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Home My WebLink AboutPermit Electrical 2007-2-6 ZON LD'2- INITIALS rJM DATE c!;}bJO I SOURCE 1r!a(J~ 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ 2-00 b ,- 00 Lf.>.3 1. CI X-y 't;J"" h,' d Lib (? LEGAL DESCRIPTION: f702-3L1 JL( oSS-OO A. _\t2(,Jj,+,J , AJd:(.). P~vj/ (c.-b~J I' / JOB DESCRIPTION: Lc:,vJ l/:; ( I- 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. Electrical ContractorJ)eJ\o::J;<- 1ec\'" "'0 b~~ e \ Phone 91 fj- )'J/L/ NOnCi:: 3~c,) Lf A. THIS PER~}~fLb J.\uTHORIZEO UN~ CO M MEN C E lfuU~ill~i~ MIDrQ~Wo~qnlocation ANY 180 OA~dO~Dor less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. A1N~1~~8>8; ~~~mI3M.ltility fO~~~~~~~nIThose rules are set tO$, 43.00 do Not 1~~\l'J~f]'!t . enh~o~~ OAR 952.001 in O~~ .~. ermcltopies of the wlos b,3,oO " ,'\11 E-::S 009 ma 0 aln . L(87 &;; , - - num 2344\ 7 3') - 8 8Z:J Pump ~$ifti"lfMn 1-800.332- " Sign/Outline Lighting Limited EnergyIResidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee . Address :jb ~ '-1053,& City ( v,l) e '-1 <L Supervisor License Number Expiration Date I () 11/ 200 y Constr. Contr. Number I Co /t.(S 6- q/!G(OV Expiration Date Signature of Supervising Electrician C\...fsvf 1) ""I ./ / Owners Name 2e~;4. ( {v.. "::>~'^- Address 70 I 6ot< City f3-ut ( (LA Phone 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 2/~-7 I I Date 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. 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 $ 50.00 $ 69,00 $100.00 I $ 50.00 $ 50,00 $ 25.00 $ 45,00 2~ 4. Cf) ~bO 450 Zz.-r urcharges 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Fanus/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 =:ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 08/06/2007 VALUE: $ 331,331.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 6188 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405500 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 47 Contractor License Expiration Date Phone REGAL CUSTOM HOMES INC 109306 01111/2007 541-935-8825 MAG ELECTRIC INC E149834 Jttl~2~~ 'NOR~I-461-0387 DEVLOGIC TECHNOLOGIES INC ~O\\C 1~1(\5~\-U\ll E'k?b'9n~tP4\~ \5 ~~1-913-4487 COMFORT FLOW 1\-\\S ?E~ UNGER 1\-\\66.i2~ii} (7fOR 541-726-0100 DONALD C LEWIS~\\\H~~~u J\,\ W r:.R~IWli~lli 1 t7 541-688-1931 I BUILDINGINF~ih\k'~ ?ER\OG. p..~'( tiU uf\ # of Stories: 2 Lot Size: 11,710 Height of Structure: 29.00 Sq Ft 1st Floor: 1,935 Type of Heat: Heat Pump Sq Ft 2nd Floor: . OU lV Water Type: Gas Sq Ft Basew~ (equ\I~;:' 'I Ut~q~4 Range Type: Ga\SnG\'i'.E1fc.egpj~q\\\'WQ)tegOll e\ tt~4 Energy Path: ~i=-l'" \e~<<&ti09\iW: e fU\eS afe s .()O' Sprinkled Building: ,~W i~~~\i.tii\bq~bUgn O~t\ 95~ st. ,..l;r"t,On '03otn;hf u,",o ru e I DEVELOPMENT INFORMATIQ);i~i\9S2..W ~-ob\a\(\ CO?\~:b;'\~\e'Pt\o~e '" 0090. ~~OU\~:ce~Q~~5<<\<<t~t\0{ Overlay Dist: Gfi\\~ tOft\'le~ 332.-23441' 2 # Street Trees Rqd: nU'<<' OemefiB~~ped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 32.60 Owner: REGAL CUSTOM HOMES INC Address: PO BOX 489 ELMIRA OR 97437 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: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 32.00 8.00 55.00 32.50 Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-935-8825 I CONTRACTOR INFORMATION I 1 R-3 U VN 3 I PUBLIC IMPROVEMENTS I Sidewalk Type: Fullv Improved Yes Downspouts/Drains: Curbside 5' To Storm Sewer Notes: Storm drainage piped to stub provided rear of lot 4/18/2006 CAS Paee 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwelline:s Garaee AC - Residential V Wood Frame Garal:!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Mountaingate Impervious Area Plan Review Major - Planning PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Sewer Each Addtl 100' Temp Power 200 amps or less I Valuation DescriDtion I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,029.00 3,029.00 744.00 Total Value of Project ~ Amount Paid $857.77 $10.00 $222.73 $163.09 $306.00 $31.00 $12.00 $1,319.65 $80.00 $6.00 $9.00 $188.65 $12.00 $30.00 $4.00 $4.00 $1,204.14 $150.00 $-30.00 $106.00 $114.00 $553.03 $727.03 $14.00 $10.00 $865.31 $82.03 $158.46 $63.04 $805.70 $182.69 $80.00 $14.00 $50.00 Date Paid 4/12/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 Pat!e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 08/06/2007 VALUE: $ 331,331.00 Value Date Calculated $12,116.00 $299,871.00 $19,344.00 $331,331.00 04/12/2006 04/12/2006 04/12/2006 Receipt Number 2200600000000000449 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 . 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 08/06/2007 VALUE: $ 331,331.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Water Line - Each Addtll00' WilIamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low V oUage - Residential Minimum/Adjustment Electrical $24.00 $14.00 $1,000.00 $4.50 $2.25 $3.60 $25.00 $20.00 6/23/06 6/23/06 6/23/06 2/6/07 2/6/07 2/6/07 2/6/07 2/6/07 Total Amount Paid $9,498.67 I Plan Reviews' Initial Review LDAP Review 04/17/2006 04/27/2006 04/17/2006 04/27/2006 APP SKG APP VRJ Planninl!: Review 04/17/2006 05/12/2006 APP T AJ Public Works Review 04/17/2006 04/18/2006 APP CAS Structural Review 04/17/2006 OS/23/2006 OK RWC 1200600000000000939 1200600000000000939 1200600000000000939 1200700000000000121 1200700000000000121 1200700000000000121 1200700000000000121 1200700000000000121 LDAP is at the front counter and ready to issue. Fence Conservation Easement with orange construction fencing and keep all construction activity out of this area. The 8" oak in the front may be counted as one of the 3 required street trees. Place orange construction fencing to the dripline and follow the other tree preservation guidelines attached to the street tree handout. Storm drainage piped to stub provided 4/18/2006 CAS To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouiredJnsnections I 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. 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. Paee 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 08/06/2007 VALUE: $ 331,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. 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 Rough Electric: Prior to Cover 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. 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. 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. Paee 4 of5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 08/06/2007 VALUE: $ 331,331.00 225 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 Paee 5 of5 225 Fifth Street " - Sprin'gfield, Oregon 97477 541-726-3759 Phone Cit-r of Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000121 Date: 02/06/2007 Description Low Voltage - Residential Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received DEVLOGIC TECHNOLOGIES djb 095708 In Person Payment Total: Page 1 of I 11:17:58AM Amount Due 25.00 20.00 2.25 3,60 4,50 $55.35 Amount Paid $55.35 $55.35 2/6/2007