The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-3-15 City of Springfield ~Iectrical Authorization To Begin Work E-mailedTo:jhheideman@hotmail.com Receipt # )!:C509429 3/15/2007 8:51:11 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us [KJ New construction D Addition/alteration/replacement [KJ I or 2 family dwelling D Multi-family o Commercial/Industrial 11,000 sq. ft or less I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above sq. ft.) I-Limited energy, multifamily residential (with above ft) 7 $106.00 $19.00 $106001 $133.00 I I I jJOb no.: I City/State/ZIP: SPRINGFIELD, OR 97478-None I Suite/bldg./apt.no.: Project name: Cross street/directions to job site: Main St to Mountain Gate, to top on left 1200 amps or less 120] amps to 400 amps 1 40 I amps to 599 amps I Subdivision: ITax map/parcel no.: 1702343403000 !Lot no.: I 200 amps or less 1201 amps to 400 amps 401 amps to 599 amps New residential construction Fee for branch circuits with above service or feeder fee, each branch circuit B. Fee for branch circuits without service or feeder fee, first branch circuit; each add I branch circuit I Name: Rory Alvarez Phone: Email: I Fax: Service reconnect only I Each manufactured or modular dwelling, service andlor feeder I Pump or irrigation circle 1 Sign or outline lighting Signal circuit(s) or limited- not oITered online at this jurisdiction energy panel, alteration, or extension. lEI. lic. no,: 20-448C I CCB lie.no.: 136298 I Business Name: BEAR MOUNTAIN ELECTRIC LLC I Contact: [Address: 85388 DILLARD ACCESS RD I City/State/ZIP: EUGENE OR 97405 /Phone: 54]7418844 I Fax: None 1 Email: jhheideman@hotmaiLcom I Metro lic no,: I City lic no.: 1 Supervising electrician's lic. no.: 4640S I Supervising electrician's name: CHAD IRVIN PERKINS , I I · City Of Springfield Subtotal $239.00 I State Surcharge (8% of penn it fee) $19.12 I City Of Springfield fees' $35.85 I TOTAL PERMIT FEE $293.97 I 10% Local Admin Fee; 5% Local Technology Fee NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. COM:d 07JU/ - ((J/d / RCPT#: 3:(607 ~ /5/ DATE PROCESSED' '- ~ - /5" -- 0 7 PROCESSED BY: l1a~ 'J7t ~/ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00 131 COM2006-00 131 COM2006-00 131 COM2006-00 131 COM2006-00131 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200700000000000151 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Cjh! of Springfield Official Receipt 1 ~lopment Services Department Public Works Department Date: 03/15/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLlNE PERMIT CHGS nJm Page 1 of 1 ONLINE Bear In Person Mountain Payment Total: 2:25:46PM Amount Due 106,00 133.00 11.95 19,12 23,90 $293.97 Amount Paid $293,97 $293.97 3/15/2007 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 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 W AL TERVILLE OR 97489 Phone Number: 541-579-2213 I CONTRACTOR INFORMATION' Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License Expiration Date MICHAEL GRAMZOW CONSTRUCTION LL157256 10/16/2007 CAMPBELL ELECTRIC 73995 OS/24/2008 CENTRA FLO 64940 t \N~'A8/2007 COMFORT FLOW 01\C~:. E~\~t \r 1\1 ~~7/2007 DONALD C LEWIS ~ r ?~RM\\ S\1I\~~ 1i!\cti?ERN\\\ \S 06/10/2007 B . \\\,:::' \l1;~M'{ 1\. \)()~t.U rc,n ~~i~~I\'{ \'t~\OO. ~~q,'t S'tructure: 30.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: -liUliU Sprinkled Buil<ttn~40\l~';:j 5't\fW . " 'I \ \~ 1")1'1:>1100 . ~ ~\ ~ ,'" . s' ..... ',..,' - ~ *' '(J. IrA ~ _ .r:.~\ t \J ~ "",If :PJ)!'lhE~Q'EMENWINFQ~-:r<f0~fi_aO ~\\0\j\J \\)\~""ce'(\tef. \ \ ';OUgn Uf4.' ~ {U\eS \ 11.0~0\\\\cat\O\h~t.aP1)1~:t CO~\eS 0\ \r. ~de 11.200 Op,.~ ;5W~ta~OIDW~~~~fte', tne \e~~~a\\Oft 11.20aa90. ~O~~ve-ct\'dv.'l'~9lI", U\\\\W ~~ < Yes 44.00 ca\\\\\g~ ~ kR! Oiva':lp~33'2: 2.3'"1') 32.60 0.00 rl\Oe\ ,0\'\ .~ "\~80li f\\j," I....~n\e{ k I PUBLIC IMPROVEMENTS I Phone 541-579-2213 541-744-0705 541-726-0100 541-688-1931 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,018 1,778 1,559 384 828 4 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: DownspoutslDrains: To Storm Sewer Notes: Storm drianage piped to stub provided;curbcut permit fee added to building permit 2/8/2006 CAS Pal?:e 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 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' Willamalane Single Family + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge I Valuation Description I $ 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 212/06 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: 07/13/2006 APPLIED: 02/02/2006 EXPIRES: 09/15/2007 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 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 APPLIED: 02/02/2006 EXPIRES: 09/15/2007 VALUE: $ 389,907.00 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 $25.00 $20.00 $106.00 $133.00 3/15/07 3/15/07 3/15/07 3/15/07 Total Amount Paid $10,282.70 I Plan Reviews I Initial Review LDAP Review 02/07/2006 02/06/2006 02/07/2006 02106/2006 APP 10 SKG VRJ LDAP Review 03/01/2006 03/01/2006 APP VRJ Planninl?: Review 03/06/2006 03/0612006 APP TAJ Planninl?: Review 02/07/2006 WE Public Works Review 02/07/2006 02/08/2006 APP CAS Structural Review Structural Review 02/07/2006 05/05/2006 04/24/2006 05/05/2006 WE OK RWC RWC 1200700000000000276 1200700000000000276 3200700000000000151 3200700000000000151 Full Review LDAP required. Level II geotechnical analysis. $600.00 due at issuance. LDAP application submitted 2/312006 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. ~eouiredJnsnections 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pal?:e 3 of5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 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 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 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 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 . ,\ " .. \,. '~'.".-..- 1-.1 :v\ 3 - ~ 'J.. - (.)'1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CoI?1'2<.TO & - O(J / ~ i Over 600 Amp~ o~ 1000 Volts .see "B" above. I}\!~:,a~~h .9:c~~~~ . fO*~'Mt&litidrt'oihF;:tteJ\si(}n;l>ei'}>.~er "A. \:G~o~({;dtCJlt::j :!C3~-) ~j:~F~ '-i:(-" Ji;;'f$.43.00 in CEachiA~dffi.M.11'0'ir~tih:blf'rw.it4jt~ ;s62~l:( Owners Name fYJl f1 hl111 / &--4171 ~U~;:~~'~;~~~~~~~~~~~;'\~'~l'~~~~;~l;~~:~~: 3.00 Address (J/() I hY-2-a.-t ./?;/)(r/? II? E":'J:~~~~~~~~l!IffltY{~~~J.!~I*tl~~~tr~),-EachIJlstallatioJl C;"""~~('i~l~}or:: ~ .,;:~r~:'": r~(~~n?:<"~~~' City SrJj;/ /:L-- Phone Pump or ~ig'ati~n . , .. -~ " $ 50.00 I (J - Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential X $ 25.00 { Limited Energy/Commercial $ 45.00 . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. LOCATION OF INSTALLATION: / . . ... . . ,".' f>-" / tJ 7 NN/6" c: r ,k/ LJ h' ~#-- LEGAL DESCRIPTION: /7 ()~ 3~ JL/ O_s?()c)O JOB DESCRIPTION: 1//tC-I/./1 !-f( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. - . - -" . . ." CONTRACTOR'INSl'ALLATION ONL}- 2. Electrical Contractor -. (? ~ J.t,rr 11.1/ . ..,~ ?- If . I Address ;:30,;j fh ~;lt( I ( . City (? /(Ff V)E't.-i Phone C/"17--Z:l'57r 014 C_ Supervisor License Number Expiration Date Constr. Contr. Number r;, /I 0;4(5' Expiration Date ,/;~ /g- 0 -; 1 Signature o~Supervising Electrician _ ./j)~6H~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date 3. COftlPLETE FEESCHEDfILE BELOW A. New Residential- Single orMulti-Family per dwelling urut. Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 B. Services or F'.e~ders -Instlllhltion, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 ~U~'~I{P~ AmpsN olts $375,00 fffl%!EM\rr~ ScH~LL E~PIRE1FIHE W~~~oo c.At1f~rat~fjJs~i}~~ifll1tS~ESflMFf IS NOT COIVIIVlEI\ICED OR IS ABANDONED FOR 4~a~l~uon1IW~E~fmf..r Relocation . 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 ..0f 4. . SUBTOTAL OF ABOl(E ~ S;. t.r).J d-~~ :5.{U() .1.1 ,~U ZS. '35' 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building FOIms/Electrical Permit Application 8-06.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 APPLIED: 02/02/2006 EXPIRES: 09/15/2007 VALUE: $ 389,907.00 Status Issued 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 PROJECT DESCRIPTION: Single family residence - Mountaingate lot 19 TYPE OF USE: New Residential Owner: MICHAEL GRAMZOW CONSTRUCTION LLC Address: PO BOX 664 WALTERVILLE OR 97489 I CONTRACTOR INFORMA nON I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License MICHAEL GRAMZOW CONSTRUCTION LL157256 CAMPBELL ELECTRIC 73995 CENTRA FLO 64940 COMFORT FLOW 460 DONALD CLEWIS 33076 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN # 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 4 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 11.00 11.20 1].20 44.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-579-2213 Expiration Date 10/1612007 OS/24/2008 04/18/2007 06/27/2007 06/10/2007 Phone 541-579-2213 541- 7 44-0705 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 1,778 1,559 384 828 REQUIRED PARKING Hillside 4 Yes 32.60 Total: Handicapped: Compact: 2 Fully Improved Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: Storm drianage piped to stub provided;curbcut permit fee added to building permit 2/8/2006 CAS Pal?:e 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 Dwellinl?:s Garal?:e v Wood Frame 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 + 5% Technology Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical I Valuation Description I $ 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 $2.25 $3.60 $25.00 $20.00 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 Pal?:e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 APPLIED: 02/02/2006 EXPIRES: 09/1512007 VALUE: $ 389,907.00 Value Date Calculated $368,379.00 $21,528.00 $389,907.00 02/0212006 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 1200700000000000276 1200700000000000276 1200700000000000276 1200700000000000276 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00131 ISSUED: 07/13/2006 APPLIED: 02/02/2006 EXPIRES: 09/15/2007 VALUE: $ 389,907.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,988.73 I Plan Reviews I Initial Review LDAP Review 02/07/2006 02/06/2006 APP 10 SKG VRJ 02/07/2006 02/06/2006 LDAP Review 03/0112006 VRJ 03/01/2006 APP Planninl?: Review 03/06/2006 03/06/2006 APP TAJ Planninl?: Review 02/07/2006 WE Public Works Review 0210712006 CAS 02/08/2006 APP Structural Review Structural Review RWC RWC 02/07/2006 05/05/2006 04/2412006 05/0512006 WE OK ; 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. lJeouiredJnsnections 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. Rough Mechanical: Prior to Cover 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. Pal?:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00131 ISSUED: 07/13/2006 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 Low Voltage: Prior to cover. 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. 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. Vnderfloor 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. Vnderfloor 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 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00131 ISSUED: 07/13/2006 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 OCCVP ANCY 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 Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00131 CO M2006-00 131 COM2006-00 131 COM2006-00131 COM2006-00 131 Payments: Type of Payment Cash cReceintl r:+v of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200700000000000276 Date: 03/15/2007 Description Low Voltage - Residential Minimum! Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRYCE OLSEN Item Total: Check Number Authorization Received By Batch Number Number How Received ~m fuh~oo Payment Total: Page 1 of 1 11:22:28AM Amount Due 25.00 20.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 3/15/2007