HomeMy WebLinkAboutPermit Electrical 2007-11-20
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INITIALS ~ M.
DATE \ \- 2-1-0 '
SOURCE ~S~lj
Date \ \ ~7P /" v1
225. FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM zDD7 - 0 ( D 7 I
1.
~1'l Yt> lc~v^d~
LEGAL DESCRIPTION:
/702 I 't J J 0 () to Z
JOB DESCRIPTION:
~ I \Ji A e.c. I J)..- ~ I c",^,l V o..c..
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 ~ HD s-h r .e..
Ad<he" '3J t1lW1te.t-S\ VII\l1 b
City ~t1~ Phone b&3"'4~+ft
I
Supervisor License Number
Expiration Date
Constr. Contr. Number
11 ~ 72-~
l/5)o9
Expiration Date
Signature of Supervising Electrician
~ V-J"6?e.JZ-
OwnersName 50& Ct"vtch~el2
Address ,'3\C) J ~ ~A_ ~lp~~
City .:pA.'.I\Ct [lJc! Phone 9/<<.l,(''I1 R
U
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
$ 21.00
Each Manufact'd Home or
Modular Dwelling Service or
NetfiNTION' Oregon I
to . aw r
~
;n
- 01-001Othr earth
OO~~ Xlli)may~~ta;n co~~2~ ~AR 952-001.$ 70.00
n6Hl~'Wn l~taevIDn:~Note: th~ t~;e !IU1es bY$ 83.00
Ib~)rAfh6!..J:)rlil~ U . . e/-J rune
401 's (')'o.ut1 ~'l"'" t1llty NaUtical' $138.00
n er IS 1-8(Jo ::13 Ion
601 Amps to 1000 AIIrpS' 2-2344). $180.00
Over 1000 AmpsNolts $413.00
Reconnect Only $ 55.00
$55.00
c.
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
Over Mfa~ilr 1000 Volts see "B" above.
D.
WtliMtiH ,Wi-f~RM/T IS NOT
ENeED OR IS ABANDONED 00f8.00
Each itl&ldl~J?16R~
Service or Feeder Permit $ 4.00
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting /' $ 55.00
Limited Energy/Residential ,,/' $ 28.00 tfl....o
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.
~o .,&0
t ...0 0
- ..
:z..5l)
/01.5'0
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01071
ISSUED: 08/09/2007
APPLIED: 07/18/2007
EXPIRES: OS/20/2008
VALUE: $ 405,198.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2979 Yolanda Ave
ASSESSOR'S PARCEL NO.: 1702193300802
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence
Owner: JOEL & KOY A CRUTCHFIELD
Address: 3582 AMBLESIDE DR
SPRINGFIELD OR 97477
Phone Number: 541-726-4015
I CONTRACTOR INFORMA nON,
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
HOMESTYLES INC
EASTSIDE ELECTRIC INC
THE HD STORE INC
MARSHALLS INC
DONALD CLEWIS
License
89219
117770
173726
25790
167921
Expiration Date
02/19/2008
10/0412009
01105/2009
12/23/2009
01116/2008
Phone
541-345-8000
541-915-9828
541-683-4848
541-747-7445
541-688-1931
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2 Lot Size:
Height of Stru~~~~J 34.00 Sq Ft 1st Floor:
Type of Heat:f I' I L:.}\'b1lQ~AQ.r€a~m laS'qrfltJQjJtli'J~tno
Water Type: 0 .~w r~les adoGtfsd by ~eM>JbNoo;I"M:lity
NotifIcatIon Cent~ . Th ~ Vi'l
Range Type:jn OAR 952 00 'U'aS os~4jtW~g~ro?f>rt
Energy Patlle090 Yo - 1!il~ thro~~"cwnQ52-o01.
Sprinkled Bui~m U may Aaln CO~.qf:theRtJJet; by
g the cen er. (N(lte' thA ttsl~pl.1Q'?e
I DEVELOPMENT Il~:FORK1~~ Qregon Utility Notification
~-800-332-2344REQUIRED PARKING
Urban Fringe Total: 2
3 Handicapped:
Compact:
20,452
2,446
1,316
1
R-3
U
VB
3
1,084
476
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
53.00
13.00
12.00
70.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
17.20
Notes:
Stormwater to stub provided
I PUBLIC IMPROVEMENTS I
Partially Improved NOTICE.sidewalk Type:
No THIS PER~!M~t~~ME IF TH{WHRK Sewer
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Pa~e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01071
ISSUED: 08/09/2007
APPLIED: 07/18/2007
EXPIRES: OS/20/2008
VALUE: $ 405,198.00
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Deck/Balcony
DwelJinl!:s
Garal!:e
Deck
V Wood Frame
Garal!:e
$ Per Sq Ft
or multiplier
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
476.00
3,562.00
1,084.00
Value
Date Calculated
Description
Type of Construction
Total Value of Project
$9,044.00
$366,886.00
$29,268.00
$405,198.00
07/18/2007
07/1812007
07/18/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $1,116.91 7/18/07 1200700000000000934
~Mech Iss 2+ Appliances~ $40.00 8/9/07 2200700000000001273
+ 10% Administrative Fee $283.84 8/9/07 2200700000000001273
+ 5% Technology Fee $142.47 8/9/07 2200700000000001273
+ 8% State Surcharge $205.79 8/9/07 2200700000000001273
3 Baths One & Two Family $337.00 8/9/07 2200700000000001273
Addressing Assignment $35.00 8/9/07 2200700000000001273
Building Permit $1,718.32 8/9/07 2200700000000001273
Copies - Ea Addtl @ 50 Cnts Ea $42.50 8/9/07 2200700000000001273
Copy 6th @ 75 cents $0.75 8/9/07 2200700000000001273
Dryer Vent $7.00 8/9/07 2200700000000001273
Exhaust Hoods $10.00 8/9/07 2200700000000001273
Fire SF Fee - Residential $266.10 8/9/07 2200700000000001273
Fireplace (Listed) $17.00 8/9/07 2200700000000001273
Furnace - up to 100,000 btu $14.00 8/9/07 2200700000000001273
Gas Outlets 1-4 $5.00 8/9/07 2200700000000001273
Residence Wiring 1000 Sq Ft $117.00 8/9/07 2200700000000001273
Residence Wiring Ea AddtJ 500 $189.00 8/9/07 2200700000000001273
Sanitary Sewer - 1st 50 Feet $50.00 8/9/07 2200700000000001273
SDC Transpo Admin $58.36 8/9/07 2200700000000001273
Storm Drainage Impervious Area $1,167.13 8/9/07 2200700000000001273
Storm Sewer Each Addtll00' $16.00 8/9/07 2200700000000001273
Temp Power 200 amps or less $55.00 8/9/07 2200700000000001273
UGB Plan Rev Mj/Min - Planning $277.00 8/9/07 2200700000000001273
Vent Fan $21.00 8/9/07 2200700000000001273
Water Line - Each Addtll00' $16.00 8/9/07 2200700000000001273
+ 10% Administrative Fee $5.00 11/20/07 2200700000000001722
+ 5% Technology Fee $2.50 11/20/07 2200700000000001722
+ 8% State Surcharge $4.00 11/20/07 2200700000000001722
Low Voltage - Residential $28.00 11/20/07 2200700000000001722
Minimum/Adjustment Electrical $22.00 11120/07 2200700000000001722
Total Amount Paid $6,269.67
Page 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01071
ISSUED: 08/09/2007
APPLIED: 07/18/2007
EXPIRES: OS/20/2008
VALUE: $ 405,198.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
I Plan Reviews I
07/19/2007 APP LLH
07/19/2007
Public Works Review
07/20/2007
07/2612007
WE BRC
Public Works Review
07/30/2007
07/30/2007
APP BRC
Structural Review
07/20/2007
08/0112007
10 LLH
Plan nine Review
07/20/2007
08/03/2007
APP T AJ
Structural Review
08/0112007
08/08/2007
APP LLH
Completed at 3:30. Will route to pw
1st thing in a.m. Friday, July 20,
2007. Exempt from Willamalane
SDC. Okay to maintain address.
See attached documents.
Property had an existing home that
was demolished and no information
was provided for SDC credits. I
contacted Joel (owner) and he is in
the process off obtaining a site plan
that shows sq ft and fixture to
receive credit. Waiting for site plan
to continue review. BC
Stormwater to stub provided.
Forwarded to the Building
Department for review
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
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.
~e(]uire<Unsnections 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.
Paee 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01071
ISSUED: 08/09/2007
APPLIED: 07/18/2007
EXPIRES: OS/20/2008
VALUE: $ 405,198.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
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.
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 aU electrical work is complete.
Low Voltage: Prior to cover.
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
Pa2e 4 of 4
225 Fifth Street
SpringfieJd, Oregon 97477
541-726~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01071
COM2007-01071
COM2007-01071
COM2007-01071
COM2007-01071
Payments: .
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001722
Date: 11/20/2007
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
THE HD STORE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
8171
In Person
Payment Total:
Page 1 of 1
10:31:55AM
Amount Due
28.00
22.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/20/2007