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