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Home My WebLink AboutPermit Electrical 2005-10-14 Pump or irrigation $ 50,00 0. Sign/Outline Lighting $ 50,00 OWNER INST ALLA nON .. . Limites':Rf~identi~1 ' $ 25,00 The installation is being made on P~~1AAihn'h5V\"Ll t1I\rAtfRtBt~1nmerClal $ 45,00 is not intended for sale, lease or ren1{t\\S pt: ~D UtlOt\M1M\S.,t~r.~.:OtfCt\r,mit Inspection Fee is $45,00 + Surcharges I\U1~OR\1~ R \S A&A~ ., ...". Owners Signature: COtAMt~CtO () t.1\\O&. SUBTOTAL. OF ABOVE & 0, 00 t'l~ 1SQ ~1 P 1\ 7% State Surcharge J 5 I Lf 0 10% Administrative Fee 22.0 C> r;? L~ ~r)/{./ ~ Date 1. LOCATION OF INSTALLATION ~() 33'3 f-e(' Lt\.ltl'd t Co u{'-r- Sf (' \'Vt~~! eCol 0"3 '0<6 LEGAL DESCRIPTION 1-70"2. 'Jt(')l( JOB DESCRIPTION Y1 e u..J hou.s e , r WI('IVt~ v 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 Electrical Contractor L ~ E E \ -e L't'( \'C I YV\ ( Address PO Dox I Gig Co City A \ b J (;1 Y Phone 5Y/' C(ro 7.8(,2. 7 C!'73Z-( Expiration Date :;)q 0 () ~ I 0) ( /1fi5 07 l { 11 5l( Cf0fJ 9/15/etloi I I Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician )(?2 V-kO Q =:::> Owners Name (CJ1r~ la,rK I "- Address ~. 0 . 'fu)( g~2- City Sl~orne... Phone 7Z& ~ {Yb5V Inspection Request: 726-3769 10- { Lf - tJS 3. A. 1000 sq, ft, or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ) to $ 19,00 $106,00 lOb ,- / ! Lf ,. $50,00 B. Services or Feeders 'Installation, Alterations or Relocation: 200 Amps or less $ 63,00 201 ~1tt~-400'4-111PS,~ $ 75.00 ,< ' --, ,fOl\::.. Jon law fdLJulres YOJl,j' 401 ~ft~j9~ ~mo,~:"Ci' b "hr 0 ;):V~,oo .r ,'" , . Ul5,-,_v Yl Q ,c;~urllJ'!IJ.1f 60r~~ffi~lfl.S Those rL,I2S ::'~8 :'J$(1~~~-910 ov&4Io'OO ~OO1blOOi 0 throuah n",q oc;;~:l5.0_0 ReG6~Vmn~ay obtain copi;S-Q:!' );~ ~~;~~'q~~ cal!lil~ '~hs,c$ntar, (J\10\8: tho ta!s;:,h'.!,;:) C. Ul~YcS~~)-ef'EAeAepl'l\l "-I '...:-;p:-. l;~, ~ . .. ..,<-1 .:-.-...I~) t~v;'d-1\J~~.:.IU!~ Center is 1-800-332-23l;,L!.). Installation, 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. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit s; 43,00 $ 3,00 E. . .Miscell~n.eous.(~efvic~feedern9t included)-Each Installation <<-- ,"','."'w- ,..^.~..".,> __ ..._~__.' _~"."n.L._,,;.. '_ ..~ w ,,_ _ . ......:,....,.:;,..,". ,:..,'," ^ _., , .$2S7~ Shared Drive(T:)/Building Fonns/Electrical Pennit Application J ,03,doc TOTAL Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00711 ISSUED: 07/20/2005 APPLIED: 06110/2005 EXPIRES: 04/12/2006 VALUE: $ 341,992.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6333 Fernhill Ct ASSESSOR'S PARCEL NO.: 1702343403900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mountaingate subd lot 28 Residential ,. Owner: GREG LARKIN Address: PO BOX 832 SWEETHOME OR 97386 Phone Number: 541-726-0330 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date Phone RIVER VALLEY BUILDERS INC 134566 04/15/2007 541-367-1618 G & E ELECTRIC INC 54468 09/15/2007 541-967-7045 MIDWAY MECHANICAL INC ATTENtfi1J..P.~regon lavPli30/2007 541-928-2423 MIDWAY PLUMBING INC . fO~I?W,~~~?~rlnntArl h~, t,.()i1~Jg~~~~,J~541-928-7927 BUILDING INF~WNflnter, Those rules are set forth III Ul"\n ::l~1-001 0 through OAR 952"OOU~ # of Stories: 0090.,you may obta2n coJ)Qt~mt1he rules b~ Height of Struaa~iflg the cer31bftO (NofuJ.111E1~~~~5ne Type of Heat:nUmtJO,.~JtltW~on fuli~y1fiJ~t:me~m9.m Water Type: Center i~oo-~J!2F~~1.ment: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 1 R-3 U VN 10,640 2,162 824 # of Units: Primary Occupancy Group: Secondary Occupancy Group: :~ Primary Construction Type Secondary Construction Type: # of Bedrooms: 788 3 I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.20 8,50 5.40 33.40 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes Total: Handicapped: Compact: 2 Subdivision Not Accepted ,. I PUBLIC IMPROVEMENTS. Street Improvements: NOTICE: THIS PERMIT ~WIM"rtMI_ Storm Sewer AUTHORIZED &lNOER THtIHRMIl. NOT f ' No hook-up to City Infrastructure until Public Improv~W~ ~_e piped to Stub provided 6/16/2005 CAS , ANV 110 JIAY -Mol. ' FullV Improved Yes Sidewalk Type: Curbside 5' Storm Sewer Available: ., Special Instruction: Notes: . C' Page 1 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00711 ISSUED: 07/20/2005 APPLIED: 06/10/2005 EXPIRES: 04/12/2006 VALUE: $ 341,992.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriution I A.C. - Residen Deck/Balconv Dwellinl!s Estimate Garal!e Tvpe of Construction AC - Residential Deck V Wood Frame Estimate Garal!e - Masonrv $ Per Sq Ft or multiplier $4,00 $17.00 $96,00 $1.00 $29,00 Square Footage or Bid Amount 2,986,00 330,00 2,986.00 14,930.00 788.00 Value Date Calculated Description Total Value of Project $11,944,00 $5,610.00 $286,656,00 $14,930,00 $22,852,00 $341,992,00 06/21/2005 06/21/2005 06/21/2005 06/21/2005 06/21/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $807.07 6/10/05 1200500000000000817 -Mechanical Issuance Fee- $10.00 7/20/05 2200500000000000955 + 10% Administrative Fee $188,12 7/20/05 2200500000000000955 + 7% State Surcharge $131.68 7/20/05 2200500000000000955 3 Baths One & Two Family $306,00 7/20/05 2200500000000000955 Addressing Assignment $31.00 7/20/05 2200500000000000955 Appliance Not Listed $18,00 7/20/05 2200500000000000955 Building Permit $1,352,15 7/20/05 2200500000000000955 Curbcut - Additional Driveway $40,00 7/20/05 2200500000000000955 Curbcut Permit $80.00 7/20/05 2200500000000000955 Dryer Vent $6,00 7/20/05 2200500000000000955 Exhaust Hoods $9.00 7/20/05 2200500000000000955 Furnace - up to 100,000 btu $12,00 7/20/05 2200500000000000955 Gas Fireplace $15,00 7/20/05 2200500000000000955 Gas Outlets 1-4 $4.00 7/20/05 2200500000000000955 Gas Outlets 4+ $1.00 7/20/05 2200500000000000955 Mountaingate Impervious Area $1,329.90 7/20/05 2200500000000000955 Plan Review Major - Planning $103.00 7/20/05 2200500000000000955 Plan Review Residential $71.83 7/20/05 2200500000000000955 PW Disc - 2nd Permit (Street) $-30.00 7/20/05 2200500000000000955 Sanitary Sewer - Improvement $548.40 7/20/05 2200500000000000955 Sanitary Sewer - Reimbursement $721.20 7/20/05 2200500000000000955 SDC MWMC Administration $10.00 7/20/05 2200500000000000955 SDC MWMC Improvement $865.31 7/20/05 2200500000000000955 SDC MWMC Reimbursement $82.03 7/20/05 2200500000000000955 SDC SanitarylStorm Admin $165,05 7/20/05 2200500000000000955 SDC Transpo Admin $60.17 7/20/05 2200500000000000955 SDC Transpo Improvement $772,49 7/20/05 2200500000000000955 SDC Transpo Reimbursement $175.13 7/20/05 2200500000000000955 Sidewalk Permit $80,00 7/20/05 2200500000000000955 Storm Sewer Each Addtll00' $84,00 7/20/05 2200500000000000955 Temp Power 200 amps or less $50.00 7/20/05 2200500000000000955 Pal!e 2 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00711 ISSUED: 07/20/2005 APPLIED: 06/10/2005 EXPIRES: 04/12/2006 VALUE: $ 341,992.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspe'ction Line Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $24,00 $1,000,00 $22.00 $15.40 $106.00 $114.00 7/20/05 7/20/05 10/31/05 10/31/05 10/31/05 10/31/05 2200500000000000955 2200500000000000955 2200500000000001520 2200500000000001520 2200500000000001520 2200500000000001520 Total Amount Paid $9,380,93 I Plan Reviews I Initial Review 06/15/2005 06/15/2005 APP SKG Initial Review 06/28/2005 06/28/2005 10 LLH PlanniDl.!: Review 06/15/2005 07/05/2005 APP TAJ Received revised site plan from Virginia Jurasevich/Public Works A waiting resolution of coverage problem, Otherwise, this has no other Planning issues. Public Works Review 06/15/2005 06/16/2005 APP CAS Place construction fencing to protection the Vegetation easement, Protect trees in the Vegetation easement that are too close to the retaining wall. See MountainGate Development Plan Restrictions for Tree Protection guidelines, No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped t< stub provided 6/16/2005 CAS Forwarded to Jason Bush for review Approved as noted on plans Structural Review Structural Review 06/15/2005 06/16/2005 06/16/2005 06/17/2005 10 APP LLH JB 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. lJeouiredJnsnections . 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 Pa2e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2005-00711 ISSUED: 07/20/2005 APPLIED: 06/10/2005 EXPIRES: 04/12/2006 VALUE: $ 341,992.00 225 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: 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. 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. Pal.!e 4 of 5 '7"':;"''''7,8,'0 dfi,',...'. ",' ",I,." ~"". . ....- ; Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00711 ISSUED: 07/20/2005 APPLIED: 06/10/2005 EXPIRES: 04/12/2006 VALUE: $ 341,992.00 225 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 Pa2e 5 of5 225 Fifth Street Spr"ingfield, Oregon 97477 541-726-3759 Phone SPRINGF"IE L-D.iij '..~U ,'....,. ~,..,-,..,..',1R! . ......'....1)' City of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 2200500000000001520 Date: 10/31/2005 10:06:16AM Job/Journal Number COM2005-00711 COM2005-00711 COM2005-00711 CQM2005-00711 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check G&E ELECTRIC , Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 10481 In Person Payment Total: Amount Due 106,00 114,00 15.40 22.00 $257,40 Amount Paid $257.40 $257,40 {) 'I ..~ :: ,. \ 10/31/2005 Page 1 of 1