HomeMy WebLinkAboutPermit Electrical 2007-11-27
ZON I i y;:"
INITIALS N tV\
DATE ~\ )j(!O,
SOURCE
i25 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C 0"",,, ~ <::> 7 _ 0 I 0 C!) <:,::)
Installation, Alteration or Relocation
200 Amps or less .
201 Amps to 4pO~p~
~ j 9' : 40LArnps tR. 60.!bNDP~1
Expiration Date -- I --- ()' u~:.v'.-v" -o~;~'tl'a: UI.'lFy~n6<R (~' Qr:;;-f(50h Volts see "B" above.
, '..1...1 II cctj J...,.i r
SignatureZfSuP ising EleCtriCian.. caiiing .the center.I~r
a~~ / .' nUlllber for the oreg~J.I~j. i~~Wifi~!'ltj-An.. . P P I
fi. Center is 1-8 ~33 _~~ lrn-or ~nenSlOn er ane
/ ft-i'f' r~. /~. ne lTcui 4 .
If/' - ( v Each Additional Circuit or with
Owners Name P () ;r/ u/ If/{ /J Service or Feeder Permit
Address Is'll{ Ca~~ ~ E.
City ~ (,- bfl't!C Phone bf J . :r 2 7 C;
Pump or irrigation
Sign/Outline Lighting
OWNER INST ALLA TlON Limited Energy/Residential
!he in.stallation is being made on property I owntf61tCE: Limited Energy/Commercial
IS not mtended for sale, lease orrent. THIS PERMfyi I
Owners Signature: AUTHORIZEI[)
COMMENCED 00 ~~~"llhlQ~ED F
ANY 180 DAY Ilfl~l0.[binistrative Fee
5% Technology Fee
1.
?<6,:~ !/ -- 5:/~
LEGAL DESCRIPTION:
/702- '$/'3l/ 0 '2ft'1 S-
JOB D~S~TION:
// ffC-UllU/(
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 ~ fit/' ri</f
Address ? () ~ (f (!J 7
City {j! A' ~f k)t;t-C..-. Phone
Ho
/r/C
)19'5- Zf~C:;--
Supervisor License Number
Expiration Date
Constr. Contr. Number
(; /fr;q 0
Inspection Request: 726-3769
/f-Z7 -07
Date
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.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
$ 55.00
$ 76.00
$110.00
$ 48.00
$ 4.00
~--
$ 55.00
$ 55.00
$ 28.00
$ 50.00
?}5
50
C(
j
ZSe>
blfO
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: OS/27/2008
VALUE: $ 181,180.00
SITE ADDRESS: 485 S 32nd St
ASSESSOR'S PARCEL NO.: 1702313402815
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Owner: KENYA WILKINS
Address: 739 S 68TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION.
Contractor License
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
CENTRA FLO 64940
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMATION.
t-r,..,..<::t..]-I . .. ~ "(:"\',.11 let" . ',~"- J' "
" I',. "I..l, ,~ . 0 n UtIlity
.1 I d#)".f. ;,,'1 h./ thA rego 2
fol:'!'w rUles a ., () ~lor,!s: J I set forth
NlWJication Cel1l~ig~~&fSt~p~~e 952-001 )4.00
in OAR 952-00 1 '1~q}'eC?otfli:a~~s offi~~C\-~ifsIHfCtr.ic
0lY.:8,. You maYM\fe\f'~~ the telephor&lectnc
calling the cenW~e(~f~~ti\itY Notificatii1fctric
nUfOber for tht~~~ _ . -2344). Path 1
centersWririiie uilding: n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I DEVELOPMENT INFORMA nON.
18.00
6.00
6.00
44.00
8.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-510-3283
Expiration Date
09/22/2008
10/24/2010
04/18/2009
05/04/2008
03/03/2008
Phone
541-683-3279
503-838-0447
541-343-6829
541-926-5300
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,000
937
708
435
1
Yes
27.40
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
.iru:liPROV~~Ni:f~RE \f THE WORK
. T ~ t"tt\IVII'f S S PE~~J~ ~OTe'
Fully Impro~mHORIZED UNDER THI EO FOR yp .
t'OMMENCED OR IS ABANDO~ownspoutS/Drains:
ANY 1 BO DAY PERIOD.
Notes: Stormwater to weep hole in curb.
Pa!!e 1 of 4
Setback 5'
Curb and Gutter
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
Gara2e
Dwellin2s
Gara2e
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
, + 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut - 2nd Curbcut
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Plan Review Major - Planning
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
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: OS/27/2008
VALUE: $ 181,180.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,645.00
435.00
Value
Date Calculated
$169,435.00
$11,745.00
$181,180.00
07/09/2007
07/09/2007
Total Value of Project
~
Amount Paid
$595.66
$40.00
$136.24
$80.17
$100.67
$280.00
$35.00
$916.40
$-30.00
$85.00
$7.00
$10.00
$104.00
$17.00
$14.00
$205.00
$550.91
$724.50
$10.00
$961.52
$91.61
$137.44
$70.99
$862.25
$195.48
$85.00
$772.32
$14.00
$2,303.00
$5.50
$2.75
$4.40
$55.00
$18.00
$9.00
Date Paid
Receipt Number
7/9/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/31/07
8/31/07
8/31/07
8/31/07
10/15/07
10/15/07
1200700000000000886
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
2200700000000001379
2200700000000001379
2200700000000001379
2200700000000001379
1200700000000001305
12007000000000013Q5
Pa2e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
07/10/2007
Public Works Review
07/10/2007
Plannin2 Review
07/10/2007
Structural Review
07/10/2007
Structural Review
08/01/2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: OS/27/2008
VALUE: $ 181,180.00
$14.40
$117.00
$63.00
$5.00
$2.50
$4.00
$28.00
$22.00
10/15/07
10/15/07
10/15/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
1200700000000001305
1200700000000001305
1200700000000001305
1200700000000001438
1200700000000001438
1200700000000001438
1200700000000001438
1200700000000001438
Stormwater to weep hole in curb.
The following are conditions from
the tentative partition approval
(SUB2006-00050) for this lot: 10.
Prior to final occupancy the house
gutters and downspouts shall be
connected to weep holes in the curb
along S 32nd. 14. Prior to final
occupancy the driveway shall be
paved.
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.
$9,725.71
I Plan Reviews I
07/10/2007
APP LLH
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
07/11/2007
APP BRC
07/31/2007
APP T AJ
08/01/2007
10 LLH
08/07/2007
APP LLH
[..ReouirerUnSDections .
Pa2e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: OS/27/2008
VALUE: $ 181,180.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 pertain.ing to the work described herein, and
that NO OCCUPANCY will be made ofany 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
Springfield, Oregon 97477
541-126-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01000
COM2007 -0 I 000
COM2007-01000
COM2007-01000
COM2007-01000
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001438
Date: 11/27/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BRYCE OLSEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
4182
In Person
Payment Total:
Page I of I
10:31:13AM
Amount Due
28.00
22.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/27/2007