HomeMy WebLinkAboutPermit Electrical 2007-6-1
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTIUCAL PERMIT APPLICATION
City Job Number COM ~ - 0 I b I :3
b-I-o 7
Date
CO.MPLETE FEE SCHEDULE BELOlF
3.
1. LOCA..TION OF INSTALL4TION:
hlC/7 ~. r=-~Wl ( L I'
LEGAL DESCRIPTION: II
1;0 Z. sl{ 3 1
JOB DESCRIPTION:
~::. ",~:.!-t:er~:t~tr~j/scc
not started within 180 days of issuance or if work is
Suspended for 180 days.
A. New Rcsidential- Single or Multi-FamiIyper dwelling unit.
e>r-700
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. ' Services or Feedcrs .,- Installation, Alterations or Relocation:
2. CONTIV1CTORINSTALL4TION ONLY
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
/pC-
200 Amps or less .
20 I Am~~ )<?(4-00',A~~p~ .
. r,,'" 6' Ie' \"
. . (\\,4,0 CAmp~\ tA,. 00 ~1.Pc~c e.
\-, \, - '-', ". ,,-:;' ~:--' - .'.. - \\ \ ',-., - -' .
,,(\2\ " ",:,6QfAin.,' 'PS\to iO,O, ,0 Aln.ps' ':,<
(10 ,,- f_~X"\ 0\C'~' ,\,' , .." \, \ r,
1 0:> -I(,I'-'V,';-(,',;J ~,. "Qyer\100QfAmp~JVQlt&\ ':,>
~'I, \\ \ ,_, " \. j , '-, . J', '.,.... -.;:>
',\. ..'.I,\~MectQAI~'.' "
,,;, \ f:;",\j(}(:';:" ,,:>, ...'.\.\\\\..j., A'
.c;. \,J~nfp?'raN\~~~W;~- qb!e~a~rs
, \'\. ' " \--'
-,~\~_ \o{ \ -' \c) \ ?j'.,j\.J
, rn~~I.llI.a't'ion, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. , Branch Circuits
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Electrical Contractor
?/A
ILfGS""' u.)
Address
City hoer-'e
I
Phone
Supervisor License Number 26 '-. Y?.'SC Lc
'7/;10 g
Expiration Date
$ 50.00
$ 69.00
$100.00
Constr. Contr. Number /2? 736
Expiration Date (P /9/ () <B
Signature of Supervising Electrician
~ tJLf2. N,w Alteration or Ext,,,,ion Per Pao,J
Owo," Na~ ~~:tl~2~ ~~:~~~~~~~~;::~~;\::~ :~~'~\\\~ : ~~:o
Address Z fb3 j.? , Ve.-tL &,Ioo',4:\t/' ,\c:~I\.Wl~iisc~~a~~~'s-''(S\-el~j.~~/f1~d)~'{\~t\UThluded) -Eachlnstallation
. t.. )cn,\~",\.....yY\ ",\-,f\'i\
City f--u&t:Akr" Phone {;,r, - b 3J~0.\'~\~~~.:Ql\i~i~~~~ns " t\\:',u' $ 50.00
\'>.\; Sl~~Aliie\Li~h~i.~g,\ $ 50.00
G~\'ffilt~\F'J1eig~/Residential $ 25.00
~i~~d Energy/Commercial / $ 45.00 l{ J
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
'1J
760
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5S-"3S
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
4. sr..rBTOTAL OF ABOVE
Owners Signature:
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Inspection Request: 726-3769
Shared Dlive(T:)/Building Fonns/Electlical Pemlit Application 8-06,doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01613
ISSUED: 02/21/2007
APPLIED: 12/15/2006
EXPIRES: 12/13/2007
VALUE: $ 320,851.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6142 FERNHILL LOOP
ASSESSOR'S PARCEL NO.: 1702343405700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence - Mt gate lot 49 same as COM2006-01002 6300 Forest Ridge
Dr. (as revised wi roof trusses).
Owner: W ALTER CUSTOM HOMES
Address: 2863 RIVERW ALK LOOP
EUGENE OR 97401
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
THOMAS W ALTER CUSTOM HOMES LLC
BOB FISHER ELECTRIC INC
MARSHALLS INC
RS PLUMBING CONTRACTING
License
160287
96275
25790
103816
I BUILDING INEORMA TION ,
_ 'jUv
Q' }\Xe,:> , \\,\\\'j
# of Units: 1 \a.\J'J Xe 'II QJ.~priesi t\n 2
. "0(\ O.$I::l'0 ..~ 10'
PrImary Occupancy Group: ~'. ~G3~ 'o'j \ne ~~~~~o:f~f~ttfture: .40.00
Secondary OccupancYG~tq)1\O a.dotJ'led OSe tU':r'Y,~$-?fC}l't?aP. 'o~ Forced Air Gas
Primary Constructionf'TyJ.8~~ tU\es NB(. ,D ntOugWai~'~'1~'e?-S Gas
Secondary ConstructidR\~Y~eG'O(\ C~'\ .00'\ 0 '\ O?\~IJi\e T~p,~D(\e Gas
# of Bedrooms: ~o\\ ~; gs2-0 ~ ~'o\(}\(\ ~O\~n~~~~\~t,ll~\\~(\ Path 1
\(\ 0 0 ,,<oU \(\'0: (\\et. ~ ~p'J:Inkled !Juddmg: n/a
(\(\9 . 11'0 ,:,p. ce u:/'1Jo~ .~;: ()t:l,AOt) ,
ca.\\\ bet \ot \n~ .,k I)E>VEtOPMENT INFORMATION'
(\u\(\ Ce(\\.9\
15.00
5.00
12.60
30.00
0.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-683-6355
Expiration Date
07/12/2008
01/25/2008
12/2312009
01104/2008
Phone
541-683-6355
541-689-7973
541-747-7445
541-461-4714
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
11,263
1,989
828
854
472
Hillside
2
Yes
33.60
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted . I PUBLIC IMPROVEMENTS I \NOR\<..
Street Improvements: i~ U \ \ lv Ie. I Sidew@~~e\f 1\1E 01
Fullv Improved PERMII SI1-f\\...1- . ERM\1 \S N Curbside 5'
Storm Sewer Available: Yes 1\1IS RILED \.n~mls1>5\Wsmra~~ fOR To Storm Sewer
Special Instruction: I\Ul \1 0 D OR \5 I\BI\NDON
cmM,;~ENCE. D
Notes: Storm to designated system.Overwidth approved by BO~N'r'i%(f@tfic'hi~~s "Must clear fire hydrant, valve, and
other utilities" .JLP
Paee 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
Deck
Garaee
A.C. - Residen
Deck/Balconv
Garaee
Fee Description
Curbcut - Additional Driveway
Plan Review Same As
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Mountaingate Impervious Area
Plan Review Major.- Planning
PW Disc - 2nd Permit
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 SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Sewer Each AddtI 100'
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-01613
ISSUED: 02/21/2007
APPLIED: 12/15/2006
EXPIRES: 12/13/2007
VALUE: $ 320,851.00
I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
$4.00
$18.00
$26.00
Square Footage
or Bid Amount
2,817.00
472.00
854.00
Value
Date Calculated
$11,268.00
$8,496.00
$22,204.00
$41,968.00
12/19/2006
12/19/2006
12/15/2006
Total Value of Project
~
Amount Paid
$40.00
$200.00
$10.00
$218.31
$115.20
$158.07
$306.00
$31.00
$6.00
$12.00
$1,283.90
. $80.00
$6.00
$9.00
$207.15
$15.00
$12.00
$4.00
$1,506.25
$198.00
$-30.00
$106.00
$114.00
$633.30
$832.85
$10.00
$961.52
$91.61
$188.14
$64.93
$836.32
$189.58
$80.00
$28.00
Date Paid
Receipt Number
12/15/06
12/15/06
2/21107
2/21/07
2/21107
2121/07
2/21/07
2/21107
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21107
2/21107
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21107
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
2/21/07
Paee 2 of 5
2200600000000001707
1200600000000001761
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
1200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000232
CITY OF SPRINGFIELD'
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: cOM2006-01613
ISSUED: 02/21/2007
APPLIED: 12/15/2006
EXPIRES: 12/13/2007
VALUE: $ 320,851.00
Status
Issued
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimuml Adjustment Electrical
$50.00
$24.00
$1,000.00
$4.50
$2.25
$3.60
$25.00
$20.00
2/21/07
2/21/07
2/21/07
6/18/07
6/18/07
6/18/07
6/18/07
6/18/07
Total Amount Paid
$9,653.48
I Plan Reviews I
Initial Review
Plan nine Review
12/19/2006
02/05/2007
LLH
TAJ
APP
APP
12/1812006
12/19/2006
Public Works Review
Public Works Review
01/04/2007
0112212007
WI
APP
JLP
JLP
12/19/2006
01/2312007
Structural Review
02/20/2007
DLM
12/1912006
WE
2200700000000000232
2200700000000000232
2200700000000000232
2200700000000000979
2200700000000000979
2200700000000000979
2200700000000000979
2200700000000000979
Solar exemption granted based on
protected trees within the
Conservation Easement.
Plant native street tree species
chosen from the list on page 6-4 for
native trees in Hillside Development
in the street tree handout.
Waiting in order rcvd for rvw.JLP
Storm to designated
system.Overwidth approved by Bob
W. in Traffic he adds "Must clear
fire hydrant, valve, and other
utilities" .JLP
The truss drawings that were
submitted are based on the wrong
wind speed. I contacted the truss co.
requesting revised truss drawings
with the required 100 mph wind
speed.
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.
~eouiredJnsDections 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.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Paee 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2006-01613
ISSUED: 02/21/2007
APPLIED: 12/15/2006
EXPIRES: 12/13/2007
VALUE: $ 320,851.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
WaIllnsulation: 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.
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.
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.
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 V oItage: Prior to cover.
Paee 4 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01613
ISSUED: 02/21/2007
APPLIED: 12/15/2006
EXPIRES: 12/13/2007
VALUE: $ 320,851.00
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 of 5
225 Fifth Street
Sprin_g~e.d,.Oregon 97477
541-726-3759 Phone
r'<v of Springfield Official Receipt
i elopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1613
COM2006-0 1613
COM2006-0 1613
COM2006-0 1613
COM2006-0 1613
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000979
Date: 06/18/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01789D In Person
Payment Total:
Page 1 of 1
2:48:31PM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
6/18/2007