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Home My WebLink AboutPermit Electrical 2006-8-3 ZON t......:tJ2- INITIALS }.-..) f'.-\... " __ _ DATE )yl O~ Uk> SOURCE - rYl-~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COM."ZOOb - 00 13 L GI}-.I ~rl1~~ Q;clctd_ ~ LEGAL DESCRIPTION: 170Z34Jlf 03/00 A."1,^6 /ulolt.S/ A.Jd;<.> / >e.~..H: },...,t JOB DESCRIPTION: \'k~..<, Jv<~/", ~J,o ~W-<"-c LI Permits at :on-tran~r:'le and 'Pi~e if work is Eg<:Pi~~~-.f~tM~:J;I'sml(t tfil not started within 180 days of issuance or if\W'ifflNsION: ?:C)}~PI!i[T~~~g~1p8Ji&tVj$itit\/Or $5000 Suspended for 180 days. 10\\0'1-1 ru\c:-; 30u:~ 'FeetIh I, C ;l" P I( \(th . , , (', '-t:or 1'nO'::.8 rLI,,~ ' " N.r+'\lyDt\On VGI\ ",. -h n)"r{ ~r,')_r)()1- 2 CONTRACTOR INSTALLATI01'\rbl.'l/LK52 O'~J1-(OOi C8'~Wlel~.hr'F~eders--'lnstallation. Alterations or Relocation: . inOf\h~ '- (.1,.,'.- (r:;'3softi-'enpr'~ZiY OCr'n Y~U[1laYOvl,-,\,IC-" '0. Electrical Contractor t2.J.o~'( ~[,^"'t)r~i;,,~,~the ce.l~j$O'J~.m?~.o~~~~_.. .,. _:'j1 $ 63.00 num'o~r (or t\18 a(il'~l}\fu~-E?'.~P22Smps $ 75,00 ('F;nter :s40-VAQnps'roiJ'OO Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 Amps/Volts $375,00 Reconnect Only $ 50,00 1. LOCATION OF INSTALL4.TION: Address 'ili-~",,-f 405~:S Co City fU9l "......() u qq~ - bUY Phone Supervisor License Number .3 ~ \P S. LeA Expiration Date /01110 ~ Constr. Contr. Number ~ I L/ S )< Expiration Date 'f /j(,o/O(o Signature of Supervising Electrician (c-,J,;-.)\"/ ~ /' 7' Owners Name M ~c... fAA-e: / ~,4v(A.z.o c..J Address \.... ~ (J ~ l' b b t( City (J A-I.L-e-", 0/ r {It Phone ~ 7 , - 2?c 'J OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 g-/3/o (p Date 3. CO.Jl.fPLbl b FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq, ft. or less Each additiona1500 sq, ft. or portion thereof $106,00 $ 19,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit , '. ,;-;-.. $ 43.00 Each Additional Circuit or \Y~tl\r\\.- \, ,J Service or Feeder ~ermit'~ \ ,$ 3,00 E. . .Mi5(:ellai;eqii~t'~~I~~i~eff~~JrVn~'~;~c1Uded) -Each Installation ,. .', '. \)< ':.. l\V;C\'" '.\J PumP or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Z .S- Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE LIS- 3'0 lira 'ZZ~ S~!S- 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Dlive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00132 ISSUED: 04/24/2006 APPLIED: 02/02/2006 EXPIRES: 02/0312007 VALUE: $ 341,065.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6121 Forest Ridge Dr ASSESSOR'S PARCEL NO.: 1702343403100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mountaingate lot 20 Residential REQUIRED PARKING Overlay Dist: Hillside '-NiJjQt~l: 2 # Street Trees Rqd: t: 'f( \\\t:. If~1t1ticapped: Paved Drive Rqd: . \.. t:.'fS>\'\\Yes,\\\-l\\\ \SCompact: % oJ LoJ ~~~e'lage:~ S\\\\\.: \\W5.io-, ~t:.\) r\)" \~G' ?t:.'\\~\ 1J~\)t'\\ :o~~\)\) 4U'S _,1'-\\ _ ,e.. ~ I PUBLIC IMPRQV'~~~~JlS:I~\~~\a\)' r\J\'l1' \)1-" v ~~'{ '\ <oCJ Sidewalk Type: Downspouts/Drains: Owner: Address: MICHAEL GRAMZOW CONSTRUCTION LLC PO BOX 664 W AL TERVILLE OR 97489 Contractor Type General Electrical Low V oItage Electrical Mechanical Plumbing 'reS )IOu to I~\O( reQU\ . \~"ihl . N1\ON: ore'dv~ ".'J tn"3 oregu1 '-: +",'rtl) p..,i1E u\e5 h~(i>,N~R~CTQ~tNF(}RM~J-).QN I 10\\OW r. center. , \ ,- I n OAn ~oJ- ,\tif'at\On -40 tnroUQ ulas b)l contrll'tt'6r' 9 '2._00~-00', nies 01 tne r Llcgnse MICHA~Ib~~~Q~N'~b\~q\l\tONt~1~'t~7a~6 CAMP~'i<eEfu~ter. ~ Uti\iW NotM~13995 DEVLOGI~~~~~A~0eiEsq~C3'2.-'2.344). 161458 COMFORI}\.fi\Q'tenter is ~-80 ,j 460 DONALD CLEWIS 33076 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 Height of Structure 30.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a 1 R-3 U VN 4 I DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.70 7.50 6.20 39.50 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: Storm drainage piped to stub provided 2/8/2006 CAS Pal?:e 1 of5 Phone Number: 541-579-2213 Expiration Date 10/16/2007 OS/24/2008 09/16/2006 06/27/2007 06/10/2007 Phone 541-579-2213 541-744-0705 541-913-4487 541-726-0100 541-688-1931 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,018 2,080 1,095 540 To Storm Sewer Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00132 ISSUED: 04/24/2006 APPLIED: 02/02/2006 EXPIRES: 02/03/2007 VALUE: $ 341,065.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I A.C. - Residen DwelIinl?:s Garal?:e Tvpe of Construction AC - Residential V Wood Frame Garal?:e $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,175.00 3,175.00 540.00 Value Date Calculated Description Total Value of Project $12,700.00 $314,325.00 $14,040.00 $341,065.00 04/14/2006 0210212006 0210212006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $851.44 2/2/06 1200600000000000100 -Mechanical Issuance Fee- $10.00 4124/06 2200600000000000499 + 10% Administrative Fee $203.02 4/24/06 2200600000000000499 + 8% State Surcharge $162.41 4/24/06 2200600000000000499 3 Baths One & Two Family $306.00 4/24/06 2200600000000000499 Addressing Assignment $31.00 4124/06 2200600000000000499 Appliance Vent $6.00 4/24/06 2200600000000000499 Building Permit $1,352.15 4/24/06 2200600000000000499 Curbcut Permit $80.00 4/24/06 2200600000000000499 Dryer Vent $6.00 4124/06 2200600000000000499 Exhaust Hoods $9.00 4/24/06 2200600000000000499 Furnace - up to 100,000 btu $12.00 4/24/06 2200600000000000499 Gas Fireplace $15.00 4/24/06 2200600000000000499 Gas Outlets 1-4 $4.00 4124/06 2200600000000000499 Heat Pump $12.00 4/24/06 2200600000000000499 Mountaingate Impervious Area $1,137.61 4/24/06 2200600000000000499 Plan Review Major - Planning $150.00 4/24/06 2200600000000000499 Plan Review Residential $27.46 4/24/06 2200600000000000499 Residence Wiring 1000 Sq Ft $106.00 4/24/06 2200600000000000499 Residence Wiring Ea Addtl 500 $114.00 4/24/06 2200600000000000499 Sanitary Sewer - Improvement $705.59 4/24/06 2200600000000000499 Sanitary Sewer - Reimbursement $927.59 4/24/06 2200600000000000499 SDC MWMC Administration $10.00 4/24/06 2200600000000000499 SDC MWMC Improvement $865.31 4/24/06 2200600000000000499 SDC MWMC Reimbursement $82.03 4/24/06 2200600000000000499 SDC Sanitary/Storm Admin $173.82 4124/06 2200600000000000499 SDC Transpo Admin $62.01 4/24/06 2200600000000000499 SDC Transpo Improvement $805.70 4/24/06 2200600000000000499 SDC Transpo Reimbursement $182.69 4124/06 2200600000000000499 Storm Sewer Each Addtl 100' $14.00 4/24/06 2200600000000000499 Temp Power 200 amps or less $50.00 4124/06 2200600000000000499 Vent Fan $24.00 4/24/06 2200600000000000499 Willamalane Single Family $1,000.00 4/24/06 2200600000000000499 + 10% Administrative Fee $4.50 8/3/06 1200600000000001198 Pal?:e 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00132 ISSUED: 04/2412006 APPLIED: 02/02/2006 EXPIRES: 02/03/2007 VALUE: $ 341,065.00 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 V oItage - Residential Minimum/Adjustment Electrical 8/3/06 8/3/06 8/3/06 8/3/06 $2.25 $3.60 $25.00 $20.00 Total Amount Paid $9,553.18 I Plan Reviews I Initial Review LDAP Review 02/06/2006 02/06/2006 02/06/2006 02/06/2006 APP SKG 10 VRJ LDAP Review 03/0112006 APP VRJ 03/0112006 Planninl?: Review 03/06/2006 03/06/2006 APP T AJ Planninl?: Review 02/0612006 WE Public Works Review 02/0612006 02/0812006 APP CAS Structural Review 02/06/2006 04/14/2006 APP DLM 1200600000000001198 1200600000000001198 1200600000000001198 1200600000000001198 Full Review LDAP. Level II geotechical analysis required. $600.00 due at issuance. LDAP application submitted 2/312006 and is under review. LDAP is ready to issue and at the front desk. Fence Vegetation Easement with orange construction fencing. Keep all construction activity out of this area. Can't review until trees are shown on site plan. I spoke with Michael Gramzow on 2/13. He said he would bring in a revised site plan. Storm drainage piped to stub provided 2/8/2006 CAS 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. lJeouiredJnsnections . 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. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover 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. Pal?:e 3 of5 CITY OF SPRINGFIELD C Building/Combination Permit Status Issued PERMIT NO: cOM2006-00132 ISSUED: 04/24/2006 APPLIED: 02/0212006 EXPIRES: 02/03/2007 VALUE: $ 341,065.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. 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. Low Voltage: Prior to cover. Pal?:e 4 of 5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2006-00132 ISSUED: 04/24/2006 APPLIED: 02/02/2006 EXPIRES: 02/03/2007 VALUE: $ 341,065.00 225 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 Pal?:e 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00 132 COM2006-00 132 COM2006-00 132 COM2006-00 132 COM2006-00132 Payments: Type of Payment CreditCard cReceint I ('" - of Springfield Official Receipt l . e10pment Services Department Public Works Department RECEIPT #: 1200600000000001198 11:51:29AM Date: 08/03/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Amount Due 2.25 3,60 4,50 25,00 20,00 $55.35 Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received DEVLOGIC TECHNOLOGIES djb 017760 In Person Payment Total: Amount Paid $55.35 $55.35 Page 1 of 1 8/3/2006