HomeMy WebLinkAboutPermit Electrical 2006-8-16
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
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ELECTRICAL PERMIT APPLICATION
City Job Number COM ZoO 6 - 00<-1 r-'L
Date
L
3.
LEGAL DESCRIPTION
/702.. 345 <{
JOB DESCRIPTION
Lo,,", \j" I~~LAJ.~ vA-c1 VL.,,/ i{ sa.
, Permits are non-transferable and expire if work is
,i- not started within 180 days of issuance or if work is
Suspended for 180 days.
A. New Residential- SingkQfMulti-Family per dwelling unit.
07200
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
;:: , : >0': " . ,'.::;'~' ,:,'
CONTRACTORINSTALI;ATION ONLY B Serv s or Fe dr' I tall to AU t R 1 t
2. , ".L1h,... ','", ,ice e e s__nS.' a i 11' . era ions or. e oca ion:
Electrical Contractor r:J[J);9CtlJS /;U(?..... ____~ '_:ir}?O ~~~~ ofJ~\~sr:;CiL'ir3S you t? $ 63.00
.....-f /''., .:.N. ,UI10PAI)lp~1:0 4QQrArilps,. "1 ',: ;\'.\", $ 75.00
//.(1 ()) ~7/1^- \. ~rlCO''-'-Ci'--'\!'I.c\-''~',~' " J
Address , 'T( 5' 1 (c\lO"1I ru :;s4-011\n(ps to'/;OO Am.ps>, -' --,,'- ;".:h $125.00
. W t l'Y'~'-' r[:~"" ,," -
~I ;:)'~! ~;GG~lDil CtJ'O{'~PJ\~i9Qo.!AfuP~'\ _~ ';;:-00 "I - $163.00
City !;MtAeNe Abhone c;f)S---C;ItI(()t).:: ~\ CS2-08v;r.,iO,O(),~~n~fV~1ts:>:} ",,'s !',~I $375.00
~. T U. _ l)I' \. I m"V uDlai1'I'\~::eti,v~
Ov::'\)' ICJ\.:, IIR"ecotw,e,ctfW1lY"'l',18"c':):-,' _~".3 $ 50.00
nllinot'l",cenl,Jr. " ~.,v. ..' ~
Cc..IL11;:') I \wi vi.;I;;'\! '.~ __'."..I..:~l::II,..Jn
Supervisor License Number 2 ?c;g L6A nUr"li)8r5~~tA~~~~J\~S~~i~'~:,dt.Fee(l~rS
Expiration Date ! 0101 /ZCCJJ!< Installation, Alteration or Relocation
Constr. Contr. Number 12? 7.3 6>
Expiration Date C;/()9 M M 0(1
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Signature of Supervising Electrician
/ # /') /J II J /) New Alteration or Extension Per Panel
{lcc/fd t:r4/ //r l1/{f?;~ One Circuit
U . l Each Additional Circuit or with
Owners Name ~J A 1- "GL G.l L ~t1 Service ~r,F:~der~~_ermit_,_ $ 3.00
Address Zg- I:, "3 i2l" ~vJ ft.-t k: L P E.. ,.~1.i~~~taneous (Servic~/feeder n<lt8lSl11~*f~\kEach InstalIa tion
: t;:-thq:-t. ','. \ ElCt'mE \r+\IC yf\)
City IcJ..G-t:7VC" Phone _55b-~ S.3b \Ad~Po~mi~~i~~~~ lH\S PER\\!\\1_~ \\~Oio.oo
~iUdfJffi~ rff~~S ABANDONtU ruR $ 50.00
OWNER INSTALLATION 1A~W~~\~&~~~eR~OOJ I $ 25.00
~~ed ~nergy/Commercial $ 45.00
Over 600 Amps or 1000 Volts see "B" above. ,
D. \ Branch Circuits
$ 43.00
zS:-
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee (f$45..o.o~Surcharges
.. "----
Inspection Request: 726-3769
[j/o State Surcharge
10% Administrative Fee
'Z- ~ Tez:t+. r:e-c
TOTAL
S5
Shared Drive(T:)/Building Fonns/Electrical Pennit Application l-03.doE
LIS-
"31:>0
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Owners Signature:
4. SUBTOTALOFABOVE.,
,"
'I?'1 0 1.-
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 02/1612007
VALUE: $ 356,534.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6099 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 64
Owner: W ALTER CUSTOM HOMES
Address: 2863 RIVERW ALK LOOP
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
THOMAS WALTER CUSTOM HOMES LLC 160287
BEAR MOUNTAIN ELECTRIC LLC 136298
OLDFIELDS I~~" . on law req\JireUP?3.~O
MARSHALItsTIN~nION'doretg d by the Oreg,zS,7,90,llty
RS PLUMBIIN(\?e'9.~'R~~JJ.~C?n()~::: rules arl0381imth
l'\!UU I I\.JU\.lV I t - - . . . .,...., 1\ n nIH')_UU ,-
in OAR gt;B{rJ:mDJNGJIlNF0'RM1\TION"~s by
You may obtain COjJlt::> UI "'~ ' ~..~
OQ90.. the tte'1~J~ri~s:Jte: the te\8~nOne 2
R_3cal\\ng H . I..t, f St . hi,'''''' i'lotllicat\'3:\9l:1 00
ber for ilf,!g~,9g~ ru.c.urJ.l .
U'um CenTetPI~qQ.tSi!t332-2:FoHed Air Gas
VN Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
I DEVELOPMENT INFORMA TION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25.00
12.00
11.00
24.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-683-6355
Expiration Date
07/12/2008
08/06/2007
06/0912008
12/23/2009
01/04/2008
Phone
541-683-6355
541-953-6747
541-485-6000
541-747-7445
541-461-4714
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
11,939
1,803
1,503
616
Hillside
5
Yes
35.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
. I PUBLIC IM~~<:'YEMENTS I WORK
U\lU -; D' ALL EXP~Q~ II: IHE .
Street Improvements: Fully Improved THIS PERMIT SH TH\4d~~~~\(l{YP.j'NOT
Storm Sewer Available: Yes AUTHORIZED UNDER AB~~8~\9tro'Mins:
Special Instruction: COMMENCED OR IS \
t\\'{ 1 RO DAY PERIOD.
Notes: Storm drainage piped to stub provided 4/2512W6 CA'S
Pa2e 1 of4
To Storm Sewer
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
V Wood Frame
Garaf!e
A.C. - Residen
Dwellinf!s
Garaf!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut - Additional Driveway
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
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
Vent Fan
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,306.00
3,306.00
616.00
Total Value of Project
~
Amount Paid
$910.59
$10.00
$231.10
$169.19
$306.00
$31.00
$6.00
$12.00
$1,400.90
$40.00
$80.00
$6.00
$9.00
$196.10
$12.00
$30.00
$4.00
$1.00
$1,371.78
$150.00
$106.00
$114.00
$572.10
$752.10
$10.00
$865.31
$82.03
$169.83
$62.26
$805.70
$182.69
$28.00
$50.00
$30.00
Date Paid
4/17/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
Paf!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 02/16/2007
VALUE: $ 356,534.00
Value
Date Calculated
$13,224.00
$327,294.00
$16,016.00
$356,534.00
04/17/2006
04/17/2006
04/17/2006
Receipt Number
1200600000000000484
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 02/16/2007
VALUE: $ 356,534.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$1,000.00
$4.50
$2.25
$3.60
$25.00
$20.00
5/30/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
1200600000000000722
1200600000000001271
1200600000000001271
1200600000000001271
1200600000000001271
1200600000000001271
Total Amount Paid
$9,862.03
I Plan Reviews I
Initial Review 04/18/2006 04/20/2006 APP LLH
Planninl! Review 04/20/2006 05/12/2006 APP TAJ
Public Works Review 04/20/2006 04/25/2006 APP CAS Storm drainage piped to stub
provided, landscape blocks ok in
PUE 4/25/2006 CAS
Structural Review 04/20/2006 OS/26/2006 APP DLM See documents for Plan review
comments.
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.
~eouiredJnSDections ,
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.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 02/16/2007
VALUE: $ 356,534.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726..3159 Phone
c:4v of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
1200600000000001271
Date: 08/16/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 012778 In Person
Payment Total:
Page 1 of 1
1l:03:30AM
Amount Due
2.25
3.60
4.50
25.00
20.00
$55.35
Amount Paid
$55.35
$55.35
8/16/2006