HomeMy WebLinkAboutPermit Electrical 2007-12-12
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225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number rCMA "lj;>o? -06 Z-~{
, .
1. ~!fcQ~'iJt!i~Qi;:,t8~rM;-t::tt,rr)LV:'~~!!Wi1~11i!ill
CI/ b 2. Cr/A-c..il.oI'fL I /t:!W
'/7'-ft!S
/0 - 0 / - 2 0/ () Installation, Alteration or Relocation
ATTCNTlmL 200 Amps or less $ 55,00
Constr. Contr. Number fOllol" I "L$;(,l!,v-~o,n law OOIlltmlps,rtllflR9 Amps $ 76,00
=":-_,:,::,~~~;:~~~ir,~;~~;:~:i~~;~~!l
_/ -7.- e~for Ihe,.oregon Ut;'i!'V'n~7Kf{Hfllln or Extension Per Panel
/~ ~ enter IS 1 -SOO-332-Q844}jrcJt Ion $ 48,00
Each Additiona] Circuit or with
Service or Feeder Permit
Owners Name Z:S LJ.::.'C-
Address Z' '{DC{ /t..I..st.L LA.~. fl-..1 E.
City ~~ Phone 6>"-6 '00 Pump or irrigation $55,00
, / Sign/Outline Lighting $ 55,00
,-
OWNER INSTtLLATION Limited EnergyiResidential $ 28,00
The installation is being made on property I own which Limited Energy/Commercial $ 50,00
is not intended for sale, lease or rent. ' Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
0-,;,_ r~~:~~:~~~~~lItJI!fil,~~ ~~!~
COMMENCED OR 1&;~e~gj)Th@R JJ~c.-
ANY 180 DAY PERIOD. 3 Q I.(t>
TOTAL 3 1-
Shared Drive(T:)/Building Forms/EJectrical Permit Application 7-07.doc
LEGAL DESCRIPTION:
/ ~()ZO~ZL
D<{7DD
JOB DESCRIPTION:
fA) , (l.t:!"
0."^ f Lf= Y
,
Permits are non-transferable and expire if work is '
not started witbin 180 days of issuance or if work is
Suspended for 180 days.
2.
E]ectricalContractor!?l9hi~ f.-ie-e..!Y'L me.
Address f' c) , 11", X 2 '? 2- I
City ;:;"1.'7 ent.
Phone (,iW) {; J(, n'i;l
Supervisor License Number
Expiration Date
Inspection Request: 726-3769
Date \~-I~-al
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
23l!
LfZ
2
2-
$21.00
$55,00
B.
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect On]y
$ 70,00
$ 83.00
$138,00
$180.00
$413.00
$ 55,00
c.
$ 4.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00261
ISSUED: 09/24/2007
APPLIED: 02/2012007
EXPIRES: 06/1012008
VALUE: $ 265,666.00
_I*S,~ A.IN~_'~~IilUlI'.'.'~... ".. ..
- .
.,
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4162 Glacier View Dr 4164
ASSESSOR'S PARCEL NO.: 1802052204700
Springfield TYPE OF WORK: Duplex
PROJECT DESCRIPTION: Duplex, Lot 10 Glacier View Subdivision
TYPE OF USE: New
Residential
Owner: 2J LLC
Address: 29404 CLEAR LAKE RD
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
JOSEPH A HARRIS
ROBS ELECTRIC INC
RS PLUMBING CONTRACTING
License
60024
156678
103816
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2A",.... ''rI...ft,"f~Stories: 2
R-3 " '/ ':. "Heiglit'.ilt;,St~"Rl1ture . 26.00
. l ...., ( ~ .~~ _ _ - ,. reqUlr
J\JJ,J..t. ~ti()J: (l;ype:ome~t:the6 es Ydi:IWric
Y.B()AFl952:0*a~H. 1'&v-e';e rUle:egon 1E1~1!~'ic
0090. You m!val\Jfl'lllYP~ugh 0 are se~l'/Nic
(Jailing the &lllilg,llIIa:tbj;>ies of ~R 952-C0fili I
nUmber for /tf'p'VlilkllllJ<B,q~'Ifflf,t' I e rUles bY.
.... e OrRf'''" "..../. e enhnn...
I DEVEL&>~l&~*~ I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
7.50
11.61' ,
33.00
23.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-689-6900
Expiration Date
05/08/2009
08/14/2008
01/04/2008
Phone
541 -689-6900
541 -686-5444
541-461-4714
Lot Size: 6,355
Sq Ft 1st Floor: 1,174
Sq Ft 2nd Floor: 1,248
Sq Ft Basement:
Sq Ft Garage/Carport 600
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
o
Yes
26.56
Total:
Handicapped:
Compact:
4
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
Storm Sewer Available: NOTICE: EXp~",Jih\fsmP..WS:
Special Instruction: iHIS PERMIT SHALL THIS PERMIT IS Noi
um9RIZED UNDER nNED FOR
Notes: Storm H20 to curb & gutter. Impervious ah:bllJ\'ivd~M~ :(jf\I.&.ill\l.M\lhccess driveway on this parcel. JLP
3/27/07 ~NY ~80 DAY PERIOD.
Page I of 4
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exbaust Hoods
Fire SF Fee - Residential
Furnace ~ up to 100,000 htn
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
WilIamalane Attached (duplex)
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00261
ISSUED: 09/24/2007
APPLIED: 02120/2007
EXPIRES: 06/1012008
VALUE: $ 265,666.00
I v aluation Descrinti~~ I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
0" Bid Amount
2,422.00
600.00
Value
Date Calculated
$249,466.00
$16,200.00
$265,666.00
02120/2007
02/20/2007
Total Value of Project
Fpp<, ~
Amount Paid
$718.35
$10.00
$195.83
$94.36
$144.57
$612.00
$62.00
$1,105.15
$12.00
$18.00
$151.10
$24.00
$1,068.69
$1,405.43
$10.00
$1,923.04
$183.22
$254.86
$140.13
$1,672.64
$379.16
$80.00
$1,257.56
$36.00
$4,852.00
$27.60
$13.80
$22.08
$234.00
$42.00
$16,749.57
Date Paid
Receipt Number
2120/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
12/11/07
12/11/07
12/11/07
12111/07
12/11/07
1200700000000000182
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
2200700000000001491
1200700000000001484
1200700000000001484
1200700000000001484
1200700000000001484
1200700000000001484
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00261
ISSUED: 09/24/2007
APPLIED: 02/20/2007
EXPIRES: 06/10/2008
VALUE: $ 265,666.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Plan Reviews I
Public Works Review
02/22/2007
Initial Review
02/22/2007
02/22/2007
APP NJM
Structnral Review
02/22/2007
03/15/2007
10 LLH
Plans forwarded to The Building
Department for Structural Review.
Structural Review
03/15/2007
03/19/2007
APP LLH
Plans reviewed and approved by
Sbawn Eaton with The Building
Department under contract with the
City of Springfield
Public Works Review
03/27/2007
03/27/2007
APP JLP
Storm H20 to curb & gutter.
Impervious area fee's include all
area of joint access driveway on this
parcel. JLP 3/27/07
Plan nine Review
02/22/2007
04/04/2007
APP SJS
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 ]?p(lllirprllnsnections 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 Iloor 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.
Underlloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and inclnding required testing.
Paee3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00261
ISSUED: 09/24/2007
APPLIED: ,02/20/2007
EXPIRES: 06/]0/2008
VALUE: $ 265,666.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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.
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 he done in accordance with
tbe 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 witbout 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 fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the
street, that tbe permit card is located at the front of the property, and tbe approved'set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
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
COM2007-00261
COM2007-0026 ]
COM2007-0026I
COM2007-00261
COM2007-0026I
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 12/11/2007
1200700000000001484
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Paid By
DAVID LAWLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
086437 In Person
Payment Total:
Page 1 of I
2:07:40PM
Amount Due
13,80
22,08
27,60
234,00
42,00
$339.48
Amount Paid
$339.48
$339.48
12/11/2007