The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-10-16 s man ZON L.(9_4"— . CITY OF SP R.I { ,.:IELD, OREGON. . nr IDIITIALS n M j . , a. g o DATE I(.0 c.0 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 a,W-5- SOURCE I^(\ c) ELECTRICAL 1ERMITAPPLICATION City Job Number (t/77 a ,r - 0/0�s /Date ! L//6/CI,� 1. LOCATION OFINSTn aTTON 3. COMPLETE FEE SCHEDULE BELOW iit,f" `.', ?, el 6 St Flue ke I lc x h_rc..erl..-4 - ,ist'h';E m .xa ro.mi_ as C. E LEGAL DESCRIPTION: A. New Residential�,Stngleor Multi Family p n„ 1 .v J 70 5 '-/j OS 7Qs Service Included JOB DESCRIPTION: 1000 sq. ft.or less I $121.00 '21 ob Each additional 500 sq.ft.or 177/ 1-9-2 c---5/51-2--' portion thereof ?/ $22.00 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 $57.00 Suspended for 180 days. Feeder J.. . + a'4 - '� .4 J ,t`ae4- s" tt R ,ii s m2 g ed ct i koaROstaflatill"0.h,�'91br ter t'i'4ns of E loci& a a i 2 COgNTRACTORINSTALLITTONONLYR B LiServicesor,feeders Instaallabon AlteratronsortRelocatton ,4� Electrical Contractor e I/;, I C 200 Amps or less $73.00 V.12492 P 201 Amps to 400 Amps $ 86.00 Address 412492. -QG&J P Le. 401 Amps to 600 Amps $143.00 601 Amps to 1000 Amps $186.00 City..artilo,N 311 Phone 91 2.--- -951 Over 1000 Amps/Volts $426.00 y Reconnect Only $57.00 Supervisor License Number 46 o$5 C ,TemporaryySeryrces,ofi Feeders `g,}j 4Lr .1109Y? x n *' Expiation Date /�) I/2-0 16 Installation,Alteration or Relocation 200 Amps or less $57.00 Constr.Contr.Number /3439 I 201 Amps to 400 Amps $79.00 Expiration Date 81 7 O 401 Amps to 600 Amps - $114.00 Over 600 Amps or 1000 Volts see`B"above. t'„' '^^+ ys..$''*,-.140 .:1- t''�pt4. VzdWS' -k+ ''$'f iVe Signature of Supervising Electrician D ,Braach,ClrcuTts,r rLAPA GI'All ,_ 'a ,ta , -Pct",p„t, y j,,°4..,. 4141 / New Alteration or Extension Per Panel '�/��%i7I/ ATTIn i 't . $50.00 Auldinoni"1`Circult ortwith's ycu to folio �r ,r,,.Rs $5.00 Owners Name �/�L�`/ CN Notification Cen er�Thu�nmt Iac a�r,l „r7 �. n _ in OA U t )sre E-'x`$s"t,,• rQ' ., -"- Ili: d 'w i",..'c .Address 3 ' /6, )Ck =`' &'-i ; e"� 009 � rnce/feederS�ioCruded) Each,Installahon IfI T^/-' 4 1 D}ifA� T'�4m"'[[3'J`- y ootam r,,,,s"s iii ru es� calling the center,.Mote. the telephone $57.00 City , + ��/ Phone numiP�yn!@1°ftr? ieoon Utility Nofifieation Si 1 $57.00 $ 141 �'-+ W§32-23441, OWNER INSTALLATION Limited Energy/Residential $29.00 The installatitatri 1i8'Fimade onpro erty ch LmntedEner /Commercial $52.00 is notintendar"oE l Rfe"a SrumoAtt_ EXPIK rt WORK mlmum Electnc Permd Inspection Fee�$52 00+Surcharges AUTHORIZED UNDER THIS PERMIT IS Null xt Owners Sigaa a MENCED OR IS ABANDONED FOR 4 SI7BTOTALOFABOVE d a � S" - e ° ,vJY 18r3 DAY PFRIOfl 12%State Surcharge -7. 9S 10%Administrative Fee / 7 r:,..ir> 5%Technology Fee �/ 1 Js_ `/O Inspection Request: 726-3769 TOTAL I LI) o /. 7 Shared Drive(T:)/Building Forms/Electrical Permit Application 7-08.doc SPRINGFIELD, hiw ' ,; CITY OF SPRINGFIELD• <, is : Building/Combination Permit Status Issued PERMIT NO: COM2008-01085 225 Fifth Street,Springfield,OR ISSUED: 08/28/2008 541-726-3753 Phone APPLIED: 07/17/2008 541-726-3676 Fax EXPIRES: 03/24/2009 541-726-3769 Inspection Line VALUE: $ 165,907.00 SITE ADDRESS: 4657 BLUEBELLE WAY SPRINGFIETYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1702324305703 TYPE OF USE: New Residential PROJECT DESCRIPTION: New Single Family Dwelling Owner: RAKOCZY ENTERPRISES Phone Number: 513-2228 Address: 3496 AMBLESIDE DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone General RAKOCZY ENTERPRISES LLC 182734 06/23/2010 541-513-2228 Designer MONTY LUKE DESIGNS 541-746-7757 Electrical EVERYDAY ELECTRICAL SERVICE 136371 08/12/2009 541-607-6908 Mechanical SUNSET HEATING & AIR INC 171706 08/18/2010 541-988-3181 Plumbing RS PLUMBING CONTRACTING 103816 01/04/2010 541-461-4714 BUILDING INFORMATION` #of Units: 1 #of Stories: 1 Lot Size: 7,157 Primary Occupancy Group: R-3 Height of Structure 19.00 Sq Ft 1st Floor: 1,407 Secondary Occupancy Group: U Type of Heat: orced Air Electric Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 400 #of Bedrooms: 4 Energy Patli�TtENr/ Sq Ft Other: Sprinkled,Building:; v. ' ' Or No Occupant Load: 1 LDEVELOPMENT. E V E LO PM ENT,INFORMATION,:`V the jedife3 o<,'i .uory'a . .,,�';G, `'Sort,/�reQonci ViiUIRED PARKING Frontyard Setback: 30.00 Overl•ytDist��fone eepte'air'o�`�/1 OAR'Se �i : 2 Side 1 Setback: 8.40 #Street Treet;Rq 1 tie Ore (Now 4 u the 62-dap. icapped: l ers tS 1 l Q�prct: 320- / �d,ir and etback: 26.40 % of Lot Coverage: 3323 hf h Solar St 7.50 2 �� o (PUBLIC IMPROVEMENTS` - Street Improvements: Sidewalk Type: NOTICE: Storm Sewer Available: F I4 Downspouts/Drains: To Culvert- Provide TI-IIC RGRNIIff 1-1B I FYPIR 9 itif �"/�$1S Special Instruction: Storm water�runoff to dt ch/ torm t n nay divert to rain garden Drainage Plan AUTHORIZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Page 1 of 4 SPRINGFItILD; ' • CITY OF SPRINGFIELD 1 Building/Combination Permit Status Issued PERMIT NO: COM2008-01085 225 Fifth Street,Springfield, OR ISSUED: 08/28/2008 541-726-3753 Phone APPLIED: 07/17/2008 541-726-3676 Fax EXPIRES: 03/24/2009 541-726-3769 Inspection Line VALUE: $ 165,907.00 Valuation Description 1 Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated or multiplier or Bid Amount A.C.- Residen AC- Residential $5.00 1,407.00 $7,035.00 07/22/2008 Dwellings V Wood Frame $105.00 1,407.00 $147,735.00 07/17/2008 Cara2e Garage $28.00 400.00 $11,200.00 07/17/2008 Total Value of Project $165,970.00 I Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $542.14 7/17/08 1200800000000000790 + 10% Administrative Fee $136.65 8/28/08 2200800000000001300 + 12% State Surcharge $153.13 8/28/08 2200800000000001300 + 5%Technology Fee $74.36 8/28/08 2200800000000001300 2 Baths One or Two Family $280.00 8/28/08 2200800000000001300 Addressing Assignment $35.00 8/28/08 2200800000000001300 Boiler/Comp Up To 100,000 btu $14.00 8/28/08 2200800000000001300 Building Permit $859.12 8/28/08 2200800000000001300 Copies- Ea Addtl @ 50 Cnts Ea $5.00 8/28/08 2200800000000001300 Copy 6th @ 75 cents $0.75 8/28/08 2200800000000001300 Dryer Vent $7.00 8/28/08 2200800000000001300 Exhaust Hoods $10.00 8/28/08 2200800000000001300 Fire SF Fee- Residential $90.35 8/28/08 2200800000000001300 Furnace- up to 100,000 btu $14.00 8/28/08 2200800000000001300 Plan Review Major- Planning $211.00 8/28/08 2200800000000001300 Plan Review Residential $16.29 8/28/08 2200800000000001300 Sanitary Sewer- Improvement $462.80 8/28/08 2200800000000001300 Sanitary Sewer- Reimbursement $608.63 8/28/08 2200800000000001300 SDC MWMC Administration $10.00 8/28/08 2200800000000001300 SDC MWMC Improvement $1,009.17 8/28/08 2200800000000001300 SDC MWMC Reimbursement $97.90 8/28/08 2200800000000001300 SDC Sanitary/Storm Admin $102.39 8/28/08 2200800000000001300 SDC Transpo Improvement $888.98 8/28/08 2200800000000001300 SDC Transpo Reimbursement $201.54 8/28/08 2200800000000001300 SDC Transportation Admin $78.82 8/28/08 2200800000000001300 Storm Drainage Impervious Area $345.15 8/28/08 2200800000000001300 Storm Sewer Each Addtl 100' $16.00 8/28/08 2200800000000001300 Temp Power 200 amps or less $55.00 8/28/08 2200800000000001300 Vent Fan $21.00 8/28/08 2200800000000001300 Willamalane Single Family $2,513.00 8/28/08 2200800000000001300 + 10% Administrative Fee $15.90 10/16/08 2200800000000001514 + 12% State Surcharge $19.08 10/16/08 2200800000000001514 +5% Technology Fee $7.95 10/16/08 2200800000000001514 Residence Wiring 1000 Sq Ft $117.00 10/16/08 2200800000000001514 Page 2 of 4 SPRINOPIESLP, CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01085 225 Fifth Street,Springfield, OR ISSUED: 08/28/2008 541-726-3753 Phone APPLIED: 07/17/2008 541-726-3676 Fax EXPIRES: 03/24/2009 541-726-3769 Inspection Line VALUE: $ 165,907.00 Residence Wiring Ea Addtl 500 $42.00 10/16/08 2200800000000001514 Total Amount Paid $9,061.10 LPlan Reviews Al Initial Review 07/21/2008 07/22/2008 APP LLH Public Works Review 07/22/2008 07/30/2008 APP LKW Storm water runoff to ditch/Storm water on driveway divert to rain garden Structural Review 07/22/2008 07/31/2008 WE CJC Waiting for energy path option Structural Review 08/05/2008 08/07/2008 APP DLM Truss drawings submitted. Also, additoional energy efficiency measuer to be Item #2a, Performance tested ductwork(per owner) 8/5/08dlm See documents for Plan review comments. Planning Review 07/22/2008 08/20/2008 APP TAJ 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. Required Insnections I 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 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. Page 3 of 4 _89RINGFIEI..p; • CITY OF SPRINGFIELD 1. Building/Combination Permit Status Issued PERMIT NO: COM2008-01085 225 Fifth Street,Springfield,OR ISSUED: 08/28/2008 541-726-3753 Phone APPLIED: 07/17/2008 541-726-3676 Fax EXPIRES: 03/24/2009 541-726-3769 Inspection Line VALUE: $ 165,907.00 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. 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 Mechanical. Prior to insulation or decking and including required testing. 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. By signature, 1 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. 1 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 Page 4 of 4 SPRINGFIELD , 225 Fifth Street I.of Springfield Official Receipt Springfield, Oregon 97477 - elopment Services Department • 541-726-3759 Phone Public Works Department RECEIPT #: 2200800000000001514 Date: 10/16/2008 11:25:26AM Job/Journal Number /Description Amount Due COM2008-01233✓ Residence Wiring 1000 Sq Ft 121.00 COM2008-01233 Residence Wiring Ea Addtl 500 44.00 COM2008-01233 + 5%Technology Fee 8.25 COM2008-01233 + 12%State Surcharge 19.80 COM2008-01233 + 10%Administrative Fee 16.50 COM2008-01085 Residence Wiring 1000 Sq Ft 117.00 COM2008-01085 Residence Wiring Ea Addtl 500 42.00 COM2008-01085 +5%Technology Fee 7.95 COM2008-01085 + 12%State Surcharge 19.08 COM2008-01085 + 10%Administrative Fee 15.90 Item Total: $411.48 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard WAYNE L. ANTONE III njm 021899 In Person $411.48 Payment Total: $411.48 cReceintl Page 1 of I 10/16/2008