Receipt Number
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
Fire SF Fee - Residential
Refund - Res Plan Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
Plan Review Comments
01/29/2007
Planninl! Review
01/26/2007
Planninl! Review
Planninl! Review
01/29/2007
01/12/2007
$80.00
$1,922.91
$28.00
$50.00
$24.00
$2,303.00
$-85.70
$-371.81
$5.00
$2.50
$4.00
$25.00
$25.00
$13,708.65
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
3/13/07
5/22/07
5/22/07
7/16/07
7/16/07
7/16/07
7/16/07
7/16/07
I Plan Reviews I
01/29/2007
03/06/2007
01/12/2007
APP
10
APP
WE
Pal!e 3 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00055
ISSUED: 03/13/2007
APPLIED: 01/12/2007
EXPIRES: 01/16/2008
VALUE: $ 547,282,00
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
1200700000000000268
VOUCHER # 119026
VOUCHER # 119026
1200700000000000920
1200700000000000920
1200700000000000920
1200700000000000920
1200700000000000920
LLH
DLM
Due to steeper excavated grades
than anticipated, the contractor
decided to revise the basement slab
floor to a post & beam elevated
floor. Floor framing drawings are
to be submitted in support of the
requested change. 03/06/07dlm
Have worked out coverage and
solar, but have found descrepancies
regarding lot dimension. Bret Evam
is working this out with PWE. OK
to review plans. Dimensions as
shown by owner (87.7 for e/w line)
are correct per Les Benoy.
Solar exempt based on pre-existing
vegetation.
Survey required because of
minimum setbacks.
TAJ
TAJ
On Hold to work out solar and
front/rear setback issues. Spoke
with Bret Evans on 1/12/07 and he
said to hold on to the permit until
they figure out what to do. He or
the designer Toby Moore will
contact me.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2007-00055
225 Fifth Street, Springfield, OR ISSUED: 03/13/2007
541-726-3753 Phone APPLIED: 01/12/2007
541-726-3676 Fax EXPIRES: 01/16/2008
541-726-3769 Inspection Line VALUE: $ 547,282.00
Public Works Review 04/23/2007 04/23/2007 10 JLP Rcvd request from Kay @ 4:06pm
to contact owner Rod @ 744-0556 to
discuss fees for PW. Assistant @
above number said Rod unavailable,
11ft msg I c1d & call back number @
4:43pm. JLP 10 4/23/07
Public Works Review 04/25/2007 04/25/2007 10 JLP Rcvd voicemail from Rod on 4/24.
Tlkd w/Rod on 4/25 Tld him I rcvd
email from Don indicating possibly II
plan revision may not have been
routed. I tld Rod I would review the
plan set & check accuracy of
numbers and fees.--Met w/Don rcvd
bId file & will review. JLP 10
4/25/07
Public Works Review 04/25/2007 04/25/2007 10 JLP Rvwd bid plan set...found same
square footages as original. No
changes to PW fees necessary. I c1d
and discussed with Rod @ 465-4721,
11:10am 4/25. Email to same sent to
Don & Kaye, see attached docs.JLP
10 4/25/07
Pu!Jlic Works Review 01/29/2007 01/29/2007 WI JLP Rcvd 1/29/2007---Waiting in order
PW rcvd for rvw.JLP
Public Works Review 02/07/2007 02/07/2007 10 JLP Rcvd forwarded phone call from
Brett. X sd told him public works
had a problem w/an easement issue.
I checked notes. I see planning notes
indicating an easement/setback
issue. tld X PW rvw waiting in que.
Forwarded call to Tara.JLP
Public Works Review 02/23/2007 02/23/2007 APP JLP Storm H20 to curb & gutter.
Overwidth driveway approved by
Cheryl during PIP project/process~
JLP 2/23/07
Structural Review 01129/2007 03/12/2007 APP DLM Additional drawing for basement
floor framing submitted 3/8/07dlm.
See documents for Plan review
comments
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.
L...Jleouire<Unsnections .
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Pal!e 4 of 6
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00055
ISSUED: 03/13/2007
APPLIED: 01112/2007
EXPIRES: 01116/2008
VALUE: $ 547,282.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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.
Shower Pan. Prior to covering 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.
Pal!e 5 of 6
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00055
ISSUED: 03/13/2007
APPLIED: 01/12/2007
EXPIRES: 01/1612008
VALUE: $ 547,282.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
Low V oltage: Prior to cover.
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 ofthe 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 6 of 6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00055
COM2007-00055
COM2007-00055
COM2007-00055
COM2007-00055
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000920
Date: 07/16/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
ABLE BROTHERS SECURITY djb 981 In Person
Payment Total:
Page I of I
1:17:36PM
Amount Due
25.00
25.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
7/I 6/2007