HomeMy WebLinkAboutPermit Electrical 2006-8-29
Date
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DATE ~ ?()/ a.Sa-::
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (1) ""'" z.oo b - 00"3 -z. 7
A. New Residential- Singlc or Multi-Family per dwclling unit.
07600 .
~-r-r"Cj\\Tl0;-.tIil.e~u:ISf.~nr~g4.l'l~aol.1ires you to
n'IL II .\1. r-,~\crrr. I
JOB DESCRIPTION: fo!I~\^~ rul:;::; hQ09:3'~;Jt:~r ,less ':), ::',-;Clil U:'i!ity,
J \ t tf., I IJ N --.1 i ;:c:;r-tiail :::,lt~?!tJf!dqi~ign<il590' sq.:ft: or_ :Y;11
Lev.) VOJ.~ I:r -I14'-'\jr..I+':1 ~:. ~t:-c.. i~~~C~'2-CI(H1Lqy1tG.~yofLI.~h:-' ',1 ~ :. ','
Permits are non-transferable and expire if work(ii30. YOL! 111 Eao1'1l.N1"dti'uf:1"ct;& 'FIb~{6r'
not started within 180 days of issuance or if work i!(;al i; ;'lg theMorllilar 6*eiling S~A,lce'~r': ':
Suspended for 180 days. num08r forFL~l'<d@r2gail ~;~: ,~, . '-;, . ,", ':'~
Center is 1-800-332-2.::: r+;'/,
2. CONTRACTOR INSTALLATION ONLY B. Services or Fceders - Installation, Alterations or Relocation:
1. LOCATION OF INSTALLATION:
b17(
LI'
Fe,,-,,^k~' (
LEGAL DESCRIPTION:
J702 3434
Electrical Contractor :DtJl.,....: c '/, l:.\'" \n:Jba; <!. (
~~ -v
. Address '''Ro ~ I./b ~ ,~ to
City C(;~4>\.J _
Phone qq <? - 5 J I Lj
Supervisor License Number
3.~G ~LEA
Expiration Date i 0/ I ./ 0 v
Constr. Contr. Number i u 1'1 ~ y-
Expiration Date qlJ~/O&
Signature of Supervising Electrician
C~l<rY/~
, ~
Owners Name ~}r( c.! L La
Address 70 f J:Y, IC 4 B ,.
City et""'f (/".,4. :> l Phone SI:>/- J 2 Z ,
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
'17"ol{
3. COJ\,fPLETE FEE SCHEDULE BELOW
$106.00
$ 19.00
$50.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75,00
$125.00
$163.00
$375.00
$ 50,00
c. · Temporary Services {)rFeeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
$ 50,00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.<Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.aO
Limited Energy/Residential I $ 25.00 2 '}
"),,,imjted Energy/Commercial $ 45.00
~+~~\~~l\ei~t~';A~["fXM~~po~eW~SUrChargeS _
\trTH~lFM~f9~f!.fM9Y1MK1rf IS N~T L/ J
-'O!v1~?fulg&fcl};till3h~g&,B,l\NDONED FOR 360
i\NY lQ~ ~~rni~~M~f€.Fee II ~-o
5% Technology Fee Z. -Zf""
~,
5S-SJ
TOTAL
Shared Dlive(T: )/Building Fonns/Electrical Pennit Application 8-06.doc
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: COM2006-00327
ISSUED: 04/27/2006
APPLIED: 03/20/2006
EXPIRES: 02/28/2007
VALUE: $ 244,127.00
SITE ADDRESS: 6171 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mountaingate subd lot 68
Owner: REGAL CUSTOM HOMES INC
Address: PO BOX 489
ELMIRA OR 97437
Contractor ouLicense
REGAL CUSTOM H~Rs.-I~€W requires 'J U1()9.306
,.,-\(\.!Sl: e-~v' 0 con l""'j
MAG E~(\':ij:ihC~I'N' otsd by the red seH2~_3,4
DEVLO;GII?~T~~~~~&~l~,S;1N.GJ\eS ~~ 95~~j~$8
COMF\<?R\n(F-l!~~~v 1-001 0 t\lrO~g\1 0 +\1P ruM9 b\'
DONA4lJffiBEWISI)~., "ht::lin caples ot.'_,:",l-nQg6
o 0\:3 Uir ~~Ut~'I~~ijn-rreDING~iNF,ORMAI~I@N-,1
ca I tor t\1e ure'0V" - . 344).
number cU, Jf'S"'f\(\.?3.2.~?J ' . . 2
. T center tt;>O wnes.
R-3 Height of Structure 29.00
U Type of Heat: orced Air Electric
VN Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm to curbface
I CONTRACTOR INFORM A TION ,
3
I DEVELOPMENT INFORMA nON I
14.00
10.00
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
0.00
Residential
Phone Number: 541-935-8825
Expiration Date
01/11/2007
12/13/2009
09/16/2006
06/27/2007
06/10/2007
Phone
541-935-8825
541-461-0387
541-913-4487
541-726-0100
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
16,035
2,197
686
428
Hillside
3
Yes
27.70
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUB~IC IMPROVEMENTS.
Fully Improved! '~~ul~l;\t: SUAll ~).~~r;~II.tT~~ WORK
1HIS PERMIT 1\ "l!:'_ND"RIT Ie: 1\\01
Yes UTHORIZED UNDER l).Q,-ulllfJoufsv.J}rams:
~OMMENCED OR IS ABANDONED fOR
P\i~Y J\ 80 DAY PERIOD,
~,
Pae:e 1 of5
~
Cur:b and Gutter
\,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00327
ISSUED: 04/27/2006
APPLIED: 03/20/2006
EXPIRES: 02/28/2007
VALUE: $ 244,127.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
A.C. - Residen
Dwelline:s
Gara2e
Type of Construction
AC - Residential
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
2,197.00
2,197.00
686.00
Value
Date Calculated
Description
Total Value of Project
$8,788.00
$217,503.00
$17,836,00
$244,127.00
03/20/2006
03/20/2006
03/20/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $673.99 3/20/06 3200600000000000138
-Mechanical Issuance Fee- $10.00 4/27/06 1200600000000000557
+ 10% Administrative Fee $166.59 4/27/06 1200600000000000557
+ 8% State Surcharge $133.27 4/27/06 1200600000000000557
3 Baths One & Two Family $306.00 4/27/06 1200600000000000557
Addressing Assignment $31.00 4/27/06 1200600000000000557
Air Handling Unit Up to 10,000 $8.00 4/27/06 1200600000000000557
Building Permit $1,036.90 4/27/06 1200600000000000557
Curbcut Permit $240.00 4/27/06 1200600000000000557
Dryer Vent $6.00 4/2 7/06 1200600000000000557
Exhaust Hoods $9.00 4/27/06 1200600000000000557
Furnace - up to 100,000 btu $12.00 4/27/06 1200600000000000557
Gas Fireplace $15.00 4/27/06 1200600000000000557
Gas Outlets 1-4 $4.00 4/27/06 1200600000000000557
Mountaingate Impervious Area $1,315.74 4/27/06 1200600000000000557
Plan Review Major - Planning $150.00 4/27/06 1200600000000000557
Residence Wiring 1000 Sq Ft $106.00 4/27/06 1200600000000000557
Residence Wiring Ea Addtl 500 $95.00 4/27/06 1200600000000000557
Sanitary Sewer - Improvement $553.03 4/27/06 1200600000000000557
Sanitary Sewer - Reimbursement $727.03 4/27/06 1200600000000000557
SDC MWMC Administration $10.00 4/27/06 1200600000000000557
SDC MWMC Improvement $865.31 4/27/06 1200600000000000557
SDC MWMC Reimbursement $82,03 4/27/06 1200600000000000557
SDC Sanitary/Storm Admin $164.46 4/27/06 1200600000000000557
SDC Transpo Admin $62.62 4/27/06 1200600000000000557
SDC Transpo Improvement $805.70 4/27/06 1200600000000000557
SDC Transpo Reimbursement $182.69 4/27/06 1200600000000000557
Temp Power 200 amps or less $50.00 4/27/06 1200600000000000557
Vent Fan $18.00 4/27/06 1200600000000000557
Willamalane Single Family $1,000.00 4/27/06 1200600000000000557
+ 10% Administrative Fee $4.50 8/30/06 1200600000000001348
+ 5% Technology Fee $2.25 8/30/06 1200600000000001348
+ 8% State Surcharge $3.60 8/30/06 1200600000000001348
Low Voltage - Residential $45.00 8/30/06 1200600000000001348
Pae:e 2 of5
Building/Combination Permit
PERMIT NO: COM2006-00327
ISSUED: 04/27/2006
APPLIED: 03/20/2006
EXPIRES: 02/28/2007
VALUE: $ 244,127.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$8,894.71
I Plan Reviews I
Initial Review
Plannine: Review
03/20/2006
03/20/2006
LLH
TAJ
03/20/2006
04/07/2006
APP
APP
Public Works Review
03/20/2006
03/21/2006
JLP
WE
Public Works Review
03/28/2006
03/28/2006
JLP
APP
Public Works Review
Structural Review
03/28/2006
03/20/2006
APP
RWC
04/24/2006
CITY OF SPRINGFIELD ·
Fence the vegetation easement with
orange construction fencing. Keep
all construction activity out of the
easement. Fence the drip lines of the
two trees to be preserved outside the
vegetation easement with orange
construction fencing. Follow the
tree preservation guidelines in the
"MtGate Development Restrictions"
attached to the plans.
Waiting for overwidth/driveway info
from regal custom homes
3/21/06JLP
Driveway not to exceed 24' per
phone conversation w/ Paul Witt on
3/22/06. Storm to curbface.
JLP3/28/06
See copy of notes
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.
~eouire<UnsDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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.
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.
Pae:e 3 of5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00327
ISSUED: 04/27/2006
APPLIED: 03/20/2006
EXPIRES: 02/28/2007
VALUE: $ 244,127.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
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.
Shower Pan. Prior to covering 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 Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
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.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underground Electric: Prior to cover
Underslab Electric: Prior to cover
Rough Electric: Prior to Cover
Pae:e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00327
ISSUED: 04/27/2006
APPLIED: 03/20/2006
EXPIRES: 02/28/2007
VALUE: $ 244,127.00
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.
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 5 of5
225 Fifth Street
Sprin~field, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00327
COM2006-00327
COM2006-00327
COM2006-00327
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Paid By
CHRIS DEVEREUX
CO. , of Springfield Official Receipt
1. ,elopment Services Department
Public Works Department
1200600000000001348
Date: 08/30/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 086689 In Person
Payment Total:
Page 1 of 1
8:42:43AM
Amount Due
2.25
3.60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
8/30/2006