HomeMy WebLinkAboutPermit Electrical 2007-10-9
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
Orn1 ZlJDi- b0:34- 9
,
City Job Number
1. LOCATION OF INSTALLATION
4~ +- 4t70 (''It ~.f~L1.1 \ItD
LEGAL DESCRIPTION
\~O') o'S d-.? O'4C)o--o( 1~
l
JOB DESCRIPTION
::m'::re n~~:f~jlt:XP~
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLl:0
Electrical Contractor f2.,oh '.) g/4.'-fn i. :J:f<lC-
Address R, 0, r? .vX' 2 f 2- I ew()U_ 01- '17 '/0 2.
City ["'-5 e.Y\.e...
Phone f-I i) & ft- 5' Lj 'I t.f
Supervisor License Number
'17'1tJS
Expiration Date 10..,.. i - 0 ~
Constr. Contr. Number / 5 t, ~ 7 g
Expiration Date <6 - / '1 - 2 () 0 I
Signature of Supervising Electrician
/ ) ~-------
tA'~ ~< ~
Owners Name \
/
/
Address
/
Inspection Request: 726-3769
CC(? b/.Ap ~ /l4- :2Dll
3.
COMPLETE FEE SCHEDlILE BEL01V
A. ....... Ne", Residential- Single or Multi-Family per dwelling 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
11700
~
$~
1i7 O'
J O5OD
/
S-
$50.00
B. . Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. } Temporary Seryices or
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.} Miscellan~ous(Service/feedernot included) .....Eachlnstallation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
LmtnCfrgYlReSidential $ 25.00
Lffi ~ ~f~rorff~fti~XPIR[ If TII[ wd~R.O
Minim~rrf1.~\tz~UI8" ~t!fH'9 ~~~W !t~rcharges
4. ts~~~~~ANDQNEDtPR
ANY 180DAYPERI()O.
<6% State Surcharge
10% Administrative Fee
S''7o ~~ .F<-c..
TOTAL
22 '.. ~
/7.7/'
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7515 I &to
Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00349
ISSUED: 08/01/2007
APPLIED: 03/09/2007
EXPIRES: 04/04/2008
VALUE: $ 262,426.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4168 GLACIER VIEW DR 4170
ASSESSOR'S PARCEL NO.: 1802052204900
Springfield
TYPE OF WORK: Duplex
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Duplex -lot 12 - SAME AS COM2007-00261 Once construction has been completed
and prior to occupancy, address will be 4172/4174 Glacier View Dr
Owner: JOE HARRIS
Address: 29404 CLEAR LAKE RD
EUGENE OR 97402
Phone Number: 541-689-6900
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Contractor
JOSEPH A HARRIS
ROBS ELECTRIC INC
License
60024
156678
Expiration Date
05/08/2009
08/14/2008
Phone
541-689-6900
541-686-5444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
6
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
26.00
Wall Heat
Electric
Electric
Path 1 .
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,391
1,014
1,408
2
R-3
U
VB
600
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
13.00
15.00
22.00
21[00
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
o
Yes
26.00
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: F 11Y fronr 1'1"1. Sidewalk Type:
nAJ1ENTIQN: Oregon law Pl:lqUlTeS' Y?Smo .
Stor~ Se18flrn~~~'~~~dopted by the Oregon t~flity ~ownspoutslDrams: Curb and Gutter
SpeCial I~8tm:1k~f6n Center. Those rules are set forth NOTICE. \ XPIRE IF THE WORK
IgPAR 952-001-0010 through OAR 952-001- THIS_P'.ER VlIT SHALL E .
Notes: on~ff.1'ffitS'ffi~foWt!WrcS~mc8f ~f~st~tot#10 for joint 'ASOft<<)R{~itfij~ER THIS PERMIT IS N()T
calling the center. (Note:.t.he tel~~ho~e COMMENCED OR IS ABANDONED FOR
number for the Oregon UtIlity Notification 0 AV, PERIOD
Center is 1-800-332-2344). ANY 180 1'\1 \ .
)
Pae:e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
2,422.00
480.00
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00349
ISSUED: 08/0112007
APPLIED: 03/09/2007
EXPIRES: 04/04/2008
VALUE: $ 262,426.00
Value
Date Calculated
$249,466.00
$12,960.00
$262,426.00
03/09/2007
03/09/2007
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 3/9/07 1200700000000000258
-Mechanical Issuance Fee- $10.00 8/1107 1200700000000000988
+ 10% Administrative Fee $201.05 8/1107 1200700000000000988
+ 5% Technology Fee $102.87 8/1107 1200700000000000988
+ 8% State Surcharge $148.75 8/1107 1200700000000000988
3 Baths One & Two Family $612.00 8/1107 1200700000000000988
Addressing Assignment . $62.00 8/1107 1200700000000000988
Building Permit $1,095.40 8/1107 1200700000000000988
Dryer Vent $24.00 8/1107 1200700000000000988
Exhaust Hoods $18.00 8/1107 1200700000000000988
Fire SF Fee - Residential $151.10 8/1107 1200700000000000988
Furnace - up to 100,000 btu $24.00 8/1107 1200700000000000988
Plan Review Major - Planning $198.00 8/1107 1200700000000000988
Sanitary Sewer - Improvement $1,068.69 8/1107 1200700000000000988
Sanitary Sewer - Reimbursement $1,405.43 8/1107 1200700000000000988
SDC MWMC Administration $10.00 8/1107 1200700000000000988
SDC MWMC Improvement $1,923.04 8/1107 1200700000000000988
SDC MWMC Reimbursement $183.22 8/1107 1200700000000000988
SDC Sanitary/Storm Admin $262.42 8/1107 1200700000000000988
SDC Transpo Admin $139.28 8/1107 1200700000000000988
SDC Transpo Improvement $1,672.64 8/1107 1200700000000000988
SDC Transpo Reimbursement $379.16 8/1107 1200700000000000988
Storm Drainage Impervious Area $1,391.80 8/1107 1200700000000000988
Temp Power 200 amps or less $50.00 8/1107 1200700000000000988
Vent Fan $36.00 8/1107 1200700000000000988
WiUamalane Attached (duplex) $4,852.00 8/1107 1200700000000000988
+ 10% Administrative Fee $22.20 10/9/07 2200700000000001563
+ 5% Technology Fee $11.10 10/9/07 2200700000000001563
+ 8% State Surcharge $17.76 10/9/07 2200700000000001563
Residence Wiring 1000 Sq Ft $117.00 10/9/07 2200700000000001563
Residence Wiring Ea AddtI 500 $105.00 10/9/07 2200700000000001563
Total Amount Paid $16,493.91
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00349
ISSUED: 08/0112007
APPLIED: 03/09/2007
EXPIRES: 04/04/2008
VALUE: $ 262,426.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine: Review
03/1212007
03/12/2007
I Plan Reviews I
03/12/2007 APP
04/04/2007 APP
LLH
SJS
Two paved parking spaces on the
south side of the garage are required
as shown. "No Parking" signs are
required to be placed on the garage
doors.
Waiting in order PW rcvd on
3/9/07.JLP 3/9/07
Storm to curb & gutter. Curbcut
charged to Lot#10 for joint use
drive.JLP 4/3/07
Same as reviewed by Don Moore
Public Works Review
03/12/2007
03/09/2007 WI
JLP
Public Works Review
04/03/2007
04/03/2007 APP
JLP
Structural Review
03/12/2007
03/29/2007 APP
LLH
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.
~eollireCUnSDections I
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00349
ISSUED: 08/0112007
APPLIED: 03/09/2007
EXPIRES: 04/04/2008
VALUE: $ 262,426.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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
hat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
~ther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
~et, 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
's during construction.
or Contractors Signature
Date
..-. '
~\~~~ \)\ &.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00349
COM2007-00349
COM2007-00349
COM2007 -00349
COM2007-00349
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001563
Date: 10/09/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID R. LAWLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 077341 In Person
Payment Total:
Page 1 of 1
11 :20:03AM
Amount Due
117.00
105.00
11.10
17.76
22.20
$273.06
Amount Paid
$273.06
$273.06
10/9/2007