HomeMy WebLinkAboutPermit Electrical 2007-8-20
.
,,'
<II
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ zeo'- Diy IT
1. ~jIWcATlON OF:INst.J ;.'i~4rii(QN:~~~:;~::~f.~;::
""""~~Lr~"~":;'''R''W~F~>klt~;
LEGAL DESCRIPTION
170Z 3C{ltl
JOB DESCRIPTION
/.Jo~~~
03bOC
W f ILf:!'
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1:J:kt.,;.}, : ',,, :~:,," l':~~:J'~"'i'-'~ '~lJ~"r:~~f':{\nt~}-':"~:"'''i.;ji'~'-~'_~jt~~t~j'.i::''f):,..;~tf,~t~:-lP~~~~tl
~;eONTR:AGT()R7NSTA.J.1EA7i10N(0N1ff:':~
2. .i,P~1.Ej': ,~,_>",:"'_~,ii:il~$~Wi:i}W....i{~tB!.}~~~-;lli&;;.liK~~i(~~Jm~~~~u~&'t
Electrical Contractor A 1:/5 .6/C"clr/c JI1C
Address ;:Jc? &; Y d. <f d /
City &./uel/}e
'-"
Phone 6 ?6-5YI/c!
Supervisor License Number
'Y' 7C/0S
Expiration Date
/~ -/-07
Constr. Contr. Number /56 C? 7 ~
Expiration Date rf -/ ~ -cJ 7
Signature of Supervising Electrician
~~-~
Owners Name ;41 ~6tl.A-~/---~v',
Address ?e> lrtl;< /10 S-4S-
City l::.~ Phone 2 Z (- ,s:- yo
OWNER INSTAL TlON
The installation s being made on property I own which
is not intende for sale, lease or rent.
~~ E ON' Oregon law requires YOll! to
OWIfc)1 0 Mii: ~dopted by the Oregon Utility
Notifi ation Center. Those rules are set forth
in C~ ~l}1 0 UlfOIlOh OAR 952-001G
009 You may obtain copies of the rules by
~l:lllln the g~m.t.eJ.1Note: the telephone
InsPb~bi'f~8f\"e/eftlig8~ Utility Notification
, Center is 1-800-332-2344).
Date
~JMJ 01
3, ;:I~Q~l~'{E2~ S9l!!i.eJi~.!!Dl&~:L~~'!;;:L~t~","';~~.~L:~:~:
~-. ': : ~ ". _' . " , ,'. . l, ; _ .' ,'"..,. -: -l,' . . _ " .
A, f!.:NeW:Res~~cn'tiaI7 .S}i1gl~i.~l1':M~ltH'~arhiiyper d~elling lInit.;j',..
L\.:J.::".","'~""" .".\..ou ...:...t~..;__h....._....,>:;.J;.......~l.-,i..!..:..1...;,.l:."'.."~,_ :/,.-.. ...j-.', ..~.. ." .. .~...' . ,'j.."~ ~..: . ~ . '0 .... ,:
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
I
7
/Db
1-:53
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
8, Il~~~g~~~~~1~'~~JPil~Ji;~1~It~~~f.;~~~i2~!i~~~~~:~~;~~,;~~:'
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. ,~;r~~poramtUf~'or,F~d~rs'.i::'::'," ......,. .::r ,:,' , ','~'
"-~'"''''''-'''''''TRTS''PEHMIISHALL EXPIRE IFTHE WORK'
Installatlol\l,\~ll~t~DE)IUNOOQnTHIS PERMIT IS NOT
200 Amps o~GMMENCED OR IS ABANDO~lWJ FOR
201 Amps t9\~ ft,.8ii)sDAY PERIOD. $ 69.00
40 I Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. ~t~>~~~~~,~i~~,i,ts::,J~i,~:;:tfu~i~+;:, '" . .'~,
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
~;:t":'!;~!i;.>~~~..r.. ," ".::.. _' ""':;i~~~rG1$;..,;,~"~~,,,~~~;,:::~,->~>:,,-,,/,,~t~: :'f-;;~' _ ~", ,:;, .:" ';-,: :,
E. :>MlsceUaneous (Service/feeder.' not included) ~Eacli Installation'
{1;,~..."\~ ...;. ~li;::"~>.,-..;t.:....:......__~...:;:;,.J;:>.~.;~:t:i.~~...."""'.':'.;..: .~:._;". '..oJ.;.. _'. ..
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee Is $45,00 + Surcharges
4. ~SUBTOTALOFABin1.E~{;"
i.;;~;h:.l':<~i'. L;. ,:J~:, <_..~.;. i ~ ~~~.;~~~;:~:J;:~;,:::,~.
~:;.'., '. .
237
1911.
Z3~/l1 ,r
Z?3 !?
8% State Surcharge
10% Administrative Fee
TOTAL ~ ~/&~'
Shared Drive(T:)lBuilding FonnslElectrical Permit Application }-06.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01458
ISSUED: 04/30/2007
APPLIED: 11/14/2006
EXPIRES: 02/09/2008
VALUE: $ 412,920.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6489 FOREST RIDGE DR
ASSESSOR'S PARCEL NO,: 1702344303600
SPRING FIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence, Lot 102 MountainGate
TYPE OF USE: New
Residential
I PUBLIC IMPROVEMENTS I
fSM QilQlp~ht~ requIreS you to
Fullv Improved AI I c.NTI ~ ld 6 'the Oregon Utility
Y es Nfoltl~W ~~re'=~.imles are set&ttn9rm Sewer
01 ca -0010 through OAR 952-001-
In OAR 952-001 obtain copies of the rules by
Storm H20 to the provided & approved storm lateral.JLP 0090.. You may nt (Note: the telephone
calling the ce ~r. n Utility Notification
number for the rego n 12'22 2344)
Center 18 1-80v-vv - ·
Owner: ALBERTS DEVELOPMENT LLC
Address: PO BOX 10545
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
CORNERSTONE CONSTRUCTION & DEVE1159033
ROBS ELECTRIC INC 156678
THOMAS ANTHONY RYDER 159425
BUILDING INFORMATION'
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure: 31.00
Secondary Occupancy Group: U Type of Heat: orced Air Electric
Primary Construction Type VB Water Type: Gas
Secondary Construction Type: Range Type: Gas
# of BedroiJ'tfnCeo 4 .~~e~w Path: Path 1
OMIT SHAll EXPIRE If THE wptM,led Building: n/a
TUIe: p~R ,.. ---; llT Ie Nl)T
AUTHORIZED UNDE:K INI\) "'~P-MENT INFORMATION ,
COMMENCED OR IS ABAND . .
Frontyard $\MYaataO DAY PERlOD~O,OO Overlay Dist:
Side 1 Setback: 100,00 # Street Trees Rqd:
Side 2 Setback: 15.00 Paved Drive Rqd:
Rearyard Setback: 60,00 % of Lot Coverage:
Solar Setbacks: 0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of 5
Phone Number: 541-221-1880
Expiration Date
03/11/2008
08/1412008
05/12/2008
Phone
541-345-2262
541-686-5444
541-343-0975
Lot Size:
Sq Ft 1st Floor: 1,800
Sq Ft 2nd Floor: 2,000
Sq Ft Basement:
Sq Ft Garage/Carport 720
Sq Ft Other: 900
Occupant Load:
Hillside
7
Yes
12.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
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
Gara2:e
Use Bid Amount
Dwellin2:s
Gara2:e
Patio/Porch
Fee Description
Plan Review Residential
Plan ReviewIResidential Hourly
~Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Air Handling Unit 10,000 & Ovr
Appliance Vent
Building Permit
Curbcut Permit .
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets 1-4
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
Plan ReviewIResidential Hourly
Plan ReviewIResidential Hourly
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'
Temp Power 200 amps or less
Vent Fan
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01458
ISSUED: 04/30/2007
APPLIED: 11/14/2006
EXPIRES: 02/09/2008
VALUE: $ 412,920.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99,00
$26.00
$1.00
Square Footage
or Bid Amount
3,800.00
720,00
18,000,00
Value
Date Calculated
$376,200,00
$18,720,00
$18,000.00
$412,920,00
11/14/2006
11/14/2006
02/0912007
Total Value of Project
~
Amount Paid
$990.86
$33,80
$10.00
$231.09
$118,15
$166,79
$306,00
$31.00
$15.00
$6,00
$1,582.90
$80.00
$6.00
$9.00
$226,00
$4,00
$12,00
$1,787.49
$198,00
$38,03
$135,00
$337.50
$910.37
$1,197,22
$10,00
$961.52
$91.61
$236,83
$62,38
$836.32
$189,58
$28,00
$50.00
$36.00
Date Paid
Receipt Number
2200600000000001580
2200600000000001580
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
1200700000000000476
11/14/06
11/14/06
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
Pa2:e 2 of 5
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2006-01458
ISSUED: 04/30/2007
APPLIED: 11/14/2006
EXPIRES: 02109/2008
VALUE: $ 412,920.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
Wood Stove/Insert
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$1,000.00
$30.00
$23.90
$11.95
$19,12
$106.00
$133,00
4/30/07
4/30/07
8/20/07
8/20/07
8/20/07
8/20/07
8/20/07
Total Amount Paid
$12,258,41
I Plan Reviews I
Initial Review
Planninl!: Review
11/15/2006
04/27/2007
11/15/2006
04/27/2007
APP
APP
LLH
TAJ
Planninl!: Review
11/15/2006
12/18/2006
APP
TAJ
Public Works Review
11/15/2006
12/18/2006
APP
JLP
Structural Review
03/21/2007
10
11/15/2006
DLM
Structural Review
04/03/2007
04/13/2007
APP
DLM
Pal!:e 3 of 5
1200700000000000476
1200700000000000476
2200700000000001319
2200700000000001319
2200700000000001319
2200700000000001319
2200700000000001319
Reviewed revised site plan showing
the house shifted over toward the
west side property line. OK, other
comments still applicable,
Place orange construction fencing to
the driplines of the trees shown to be
preserved on the plot plan, Follow
the tree preservation guidelines
attached to the building permit.
Plant native street trees from the
Hillside list in the street tree
handout,
Storm H20 to the provided &
approved storm lateral.JLP
Spent several phone conversations
and e-mails and faxes with the truss
co. to resolve errors in the truss
submittal. The truss drawings
submitted are for a different project
Also the roof framing drawings
specify girder trusses that
apparently are not being used, and
conventional ladder framing at
dormers that also is not being used.
Finally reconciled this with the truss
co, 2/2/07 dim, Met w/ applicant in
mid-March to address outstanding
issues, dim
Submitted revised and corrected
drawings 4/3/07dlm. Calculations
are missing; Requested calculations
from engineer for the added beams
at living and dining areas; they will
be faxed today 4/12/07dlm.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01458
ISSUED: 04/30/2007
APPLIED: 11/14/2006
EXPIRES: 02/09/2008
VALUE: $ 412,920.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete,
Erosion/Grading 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 and/or
foundation inspection,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor 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.
Structural Concrete: In excess of 2500 psi, To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City
Building Inspector.
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,
Final Building: After all required inspections have been requested and approved and the building is complete,
Undertloor Plumbing: Prior to insulation or decking,
Undertloor 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,
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance,
Pal!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01458
ISSUED: 04/30/2007
APPLIED: 11/14/2006
EXPIRES: 02/09/2008
VALUE: $ 412,920.00
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,
Wood Stove: After Installation,
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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 5 of5
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-01458
COM2006-01458
COM2006-01458
COM2006-01458
COM2006-01458
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001319
Date: 08/20/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID LAWLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
080347 In Person
Payment Total:
Page 1 of 1
2:06:40PM
Amount Due
106.00
]33.00
11.95
19.12
23.90
$293.97
Amount Paid
$293.97
$293.97
8/20/2007