HomeMy WebLinkAboutPermit Electrical 2007-3-16
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";' ,'. ":~' CITY,OF ~rKn~JGFIELI):' OREGON'~' :~",
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225 FIFTH STREET. SPRINGFIELD. OR 91411 . PH:(541)126-3153 . FAX: (541)126-3689 ~. t
ELE~lHlC~PERMIT APPLICATION ' ~yt.~
City Job Number (f)(J1leT1Yp - dJ/3/ Date .3 ./ /&7 -- d (J7J 7
L ILOCATI0}y:pFilv~TIOlV" ~ 3. I COMPLETE FEE SCHEDULE BELO"!_____
G /67 ;;r)llfjjJ K09j Dc
LEGAL DESCRIPTION
/7(1;).. 34 8-;1 ()6QO 0
JOB DESCRIPTION 1000 sq. ft. or less
, +L _ ~ . Each additional 500 sq. ft. or
\:5f'/2.ar:b 11'Z/'CA., h.tJJ?tLI{~/,f'~#_-f.p~ portion thereof
Permits are non-transferable and expire if work is. Each Manufact'd Home or .
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
2. I CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders - Installatio~~te~tions or Relocation:
Electrical Contractor iJ /1ie..r6;fled. E/u+rCW),.c~OO Am~01~E: $ 63,00
./ ; ,:;.;f:I 201 AmPl"m~q61l1nwfT SHALL E-XPIRE 11$ '~~onK
Address ?/7:J W / t>7) 5..i' C-.; 401 Am~lYtWB~~ UNDER THIS PE I~ r~Ql
601 AmJ1$dMP~~. ~ t
City 7" AO~f?/ q11o~hone -^l7JL/-1b 1 g Over 1006 ;8.m'~~Wo't't~U OR IS AiYAr~LJON - , ~
~' Reconn~ly80 DAY PERIOu. $ 50,00
Supervisor License Number 3893 I- IE A
J/)-()I-~
~
A.I New Residential- Single or Multi-Familyper dwelib;g unit.
Service Included
~
I
$106,00
$ 19,00
$50,00
c. I TemporcuY Services or Feeders
_J
Constr, Contr. Number /1# f.s> g .:;-
----
Owne Name (Yh (" ~...~ (......rzAM LC:J..;:::J
I _ - ,..-, ""-
dress l..Q \0-' f-n e -t:;s;.l' Il J f)&~ DZ-
City~t ..1~
J
OWNER INSTALLATION
Phone
The installation is being made on property I own which
is not inten<;led for sale. lease or rent.
OwnersoSignature:
Inspection Request: 726-3169
9?o [joy(. ~rotf
U~'f~LL4 \ O~
41"] '-l-~
Installation, Alteration or Relocation
200 Amp's or less .. $ 50,00
~ ~ ~1\J.v.t;~V~~ tIC..",,'vv D"""'1~'.""'V "'1'...Ju i.......
201 'to 1Xmp.s t db tL.- ""__g $,69,OO..~,.
~1lQ'M nliJ:!~aOOp e y ,,;;, ..'.'..., 0 I uh, "
1 ~1.IpS10 t:>UI17\Cmp$ Th .. i_~rqOO.OOO
N<?tJ~i~tion emer. OS~ i.~,v.;;> Q e Sbll ;
~rg~~~.. - p2~fXjleJb~~!~lti~f.O~,g~~AB_9_5~2~OJ..._____
D. LQ'Omf.JdlllHhy_obtaincOQI8S qJtherules __J
New .t~ll~Jii<<!Pr.nw EitetfSfortrv.ett9a.~t9 tet~~ho~e
One \<Mi.mIltDe r i'or the Oriigon Utility No~f43!OBor
Each Additior@.m\tEZ.Uii:erlWi1fi;{)-33;':;~-2;j44).
Service or Feeder Permit $ 3.00
E. I. .l\,'fisc~ll'P!eou,s {Serv,!~e/feed~.r n~t included) - Ea_c~~tallati~~.J
Pump or irrigation $ 50,00
Sign/Outline Lighting . $ 50,00
Limited EnergylResidential I $ 25.00 0;0
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspe~tion Fee is $45.00 + Surcharg6 t.J"O
4. i SUBTOTAL OF ABOVE .! {j6
. ;;;). d5J
3.{pO
TOTAL ,I <I j 6 ()
Shared Drive(T:)/Building FormslElectrlcaI Permit tfiLlic)5;n:..$,Bo;3 5
r
7% State Surcharge
10% Administrative Fee
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 09/15/2007
, VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6107 Forest Ridge Dr
ASSESSOR'S PARCEL NO.: 1702343403000
Sprinfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mountaingate lot 19
Owner: MICHAEL GRAMZOW CONSTRUCTION LLC
Address: PO BOX 664
WALTERVILLE OR 97489
Phone Number: 541-579-2213
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
C~ntractor License
MICHAEL GRAMZOW CONSTRUCTION LL157256
CAMPBELL ELECTRIC 73995
DIVERSIFIED ELECTRONICS 144685
COMFORT FLOW 460
DONALD CLEWIS 33076
BUILDING INFORMATION I '
Expiration Date
10/16/2007
OS/2412008
06/23/2008
06/2712007
06/10/2007
Phone
541-579-2213
541-744-0705
541-484-9078
541-726-0100
541-688-1931
4
# of Stories: 2 Lot Size:
Heigh~~r,~tt!lre: 30.00 Sq Ft 1st Floor:
Type bt\Udf:" . Forced Air Gas Sq Ft 2nd Floor:
WatellDt~d?ERMIT SHALL ~MRE l~qJ',t:,..Basement:
RangAWfmRIZEO UNDER s sq'Fttd4'n~carport
Ener1l~E . P ~ PEf$MFl ffi~T
Spri inll~WJ.J OR IS M&NDO~ff~t Load:
1 Rn n /\V DE~l~[}J.
I DEVELOPMENT INFORMATION I
10,018
1,778
1,559
384
828
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
11.00
11.20
11.20
44.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
4
Yes
32.60
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
ATTf-.I\l1 h 11\1.' H....,II... Ln... ._.
I PUBLIC IMPROVEMEN1f-8'I' ~UIGS adopted by the Oreg~n' uti:.;y
Street Improvements: ~\IUOllAIlt;R'i::l9tlon~tYe\VfIk.fflt~?e rules are set fOl.
Fullv Improved in 52-001-0010 Through OAR 952-00
Stor~ Sewer A~ailable: Yes 0090. You rP.2Y'~BPa1fro~n~s of the1B,~~rfTI Sewer
SpecIal Instruction: calling th;a center. (Note: the teraphone
Notes: Storm drianage piped to stub provided;curbcut permit fee JJYm~~b1(ilhl~t.li/~ll(2'l8Hbibi~}tfX'Stif!cation
. . t;emer IS -1-Boo-332.-2344).
Pal?:e 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garal?:e
Dwellinl?:s
Garal?:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fixture
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
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
Storm Sewer Each Addtll00'
WilIamalane Single Family
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
3,721.00
828.00
Total Value of Project
~
Amount Paid
$980.30
$10.00
$219.36
$157.29
$306.00
$31.00
$1,508.15
$80.00
$6.00
$9.00
$227.45
$84.00
$12.00
$15.00
$4.00
$8.00
$936.38
$150.00
$858.15
$1,128.15
$10.00
$865.31
$82.03
$181.90
$61.52
$805.70
$182.69
$14.00
$1,000.00
$4.50
$23.90
$2.25
$11.95
$3.60
$19.12
Date Paid
2/2/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
Pal?:e 2 of5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 09/1512007
VALUE: $ 389,907.00
Value
Date Calculated
$368,379.00
$21,528.00
$389,907.00
02/02/2006
02/02/2006
Receipt Number
1200600000000000099
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200600000000001063
1200700000000000276
3200700000000000151
1200700000000000276
3200700000000000151
1200700000000000276
3200700000000000151
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
LDAP Review
02/0712006
02/06/2006
LDAP Review
03/0112006
Planninl?: Review
03/06/2006
Planninl?: Review
02/07/2006
Public Works Review
02/07/2006
Structural Review
Structural Review
02/07/2006
05/05/2006
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 09/15/2007
VALUE: $ 389,907.00
$25.00
$20.00
$106.00
$133.00
$4.50
$2.25
$3.60
$25.00
$20.00
3/15/07
3/15/07
3/15/07
3/15/07
3/16/07
3/16/07
3/16/07
3/16/07
3/16/07
1200700000000000276
1200700000000000276
3200700000000000151
3200700000000000151
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
Full Review LDAP required. Level
II geotechnical analysis. $600.00
due at issuance. LDAP application
submitted 2/3/2006 and is under
review.
LDAP is at the front counter and
ready to issue.
Place orange construction fencing
across vegetation easement and
around the dripline of trees to be
preserved outside the easement.
Follow tree preservation guidelines
in the attached "MtGate
Development Plan Restrictions".
Can't review until trees are located.
I spoke with Michael Gramzow on
12/13 he said he would bring in a
revised site plan.
Storm drainage piped to stub
provided, curbcut fee added to
building permit 2/8/2006 CAS
faxed 4/24/06
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.
$10,338.05
I Plan Reviews'
02/07/2006
02/06/2006
SKG
VRJ
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.
Rough Mechanical: Prior to Cover
APP
10
03/01/2006
APP
VRJ
03/06/2006
TAJ
APP
WE
02108/2006
APP
CAS
04/24/2006
05/05/2006
WE
OK
RWC
RWC
~eouire<Unsnections I
Pal?:e 3 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 09/15/2007
VALUE: $ 389,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Low Voltage: Prior to cover.
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.
Underground Plumbing: Prior to filling the trench and including required testing.
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.
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.
Pal?:e 4 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00131
ISSUED: 03/15/2007
APPLIED: 02/02/2006
EXPIRES: 09/15/2007
VALUE: $ 389,907.00
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