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 -.CD \'Vi WOfL) ...(:) 1 ~t:; Date:J/1 b ! D7
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3. COllfPLE1E ltEE SCHEDl.TLE BELOlV
1. LOCA170N OFINSTALiATIDN
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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.' ,P. .
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
$106.00
lOOO sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
R e IJlac..e. /A1 t:Jt:~1 {J ClC1e/
. I
Permits are non-transferable and expire if work is
/' not started within 180 days of issuance or if work is
Suspended for 180 days.
$ 19.00
$50.00
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B."Servicesorl"eeders-}nstaUation, Alterations or Relocation:
'"""',.',, ' , DO
.t $~ -rO.{JO
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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CONTRACTOR INSTALUTiONONLY
2.
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200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
Electrical Contractor
Address PO' bD X" II {3C1
City (g-(/t,~e Phone <;11 - 6ff fLftb
C. ': Te~por~"rYS~rvice~ or Feeclers
~ 35"535
Supervisor License Number
lolos
bel? 'I ~
slOb
,
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Expiration Date
$ 50.00
$ 69.00
$100.00
Constr. Contr. Number
Expiration Date
Over 600 Amps or 1000 Volts see "B" above.
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D.Bran.chCircuits .,; .
Signarure Of{fii~~an
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Owners Name .... / G--;-c. I! q, .1J1/r S.
Address "] 2..1/ G~ Al/ c:-
City ~5 rdtJ Phone 7 LI tj...O b tlO
New Alteration. or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
.' >'" _: "c0,_"",,:.- /-':. ."'."" ,':{' ,'," -'.:'::~.::',
E. .~'~~cel,~~~~~~:':L~Se~Iif~lfeedel; nO~?lcluded)- Ea ch Ins talla tion
Pump 1~~b~N: Oregon law rsauiressyoo.(lt))
Signl~ IO~;~~l~~ adopted by the o(ego19 W.i0W
. .. ~auo ~l1t~l'. Thost: I \"lIes are ~~t;fRnh
Lumtm ~~~~ho&e; 0 throt{gh CAR gsZO'tr1-
Limit~ge.rr~~OOtain copies of the ~tfl~S:>By
calling, the:yEl!}te~ INO~ h~faj hn
Minimum EkaffloEiCfOP\1ltN:Yf..f11on 1:. s .'t~~~I,!,-,~grcharges
. . . It-gon III Y I otlficatlon
4. SUBTOT~9i9}r&5v.100-S32-2$44l. 7D. DO
t;. b"O
7.00
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OWNER INST ALLA TION
!s~~li~f ~;:lt;~f;~~~;~H~o~nO~~ch
oMlJtlQi{lttt:UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
t:lj% State Surcharge
10% Administrative Fee
~ ,..~"^ ~
TOTAL
Inspection Request: 726-3769
CLfb ~ 5/4\O~
Shared DJive(T:)/Building FOIms/Electrical Pennit Application i-03.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3751 GEM AVE
ASSESSOR'S PARCEL NO.: 1702314207500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: MIKE MCGINNIS
Address: 3751 GEM STREET
SPRINGFIELD OR 97477
Phone Number: 541-744-0640
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
License
8699
Expiration Date Phone
12/18/2010
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VN
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2 Lot Size:
28.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Path 1 Sq Ft Other:
n/a Occupant Load:
1,248
280
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback: 7.70 # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: 64.11 % of Lot Coverage:
Solar Setbacks: 0.00 NTlON' 0 on law requires you to
-"'\-I-a: AliI:. . reg 'I' .
I~u I \11;.. follow rules aaoplea uy l/lt1 (,1"'~Vjl Uti '~,
THIS PERMIT SHALL EXPIRE IF PROVEMENTS Notification Center, Those rules are set forth
Street Immtl'I'rt~mt:EO UNDER THIS PERM1TiNOT In O~~OOd~Q~Othro~gh OAR 9521-OOb1-
S BANDONttl 009Q,. You may_o,Rt~ln copies of the ru as y
Stor~ sevGtlWdffiWitEO OR I A cah1~~'Hf~i~Note: thi>teN:plla~iJ)ov~de
SpecIal In~WftWi@ DAY PERIOD. number for the Oregon Utmtr~tiEq1lClmrmg
Center is 1-800-332-2344),
Notes: Rcvd Approved Drywell calcs 10/03/06JLP Hold until rcv drywell calcs(t1ko w/owner 8/30). All other approved as
currently submitted.JLP
Total:
Handicapped:
Compact:
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,248.00
280.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$123,552.00
$7,280.00
$130,832.00
08/16/2006
08/16/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $433.16 8/16/06 2200600000000001149
-Mechanical Issuance Fee- $10.00 11/3/06 1200600000000001600
+ 10% Administrative Fee $103.48 11/3/06 1200600000000001600
+ 5% Technology Fee $47.92 11/3/06 1200600000000001600
+ 8% State Surcharge $76.67 11/3/06 1200600000000001600
Building Permit $666.40 11/3/06 1200600000000001600
Fire SF Fee - Residential $76.40 11/3/06 1200600000000001600
Fixture $112.00 11/3/06 1200600000000001600
Minimum/Adjustment Mechanical $33.00 11/3/06 1200600000000001600
Plan Review Minor - Planning $112.00 11/3/06 1200600000000001600
Sanitary Sewer - 1st 50 Feet $45.00 11/3/06 1200600000000001600
Sanitary Sewer - Improvement $336.44 11/3/06 1200600000000001600
Sanitary Sewer - Reimbursement $442.45 11/3/06 1200600000000001600
SDC Sanitary/Storm Admin $42.81 11/3/06 1200600000000001600
Storm Drainage Impervious Area $77.28 11/3/06 1200600000000001600
Storm Sewer - lst 50 Feet $45.00 11/3/06 1200600000000001600
Vent Fan $12.00 11/3/06 1200600000000001600
Water Line - 1st 50 Feet $45.00 11/3/06 1200600000000001600
+ 10% Administrative Fee $18.80 7/16/07 2200700000000001132
+ 5% Technology Fee $9.40 7/16/07 2200700000000001132
+ 8% State Surcharge $15.04 7/16/07 2200700000000001132
Add, Alter, Extend Circ Ea Add $48.00 7/16/07 2200700000000001132
Perm Serv/Fdr 200 amps or less $140.00 7/16/07 2200700000000001132
Total Amount Paid $2,948.25
I Plan Reviews I
Initial Review
Planninl! Review
Public Works Review
08/17/2006
08/17/2006
08/17/2006
08/1712006
09/25/2006
08/29/2006
APP LLH
APP T AJ
WE JLP
Hold until rcv drywell calcs(tlkd
w/owner 8/30). All other approved
as currently submitted.JLP
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
09/25/2006
09/2512006
WE JLP
Public Works Review
09/26/2006
WE JLP
09/26/2006
Public Works Review
10/03/2006
10/03/2006
APP JLP
Structural Review
09/20/2006
APP RJB
08/17/2006
Lft msg w/person @ McGinnis homf
744-0640 -Need drywell calcs before
PW can release.JLP
Rcvd drywell cales. They did NOT
pass Matt's rvw. I called the geotech.
explained we need "high water
table" issues detailed in his
narrative on the drywell calcs.
Called and tlkd with Mrs. &
explained process is waiting on
geotech.JLP
Received revised drywell calcs,
approved by Matt S. SDC
Worksheet recalculated to include
drywell.JLP
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,
~eouiredJnsnections I
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.
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 pl~cement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01055
ISSUED: 11/03/2006
APPLIED: 08/16/2006
EXPIRES: 12/15/2007
VALUE: $ 130,832.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and including required testing.
Line to Septic Tank: Prior to filling trench and required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 4 of 4
225 Fiftli Street
Spr,ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01055
COM2006-0 I 055
COM2006-01055
COM2006-01055
COM2006-0 I 055
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001132
Date: 07/16/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MR. MICHAEL MCGINNIS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 07511 B In Person
Payment Total:
Page I of I
9:33:22AM
Amount Due
140.00
48.00
9.40
15.04
18.80
$231.24
Amount Paid
$231.24
$231.24
7/16/2007