HomeMy WebLinkAboutPermit Electrical 2007-10-8
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225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO~ e...c 07 - C> {34 ;
200 Amps or less
201 Amps to 400 Amps
40~~~~00 Amps
-'/ ~ ,~~~~\o~O Amps
Phone. /./ .rJ'~~:' \~e e~~I~~rolts
.t'(\O~' ~09\ed oSe ~~~.:\~~
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~ow ~ g~ '",,9-'1 e'(. ~ \)\... ~~,.
\(\~. "to\\~e ce~ otel~~~lfiition, Alteration or Relocation (
~~\~~ \ot ~~ \ft \ 200 Amps or less
'(\~((\'t;J cet"'fJ 20 I Amps to 400 Amps
401 Amps to 600 Amps
1.
26Lff
JOB DESCRIPTION:
- I eVIA f ~ 0 Lv' '='YL
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address
City
Supervisor License Number
Expiration Date
Constr. Contr. Number
EXPiratio1itte
Signature of Supervising Electrician
"to t,J, ~t, L ~
Address ~S 1!1 /ul'--i n.J -I O~
City ~t:. Pho~ ~9j"JJ-77
I
OWNER INST ALLA nON
Owners Name
The installation is being made on property I own which
is not intended for sale, lease or rent.
tlE:tJlU/
I
Inspection Request: 726-3769
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B.
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
$ 55.00
$ 76.00
$110.00
SJ-
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E.
_r~n ~~~\. \y...\~ \' ~~~~ ~ $ 55.00
\\\)lb\~~~~~tg~~~~\) $ 55.00
\~~~~{~~~~tial $ 28.00
~\! ~t~e~~~ercial $ 50.00
MiniGa~ ~c Permit Inspection Fee is $50.00 + Surcharges
4. S-)
l{ClO
SJ'C>
'Z,7r
b7~
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical Penn it Application 7-07.doc
9ITY OF SPRINGFIELD'
Buildin~/Combination Permit
PERMIT NO: COM2007-01349
ISSUED: ' 09/07/2007
APPLIED: I 09/05/2007
EXPIRES: 04/08/2008
VALUE: $ 176,336.00
TYPE OF WORK: Single Family Residence
I
TYPE OF US~: New Residential
Single Family Residence - same as 2036 L Street (almost... wit~ expanded building)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2048 L St
ASSESSOR'S PARCEL NO.:
Springfield
1703254301602
PROJECT DESCRIPTION:
Owner: ADW LLC
Address: 1574 CO BURG ROAD
EUGENE OR 97401
I CONTRACTOR INFORMA TION .
Contractor Type
General
Contractor
ADW LLC
License
172229
BUILDING INFORMA TION ~
# of Units: 1 # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: U Type of Heat:
Primary Construction Type VB Water Type: .
Secondary Construction Type: ATTENTION: OregcJWtMW T~dfBlres you to
# of Bedrooms: follow nJles adopteBIby'lt&110mgon Utility
Notification Center. 'Rpm~~wm9_ forth
~--: G:\R QIi:a 991 99H,' '~~::~Igl': Q.AR.OC: 9:1
0090. You ~JJ}~S(I)/.d1J~!~"ION .
calling the "&mer. (mrte; Ine lelepnon
nUIl}\l~~~~t~~ei~~~~t:::~ficatiOn
15.00 crMreet Trees~qd:
6.00 Paved Drive Rqd:
56.00 % of Lot Coverage:
37.50
2
27.00
Heat Pump
Electric
Electric
Path 1
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Phone Number: 541-683-3279
I
/
Expiration Date
09/22/2008
Phone
541-683-3279
Lot Size:
sql Ft 1st Floor: 874
Sq' Ft 2nd Floor: 838
Sq, Ft Basement:
Sq Ft Garage/Carport
Sq;Ft Other:
Occupant Load:
\
\
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
1
Yes
38.60
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction: NOTICE: RE ,... THE WOm(
THIS PERMIT SHAll ml r
Notes: Stormwater ties to existing weep AB'fHORIZED UNDER THIS PERMIT '5 NOT /
f\nuUI:Mr'J:n nR I~ ABANDONED fOR
-. ',;.." .'
A~vl~awah aa:e~b~PDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of 4
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DwelIin!!:s
V Wood Frame
Fee Description
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Heat Pump
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
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 Drainage Impervious Area
Storm Sewer Each Addtll00'
Vent Fan
WilJamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
Total Amount Paid
Plannin!!: Review
Public Works Review
09/05/2007
09/06/2007
$103.00
Total Value of Project
~
Amount Paid
Date Paid
$40.00
$139.81
$82.38
$105.00
$337.00
$35.00
$9.00
$898.50
$85.00
$7.00
$10.00
$85.60
$14.00
$205.00
$584.03
$-40.00
$489.70
$644.00
$10.00
$961.52
$91.61
$113.61
$73.82
$862.25
$195.48
$85.00
$494.12
$16.00
$21.00
$2,303.00
$5.50
$2.75
$4.40
$55.00
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
10/8/07
10/8/07
10/8/07
10/8/07
$9,026.08
I Plan Reviews I
09/05/2007 APP
09/06/2007 APP
Pa!!:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
I
I ' ,
PERMIT NO: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: 04/08/2008
VALUE: $ 176,336.00
1,712.00
,
$17,6,336.00
$176,336.00
09/06/2007
!
I
R~ceipt Number
~200700000000001172
1200700000000001172
1200700000000001172
~200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
)200700000000001172
1200700000000001172
~200700000000001172
1200700000000001172
1'200700000000001172
1200700000000001172
\
1200700000000001172
\
1200700000000001172
\
1200700000000001172
12Q0700000000001172
1200700000000001172
<1200700000000001172
11200700000000001172
I
~200700000000001172
1200700000000001172
1200700000000001172
~200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
2200700000000001558
2200700000000001558
2200700000000001558
2200700000000001558
TAJ
TSS
i
(
Stor~water ties to existing weep
hole. ,
I
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: 04/08/2008
VALUE: $ 176,336.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
09/05/2007
09/06/2007
APP DLM
Plans not structurally coordinated.
Returned house plans to applicant
for corrections 9/5/07dlm Received
revised plans. Upper floor plan does
not agree with truss dwgs. Advised
applicant 9/6/07dlm. Received
revised floor plans 09/06/07dlm.
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.
L..JleouiredJnSDections I
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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.
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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: 04/08/2008
VALUE: $ 176,336.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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;;;~7;i uJ /J · t-' 0 7
Owner or tontractors Signature Date
Pal?:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01349
COM2007-01349
COM2007-01349
COM2007-01349
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ADW LLC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001558
Date: 10/08/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1527 In Person
Payment Total:
Page I of I
9:44:10AM
Amount Due
55.00
2.75
4.40
5.50
$67.65
Amount Paid
$67.65
$67.65
10/8/2007