HomeMy WebLinkAboutPermit Electrical 2007-11-27
ZON
INITIALS
DATE
SOURCE
225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number r aKA "Z-O 0 '7 - 0 I > ~ ~
Installation, Alteration or Relocation
200 Amps or less $ 55.00
Constr. Contr. Number t'l Cf /(0 201 Amps to ,400 Amps, :0 $ 76.00
Expiration Date Ii / 9 __ 0 ~ 4()I}unps to 6PQ~ps,:tYh $110.00
I 'I JO. "Il''''~ 1(' l '0\.Qver6.00'Anlps oiC}~oo Volts see "B" above.
i \ l" " I ~ .
Signature of Supervising Electrician in OAR 9;)2-0010:-'
~ tZ' 0090 You may 00
.~ . 11/ /). .~ . caliing the cen~~.w(Nijw~~\iII~~n Per Panel
. _ r) l' () L (),~--( '\Ulllhar for the. Ore~kUlhty Notlfl~atlon.
/ I Center It:ile6()Qt~~t1)eUlt or wIth
Owners Name 1\1 \~ LL (_ Service or Feeder Permit
I \ 7l( Co/'"vt.., IL-j
City _~(:l Phone lY3-3Z7i
Pump or irrigation
Sign/Outline Lighting
OWNER INST ALLA TION Limited Energy/Residential
The installation is being made on property I own which Limited Energy/Commercial
is not intended for sale, lease or rent. N ONil&ium Electric Pe .
THIS4P
ACUOTMH M E~~ ~~te ~ll{Sh~ANDO NED FOR
jj}.' ~tJve Fee
ANY 18 ~llT cliA-dtogyf.'ee
1.
()~C5
LEGAL DESCRIPTION:
17l>] Zs"L("1
gr:
C (bOL
JOB DESCRIPTION:
;/ /t-C U~. t-rL
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.
Address
~ It! 0# /20
/. C). t~ ~/b
Electrical Contractor
City ~efU? ~L L Phone q 9~ j--7-- )' 5~.--
. {> Ju _ C(('1~
Supervisor License Number
Expiration Date
Address
Owners Signature:
Inspection Request: 726-3769
/1-27-07
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
201 Amps to 400 Amps
401 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.
$ 48.00
$ 4.00
E.
/
Zf
C.-a
'f'
~
E'..
TOTAL
bl!5!-
Shared Drive(T:)IBuilding Forms/Electrical 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: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: OS/27/2008
VALUE: $ 176,336.00
SITE ADDRESS: 2048 L ST
ASSESSOR'S PARCEL NO.: 1703254301602
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single Family Residence - same as 2036 L Street (almost... with expanded building)
Owner: ADW LLC
Address: 1574 CO BURG ROAD
EUGENE OR 97401
Contractor Type
General
Electrical
Low Voltage Electrical
Plumbing
Phone Number: 541-683-3279
I CONTRACTOR INFORMATION I
Contractor License
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
CENTRA FLO 64940
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMATION I
Expiration Date
09/22/2008
10/24/2010
04/18/2009
03/03/2008
541-926-5300
# 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:
10.00
15.00
6.00
56.00
37.50
Phone
541-683-3279
503-838-0447
1
R-3
U
VB
# of Stories: 2 Lot Size:
Height of Structure 27.00 Sq Ft 1st Floor:
Type of Heat: Heat Pump Sq Ft 2nd Floor:
~~le.r:T~~N: Oregon la~rl~~Mtf Sq Ft Basement:
1&ange ;1);p'~: adopted bll t,Rle!:tnces y~~.Pt Garage/Carport
I\E .. '..0 .... ) ITEbuw~on Ihl 0 h
. . 'n:e(g.YilD!Ilt~'enter. Those nJl~~1 . lilt t er:
rr8lWiiiMe:1J2JV!i'dfflgfQ thraugtf{jA~e9s5e2~ )~tlpant Load:
0001'\ Y-eJ -- - Ll' J01
- I.. ~ t" q".' hU '\>::'',' '11 me rUles by
DEVEmI? Nm ~ telephone .
r I e. regan Utility Notification REQUIRED PARKING
overlaf8?;W IS 1-800-332-2344).
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
874
838
3
1
Yes
38.60
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS.
Sidewalk Type:
NOTICEnowmQYts/Dd:\lAA6l!\E IF THE WORK
THIS PERMII ;:,nALL tAr-In
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes: Stormwater ties to existing weep hole.
Pa2e 1 of 4
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
Dwellin2s
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
WilIamalane 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: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: OS/27/2008
VALUE: $ 176,336.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
1,712.00
Value
Date Calculated
Total Value of Project
$176,336.00
$176,336.00
09/06/2007
~
Amount Paid
Date Paid
Receipt Number
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
1200700000000001172
2200700000000001558
2200700000000001558
2200700000000001558
2200700000000001558
3200700000000000757
3200700000000000757
$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
$15.90
$7.95
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
11/16/07
11/16/07
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
Planninl! Review
09/05/2007
Public Works Review
09/06/2007
Structural Review
09/05/2007
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/05/2007
EXPIRES: OS/27/2008
VALUE: $ 176,336.00
$12.72
$117.00
$42.00
$5.00
$2.50
$4.00
$28.00
$22.00
11/16/07
11/16/07
11/16/07
11/27/07
11/27/07
11/27/07
.11/27/07
11/27/07
3200700000000000757
3200700000000000757
3200700000000000757
1200700000000001439
1200700000000001439
1200700000000001439
1200700000000001439
1200700000000001439
$9,283.15
I Plan Reviews I
09/05/2007
APP TAJ
09/06/2007
APP TSS
Stormwater ties to existing weep
hole.
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.
09/06/2007
APP DLM
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.
I ~eouiredJnsnections 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.
Pal!e 3 of 4
SPlJfNGPlliQ.a I
--1 . .
CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01349
ISSUED: 09/07/2007
APPLIED: 09/0512007
EXPIRES: OS/27/2008
VALUE: $ 176,336.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
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.
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
.
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01349
COM2007-0 1349
COM2007 -01349
COM2007-0 1349
COM2007-01349
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200700000000001439
Date: 11/2712007
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 1 of 1
10:32:24AM
Amount Due
28.00
22.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/27/2007