HomeMy WebLinkAboutPermit Electrical 2007-2-27
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54P726-3689
ELECTRICAL PERMIT APPLICA110N
City Job Number COtN'-ZOOb" C>OE,O (
cOrn RilCiHR. .LV81ItLUino.,. OtvL~
2.
Electrical Contractor 1> I\U/~l':(1' e d e: te.eJ11lt\JllS 200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
1.
LOCi nON OF lNS1 'ALIA 'l10N
~~+- \2,J$t-....
.
--.h143
LEGAL DESCRIPTION
J7DZ ~t{1l{
() 7 rOO
JOB DESCRIPTION
Awcto J Ilk.
, ,
5, c-C- '^ t.. c. .,..""
,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address q 1 fJ W,' l <61fYU ~~
City f] JIJ.{lIlL- Phone ~n-1.-qD7~
Supervisor License Number 0 ~ q 0 LEft
If) ~7/07
Expiration Date
Constr. Contr, Number .1-0 -- "b17-GLE
Expiration Date
SirrJ 0 i.UP'cvi~ ff"'''
/ ~v~/JI /iU2
Owners Name ;4."A.~~"'t; t.(AL-J. l/". C-
'-
Address Z -Z , .r [() /PlA.r47 ~d
,
City ~~ Phone /;:$""']- J 9 S ,
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. -COMPLETE FEE SCHEDULE BELOW
Ai 11-,1\1 I 'VI\! Ui di..l'.Jlllc.lW re4uIles you to
A. ?\ ew iY~II~~r~iEts'~tfopt~~ W/ttlWIOPeg\)'rfl1ii~Wlit.
Servic~~en'\W,eJltion Center. Those rules are set fo~
1000 sQrftOAtel>952-001-001 0 through O~fa~-OO 1
Each ad.<Wiget.1 ~~<m%1obtain copies of the rules \t)
portion therC~ling the center. (I\t()t"'-l' th~ ~J~j!ij:lo~e
Each Man~{!lm~<erofn}rdhe Or~gon Utility Notification
Modular Dwelling ~Ijs 1 ~800-332-23f~:oo
Feeder
B. Services or iFi:l'dcl'S -. Installatiun, .\acrati(lll~ 01' :h.jol':ltion:
$ 63,00
$ 75.00
$125,00
$163.00
$375.00
$ 50.00
c. ; Temporary Sel'viccs or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 MQ>T&Dit> Amps $ 69.00
401 ~R51pE~r~HALL EXP-Int If IJ~O~bOfiK
~~~~~~~~~ PPPfNYR!~ srFi'l~'pt~v&iIT IS NOT
D.,BOQUWr5lfN'OED OR IS ABANDONED FOR
Ne~~rM@l{))%~~fIfflm~er Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit
$ 3,00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential J $ 25.00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee~ + Surcha~ges
-zr-
4. SUBTOTALOFABOVE
t1r-
-:z't)
l/~"'O/Zl r
; .55< 'JS'
8% State Surcharge
10% ~9ministrative Fee /
r rfJ reui ~
TOTAL
. Shared Drive(T:)/BuiJding Forms/Electrical Pemlit Application I-06,doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 08/27/2007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner:
Address:
SITE ADDRESS: 6143 FOREST RIDGE DR SPRINGFIE TYPE OF WORK: Single Fa?\i1y Residence
ASSESSOR'S PARCEL NO.: 1702343409500 .. .. If{~OIl IdWid4"III(:;l;) 'fOUUt''''~Y
ATTENl IUN~\fie'crnylta~:CN8QOn I..L Residential
PROJECT DESCRIPTION: Single Family Residence - Mt G~\~olHltM\E}~41 0 ihOSe ru\es are set fO;,
t\Iotification c~nl toe~1 f) thrOtten OAR 95~-0 "
. OAR 9o"-UV - u. - 'nt ~p. 'UIl;j'" l
In y may obtain COlb~'Nu i5J:,fiorMl-2559
0090. ou (Note: thete el-', .
caning th~ center. Utmty Notification
.. t....r.Mthe Or01Jon_ _~. ('\f'lAA)
\I nJP.': -_ C~'lt~r is ,-tsUU-J';:" :-1... -
I CONTRACTOR INFORM'ATION I
HOUSEGUARD
2295 COBURG RD
EUGENE OR 97401
Contractor Type
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
Contractor
HOUSEGUARD LLC
STEVE HAUCK
DIVERSIFIED ELECTRONICS
SUNSET ELECTRIC INC
ROUNDS PLUMBING
BUILDING INFORMATION I
License
164744
147618
144685
158859
Expiration Date
05/18/2007
04/30/2007
06/23/2008
02127/2008
Phone
541-514-2559
541-221-2665
541-484-9078
541-915-4883
541- 726-5448
3
# of Stories: 2 Lot Size:
Height of Structure: 30.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water TypeNOTlCE: Gas Sq Ft Basement:
Range TyperHls PERMIT C'uG~~ EXSfhFt Garage/Carport
Energy Pat~ ~t ~ij1J:tlOth~ WORK
Sprinkled B'JWJi~p'RIZED UfHIlER TH~~MITfq:yJNOT
r.n~'uAI:~If'l:'n on I'" r\JA'-- -
DEVELOPMENT -- - -~ U ~UUIVtU I"UH
100.
10,658
1,631
2,264
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
VB
1,070
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
44.00
5.40
10.30
35.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
2
Yes
34.90
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Street Improvements:
Fully Improved Sidewalk Type: Curbside 5'
Yes Downspouts/Drains: To Storm Sewer
Part of driveway and all other walkways, porches, patios, etc. to be of pervious material (see
modified site plan); area of structure plus modified driveway plan at -35% of lot size
No hookups to City of Springfield infrastructure until Public Improvements accepted by City; storm drainage piped
to storm sewer CJS 06/19/06
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 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
AC - Residential
V Wood Frame
Garal?:e
A.C. - Residen
Dwellinl?:s
Garal?:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology 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 Outlets 1-4
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
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/1912006
EXPIRES: 08/27/2007
VALUE: $ 429,005.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,895.00
3,895.00
1,070.00
Value
Date Calculated
$15,580.00
$385,605.00
$27,820.00
$429,005.00
05/19/2006
05/1912006
05/19/2006
Total Value of Project
~
Amount Paid
$1,064.80
$10.00
$256.34
$132.16
$185.21
$306.00
$31.00
$12.00
$1,638.15
$80.00
$6.00
$9.00
$248.25
$12.00
$12.00
$1,204.22
$198.00
$-30.00
$106.00
$152.00
$610.24
$802.24
$10.00
$865.31
$82.03
$165.58
$62.54
$805.70
$182.69
$80.00
$50.00
$24.00
$1,000.00
$4.50
Date Paid
Receipt Number
6/7/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
2/27/07
Pal?:e 2 of 5
1200600000000000811
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200700000000000260
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
LDAP Review
06/08/2006
07/27/2006
LDAP Review
08/09/2006
Planninl?: Review
06/08/2006
Public Works Review
06/08/2006
Structural Review
06/08/2006
Structural Review
07/17/2006
Structural Review
08/18/2006
Structural Review
09/20/2006
Structural Review
09/22/2006
$2.25
$3.60
$25.00
$20.00
$10,428.81
2/27/07
2127/07
2/27/07
2/2 7/07
I Plan Reviews'
06/0812006
08/09/2006
06/28/2006
06/19/2006
06/27/2006
07/17/2006
09/2012006
09/22/2006
APP SKG
10
10 BRC
APP T AJ
APP CJS
WE RWC
WE RWC
OK
WE RJB
APP RJB
Pal?:e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 08/27/2007
VALUE: $ 429,005.00
2200700000000000260
2200700000000000260
2200700000000000260
2200700000000000260
Applicantwas made aware of LDAP
requirements several times over the
last few months. As of 7-27-06, the
City of Springfield LDAP staff has
not received an LDAP.
Left a voicemail for T J that I needed
two copies of plans sheets and a
geotech report for the site.
According to CJ the contractor,
there are no trees on the site. If
there are trees, no tree removal is
allowed except in the area of
disturbance. Must use a Hillside
species street tree. See Street Tree
handout for appropriate species.
No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to storm sewer
06/19/06 CJS
waitting for engineering, faxed
6/2 7/06
Engineering not consistent with
plans. Contacted owner and
engineer...waiting for corrections
7/27/06 dIm
Received revised building plans
8/18/06; dim. Received revised
engineering 8/21/06 dim Forwarded
both to RWC. dim
Need site ingineering and plot plan
with correct topo on plot. will
contact owner on 9/21/06. Plan will
be put on HOLD until correct
information is provided to City
Have geotechnical site investigation
report, site will be semi flat lot and
was looked at by Rob C. Elevation
sht will be ok.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/3012006
APPLIED: 05/19/2006
EXPIRES: 08/27/2007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ,
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.
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.
Rough Electric: Prior to Cover
Final Electric: When aJl electrical work is complete.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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.
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.
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.
Final Plumbing: When aJl plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Pal?:e 4 of5
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 08/27/2007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
U nderfloor 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.
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 5 of5
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
r'~ of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2006-0060 1
COM2006-0060 1
COM2006-0060 I
COM2006-00601
COM2006-0060 1
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000260
Date: 02/27/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
ALLAN WOOSTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 01535A ln Person
Payment Total:
Page 1 of 1
11:14:02AM
Amount Due
2.25
3,60
4.50
25,00
20,00
$55.35
Amount Paid
$55,35
$55.35
2/27/2007