HomeMy WebLinkAboutPermit Electrical 2007-2-27
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO"V"2~b - 01002 Date:::J- d-I-O(
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits :re non~ransfera~e and ex~re if work is
,.' not started within 180 days of issuance or if work is
Suspended for 180 days.
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. C '..2-,,<:,:5.::;:_:~-'( :/./;;:':>.:":~" :~:,,::' <:;;.ti~'2T jL,E;:.k/.kL'F.Y/~,d'i?E;<:',>;2i.:}J::;:~"',,f.:~:~j::>':s~\~{;'.i;~:~".,_~~
Electrical Contractor (J?!J!1t3tf)S /IU('/
Address / tf h 5 WI ~ 7 J1...
City &p e.-tVe Obhone tfffc;--ro()()t)
Supervisor License Number '279 g lC:A
Expiration Date 1010 Ilzc:v><
Constr. Contr. Number 12 <17.3 6
Expiration Date C;/()9 ~ (!):J ~
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Owners Name WAt i€iL G.A.&. ,0-,..-
Address Z Z' b J R,,, e-t\.. "'" ~ I It-
City eu..(;..€;V'~" Phone bB'J. 1::3 S-.r
OWNER INSTALLA 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
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"",' ..-...,........... .,.......'-".... ., .....".., ,...,...."",,-,-.....'.,............,... ........,............--.-......,.... ....... ..".....,...-..............
A. J,~,~~~Rcside~fia( ~:},i~~i~~ ~r:Nl~1 ti7f~l~i'ilr~~~a,,;eiiini,'~;~it "
Service Included
1000 !j&\:I~:tt2f~~s~!\:",.. I,.' ; ,..) ~J/2PtQP
Eac~e~~ a~6P~d by the Oregon Uti~~v
P01\fdtme~~oi1 Center. Those rulstJ am ~~~~,
Ea~tll0Jhiif<95~~@OO1 0 through OAR 952-00'i
M~(!JOCP."d~mn copies of the f$Y~ ~
Feedercallfing th@ C@Jnter. (Note: me telephone
B. \/;~~m'~fo~f~W~- . R~Wh11~ytrI9M!r~cml~~ati~)~:.:
%...bV"'9",'d. ..,. ".",teNter. rF~32-284~); .,.L. ,___.....w."
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
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
c.
InstalltigJ,I!;~~ation or Relocil,t.i,qu'E IF THE WFiRK
200 ~b!I~ ~ERMIT SHALL E}\t"'IK \J
201 At~1n~~IAtl6sUNDER HilS ?_~~~~~OT
401 A~MM~t\ OR IS ABANUUNtqr~~o
~\,~!~~~m~~~~~g !Jl1PJJe '~13" ~lJov.~:u._
D. ?,:~~.' i>lLgt[(:U.~tt~'i~~.f:..'-';;~!"/t:'f;lik~)ji:L:;.;.!~L ,',.iZ\.i_~'
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
fT'":- "-^::~?': :'~," ~'7>?,"'~ '-7<~:'~~~ ~v --"?';';Y:''''~'77;:Y>''''' .'''.':z-7~_~.:..-.'?:,.::-. -: .' :_:-.. '~'~.'~'- - .. h ~'-,
E. ;',~1i~cellan~()u~{S~[.)'i~e/fe.ed~l~Iip t.jjikluded)e EacJl Ins fallation
I:.;,.<x L;,::;%~'V:;,~L.;h~xd:,::,:.!l-,l<~._ J1\&%<:fLL~,.X,;&:::;-::z::;;,,;.,.'.::::khi::i;.;,.(L:,....;;..:..:;J.:;+;:J---2::..:.....,~;.H.-;:-~:'___":",.:...,, (.. :.:\:_.~,_."'~"
_.~,,":L.,... ~-....; .,.' -._,
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
I $ 25.00
$ 45.00
t~
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
Shared Dnve(T: )/Bui
L/J-
3bO
4 )'0
$ S'>V ZZ~
'ug':EormsiE1ectrical Pennit Application I-03.doc
8% State Surcharge
10% Administrative Fee
'S % ;- fct1- . ,c~t
TOTAL
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD ..
Building/Combination Permit
PERMIT NO: cOM2006-01002
ISSUED: 09/14/2006
APPLIED: 08/0412006
EXPIRES: 08/27/2007
VALUE: $ 312,355.00
SITE ADDRESS: 6300 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702343408600
PROJECT DESCRIPTION: Single family residence - MtGate lot 76
ATTENTIUI\l:ur~yullla\IV it:;....I'.....d~ yuu Lu
lUlIUW i Ul~~ auujJL~J Lj l; 1'lJ .:;1~~VII :..;l;~.l1.,
Notification Center.Irnl5&~mMs a~!~~dl'f255
in OAR 952-001 ;,001 0 through OAR 952-00,
nOQO Ynll m~v obtain cODies of the rules I
{'~lli!l.n tttq center. (Note: the telephone
I CONTRACTOR INFO.l!~roNwlthe Oregon Utility Notification
L. Center is 1-800t~33?l)-23t44)'Ph
lcense Explra IOn a e one
160287 07/12/2008 541-683-6355
136298 08/06/2007 541-953-6747
129736 06/09/2008 541-485-6000
25790 12/23/2009 541-747-7445
103816 01/04/2008 541-461-4714
Owner:
Address:
WALTER CUSTOM HOMES
2863 RIVERW ALK LOOP
EUGENE OR 97401
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
Contractor
THOMAS WALTER CUSTOM HOMES LLC
BEAR MOUNTAIN ELECTRIC LLC
OLDFIELDS INC
MARSHALLS INC
RS PLUMBING CONTRACTING
Fully Improved
Yes
# 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:
20.00
I
12.qO
5.80
I
70.00
I
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
3
. # of Stories: 2
Height of Structure:
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
828
854
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
17,672
1,989
I DEVELOPMEN'~RMATION ~
I n1\:l n:nlVll1 ~HA L EXPIRE IF Tm:EJWH~D PARKING
Overlay rMl!HORIZED UNDERiiUidb PERMITQ6t~lJOT 2
# Street 1G~CED OR IS ABANDONED fleypicapped:
Paved DrA'N,q~o DAY PERIOD Yes Compact:
% of Lot Coverage: 20.20
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage to curb & gutter. No final occupancy until subdivison is accepted.
Pae: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
Type of Construction
A.C. - Residen
Dwelline:s
Garal!e
AC - Residential
V Wood Frame
Garae: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
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut - Additional Driveway
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit
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
Storm Sewer Each AddtllOO'
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
2,817.00
2,817.00
854.00
Total Value of Project
~
Amount Paid
$794.40
$10.00
$214.95
$112.70
$157.27
$306.00
$31.00
$6.00
$12.00
$1,257.90
$40.00
$6.00
$9.00
$183.55
$12.00
$30.00
$4.00
$1.00
$1,201.34
$198.00
$-30.00
$106.00
$114.00
$633.30
$832.85
$10.00
$961.52
$91.61
$171.7'7
$66.06
$836.32
$189.58
$80.00
$28.00
Date Paid
8/4/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
Pae:e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01002
ISSUED: 09/14/2006
APPLIED: 08/04/2006
EXPIRES: 08/27/2007
VALUE: $ 312,355.00
Value
Date Calculated
$11,268.00
$278,883.00
$22,204.00
$312,355.00
09/13/2006
08/04/2006
08/04/2006
Receipt Number
1200600000000001206
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
1200600000000001417
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Curbcut Permit
Plan ReviewIResidential Hourly
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
Plan nine: Review
08/10/2006
08/10/2006
Public Works Review
08/10/2006
Public Works Review
01/05/2007
Structural Review
01/07/2007
Structural Review
08/10/2006
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-01002
ISSUED: 09/14/2006
APPLIED: 08/04/2006
EXPIRES: 08/27/2007
VALUE: $ 312,355.00
$50.00
$24.00
$1,000.00
$80.00
$135.00
$4.50
$2.25
$3.60
$25.00
$20.00
9/14/06
9/14/06
9/14/06
2/1/07
2/1/07
2/27/07
2/27/07
2/27/07
2/27/07
2/27/07
1200600000000001417
1200600000000001417
1200600000000001417
1200700000000000104
1200700000000000104
2200700000000000257
2200700000000000257
2200700000000000257
2200700000000000257
2200700000000000257
Plant native trees from the Hillside
list in the street tree handout.
Storm drainage to curb & gutter. N(]
hook-up to city infrastructure & No
final occupancy until subdivison is
accepted by city council.
Rcvd overwidth approval from
Traffic.Bob Wilson said he notified
owner an additional $80.00 fee
would be applied as he and I
discussed earlier today. I added
Curbcut fee to tidemark.JLP
Submitted revised drawings and
engineering to change stick-framed
roof to trussed roof. Note: Partial
revised drawings were submitted
earlier, but were inadequate for
complete review. Now OK 12/7/06
dim See documents for plan review
notes.
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.
$10,022.47
I Plan Reviews I
08/10/2006
08/18/2006
APP
APP
SKG
TAJ
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
08/14/2006
APP
JLP
01/04/2007
APP
JLP
01/26/2007
APP
DLM
09/13/2006
APP DLM
l..Jl.eouiredJ nsnections .
Pae:e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2006-01002
ISSUED: 09/14/2006
APPLIED: 08/04/2006
EXPIRES: 08/27/2007
VALUE: $ 312,355.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Low Voltage: Prior to cover.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required i~spections 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.
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 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.
Pae:e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-01002
ISSUED: 09/14/2006
APPLIED: 08/04/2006
EXPIRES: 08/27/2007
VALUE: $ 312,355.00
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
Pae:e 5 of 5
225 Fifth Street
Sf)ringfield, Oregon 97477
541-726-3759 Phone
," -, of Springfield Official Receipt
.... . elopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1 002
COM2006-0 1 002
COM2006-0 1002
COM2006-0 I 002
COM2006-0 1 002
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000257
Date: 02/27/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
036498 In Person
Payment Total:
Page 1 of 1
11:01:33AM
Amount Due
2.25
3.60
4.50
25.00
20.00
$55.35
Amount Paid
$55.35
$55.35
2/27/2007