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HomeMy WebLinkAboutPermit Electrical 2005-11-22 cta__l-~gw.~ not requtreAff~I~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FA.X:C.(54ij'126-3?89 .-t':"""',f. ,.i' 'oi''-:.(:,-li1? f ~ ELECTRICAL PERMIT APPLICATION ZOnn'lQ-~ V~-U City Job Number {'J)fY)2J)[)5- Q(}c:s<l/- Date , J P9'iJ? ~~~ I ~~~o .)1:;lgnmcre 1. LOCATION OF INSTALLATION (o?fil ~.NH-\L-l- GTe LEGAL DESCRIPTION II 0'2- 3tf ~ q aLl-DDD 2. Electrical Contractor (:Jtf);9Cti)S IN('/ Address / 'I h 5 WI ~? J1... City bpeN'e Obhone t!f)5---roO()() q, . Supervisor License Number 2 79 g LeA Expiration Date 10;0 Ilzcexx Constr. Contr. Number i 297.3 (;, Expiration Date C;/()9/6;; Signature of Supervising Electrician ~/J 7 /] ~4trP d{/J~ Owners Name "}QrY\ tDAL--lE:::::le.... <; ~8eJDA1 V L;:t>, Phone (pttKJ - 0365 Address ri-?Jc,?7 City B:u~e OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. CO~MPLETE .FEE SCHEDULE BELOlV Service Included A. New Residential- Single or Multi-Family per dwelling unit. C. Temporary Services or Feeders $106,00 $ 19,00 $50.00 $ 63,00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50,00 20tAmPS~9r4910 ~AA;C;uir8S voc, ~~ $ 69.00 401 Amps to.600~p~ CiegOr. U11\\lY $100.00 Over 600 A0~~:~;~~~e~v81~~rej;~~~~~ve, D. Branch ClrcUlt-s~ " , '_, r':"'~ \~,y , '~jn CG~J\0S 01 Ll IV I "-,,we.;:) - New Alterati9n~.r ~~~e,J;l~()n;m~~1 One Circuit:-~'~';,r!il U'dlii.V Notitica"uon $ 43.00 Each Ad~ition~1.~ts9~~~im). Servicecbr Fee'der Permit $ 3.00 E. )\-1iscellaneous (Service/feeder notiucluded) -Each Installation Pump or irrigation Sign/Outline Lighting Limited EnergyIResidential Limited Energy/Commercial / $ 50,00 $ 50.00 $ 25.00 $ 45,00 ;1<:;: en JOB DESCRIPTION 1000 sq. ft. or less Lo v..) \J 0 L,..,-rAt:::5& - ? +-\cNB) W) Each additional 500 sq, ft. or . Aunif) '; \i~ +Wl-^-f'l T, portion thereof , Permits are non-transferable and expire if work is NOTlCi61ch Manufact'd Home or " not started within 180 days of issuance or if work is , ~~Q~!-!la.r.p.~leUin.g.s.(jQ'~'t,ot..HE lA/nOli Suspended for 180 days. THIS p~ ~HA .l t^tJlt1t It I V.ll..Uill'- AUTHORIZED UNDER THtS PERMiT IS NOT CONTRACTOR INSTALLATION ONLY COMrJfENeeoiOl\qS~~eelftJRt, Alterations or Relocation: ANY 180 DAY PERIOl D. !oll' Amps or ess 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only 4. Sl.TBTOTAL OF ABOVE Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7% State Surcharge 10% Administrative Fee TOTAL 45. DO 3,15""' LJ.. sf) . ~t) I (6 Shared Dnve(T:)/Building Fonns/Electrical Pennit Application ],03,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permif PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: OS/22/2005 VALUE: $ 402,771.00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6357 Fernhill Ct ASSESSOR'S PARCEL NO,: 1702343404000 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: TYPE OF USE: New Residential Single Family Residence, Lot 29, Mountaimate NOTl\it: I MI\) "'tnlVlII ~nl\lL ~ltft[ If -;;te waRn AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR :\NY 199 Q~y' P.~~IO!l I CONTRACT?~ INFORMATION I Owner: Address: .. Contractor Type Applicant General Electrical Low Voltage Electrical Mechanical Plumbing Contractor TOM WALTER THOMAS WALTER CUSTOM HOMES LLC BOB FISHER ELECTRIC INC OLD FIELDS INC MARSHALLS INC RS PLUMBING CONTRACTING License Expiration Date 160287 96275 129736 25790 103816 07/12/2008 01/25/2006 06/09/2006 12/23/2005 01/04/2006 Phone 541 683-6355 541-683-6355 541-689-7973 541-485-6000 541-747-7445 541-461-4714 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type " Secondary Construction Type: # of Bedrooms: 1 R-3 U VN BUILDING IN~'?~N..?~ tregon law requires you to # f St . follow rules adopted by the Ot 'Il;gon Utility o ones: 2 '1.:0 1S1?;e' f h Hei ht of StP~itrtfr~on Cente301E!~ose SUIl*F." ~(iet ~rt g i OAR or:-?oo;j,(lnt,l;) hroU.a~1 .8.H ::l. .U01- Type of Heaf: "'Force(J A'ir ~a .sq t ~d <loorb Water TyJfe990, You may obte[S COP'sq fill Ba~~wliril: y Range Type: CE'JI;ng the centf6a~NoteS,qfJ\?t ~Ifrra~~;a.rport Energy Pathi:lumoer for theW'tIi~pn L'SI~tFlb1We~f1tlon Sprinkled Building: Center i~nla800-3~G'c(?Jp'\frit Load: 10,819 1,663 1,816 864 3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15,00 15,00 8,00 33.00 0,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 34,70 REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub provided, No weep holes 5/18/2005 CAS Pa2e 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 Estimate Garal!e - Masonrv Use Bid Amount A,C, - Residen " Dwellinl!s Estimate Garal!e PatiolPorch Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut Permit Dryer Vent Exhaust Hoods . Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Plan Review Residential PW Disc - 2nd Permit (Street) 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 Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit I Valuation DescriDtion I $ Per Sq Ft or multiplier $4.00 $96,00 $1.00 $29,00 $1.00 Square Footage or Bid Amount 3,479,00 3,479.00 17,395.00 864,00 12,420,00 Total Value of Proje,ct ~ Amount Paid $893.69 $10,00 $228,94 $160,26 $306.00 $31.00 $18,00 $1,550,40 $80,00 $6,00 $9.00 $12.00 $15,00 $4.00 $1,136.00 $103,00 $12,67 $114,07 $-30.00 $106.00 $133,00 $548,40 $721,20 $10,00 $865.31 $82,03 $-0.30 $154,62 $60.91 $772,49 $175,13 $80.00 Date Paid 5/17/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 Pal!e 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: OS/22/2005 VALUE: $ 402,771.00 Value Date Calculated $13,916,00 $333,984,00 $17,395.00 $25,056.00 $12,420,00 $402,771,00 06/20/2005 05/17/2005 06/20/2005 06/20/2005 06/20/2005 Receipt Number 3200500000000000211 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 _SPFlIIlNGFIf,UJD, .I!!IIIII,I!IIIIII, '~II WIL Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Drainage Impervious Area Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical Total Amount Paid Initial Review Planninl! Review 05/18/2005 05/18/2005 Public Works Review 05/18/2005 Structural Review 05/18/2005 Structural Review OS/25/2005 Structural Review Structural Review 06/14/2005 06/20/2005 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: OS/22/2005 VALUE: $ 402,771.00 $-5,58 $56,00 $50.00 $24.00 $1,000.00 $4,50 $3,15 $25,00 $20,00 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 11/22/05 11/22/05 11/22/05 11/22/05 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 2200500000000001607 2200500000000001607 2200500000000001607 2200500000000001607 Must change patio to pervious pavers to meet coverage requirements, Construction fencing shall be placed to protect the Vegetation Easement. No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm Drainage piped to stub provided 5/18/2005 CAS Plans forwarded to Jason Bush for review Received additional information as . requested by Jason Bush. Forwarded to Jason for his review, Approved as noted on plans Truss information was left at the front counter for lot 64, Mountain Gate, Timberline, I spoke with Allison with Walter Custom Homes today and she said it was actually for this lot, I have em ailed Jason asking if he needed to review plans again with the truss information. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. $9,545,89 I Plan Reviews I 05/18/2005 07/05/2005 APP APP SKG 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, 05/18/2005 APP CAS OS/25/2005 10 LLH 06/14/2005 WE JB 06/16/2005 06/20/2005 APP 10 JB LLH ~eouiredJnSDections , Pal!e 3 of 5 _&...'.,PR.IN..G" ,P,IEt,U>, .',.ji ",', ' . .,.., '~~~ . , ~' -..--.--..---.....--.----.,,-.,. - CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/1712005 EXPIRES: OS/22/2005 VALUE: $ 402,771.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Drywall: Prior to taping, 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, 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, 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, Final Electric: When all electrical work is complete, Pae-e 4 of 5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: OS/22/2005 VALUE: $ 402,771.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Low Voltage: 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction, Owner or Contractors Signature Date Pal!e 5 of 5 S:t~GF ~.mL."~, WIr. ,. 225 Filth Street ~pringfield, Oregon 97477 541-726-3759 Phone .Job/Journal Number COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 Payments: Type of Payment CreditCard '. :( :I '( ;C ., , :( '/ '( 'C 11/22/2005 --'Uy of Springfield Official Receipt ./evelopment Services Department Public Works Department RECEIPT #: 2200500000000001607 Date: 11/22/2005 8:58:10AM Description Low Voltage - Residential Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Amount Due 25,00 20.00 3,15 4.50 $52,65 Paid By MICHAEL G. RIMMER Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 081257 In Person Payment Total: $52.65 $52,65 Amount Paid Page 1 of 1