HomeMy WebLinkAboutPermit Electrical 2005-10-20
The following pr~ct IUt;!U 110,'" ".~ .v.._.....,
nd do 'peclflc land use
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225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-36.S.9.IUt'iZEl.oSlgn~~~.(:5 ,
:.~~~~:~~~~~~~~~ Date ID/2f)I;~_w .
Over 600 Amps or 1000 Volts see "B" above.
D, Branch Circuits
New iTtI~~IJJCJ~E~~~~~ ~~Wf' t;~~eirge~:~~i1~~Y
igllmy rUles aaopT.eQ oy rT8 ur
~;~~gtNtillh~rar%PfK~r1 ~i~se r~I~~~; ~.~:~~
,n f' , I ~ Ll Ser~cQ6'rr-ptfeaef~?mlit rougil ~v:r.ut)
Owners Name [CetJiillJ L,JU-S -rO rr--- 1 \On le)' CC'~f). You may obtain copiesonne rules by
Address P. 0 ~O;K.. ~q E.Miscelllifieoi.lsr(S'er~1&!I.fe~'(Jli~~ot,i!.y4~~~&t~\~h Installation
Ci '_ rL ,<' :.' ,,12 Cl-e;':il ujny I\!CiLllILoCltlon
City L--lYYr V t''"'\. Phone q 35' . 9~~ Pump or irrigatjbnl~8i is 'i-buC.-::l:32-2344,}.$ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential ?I $ 25.00
Limited Energy/Commercial $ 45.00
1. LOCA110N OF INSTALLATION
C,'~U ~....V\ \-):11 SaI'~j~'C"J Q747fr'
LEGAL DESCRIPTION \f)q,~~ n3YPO
!{)..,.)'" <! 5 r ('~: bU'.. A J ~ io ; ~ Co J./. J,.'1
JOB DESCRIPTION
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 INSTALLA,1JON ONLY
Electrical Contractor D<l.J\o,;f cIQL.L. VI() \0::" "'S
Address d 'l q ;l1 0. ; C;;:v-.,: ,t l, <61 J ~
City f.J<Je ......"
Phone ~ G~/-.) 1'3>
Supervisor License NUJ11ber 38'f.tJ ~ L f: A
Expiration Date 101 1/6 Y
Constr. Contr. Number
/G, J4 S~
q /1f.tJ/o (p
Expiration Date
Signature of Supervising Electrician
~/ISW ~A~
OWNER INSTALLATION
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. COMPLETE }<liE SCHEDULE BELOW
~ - ':" It., '"""' ;............., ..,
<l" till" fol/owing,
A. New Residential - Single or Multi-Family per dwelling -ii'nit.
Service Included
1000 sq. Jl or less $106.00
Each additional 500 sq. ft. or
portion theretf [ ~~Q
Ea.!;l\C ~W\ffoijl~~A.L E.XP\Rtp~~~\ \5 N01
Mo ' rLWl~~@i\ 1\1\5 ~ n,Cn
Feeq\U1HO ,\Lt.UU\W f\a~NQQtJFOJ~tyu.oo
COMMEtlCEO OR \5
B. Se~ms1Jfi9~f~ation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
~~oo
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
LhS'.oo
-3, (s;:
L/- .0)
S-;;; (~--
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/ElectJical Pennit Application I-OJ.doc
Sprip.g~Jd. TYPE OF
ASSESSOR'S PARCEL NO.: 1702343403800 N U II lit:
THIS PER1iN"f>>Sl$\ttI~PIR!tt'f THE WORK Residential
PROJECT DESCRIPTION: Single family residence- MountaiA((l;~~tg~DER THIS PERMIT IS NOT
COMMFNr:FO OR I~ ARAW'\'-'~I:r F~r.
ANY 180 DAY PERIOD. Phone Number: 541-935-8825
._SPAINOIFI,U.i;),
-:I
l
~'
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:
6311 Fernhill Ct
~ Owner:
Address:
CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 02/26/2006
VALUE: $ 262,100.00
Single Family Residence
REGAL CUSTOM HOMES INC
PO BOX 489
ELMIRA OR 97437
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I .
Contractor
REGAL CUSTOM HOMES INC
MAG ELECTRIC INC
COMFORT FLOW
DONALD CLEWIS
Phone
541-935-8825
541-461-0387
541-726-0100
541-688-1931
Fullv Improved
Yes
# of Units:
Primary Occupancy Group:
Secondary Occupancy
. Yrimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.30
20.30
25.90
24.00
0.00
Subdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
License
109306
149834
460
33076
Expiration Date
01/11/2007
12/13/2005
06/27/2007
06/10/2007
I BUILDING INFORMATION.
1
R-3
U
VN
# of Stories: 2 Lot Size:
Height of 30.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: ~ req~qaEt)~rt4ge/Carport
Energy/ffalll~'\lT'ON: Oregl)'ih~~e O~tlQtIiijW
Sprinkl~~ow rules adopte n7~ ru\e9S~P;P\tf~o'ad:
'.. _,:~~ rontpr Those _ _~ ""~
I DEVELOP~E~iI:Ni\1J(jill\:IfI()Nl' uug; ~~;e ar~fe~ by
0090. You may UUlQlI1 ~~f~~ the telephM,QUlRED PARKING
,,11;:1(' the center. (N.. 'f' "G)n
Overlay DISt:' .J . . he OregG~Il!s,~~W Notl IC(fO\1u: 2
# Street !freeS) "I :?I ~ ;s 1_800-33252344). Handicapped:
Paved Drive Rqd:c r.ler \ Yes Compact:
% of Lot Coverage: 35.00
10,161
1,371
916
420
3
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains
Curbside 5'
To Storm Sewer
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to system.
6/6/2005 CAS
1 of 5
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: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 02/26/2006
VALUE: $ 262,100.00
I Valuation Description'
Description
A.C. - Residen
Deck/Balconv
Dwellines
Garaee
Type of Construction
AC - Residential
Deck
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$4.00
$17.00
$96.00
$25.00
Square Footage
or Bid Amount
2,354.00
384.00
2,354.00
462.00
Value
Date Calculated
Total Value of Project
$9,416.00
$6,528.00
$225,984.00
$11,550.00
$253,478.00
06/24/2005
06/2412005
06/24/2005
06/24/2005
L Fees Paid'
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $712.01 6/2/05 2200500000000000706
-Mechanical Issuance Fee- $10.00 7/20/05 1200500000000001044
+ 10% Administrative Fee $172.44 7/20/05 1200500000000001044
+ 7% State Surcharge $120.71 7/20/05 1200500000000001044
3 Baths One & Two Family $306.00 7/20/05 1200500000000001044
Addressing Assignment $31.00 7/20/05 1200500000000001044
Appliance Not Listed $9.00 7/20/05 1200500000000001044
Building Permit $1,095.40 7/20/05 1200500000000001044
Curbcut Permit $80.00 7120/05 1200500000000001044
Dryer Vent $6.00 7/20/05 1200500000000001044
Exhaust Hoods $9.00 7/20/05 1200500000000001044
Furnace - up to 100,000 btu $12.00 7/20/05 1200500000000001044
Gas Fireplace $15.00 7/20/05 1200500000000001044
Gas Outlets 1-4 $4.00 7/20/05 1200500000000001044
Heat Pump $12.00 7/20/05 1200500000000001044
Mountaingate Impervious Area $1,396.86 7/20/05 1200500000000001044
Plan Review Major - Planning $103.00 7/20/05 1200500000000001044
PW Disc - 2nd Permit (Street) $-30.00 7/20/05 1200500000000001044
Residence Wiring 1000 Sq Ft $106.00 7/20/05 1200500000000001044
Residence Wiring Ea Addtl 500 $76.00 7/20/05 1200500000000001044
Sanitary Sewer - Improvement $548.40 7/20/05 1200500000000001044
Sanitary Sewer - Reimbursement $721.20 7/20/05 1200500000000001044
SDC MWMC Administration $10.00 7/20/05 1200500000000001044
SDC MWMC Improvement $865.31 7/20/05 1200500000000001044
SDC MWMC Reimbursement $82.03 7/20/05 1200500000000001044
SDC Sanitary/Storm Admin $168.64 7/20/05 1200500000000001044
SDC Transpo Admin $59.93 7/20/05 1200500000000001044
SDC Transpo Improvement $772.49 7/20/05 1200500000000001044
SDC Transpo Reimbursement $175.13 7/20/05 1200500000000001044
Temp Power 200 amps or less $50.00 7/20/05 1200500000000001044
Vent Fan $24.00 7/20/05 1200500000000001044
Willamalane Single Family $1,000.00 7/20/05 1200500000000001044
+ 10% Administrative Fee $4.50 10/20/05 1200500000000001576
2 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGf11ELD
. Building/Combination Permit.
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 02/26/2006
VALUE: $ 262,100.00
+ 7% State Surcharge
, Low Voltage - Residential
Minimum/ Adj ustment Electrical
$3.15
$25.00
$20.00
10/20/05
10/20/05
10/20/05
1200500000000001576
1200500000000001576
1200500000000001576
Total Amount
$8,776.20
I Plan Reviews I
Initial Review 06/03/2005 06/03/2005 APP SKG
Planninl! Review 07/15/2005 07/15/2005 APP TAJ Use tree perservation methods for
the 4 fir trees to be retained as
outlined in the attached
MountainGate Development Plan
Restrictions.
Front walkway to be pervious
pavers in order to meet coverage
requirements.
Planninl! Review 06/03/2005 07/05/2005 WE TAJ Waiting for plot plan showing trees
(to be removed and to be saved),
assuming there are not more than 5
trees being removed in the minimum
setback area, it's OK to approve
when they turn in the info.
Coverage reduced to 35% by
changing the walkway from the
front door to the street to pervious
pavers.
Public Works Review 06/03/2005 06/06/2005 APP CAS No hook-up to City Infrastructure
until Public IMprovements accpeted
by the City; Storm drainage piped t(
system. 6/6/2005
Structural Review 06/03/2005 06/06/2005 10 LLH Forwarded to Jason Bush for review
Structural Review 06/06/2005 06/14/2005 APP JB Approved as noted on plans
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.
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.
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.
3 of 5
CITY OF SPRINGf11ELD '
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 02/26/2006
VALUE: $ 262,100.00
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.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Drywall: Prior to taping.
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.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
4 of 5
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: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 02/26/2006
VALUE: $ 262,100.00
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.
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 wiD 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
5 of 5
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
MiI:~f~J~~J;I~'"
.-~ -"'"it,>-."",.__.__~__:__"
, ',"co''">,,"'"",,,,'"",,'
City of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001576
Date: 10/20/2005
9:16:39AM
JOb/Journal Number
C,OM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Paid By
CHRIS DEVEREUX
Item Total:
Check Number Authorization
Received By Batch Number Number How Received'
ddk 299236 In Person
Payment Total:
Amount Due
25.00
20.00
3.15
4.50
$52.65
-.;,.
Amount Paid
$52.65
$52.65
ii.
10/20/2005
1 of I