HomeMy WebLinkAboutPermit Electrical 2006-3-1
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FA~:,!541)7. 26-3689 '~6
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ELECTRICAL PERMIT APP!::ICATION :cmil1g an~~project as SUbmi .
City Job Number c...OlAA -z..c:, 0 ':> - 0 I ~ t 0 aPngt'e'lI, oes not require ~~~~~~ tile fOllol'lin
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3. COMPLETE E~'f&SCHEDtJL~~-<"()/7
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A. New Resid,ential- Single or Mulfi~F~mil~Re,l' d 1.
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Service Included
1.
LOCATION OF INSTALLAl'ION
(1)0L/ I FerVl h.i \.I Loo r
LEGAL DESCRIPTION .
1702 ~l(Jl( obS-OO
JOB DESCRIPTION
Y\ew Re5> icLeVtU2
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
SPRINCFIELD
1000 sq, ft, or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/
B
100 r-
152/
$106,00
$ 19.00
$50.00
2. ,'Co,NTRACTOR INSTALLATION ONLY B. Sel:y(:es or.F~e~~(s\Dlnstallation, Alterations or.Relocation:
. 'i" Jr' r:. \ -" 11. \~\J\! ~eo~we'~n \.},\\\\'i.'l
Electrical Contractor L?'t C [::. ect ("- \ C c1\.~9~O'b~JUP~ @-~fe?1~e se\\O~'i.'\I $ 63.00
fi) n. ~ljlt:.~ \ ~e~ aoO?\efd~&~sU~~'OR~~BS:-OO'\ - $ 75.00
Address ., ,0, \..)O'f.. I Co q(l~ ~UU\-:cen\eC4~d\.{-\\,l!P.s~~~,Ot(-tWp.s\es 'o~ $125.00
5U\~'i.\\\ca\~c..'2_00'\ -0~010'}_A,mp'~\'?oSfooO"A\ 'mps')"e $163.00
^ \ b ~ ~'" "';) a\~i '-:I" . ":Ie ,Co -, \On
City ~ d vt ~ Phone q IImt.')[< fe,~7JJ 0 +o~~r~!.QO'@~.~ps~.gIJ~\Ca\ $375.00
009 '. \\\e cenR"econ~~r\.0nl~~ '2AA'). $ 50.00
;) q 9 (j~\n9 \'\Ie o~e'd 0-'~3'2.-'l.
, e~ 'o~ ,-.1-&0 '
Supervisor License Number Ij cen\.e\ \STemporary Services or Feeders
Expiration Date lD - I ~ 0 Co Installation, Alteration or Relocation
Constr. Contr. Number
'dL(2j5~
)D-"-O(o
Expiration Date
Signature of Supervising Electrician
X~K~
, ~
Owners Name K..l V,;" J .All~
Address t>D' ~(),.>c:' g 3 Z I
City :>c,tI CE.f. I-I,)..ri~ Phone 760 - 1 if (
'T];/d/~
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
.,~u~
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.
D. Branch qrcuits . _'
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit ~~O
, '. ., ~(:.'\\\~ ~~'\
E. . Miscellaneous (ServiCe/fee~~Vt i~a~ -Each Installation
. ~~~ ~~~ ~~
Pump ~r~~~ation S\\~\.\.~ '\\\\CS 'Q~~~~ $ 50.00
S~~W~i~\>~ ~~~~ $ 50.00
L~~~~~~~~lm)~\)\>. $ 25.00
Liml~\~~~~ $ 45.00
Minimum ~1:~~t Inspection Fee is $45.00 + Surcharges
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4. SUBTOTAL OF ABOVE' '. ,:J 5n ..-
. ~~ '~6
? '
2BJ 30'f,Ytj
$ 43.00
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Pennit Application I-06,doc
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6041 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406500
CITYOFSPRlNGlflELD'
Building/Combination Permit
PERMIT NO: COM2005-01310
ISSUED: 10/27/2005
APPLIED: 09/26/2005
EXPIRES: 08/24/2006
VALUE: $ 346,346.00
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, lot 57, Mountaingate
I CONTRACTOR INFORMATlQ;N"
\!J teC\U\tt;;:> ) Utl\\\\!
Contractor \. Ote9Qn \a: \.\\e octsieru~f'ot\.\\Expiration Date
RIVER VALLE~~};J~IjJ~ed 'o'J tu\e<l3'4g~~S'2.-00"\- 04/15/2007
G & E ELECT~~u\e5 a :let. ,\\Ose u9\\ 5jf4~ u\eS 'o'J 09/15/2007
MIDWAY MEc~~n ~~ -00"\ 0 \.\\to \eS 1'54m6t \lOne 01/30/2007
MIDWAY PLL~~~.ld~~~~'J n~~~\n l~:~' ~~~~~~j,-~tiOn 07/25/2008
00'l3'BUILDW63IN'FOKMAJI'IONlo:,) .
CallI' ,':;) t'fle -.:." - 0 'F':''- -.
t ,ot . "\_'00 -.;)
nUfflqro6~twje~ 2
Height of 42.00
Type of Heat: Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled n/a
I DEVELOPMENT INFORMATION I
, RE~~D PARKING
Overlay Dist: ' Hillside t':. \~ '\~\ ~I~\ 2
# Street Trees i~\. ~~" .capped:
Paved Drive R9t,t:... ~~~\.\. ~tl ~"t.~ act:
% of Lot ~~~~~~~ ~~\)~%5. ~~~
\~\~. \C\~\t~\) t"\ (\~ \~ ~
*"c. <.'f"''i$-
IPUBLIC IMPRO . \)~ ~'" '
F II I d r.."-\'i Sidewalk Type:
u v mprove ~.
Yes DownspoutsJDrains
- Owner: RIVER VALLEY BUILDERS
Address: PO BOX 832
SWEET HOME OR 97386
Contractor Tvpe
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy
. ,. Yrimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
9.20
5.70
37.00
0.00
Subdivision Not Accepted
Street
Storm Sewer Available:
..- Special Instruction:
Residential
Phone Number: 541-726-0330
Phone
541-760-7881
541-967-7045
541-928-2423
541-928-7927 -
1
R-3
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:.
1,160
540
10,000
2,199
540
4
,.
.
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 9/30/2005 CAS
1 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
Use Bid Amount
V Wood Frame
V Wood Frame
Garae:e - Masonrv
Garae:e
Use Bid Amount
A.C. - Residen
Bid Amount
Dwelline:s
Dwelline:s
Garae:e
Garae:e
PatiolPorch
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% 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
- Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
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
CITY OF SPRINGFIELD I
Building/Combination Permi~.
PERMIT NO: COM2005-01310
ISSUED: 10/27/2005
APPLIED: 09/26/2005
EXPIRES: 08/24/2006
VALUE: $ 346,346.00
I Valuation Description I
$PerSqFt
or multiplier
$4.00
$1.00
$96.00
$96.00
$29.00
$25.00
$1.00
Square Footage
or Bid Amount
2,961.00
2,232.00
2,547.00
414.00
624.00
1,106.00
2,268.00
Value
Date Calculated
$11,844.00
$2,232.00
$244,512.00
$39,744.00
$18,096.00
$27,650.00
$2,268.00
$346,346.00
10/17/2005
10/14/2005
09/26/2005
10/14/2005
10/14/2005
09/26/2005
10/14/2005
Total Value of Project
LFees Paid I
Amount Paid
$733.14
$10.00
$185.34
$129.74
$306.00
$31.00
$12.00
$12.00
$1,368.40
$40.00
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$1.00
$1,404.08
$150.00
$202.86
$-30.00
$667.45
$877.45
$10.00
$865.31
$82.03
$183.30
$61.44
$805.70
$182.69
Date Paid
Receipt Number
2200500000000001338
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
9/26/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
2 of 5
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk Permit
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
~' + 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01310
ISSUED: 10/27/2005
APPLIED: 09/26/2005
EXPIRES: 08/24/2006
VAL UE: $ 346,346.00
$80.00
$28.00
$50.00
$30.00
$1,000.00
$25.80
$20.64
$106.00
$152.00
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
2/27/06
2/27/06
2/27/06
2/27/06
$9,909.37
I Plan Reviews I
Initial Review 09/27/2005 09/28/2005 APP LLH
LDAP Review 10/11/2005 10/11/2005 APP VRJ
LDAP Review 09/26/2005 10 VRJ
Plan nine Review 09/30/2005 10/07/2005 APP TAJ
Public Works Review 09/28/2005 09/30/2005 APP CAS
,'v
Structural Review
,~ Structural Review
09/28/2005
10/20/2005
WE DLM
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
2200500000000001511
1200600000000000205
1200600000000000205
1200600000000000205
1200600000000000205
LDAP ready to issue 10/11/05. Mr.
Larkin plans to pick up LDAP
10/12/05. $600.00 due at issuance.
Full Review LDAP, $600.00 due at
issuance. LDAP plans have been
submitted for review 9/26/05.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
stub provided, overwidth approved,
no retaining wall in the PUE
9/30/2005 CAS
Contacted owner & engineer. The
following additional information
was requested: 1. Engineered Portal
frames must be designed taller than
the drawings show due to ceiling
height. Also, P.F. drawings do not
match engineering specs. 2.
Retaining wall in basement is shown
to step down at sides - need
cantilevered ret. wall design. 3.
Revise main beam in garage, which
is shown smaller on drawing than
engineering requires. All drawings
are stamped and signed by the
engineer. 10/20/05 dim
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.
10/24/2005
10/25/2005
APP DLM
3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01310
ISSUED: 10/27/2005
APPLIED: 09/26/2005
EXPIRES: 08/24/2006
VALUE: $ 346,346.00
LReouired.Insnecti.JWLI
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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.
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.
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 bacldllI.
Vnderfloor Plumbing: Prior to insulation or decking.
Vnderfloor 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.
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.
Rough Electric: Prior to Cover
4 of 5
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Status:
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01310
ISSUED: 10/2712005
APPLIED: 09/26/2005
EXPIRES: 08/24/2006
VALUE: $ 346,346.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 wiD be made of any structure without permission ofthe 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii:-
Job/Journal Number
COM2005-0 131 0
COM2005-0131O
COM2005-01310
COM2005-0 1310
Payments:
Type of Payment
Check
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2/27/2006
RECEIPT #:
r'ity of Springfield Official Receipt
;velopment Services Department
Public Works Department
1200600000000000205
Date: 02/27/2006
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
G&E ELECTRIC INC
Received By
djb
1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
11 0 11 In Person
Payment Total:
8:44:24AM
Amount Due
106.00
152.00
20.64
25.80
$304.44
Amount Paid
$304.44
$304.44