HomeMy WebLinkAboutPermit Electrical 2005-12-13
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225 FIFTH STREET . ~PRlNGFIELD,OR 97477 · PH:(~41)726-3753 · FA;~;J~~.qAt6od@Q,otr
ELECTRICAL PERMIT APPLICATION ~,ppro\lal " ' '
City Job Number' com 'Qoc:5~ OJ DS'^ r. Date, z~ ,~.'iOo;
1.;,iik;AJ]9R:pIE{rj~I;Ai4T!qij?;i;";;tJ.." 3. i:.~q~f~b~i1%'~~~~~,Sljll~~~~JJ}i~Q;~~'1~~i!f';~'rj;'r~il;c.;;,!,:~,
. 10 7:J I 0 FbY VI '^; \ I ~+ . .... .' .' .' .'" ", ....,..,.c.,-;C< ">~.T""""'" ,.'"..,
LEGAL DE. SC(l)IPT.ICW \ 1 Nt "-.A _.A.;...A r -~.~'e1'.';"*esicl~,~'t.i.~(~..:~t~.~I~".?f.~1~.lh~If:~JP. n~,]~t.'~,~y~H.i~,i('~~iil,.
3-py~ -\)'e.lrX 0 R. u,7rn::T(Lrt~ViC~I:~c~ude~ ..,.. .............,....d.....<....
, JOB DESCrtJPTION LOw Va Iffiqe.. 1000 sq. ft. or less $106.00
'+ ' r ' 11 "i Each additional 500 sq, ft. or ' '
J-c 3 S MQ\A1I\.-\1t ~ \.9-z(,e...- portion thereof $ 19~00
Permits are non-transferable and expire if work is NOIl~tanufact'd'Home or .
not started within 180 days of issuance or if work is THIS1~~SlHAlte&~IRE IF THE WORK $50 00
Suspended for 180 days. AUrnootZED UND~R THIS PERrvJltl~ NOT , , .
CG.MMeNee.cl!~R.!'~(~m~IJatiQfItQg;,i'i(t.QeN:fj(.:;\fi"'i;;;<t.;:;\'4/
AfJY.1tifert)AYgp[f\1eD:,akQ;;t.....;....,/iL.:;;iy::" .~~;~~ig2~i2t;}J~JgE;~~!:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
40 I Amps to 600 Amps $125.00
601 Amps to 1000 Ainps ' $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
2.
Electrical Contractor"1tu.. t\ t), ~ln\e.;
Address 'i'2.\~ A "w.~ {1\#2, .
City bvC1fW- Phone ~g~-4fS4g'
I
Supervisor License Number'
Expiration Date
Constr. Contr.Number 1~1 5& ~
Expiration Date 11 J, J 07
, I
".of st:&"'"
'"'
One Circuit
EachAdditional Circuit or with
Service or Feeder Permit
$ 43.00
.!
, $ 3.00
Owners Name Qvu,D{f~ ~lAA (dtvS
Address 3C}q~ Mlv-roy'V()Y101 W'1
City 8Att-ene.. Phone ~=3L/~ lo9=iD
V
E.
OWNER INSTALLATION
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
v
$ 50.00
$ 50.00
$ 25.00
$ 45.00
'"b;. 00
The installation is being made on property I o~n which
is not intended for sale, lease or rent. '
Minimum Electr,ic Permit Inspection Fee is $45.00 + Surcharges
Gwners Signature:
4.
Inspection Request: 726-3769
TOTAL
lts.oo
3.i),
4-. S;[)
S~Jll\
7% State Surcharge
10% Administrative Fee
Shared Drive(T:)/Building'Fonns/E1ecuical Pennit Application 1-03,doc
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01051
ISSUED: 08/24/2005
APPLIED: 08/03/2005
EXPIRES: 06/12/2006
VALUE: $ 341,219.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6310 Fernhill Ct
ASSESSOR'S PARCEL NO.: 1702343404600
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mountaingate subd lot 35
.. Owner:
Address:
RUHOFF HOME BUILDERS INC
3993 MIRROR POND WAY
EUGENE OR 97408
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
RUHOFF HOME BUILDERS INC
BURGHARDT & ZHUN INC
THE HD STORE LLC
JUNG ENTERPRISES INC
JAMMAL INC
License
130797
160508
157588
102455
158262
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
2
39.00
Forced Air Gas
Gas
Gas
Path 1
n/a
3
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
13.25
28.00
26.75
10.00
0.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I
Residential
Phone Number: 541-334-6550
Expiration Date
07/13/2008
07/0112006
11/03/2007
10/04/2006
01/12/2006
Phone
541-334-6550
541-434-6491
541-683-4848
541-937-2688
541-484-7440
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,001
2,196
944
778
Hillside
5
Yes
34.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains
To Storm Sewer
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub
provided 8/5/2005 CAS
1 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
Deck
V Wood Frame
Gara2e
A.C. - Residen
'1' Deck/Balconv
Dwellin2s
Gara2e
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 - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
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 Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$17.00
$96.00
$25.00
Square Footage
or Bid Amount
3,140.00
457.00
3,140.00
778.00
Total Value of Project
Fees Paid I
Amount Paid
$834.54
$10.00
$213.82
$149.67
$306.00
$31.00
$27.00
$1,352.15
$40.00
$80.00
$6.00
$9.00
$12.00
$30.00
$4.00
$2.00
$12.00
$1,254.21
$150.00
$44.36
$106.00
$114.00
$533.96
$701.96
$10.00
$865.31
$82.03
$158.77
$63.02
$805.70
$182.69
$84.00
$50.00
Date Paid
8/3/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01051
ISSUED: 08/2412005
APPLIED: 08/03/2005
EXPIRES: 06/12/2006
VALUE: $ 341,219.00
Value
Date Calculated
$12,560.00
$7,769.00
$301,440.00
$19,450.00
$341,219.00
08/15/2005
08/15/2005
08/03/2005
08/03/2005
Receipt Number
1200500000000001138
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
1200500000000001236
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$24.00
$1,000.00
$4.50
$3.15
$25.00
$20.00
Total Amount
$9,401.84
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01051
ISSUED: 08/24/2005
APPLIED: 08/03/2005
EXPIRES: 06/12/2006
VALUE: $ 341,219.00
8/24/05
8/24/05
12/12/05
12/12/05
12/12/05
12/12/05
1200500000000001236
1200500000000001236
1200500000000001800
1200500000000001800
1200500000000001800
1200500000000001800
I Plan Reviews'
Initial Review
LDAP Review
08/05/2005
08/16/2005
08/05/2005
08/16/2005
LDAP Review
08/05/2005
08/05/2005
Planninl! Review
08/05/2005
08/23/2005
Public Works Review
08/05/2005
08/05/2005
Structural Review
08/05/2005
08/10/2005
APP
APP
SKG
VRJ
LDAP is ready to issue and is at the
front counter. $600.00 due at
issuance. Applicant is aware that
permit is ready.
Full review LDAP. $600.00 due at
issuance. Applicant has submitted
for LDA, 8/4/05. VJ.
Tree Felling Permit is required if
more than 5 trees 5' or greater dbh
are felled inside the minimum
setback areas.
10
VRJ
APP
TAJ
Trees to be preserved outside the
Vegetation Easement shall be
protected with construction fencing.
See the Tree Protection measures in
the MountainGate Development
Plan Restrictions handout attached
to the building plans.
The Vegetation Easement shall be
fenced with construction fencing.
Keep all construction activitiy out of
this area.
APP CAS
The deck is encroaching on the 10'
rear setback. Aaron Solbeck agreed
to cut the deck back to meet this
requirement. The Deck must be at
least 10' from the rear property line.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
stub provided 8/5/2005 CAS
Approved as noted on plans
APP JB
3 of 5
Status:
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01051
ISSUED: 08/24/2005
APPLIED: 08/03/2005
EXPIRES: 06/12/2006
VALUE: $ 341,219.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
I ReQuired Insoections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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.
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.
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.
4 of 5
-.'
Status:
Issued
CITY OF SPRING~lELD .
Building/Combination Permit
PERMIT NO: COM2005-01051
ISSUED: 08/24/2005
APPLIED: 08/03/2005
EXPIRES: 06/1212006
VALUE: $ 341,219.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
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
5 of 5
22~ Firth Street
Springfield, Oregon 97477
541-726-3759 Phone
, ,
Ji)b/Journal Number
CbM2005-0 1 051
COM2005-0 1 051
COM2005-01051
COM2005-01051
Payments:
Tx!ie of Payment
, Check
~
6
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, ~
)'1
J
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tl
12/12/2005
"'+y of Springfield Official Receipt
__",velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001800
Date: 12/12/2005
1l:13:30AM
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
THE HD STORE
Item Total:
ChecR ~uml>er Aut11orization
Received By Batch Number Number How Received
ddk 6403 In Person
Payment Total:
$52.65
$52.65
Amount Paid
1 ofl