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Home My WebLink AboutPermit Electrical 2006-8-8 ZON L'i:12- INITIALS ~~. DATE [l; SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number L0vC/1200b - . DOt '3 Z 1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOTll b 12, ( FZ>a.E~ t \2~d~E:- Date A. New Residential- Single or Multi-Family per dwelling unit. Service Included LEGAL DESCRlPTION: 1702- sl{ 34 JOB DESCRlPTION: Lo t..I V D ( -f- 0)/00 $106,00 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Vk $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 B. Services or Feeders - Installation, Alterations or Relocation: COJ\TTRACTOR INSTfi T1..4TION ONLY 2. Electrical Contractor tJ. r J/{ ~ I- H 200 Amps or less . oc, \100 ,0 # ~ ~ C 20 I AmB~t~@@i?At\!g~;~ 'j'I'\\'0\', Address r. ~ c. 1,14"1' '( _-.r::\'f\\O\'4'QCV~go ~p,()QS['mp;r8 ss' ,."..,~, />-I\\:'-. ~~oot\ ",'\S';:; r"ru\- r!H n.t2 ~~~~-.;-fu\e~en~1f.P-S:'tti)~~,~~S::,. 2<-~~ '.:\] City f'~~t.'- Phone r l7 "~:.\i\c~t\onever6~em.tWnpsIYQ1~t:C\Sn)'~ ~ \--\u- _ cC.?~6- OOt'It:;\fl.ry'C\~S 'n' c'-el',cr, J Ol\.\-",-,J:-- 1ffiSo \:(.)..'-" \ '\~81.::.,\~'\ ...... in I \f\3.\j ~"lo't8'. '_I -,' .,: ca'l\U" "'0 '{ou .,or~' ,," r ,,\r)'.,.\ OG~ . o..eent'J" 1 "t..'\.'; . '" \\\ '(\~~'n'''''l~~a~ervice~ 'Or.:F)eeders Ge..' , or ,or hI':', . - BOO-3'3<:.--J ' n\Jf\\D~ A \e{ IS "\- ~\'allation, Alteration or Relocation $ 63,00 $ 75,00 $125,00 $163.00 $375.00 $ 50,00 Supervisor License Number Expiration Date # $ 50,00 $ 69,00 $100,00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Constr. Contr. Number h ~ C( ~ (j Expiration Date .,. - I 'f.,- c> -( Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Signa/h:~;;g:~~ //C/ I ~.,J Owners Name #\ ,'(.. ~ .A-E-I Gar AtN'\ COrA Address ? 0 :g o~ 66 c.( City W'~Ht;Avd~ Phone 0' -~2C~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation - ;~( Pump or irrigation ~ ,,,1\.11 1$ 50,00 Sign/Outline Lighting ,.-:. \'r \\-\:- ,'; ~\J$ 50,00 Limited EnergY/Resid~ijti~I\'~.\\?'C..\-\\'>!\\ \ ;ljA $ 25,00 Limite~ ~~ergy/c~~e~~~~~\)\)\'\t.\) \ - $ 45.00 Minim,u.m Electric'P~~~iti!J.spl(eHion Fee is $45.00 + Surcharges , \.. (\ ,1- .., \, \\:"\ \ "......-. ,- 4. SUBTO'[AL OF AB'OVE L{ ~ 8% \;k~el Surcharge :5: b&.>> 10% Administrative Fee Y ) ~ 5% Technology Fee z'Z '" r --1> ...:> ~ - ?~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: TOTAL Inspection Request: 726-3769 Shared Drive(T:)IBuilding FOlms/Electlical Pennit Application 8-06,doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00132 ISSUED: 04/24/2006 APPLIED: 02/02/2006 EXPIRES: 02/03/2007 VALUE: $ 341,065.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Owner: MICHAEL GRAMZOW CONSTRUCTION LLC Address: PO BOX 664 WALTERVILLE OR 97489 I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License MICHAEL GRAMZOW CONSTRUCTION LL157256 BEAR MOUNTAIN ELECTRIC LLC 136298 BRYCE OLSEN 64940 COMFORT FLOW 460 DONALD CLEWIS 33076 BUILDING INFORMATION I # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height o{~J&ure 30.00 r\1 tlr8;:,-'j '\,\" Secondary Occupancy Group: U n \a\lll If':y.ee of~'@,'t\:, I " Forced Air Gas Primary Construction Typ~c :\\ONVNre90d 'o\} \\lW~~~1e~\ 'or\\I Gas Secondary Construction fI1'pe~ \eS adO?\e \\lOSe~a'nge~R~.;2-00'\- Gas # of Bedrooms: '0\\0\11I r~ ce~.\er. nrog~~r~tPat~6\eS 'o\} Path 1 NO\Wlca\lon2_00'\ -00'\ ~ \. 0~PJ:in~I~W13J.1N.9tng: n/a _ ~ 0 q5 _ ht'Aln C ,1- '" ,p,\ev , - Y. \l~~~O. :0\1 ~:~;i.\IDEVELQ~M'E~~\i~&1lMATION I ca\\ln9 t, \\le O{~'d~' 332-2'0"" I' ber 10r ''\ _600- n\.lfll It,'E,Q\\er IS Overlay Dist: Hillside 7.50 # Street Trees Rqd: 2 6.20 Paved Drive Rqd: Yes 39.50 % of Lot Coverage: 35.00 0.00 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Residential Phone Number: 541-579-2213 Expiration Date 10/16/2007 08/06/2007 04/1812007 06/2712007 06/10/2007 Phone 541-579-2213 541-953-6747 541-895-2355 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 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: To Storm Sewer Fully Improved Yes Downspouts/Drains: ~\' ~i(u .J -; 0 THIS PERMIT SHALL EXPIRE IF THE WORK Storm drainage piped to stub provided 2/8/2006 ,<;;:~~HORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I\['.!'{ i 80 DAY PERIOD, Storm Sewer Available: Special Instruction: Notes: Paee 1 of 5 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 Dwellinl?:s Garal?:e 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 Tvpe of Construction Total Value of Project $12,700.00 $314,325.00 $14,040.00 $341,065.00 04/14/2006 02/0212006 02/0212006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $851.44 2/2/06 1200600000000000100 ~Mechanical Issuance Fee~ $10.00 4/24/06 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 4/24/06 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 4/24/06 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 4124/06 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 4124/06 2200600000000000499 SDC MWMC Reimbursement $82.03 4/24/06 2200600000000000499 SDC Sanitary/Storm Admin $173.82 4/24/06 2200600000000000499 SDC Transpo Admin $62.01 4/24/06 2200600000000000499 SDC Transpo Improvement $805.70 4/24/06 2200600000000000499 SDC Transpo Reimbursement $182.69 4/24/06 2200600000000000499 Storm Sewer Each AddtI 100' $14.00 4/24/06 2200600000000000499 Temp Power 200 amps or less $50.00 4/24/06 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 of5 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 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical 8/3/06 8/3/06 8/3/06 8/3/06 8/8/06 8/8/06 8/8/06 8/8/06 8/8/06 $2.25 $3.60 $25.00 $20.00 $4.50 $2.25 $3.60 $25.00 $20.00 Total Amount Paid $9,608.53 I Plan Reviews I Initial Review LDAP Review 02/06/2006 02/06/2006 APP SKG 10 VRJ 02/06/2006 02/06/2006 LDAP Review 03/0112006 APP VRJ 03/01/2006 Planninl?: Review 03/06/2006 APP TAJ 03/06/2006 Planninl?: Review 02/06/2006 WE Public Works Review 02/06/2006 APP CAS 02/08/2006 Structural Review 02/0612006 04/14/2006 APP DLM 1200600000000001198 1200600000000001198 1200600000000001198 1200600000000001198 1200600000000001219 1200600000000001219 1200600000000001219 1200600000000001219 1200600000000001219 Full Review LDAP. Level II geotechical analysis required. $600.00 due at issuance. LDAP application submitted 2/3/2006 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. ~eouire<Unsnections I 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 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. Pal?:e 3 of5 CITY OF SPRINGFIELD' Building/Combination Permit Status Iss u ed 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 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. 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. 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. Pal?:e 4 of 5 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 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 of 5 225 Fifth S~reet Spri~gfield, Oregon 97477 541-726-3759 Phone 'y of Springfield Official Receipt ~~velopment Services Department Public Works Department Job/Journal Number COM2006-00 132 COM2006-00 132 COM2006-00132 COM2006-00132 COM2006-00 132 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000001219 Date: 08/0812006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Paid By BRYCE OLSEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3624 ln Person Payment Total: Page 1 of I 10:56:05AM Amount Due 2,25 3,60 4,50 25,00 20,00 $55.35 Amount Paid $55,35 $55.35 8/8/2006