HomeMy WebLinkAboutPermit Electrical 2006-4-5
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726~~Rg
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LEGAL DESCRIPTION
) 702. ~414
.. .. .'" .. .,'
A'l'lelfResidenfial- Si~gle or Multi-Family p'er d'welIing unit.
obZOD
Service Included
JOB DESCRIPTION 1000 sq. ft. or less
J _ \ / / I ::r ~ Each additional 500 sq. ft. or
~:::ts ~: n:~:2er3~:d::;e ~~S~:L :::O:::::"dij9m~O": e . $ 19.00
J' not started within 180 days of issuance or if work is . M8~q~,!f\~ mW~~i,,?~:ryiceor. ' $50.00
Suspended for 180 days. ..,-\\\-'0\'\' f)eeqer.' \J\I i.I'~ - c-
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2 r;ONTRACTORINST'AL1,4TION ONld'y.:\! ~:"\ ~8\\~ervicf:\S\ orjFeeders,__Jn~tallahon, Alterations or RelocatIOn:
. ;..~;;::-:._<,_..:"::"f:>_,~..: . ,--, ~,- - ';",;"~', ,".;...: :~))"... i";":'i~__: ,-'''.,.-''~,-, '~"~'~' 'i ;:o.i.,(:, S,.I. \ C \ I T-::()';-j;;~\-Q :"ttrL:::> ::\</ G y,;!. >/
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)/ f) N,-",' - co:-,?-C'J \ .' -. C(lC,0:J ,
Electrical Contractor tJ0/ietfJS /N6?J:';\'\ -~ -, c20@A.ffiBs orless ','8
\ ,,"eU (\'. /<j . _ ,.1 ",..II.)..\...'.
00';;::' \ '1.,'\[\o20$Q\mp. s'to 40j)'Ainps
\,'\C\C ~ '" ::>CU" " .,.'"
C2\ ' ~ ~t;G4GJ'~psJO\.9QOjAni~s
f",)ul , s \-.:JJ
\ILl \. CE60f~ps to 1000 Amps
City f.A--fCJelVe Obhone c/f)5---roOOO Over 1000 Amps/Volts
, t
Reconnect Only
$106.00
Address I C/ h 5' uJ I ~ 7 f1-..
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number '2 79 g t...6A
Expiration Date ! 0 ;C; ( /2CeXx
~ . '-;-:;;;,""'".""..
C. . T~Ill~ora:ry Ser51ces or Feeders,.
Constr. Contr. Number i 2 <( 7 )56
Expiration Date (;'/CJ 9/0 ,b
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600, Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. ;'Bd",,~c~,CirCtiits
~ // /J JI) 1'1 J () New Alteration or Extension Per Pa.ne1
lLi~1:eY 1/. WdtJtt:t One Circuit ~\\~'"
V Each Additional CirCUi~1'\\1fh S ~\)\
l' I.A I' ..... C. ILr t ,____ I . AJ'fL....s, ervice or Feeoo~ a..~\\\ '\"\\2. $ 3.00
Owners Name :N ~ ~.. ....- ~ +-...- ~o.:~\~{ SrI 't.;~S '{ ~~\) tV" .
Address Z gb J )2; II ErV-'A'(.. L P "I.%"~" 11 ~?-.~c s I~~\,\~~feeder not included) -Each Installation
, . ~S? \1't.\) \<5 p\' ~
City ~Gs-bV€ Phone bg:s . bJ )\)\\\)\Y:~~\9~~~\Q)\). . $ 50.00
c,\)\\l\\~~tY~~tiJettighting $ 50.00
\\~'i ~imited Energy/Residential / $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee ~ Surcharges
", ,,-, .,-." ,',' '- .,.~....,.. ,'... -,' . y ,. " ,,-''- .' ",-. ,~\~" .. -, .": .... .... -.... .
$ 43.00
OWNER INSTALLA nON
zS-
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
4. SUBTOTAL OFABOVE
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lJ.J
.:s '0
'ISO-
53'~
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01284
ISSUED: 12/05/2005
APPLIED: 09/21/2005
EXPIRES: 10/0512006
VALUE: $ 420,625.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6076 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 54, Mountaingate
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ~'+-
Occupant Lo. ad\~ ~10 ';J'\
_~n ,..~
I DEVELOPMENT INFORMATION I ~\~~..,~~tt~~
'r\.\S #'i'~~ PARKING
Overlay Dist: ~\t~. ~s~t'V'\:.~ ~~~: 2
# Street Trees Rqd: ~~ S ~Y..~ 1.'\:.'V '8'~~ fo Jlandicapped:
Paved Drive Rqd: ,\'(-,.'1. 0.'(-,.\J~~\\~ '\:.~\J"t'ompact:
% of Lot Coverage: ~\) ~~'\:.W~~ ~
\) ~ ,,-,--t '\ IQ \;)
rt.
I PUBLIC IMPROVEMENTS'
Owner: W ALTER CUSTOM HOMES
Address: 2863 RIVERW ALK LOOP
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Use Initials
Low Voltage Electrical
., Mechanical
Plumbing
Contractor License
THOMAS WALTER CUSTOM HOMES LL~ \1'60287
BOB FISHER ELECTRIC INC \'(eS '100~62Z~\
MATTHEW NA V A ~ '(eo..0'(e9P" se\ ,o'(~\_
PAMELA HILLSTROM 0,,\-0: \'{\e 0 s?J:.e S'2:\J \')'1
OLDFIELDS INC ~ O'(eg eO. '0'1 e '(\).\e O~~ (;\~i36o
MARSHALLSI~ ''O-o.O\(~ ~'{\os'(o\).9>'{\ 0' \'{\e257.90' 0"
RS PLUM~'~~~'f~'€:n~:G'{\..,(\Q\es.\'\e \e'(Q~~f6\
\O\\~\:~'O-\)finrJii~e'\IN.Fci~Ti@N ,
~o\\ ~~ S ~u- 0'\'0' 9>0" ~z.-'"
\\]. 0 9\).--to\). \\#?..ollt9<Fi~~~'O\)\)'~
R-30\J c.~\\,,9>e'(lfei~~'(OJ>Structure
\).~'O ~~ of Heat:
VB ~ Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
5
3
39.00
Gas
Gas
Gas
Path 1
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.20
70.00
12.00
90.00
68.70
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-683-6355
Expiration Date
07/12/2008
01/25/2008
Phone
541-683-6355
541-689-7973
503 238-0633
541868-0667
541-485-6000
541-747-7445
541-461-4714
06/09/2006
12/23/2009
01/04/2008
20,000
1,641
1,636
669
762
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub
provided 9/23/2005 CAS
Pal!e 1 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01284
ISSUED: 12/05/2005
APPLIED: 09/21/2005
EXPIRES: 10/05/2006
VALUE: $ 420,625.00
-225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
A.C. - Residen
Dwellinl!s
Garal!e
AC - Residential
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
4,039.00
4,039.00
669.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$16,156.00
$387,744.00
$16,725.00
$420,625.00
09/22/2005
09/21/2005
09/21/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $1,011.99 9/21/05 2200500000000001302
-Mechanical Issuance Fee- $10.00 12/5/05 1200500000000001775
+ 10% Administrative Fee $237.29 12/5/05 1200500000000001775
+ 7% State Surcharge $166.10 12/5/05 1200500000000001775
3 Baths One & Two Family $306.00 12/5/05 1200500000000001775
Addressing Assignment $31.00 12/5/05 1200500000000001775
Appliance Vent $6.00 12/5/05 1200500000000001775
Boiler/Comp 3-15 HP $22.00 12/5/05 1200500000000001775
Building Permit $1,608.90 12/5/05 1200500000000001775
Dryer Vent $6.00 12/5/05 1200500000000001775
Exhaust Hoods $9.00 12/5/05 1200500000000001775
Furnace - more than 100,000 $15.00 12/5/05 1200500000000001775
Gas Fireplace $30.00 12/5/05 1200500000000001775
Gas Outlets 1-4 $4.00 12/5/05 1200500000000001775
Gas Outlets 4+ $2.00 12/5/05 1200500000000001775
Mountaingate Impervious Area $1,309.36 12/5/05 1200500000000001775
Plan Review Major - Planning $150.00 12/5/05 1200500000000001775
Plan Review Residential $33.80 12/5/05 1200500000000001775
Plan ReviewIResidential Hourly $135.00 12/5/05 1200500000000001775
Residence Wiring 1000 Sq Ft $106.00 12/5/05 1200500000000001775
Residence Wiring Ea Addtl 500 $152.00 12/5/05 1200500000000001775
Sanitary Sewer - Improvement $553.03 12/5/05 1200500000000001775
Sanitary Sewer - Reimbursement $727.03 12/5/05 1200500000000001775
Sanitary Sewer Each Addtll00' $14.00 12/5/05 1200500000000001775
SDC MWMC Administration $10.00 12/5/05 1200500000000001775
SDC MWMC Improvement $865.31 12/5/05 1200500000000001775
SDC MWMC Reimbursement $82.03 12/5/05 1200500000000001775
SDC Sanitary/Storm Admin $164.12 12/5/05 1200500000000001775
SDC Transpo Admin $62.64 12/5/05 1200500000000001775
SDC Transpo Improvement $805.70 12/5/05 1200500000000001775
SDC Transpo Reimbursement $182.69 12/5/05 1200500000000001775
Sidewalk Permit $80.00 12/5/05 1200500000000001775
Storm Sewer Each Addtll00' $28.00 12/5/05 1200500000000001775
Temp Power 200 amps or less $50.00 12/5/05 1200500000000001775
Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01284
ISSUED: 12/05/2005
APPLIED: 09/21/2005
EXPIRES: 10/05/2006
VALUE: $ 420,625.00
__s. .,P,.A,I,N..",'GF.IiS:. LD..,.iii.."..". ',..,....
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line - Each Addtll00'
Willamalane Single Family
+ 10% Administrative Fee
+ 8% State Surcharge
. Low Voltage - Residential
Minimum/Adjustment Electrical
$14.00
$1,000.00
$4.50
$3.60
$25.00
$20.00
12/5/05
12/5/05
4/5/06
4/5/06
4/5/06
4/5/06
Total Amount Paid
$10,043.09
I Plan Reviews I
Initial Review 09/22/2005 09/22/2005 APP LLH
Initial Review 10/10/2005 10/10/2005 APP LLH
Initial Review 10/11/2005 10/11/2005 APP LLH
LDAP Review 10/11/2005 10/11/2005 APP VRJ
LDAP Review
09/29/2005
10 VRJ
Plannin2: Review
Plannin2: Review
Plannin2: Review
10/11/2005
10110/2005
09/22/2005
10/11/2005
APP TAJ
10/05/2005
WE TAJ
Public Works Review
09/22/2005
09/23/2005
APP CAS
Structural Review
09/22/2005
10/12/2005
WE DLM
Pa2e 3 of 5
1200500000000001775
1200500000000001775
1200600000000000412
1200600000000000412
1200600000000000412
1200600000000000412
Revised site plan
2nd Revised Plot Plan
LDAP ready to issue 10/11/05.
Alison of Walter Custom Homes has
been contacted. $600.00 due at
issuance.
Full review LDAP. $600.00 due at
issuance. Ldap is currently under
review.
received revised site plan 10/11/05.
On hold for revised site plan: tree
removal, limits of disturbance,
coverage, solar and height need to
be noted on the site plan. Left
message for Alison at Walter
Custom Homes on 10/4/05.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
stub provided 9/23/2005 CAS
Requested add'l information on
vertical engineering & misc.via fax.
See documents for needinfo letter
10/12/05 dim. Received additional
structural information and revisions
from Watton design firm in
response to my request for add'l
info. 11/2/05 dIm. Forwarded to
Tom Marx to complete review
11/3/05
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01284
ISSUED: 12/05/2005
APPLIED: 09/21/2005
EXPIRES: 10/05/2006
VALUE: $ 420,625.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
01/0312006
01/04/2006
APP DLM
Plans reviewed and approved
11/4/05 by Tom Marx and Don
Moore. No entry was made in
computer of plan review approval.
The dates entered for this review are
incorrect, but reflect the number of
days to complete the review once the
information requested was received. i
lh
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.
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.
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.
Site Inspection: To be made after excavation but prior to setting forms.
Vfer 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.
Pal!e 4 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01284
ISSUED: 12/05/2005
APPLIED: 09/21/2005
EXPIRES: 10/05/2006
VALUE: $ 420,625.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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
Pa\?:e 5 of5
225 Fifth Street
. Springfield, Oregon 97477
541-'726-3759 Phone
rity of Springfield Official Receipt
;velopment Services Department
Public Works Department
,~
RECEIPT #:
1200600000000000412
Date: 04/05/2006
1:09:06PM
Job/Journal Number
COM2005-01284
COM2005-01284
CbM2005-01284
C~M2005-01284
,
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
P~yments:
Type of Payment Paid By
CreditCard MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000829 In Person
Payment Total:
Amount Due
3.60 .,
4.50'
25.00 ;
20.00
$53.10
Amount Paid
$53.10
$53.10
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4/5/2006
Page 1 of 1
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