HomeMy WebLinkAboutPermit Electrical 2006-9-28
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SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689. .~~,A
ELECTRICAL PERMIT APPLICATION q /!:) () /::~rJl
City Job Numbe~UfD((l -ffi~/6 Date ~. --. LY' V
1. LOCATION OF INSTALLATION 3. COMPLETE F'h'E SCHEDULE BELOW
~", ~I rerVl Vl i
Service Included
W,QQ.sq....ft,...or less I $106.00
~~;:;~=;~~~tL ;XPIR[ If' T~JdkOO
~ifNG~~tf)l ~It)lf;ff THIS PERMIT IS N
~~~hlrrOwelhf.)&Sery).ctJ. W . OT
Fv I lVICl\ivtUuK I~ AljANOnl'J:n Fno $50.00
,eeder ~i_L; ~
. .:n 1~)) iJ A',' PER1CJD.
2. CONTRACTOR INSTALLATION ONLY B. Sc~:Ykes or FeedeJ's - Installation, Alterations or Relocation:
Electrical Contractor G~ EEl ect ('- \' c IVtC 200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
40 I Amps to 600 Amps $125.00
601 Arp~-\qe9~Mgon law requlre~$;~~.~g
~~l~)~~ ~~'il<claPted by the Orego1VJ~otY I-
NOllnca :IOn Center. Those rules are S91 Tort,
in.J1AR 95?-M1-001 n through OAR 952-001
c. 'lC'nlPQ.r.a"f'Servlce~.'prT<I'eeders f th I b
009u..you may Outa n copies 0 e ru es ~
InstJi~_ .1liWr~t'AeJf mm~ti me tel~pho~e
number for the Oregon Otllty Notification
200 Amps or'~ss ter is 1.800-3~a4~). $ 50.00
20 I Amps to 'L!~J\\mps $ 69.00
40 I Amps to 600 Amps $100.00
Si~"n,?-_ature .:,. f~S rvi/,si.n:Erll,ectrician LQ
y \.(' ~ New Alteration or Extension Per Panel
/\ One Circuit
. -: '-' . Each Additional Circuit or with
Owners rrme~.J7 ~ ~, lQ.tK' 6UA. OcJj)\5 Service or Feeder Permit $ 3.00
Address1 {). '~'i- <63~ l\ r _ E. Miscellaneous (Service/feeder not included) -Each Installation
- - "s, '-I ' )
City&~ lliYl\J..Yhone 1 ~ """0330
LEGAL DESCRIPTION
\'\OL 34 3'1 07~cro
JOB DESCRIPTION
~
.s~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address ~, bO~ I Co~b
5l.{1
Phone q lor., ?3fo 27
City 6. I b~ r\ \1
. J
q '73;1-l
;;QBOS
Supervisor License Number
Expiration Date l D - I - Ol.D
/-COmtr. Contr. Number d l( ~ l 5 C.-
(" Expiration Date ) D - I - 0 r....o
\
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
A
,....,d
Inspection R~~6-3769
no V2:bLJ )1
~; ~q\ I'O~
A. New Residential- Single or Multi-Family per dwelling unit.
100 ~
.JILL
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
$ 43.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. J%~~~L ~OVII. cJV
8% State Surcharge ik
10% Administrative Fee
d).ao'-
/ 17.{iJ1)
? Z. ()7)
dS-1: (,;(~
( i
~C)
TOTAL
Shared Drive(T:)/Building Forms/Elec cal Permit Application I.06,doc
)iYP1-rO.
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6127 Fernhill Lp
ASSESSOR'S PARCEL NO.: ]702343407400
2ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00270
ISSUED: 04/27/2006
APPLIED: 03/06/2006
EXPIRES: 03/08/2007
VALUE: $ 284,839.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 66
~~~~:~1~LEY BUILDERS INC ~WfIUN;t~g~' ~jlt'rVv~Slre~~ i788]
fnll.n,^!.rul. adopt 10 e Oregon UII'l'I'tY
G & E ELECTRIC INC No?irl"~ion Center. P, ~~Ules ar~1k?~orl~45
MIDW A Y MECHANICAL INC . 15lfftl'6 . Q},r mq gh OAffii~~~423
ALAN DOUGLAS HAlMA 1~.rt~t~~2::}~ '3~~~rkWAp ~Cl nf tha4,\lPAisi3~86
BUILDING INFORMA TIi?-~lI1g the center. (Note: the tel~~ho~e
number for the Oregon Utility Notification
# of Stories: Certler i~CjI1~332.2344). ]] ,634
Height of Structure 29.00 Sq Ft ]st Floor: 2,]5]
Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 440
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Fully Improved
Yes
Owner: RIVER VALLEY BUILDERS
Address: PO BOX 832
SWEET HOME OR 97386
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
13.80
5.30
46.40
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 54] - 726-0330
I CONTRACTOR INFORMA nON I
]
R-3
U
VN
691
3
I DEVELOPMENT INFORMA nON I
NOTICE:
Overlay Dist:THIS PE Hillside Total:
# Street Tre_e: RMIT SHALL EXPIRE IFEH\l.!H~~eped:
Paved Drive . ORIZED UNDERYt.~ cdlkpWilRK
% of Lot CO ENCED OR Itt'AlrlS PERMIT IS NOT
ANY 180 DAY PFRln,:\ ANDONED FOR
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
2
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: No hook-up to city infrastructure until subdivision has final acceptance.Storm drainage piped to existing
stu b.3/] 3/06JLP
Paee ] of 4
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: cOM2006-00270
ISSUED: 04/27/2006
APPLIED: 03/06/2006
EXPIRES: 03/0812007
VALUE: $ 284,839.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
A.C. - Residen
Dwellines
Garaee
AC - Residential
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
2,591.00
2,591.00
691.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$10,364.00
$256,509.00
$17,966.00
$284,839.00
04/24/2006
03/06/2006
03/06/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $737.36 3/6/06 1200600000000000257
-Mechanical Issuance Fee- $10.00 4/27/06 1200600000000000562
+ 10% Administrative Fee $163.59 4/27/06 1200600000000000562
+ 8% State Surcharge $130.87 4/27/06 1200600000000000562
3 Baths One & Two Family $306.00 4/27/06 1200600000000000562
Addressing Assignment $31.00 4/27/06 1200600000000000562
Appliance Vent $6.00 4/27/06 1200600000000000562
Boiler/Comp Up To 100,000 btu $12.00 4/27/06 1200600000000000562
Building Permit $1,166.90 4/27/06 1200600000000000562
Curbcut - Additional Driveway $40.00 4/27/06 1200600000000000562
Curbcut Permit $80.00 4/27/06 1200600000000000562
Dryer Vent $6.00 4/27/06 1200600000000000562
Furnace - up to 100,000 btu $12.00 4/27/06 1200600000000000562
Gas Fireplace $15.00 4/27/06 1200600000000000562
Gas Outlets 1-4 $4.00 4/27/06 1200600000000000562
Mountaingate Impervious Area $1,487.09 4/27/06 1200600000000000562
Plan Review Major - Planning $150.00 4/27/06 1200600000000000562
Plan Review Residential $21.13 4/27/06 1200600000000000562
Sanitary Sewer - Improvement $553.03 4/27/06 1200600000000000562
Sanitary Sewer - Reimbursement $727.03 4/27/06 1200600000000000562
SDC MWMC Administration $10.00 4/2 7/06 1200600000000000562
SDC MWMC Improvement $865.31 4/27/06 1200600000000000562
SDC MWMC Reimbursement $82.03 4/27/06 1200600000000000562
SDC SanitarylStorm Admin $173.62 4/27/06 1200600000000000562
SDC Transpo Admin $62.02 4/27/06 1200600000000000562
SDC Transpo Improvement $805.70 4/27/06 1200600000000000562
SDC Transpo Reimbursement $182.69 4/27/06 1200600000000000562
Storm Sewer Each Addtll00' $28.00 4/27/06 1200600000000000562
Temp Power 200 amps or less $50.00 4/27/06 1200600000000000562
Vent Fan $30.00 4/27/06 1200600000000000562
WilIamalane Single Family $1,000.00 4/27/06 1200600000000000562
+ 10% Administrative Fee $22.00 9/22/06 2200600000000001330
+ 5% Technology Fee $11.00 9/22/06 2200600000000001330
+ 8% State Surcharge $17.60 9/22/06 2200600000000001330
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00270
ISSUED: 04/27/2006
APPLIED: 03/06/2006
EXPIRES: 03/08/2007
VALUE: $ 284,839.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$106.00
$114.00
9/22/06
9/22/06
2200600000000001330
2200600000000001330
Total Amount Paid
$9,218.97
I Plan Reviews ~
Initial Review
LDAP Review
03/07/2006
03/07/2006
03/1 0/2006
03/07/2006
APP LLH
10 VRJ
Full review LDAP submitted by
Mr.Larkin 3-6-2006 and is under
review. $600.00 due at issuance.
Fence vegetation easement with
orange construction fencing and
keep all construction activity out of
this area.
No hook up until city accepts
subdivison. Storm drainage to
existing stub.3/13/06JLP
See documents for Plan review
comments
Plan nine Review
03/10/2006
04/06/2006
APP T AJ
Public Works Review
03/1 0/2006
03/13/2006
APP JLP
Structural Review
03/10/2006
04/24/2006
APP DLM
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.
~eollireCUnsDections 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.
Drywall: Prior to taping.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Water Line: Prior to filling trench and including required testing.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Electric: Prior to Cover
Final Gas: When all gas work is complete.
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.
Paee 3 of 4
225 Fifth ~treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00270
COM2006-00270
COM2006-00270
COM2006-00270
COM2006-00270
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2006-00270
COM2006-00270
COM2006-00270
COM2006-00270
CO M2006-002 70
Payments:
Type of Payment
Check
Check
cReceint I
RECEIPT #:
2200600000000001330
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
G & E ELECTRIC
G & E ELECTRIC
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Received By
Check Number
Batch Number
nJm
nJm
12054
12071
cit-- <)f Springfield Official Receipt
D, ..opment Services Department
Public Works Department
Date: 09/22/2006
Item Total:
Authorization
Number How Received
By Mail
By Mail
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
G & E ELECTRIC
G & E ELECTRIC
nJm
nJm
Page 1 of 1
12054
12071
By Mail
By Mail
Payment Total:
8:47:05AM
Amount Due
106.00
114.00
11.00
17.60
22.00
$270.60
Amount Paid
$259.60
$11.00
$270.60
Amount Due
106.00
114.00
11.00
17.60
22.00
$270.60
Amount Paid
$259.60
$11.00
$270.60
9/22/2006