HomeMy WebLinkAboutPermit Electrical 2007-6-20
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PER1l1IT APPLICATION
City Job NumberCSn-n_tru '1 - 00451
2. CONTRACTOR INSTALLATION ONLY B. Scrviccs or Fecders - Installation, Alterations or Relocation:
Electrical Contractor btf E e. (e csf-r I c ML 200 Amps or less $ 63.00
'tJO Q I ' - .Q"b 201 Amps to 400 Amps $ 75.00
Address t' D O"X If) C/ 40 I Amps to 600 Amps $125.00
Y\ ( L.... _ !i~ f. 60 I Amps to 1000 Amps $163.00
City H- lA::J.- vtlj Phone ljro 7- t3fo?::7 Over 1O~~KmpsiNQlfs: Olegonl::>,^, .~::;:...ir~P~;R9 tu
Reconnect"C>rrli'7vles aCio()ted b" th~ n. $ 50,00..
N." . . ", J ...~~,agonUt/lIty
'~ otJ~c:~t:~~ .?enter. Those rules are set forth
C. Telhp6'rary ScrvIceslor,;Fccdersough OAR 9' ..,
" ,: "~ ~." VV, U 1I11 52-001-
o '/uumay obtain conies o"fth I
I nstallatiori~ AlterationorrRclocationj , e ru es by
, ','- -::; ". VGIllGl. (1'\'u[e:ne tel~Q!J ne
200 Amps,orJessJor the Oregol' I It;I;t" ^' $t50.~O
. '.. '''''J . .on IratlOn
201 Amps to 400~A:lTiP.,~ is1800 332 ::!,;J::'4)$ 69:uu.
40 I Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. Branch Circuits .
XC~ Q) X e\2-Q ~:: ~:::;tio. or Elte.slo. Per P..el
- '. - C~~roh ^..1,l;t;O"~lCl.~CU;t~~"'I"h
' ..........._... . """U,,,, U.k " ." v, ". .~"
(J' ,F .)./? . Se . --f}r Feeder Pennit
Owners Name ,~\ VSfv Vf"":!{1.P.1li t"")l.-{l'?'S. -..
Address ~ 0 , g ex R3'Dl. E. Miscellancous (Sen'icc/fecdcr not included) -Each InstaUacion
City~ ~fuv ~ Phone 7'2...& ,- 0.53.0 Pump or irrigation $ 50.00
~ ;7 SignlOutline Lighting $ 50,00
OWNER INST Aili~ Limited Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspec~on Fee is $45.00 + Surcharges
dOl ,..
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1. LOCA110N OF INSTALLATION:
(W 5"1 ~ a.vA t-cFr--Q..
LEGAL DESCRIPTION:
\ <(O? 03> (~~ Q 9. ()tYO
JOB DESCRIPTION:
YL -e- VLJ
~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Supervisor License Number -"~q8 iJ 5
l{)-1- Of
Constr. Contr. Number 'SLf L/ (0 ~.
ct-lS-07
Expiration Date
Expiration Date
Owners Signature:
~or~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTH~~~Bo{1J~OC~stj:HnJifJ~~VlIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Date
3. COMPLETE FEE SCHEDULE.BELOW
A. New Rcsidcntial- Singlc or l\lulti-Family pcr dwclling unit.
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
lara ~
q5-
[
5"
$ 19.00
$50.00
$ 43.00
$ 3.00
4. SUBTOTAL OF ABOVE
8% State Surcharge
to% Administrative Fee
5% Technology Fee
.. TOTAL
Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06,doc
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-00457
ISSUED: 04/26/2007
APPLIED: 03/28/2007
EXPIRES: 11/04/2007
VALUE: $ 291,758.00
SITE ADDRESS: 6251 GRA YSTONE LOOP
ASSESSOR'S PARCEL NO.: 1802032202000
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence- Mt gate ph4A lot 28
TYPE OF USE: New
Residential
REQUIRED PARKING
Overlay Dist: Hillside Total: 2
# Street Trees Rqd: -;-;=l\ITION' 01 eO"(llaw rHandicanpert:o
' -,. , 9J '-'yuIIC;:,'}iUUl
~aved Drive Rqd: .: :!~ow .rule: ado~~~.d by theC~mJ~l~fr~: Utility
Yo of Lot Coverag~~LIIIC(:::LiOn Cer~R'I?Orhose rules are set forth
in OAR 952-001-0010 through OAR 952-001-
I PUBLIC IMPROVEMENTS .you may amain caples at the rules by
r,~,1 19 the center. (Note: the telephone
Street I"WITrn:~~ts: Fully Improved number fdilitW~[IJfi:i~};p,eUtility Notification
Stor~ sernfsAp:~~~'~~~: SHALL EXPIRE IF THty'f~ORK CeBW'W~~~o.~gYh1ifu?344). To Storm Sewer
SpecIal IAU~uHBmZED UNDER THIS PERMIT IS NOT
Notes: OOI\;Udfsrp~fc.~1 ihCMf: 6~t'Mw'){Si)lfili's ~h\Precommendation to the Building Division, by the City Engineer: "th~t
AJjip;t11os6UlBMCr)f~Vm~!lot be given until the subdivision is accepted by City Council". Storm H20 to designated
lateraI.JLP 4/8/07
Owner: RIVER V ALLEY BUILDERS
Address: PO BOX 832
SWEET HOME OR 97386
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
RIVER V ALLEY BUILDERS INC
G & E ELECTRIC INC
MIDW A Y MECHANICAL INC
ALAN DOUGLAS HAlMA
License
134566
54468
154166
163929
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: 32.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
1
R-3
U
VB
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
44.00
40.00
36.00
33.00
52.00
Subdivision Not Accepted
Pa2e 1 of 5
Phone Number: 541-726-0330
Expiration Date
04/15/2011
09/15/2007
0113012009
03/29/2008
Phone
541-760-7881
541-967-7045
541-928-2423
541-967-7686
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
23,035
2,542
732
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
DweIlin!!s
Gara!!e
AC - Residential
V Wood Frame
Gara!!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
BoilerlComp Up To 100,000 btu
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer Each Addt1100'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00457
ISSUED: 04/26/2007
APPLIED: 03/28/2007
EXPIRES: 11/0412007
VALUE: $ 291,758.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
2,542.00
2,542.00
732.00
Total Value of Project
~
Amount Paid
$773.21
$10.00
$180.44
$82.03
$131.25
$306.00
$31.00
$6.00
$12.00
$1,189.65
$6.00
$9.00
$163.70
$12.00
$4.00
$653.09
$858.88
$10.00
$961.52
$91.61
$201.32
$64.14
$836.32
$189.58
$1,708.29
$28.00
$50.00
$18.00
$2,303.00
$20.10
$10.05
$16.08
$106.00
$95.00
Date Paid
3/28/07
4/26107
4/26/07
4/26/07
4/26/07
4/26/07
4/26107
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26107
4/26/07
4/26/07
4/26107
4/26/07
4/26/07
6/22107
6/22/07
6/22/07
6/22/07
6/22/07
Pa!!e 2 of 5
Value
Date Calculated
$10,168.00
$261,826.00
$19,764.00
$291,758.00
03/28/2007
03/28/2007
03/28/2007
Receipt Number
1200700000000000341
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
1200700000000000466
2200700000000001005
2200700000000001005
220070000000n001005
2200700000000001005
2200700000000001005
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00457
ISSUED: 04/26/2007
APPLIED: 03/28/2007
EXPIRES: 11/04/2007
VALUE: $ 291,758.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$11,137.32
I Plan Reviews I
Initial Review
Planninl! Review
03/29/2007
03/29/2007
03/2912007
04/17/2007
APP LLH
APP T AJ
Public Works Review
03/29/2007
04/08/2007
APP JLP
Structural Review
03/29/2007
04/2612007
APP DLM
Place orange construction fencing
along the Vegetation easement and
along the treed areas on the Nand S
sides of the lot. Keep all
construction activity out of these
areas. Follow the Tree Preservation
Guidelines attached to the building
permit.
PW rcvd 3/29. JLP 3/29/07 *** FOI
this parcel in Mt. Gate West, it is the
recommendation to the Building
Division, by the City Engineer: "thaI
final occupancy should not be given
until the subdivision is accepted by
City Council". Storm H20 to
designated lateraI.JLP APP4/8/07
Received add'l beam calc. from bldr,
Called engineer requesting
correction in calculation (wrong
loads entered). Received revised
calc this P.M. 4/24/07dlm Noted
that retaining wall design not
consistent wi geotech. requirements.
Called builder and geotech engineer
requesting clarification. Received 19
pgs. of revised engineeering from
builder. Engineer called stating that
the retaining walls are still not
compliant and will e-mail corrected
drawigs. Received corrected dwgs
from engr.4/24/07 Met wi contractor
to resolve remaining structural
issues.4/25/07dlm Contractor
returned next morning with revised
truss and foundation details - looks
like issues resolved.4/26/07dlm
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.
Pal!e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00457
ISSUED: 04/26/2007
APPLIED: 03/28/2007
EXPIRES: 11/04/2007
VALUE: $ 291,758.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ul-eouire~nsnections I
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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.
Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State
Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be
provided to the City of Springfield.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Undertloor 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.
Line to Septic Tank: Prior to filling trench and 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.
Pa!!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00457
ISSUED: 04/26/2007
APPLIED: 03/28/2007
EXPIRES: 11/04/2007
VALUE: $ 291,758.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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
Pa!!e 5 of 5
225 fifth' Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
r!~ of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2007-00457
COM2007-00457
COM2007-00457
COM2007-00457
COM2007-00457
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Date: 06/22/2007
2200700000000001005
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
G & E ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
13406
In Person
Payment Total:
nJm
Page I of I
9:40:21AM
Amount Due
106.00
95.00
10.05
16.08
20.10
$247.23
Amount Paid
$247.23
$247.23
6/22/2007