HomeMy WebLinkAboutPermit Electrical 2008-1-17
9PAINOPU!LO .~ ZON ~--"""
.\, ,,' INITIALS N V'-'\..
A!. , DATE \- n /(YK
~___ -" '", SOURCE ~
{
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689
ELECTRICAL PERMIT APPLICATION
Corn?JJ01- (J/Z,3b
l
City Job Number
~
1. ! LOCATIONOFINSTALIATION:
1'81 '5 -:<'::21-(1) /~/.
LEGAL DESCRIPTION
rl/J.:J 31 3.y 0 :::::f:i L../
I
JOB DESCRIPTION:
$;'h{f,t6 J;:Md/..d &:5'>I(j){CNt':1?
Permits are ~on-transftable and expire if work is
not started within 180 da)'s of issuance or if work is
Suspended for 180 days,
Date
J-/7-()~
3, I COMPLETE FEE SCHEDULE BELOW
A. [iie~v Resi~ential- Single or IVhilli-Famii~-p~;~_;~'lin-g\m!L _
Service Included
1000 sq, fl. or less
Each additional 500 sq. fl. or
portion thereof
Each Manufac!' d Home or
Modular Dwelling Service or
Feeder
I
.3
My
117-
00
/;'3-
$117.00
$ 21.00
$55,00
2. .C:?NT~l?TO~^INSTALLATIONONL}:".: B, ~~~rvices or Feeders - Installation, AI~~'~~i~_ns_Ol'_~~I~c:t~Oll:
Electrical Contractor !4U.1z:.--; &.;'?C,'l/?IC tJy,;. if{ 200 Amps or less $ 70,00
201 Amps to 400 Amps $ 83,00
Address 1'7 '1D'1 h/?4'JrvT f?D. 401 Amps to 600 Amps $138,00
601 Amps to 1000 Amps $180.00
City .J1do.JlI/llJl..lJ7..1 Phone ('5{).=1)f{:2,f3'0117 OverlOOOAmpslVolts $413.00
Reconnect Only $ 55,00
Pump or irrigation $ 55.00
Slgn/Outh~'1'r~lf'rSN' Or . $ 55 00
Lumted 13i!1!J1gyjlffi'll.ds~.!,pet~~I1~~,,:,," ~e9-UIf~\l'lJil ~o
~ .~' , '-f d,v v,,,g,ojhl)UlJty
The instell~ijlj1~'l-~emg made on property I own whIch LImIted f~ Ilt~ialr. Those" ,I",. arlJ'%YYort:-;
IS notmllMMd ~vt.ale, lease or rent Minimum E1'OMi Hfirq~JpQlltl01iFelU~l$$Jlt(IQ ~!XPi'lrges
, . THIS PERMIT SHALL EXPIRE IF THE WORK 4.!. sUBto~ft;;q!t=M~!aln-coPies-oftnerUle,sw_~
O\\nelsM!q1Mi'RiZED UNDER THIS PERMIT IS NOT :;-'-"-:"':nm- .-- !Jtr, (NQte:;theteleph'oo~ l:.'
I.'mAnA~n!c~[' 2111~ :,:J:,~;:J:;:;::~ "'OR 12% State~ur~tier the, Oregon Utility Notificatirtil/ U>
ANY 180 DAY PERIOD ' 10% Adlll1mstratl~rpt&f IS 1-800-332-2344). 1{jI =-
, 5% Technology Fee q~
i.2-~ ~.E
Shared Drive(T:)/Building Forms/Electrical Permit Application I-08.doc
Supervisor License Number .3 ';J 130 5
Expiration Date / () f / / / t'J
I I
Coustr, Contr, Number
/53:2.t?4
Expiration Date / () 1.:2 4/; /J
, I (
IaSignlta~':~ o"""~'Z~ .
I '1/ ~~ ~ - .
, ~ rnl--"lr1&q~,.vt.e.P-.
Owners Name W-J J A \ I t I< IYl ?:,
Addresst:~q 0 0 ~;(W. S-r'
City.;$r;/o./V PhonSIO -3-:::;/(3
11
OWNER d4STALLATION
Inspection Reqnest: 726-3769
C. I'Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55,00
$ 76,00
$110,00
Over 600 Amps or 1000 Volts see "B" above.
r-.-~ . ""'-~~-'."^"~-~--'-'-~--'~'-" -'-',-
D. 1~1'i1l1cb Circnits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48,00
$ 4,00
EoIMiscellaneous (Servicelfeedel"J1.riincluded)~/"a"h Installation]
., . . ".1
TOTAL
-~f?'Jf:l!~:~a~I~~r.'~t:;~,'i~;))';,'i
:~ '
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01336
ISSUED: 09/05/2007
APPLIED: 09/04/2007
EXPIRES: 07/15/2008
VALUE: $ 181,283.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 481 S 32nd St
ASSESSOR'S PARCEL NO,: 1702313402814
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: KENYA WILKINS
Address: 739 SOUTH 68TH STREET
SPRINGFIELD OR 97478
Phone Number: 541-510-3283
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical.
Mechanical
Plumbing
Contractor License
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMA nON,
Expiration Date
09/2212008
10/2412010
05/04/2008
03/03/2008
Phone
541-683-3279
503-838-0447
541-343-6829
54 I -926-5300
# of Units: 1 # of Stories: 2 Lot Size: 5,000
Primary Occupancy Group: R-3 Height of Structure 24.00 Sq Ft I st Floor: 937
Secondary Occupancy Group: U Type of Heat: Heat Pump Sq Ft 2nd Floor: 708
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 435
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
6,00
44.00
8,00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1
Yes
27,40
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS. '
1\ I 'l'ENTlON: Oregon law requires you, t,o
Street Improvements: Fully Improved follow'rufe'il"rd'Bptb'Cl'lYy the Oregon U!ll~bside 5"
Stor~- 1'ft,I!"ailable: Yes' NotificatiClJb~_tr~WMles aretl:~Ji'i:l Gutter
Spec' l,I;n:\iW/r SHAll EXPIRE lFTHE WORK In OAR 952-001-0019 through OAR - -
t' IS PERMIT IS NOT 0090. You may obtain copies of the rules by
NoteJ.UTs\Q~!;\e~t@f^Rd1}ioclOO.t'Nl!f1'''l'J!lIes in cnrb calling the center. (Note:,the tel~phone
COMMENCED OK IS Allf\I~UU , number for the Oregon Utility Notification
ANY 180 DAY PERIOD.' Center is 1-800-332-2344),
,,'
Pal!e I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Constrnction
Dwellines
Garaee
. V Wood Frame
Garae:e
Fee Description
-Mech 1ss i+ 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
Curbcui Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review Same As
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
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
I, Valuation Descrintion I
$ Per Sq Ft
or multiplier
$103,00
$27.00
Square Footage
or Bid Amount
1,646,00
435.00
Total Value of Project
I?fr~~ P~ir I
Amount Paid
$40.00
$144.04
$84.07
$106.91
$337:00
$35,00
$9.00
$916,40
$85.00
$7,00
$10,00
$104,00
$17,00
$5.00
$14.00
$205,00
$220,00
$-30,00
$550.91
$724,50
$10,00
$961.52 .
$91.61
$137.44
$70.99
$862.25
$195.48
$85,00
$772.32
$21.00
$2,303.00
$18,00
$21.60
$9.00
$117.00
Date Paid
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
9/5/07
1117108
1117108
1117108
1/17108
Paee 2 of 4
CITY OF SPRINGl'U',LD I
Building/Combination Permit
PERMIT NO: COM2007-01336
ISSUED: 09/05/2007
APPLIED: 09/04/2007
EXPIRES: 07/15/2008
VALUE: $ 181,283.00
Value
Date Calculated
$169,538.00
$11,745,00
$181,283.00
09104/2007
09/04/2007
Receipt Number
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159'
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
1200700000000001159
3200800000000000041
,3200800000000000041
3200800000000000041
3200800000000000041
CITY OF SPRINGFIELD -
Buildin'g/Combination Permit
Status
Issued
PERMIT NO: COM2007-01336
ISSUED: 09/05/2007
APPLIED: 09/04/2007
EXPIRES: 07/15/2008
VALUE: $ 181,283.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Residence Wiring Ea Addtl 500
$63.00
1/17/08
3200800000000000041
Total Amount paid
$9,324.04
I Plan Reviews ,
Piano in!! Review 09/04/2007 09/04/2007 APP TAJ
Public Works Review 09/0412007 09/04/2007 APP EW Storm water to he directed to weep
holes in curb
Structural Review 09/04/2007 09/04/2007 OK DLM Same-as 485 S, 32nd
St.(COM2007-01000)
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'Rp(lI'~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut- Standard: After forms are erected but prior to placement of concrete,
Sidewalk - Curbside: After forins are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post andBeam: Prior to tloor insulation or deckiug,
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish 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,
Hold Downs Installed: Specia/lnspection performed prior to placement of concrete, Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undertloor Plumbing: Prior to insulation or decking,
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inCluding required testing.
Water Line: Prior to filling trench and including required testing.
Paee 3 of 4
,_~,!,?,.~,~,<~I';I~CI'1,I,~'!'D':<,"C .",',' "',.1,,..
'Wfi:;"." d
"<".""'" !
r" "
,', ,"" ", -"",
.:'.<",,,,,,,-,.. .......... . _,' .' .",.f
CITY OF SPRINuJ1H,LD '
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01336
ISSUED: 09/05/2007
APPLIED: 09/04/2007
EXPIRES: 07/1512008
VALUE: $ 181,283.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Line: Prior to filling trench and inclnding 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 inclnding required testing,
Underfloor Gas: After line is installed and reqnired testing and capped ifnot 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, Presnre 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.
Rough Electric: Prior to Cover
Electric Service: Appro'val required prior to utility company energizing service,
Final Electric: When all electrical work is complete,
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, arid the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa~e 4 of 4
a_L,....II:ll,,tfiO..,Fl._..,,ELD- d,'..-' '--,. ';'.IIII_nll' :,.".~
.' " '.
~l' "
-. .,
11[', .
, .
- ..,
-- -" -
.......,.....,.,.".".~,.~"...,
225 Fiftb Street
Sp.ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1336
COM2007-01336
COM2007-0 1336
COM2007-0 1336
COM2007-0 1336
Payments:
Type of Payment
Check
cRcceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200800000000000041
Date: 01/17/2008
9:15:29AM
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
117.00
63,00
9,00
21.60
18.00
$228.60
Paid By
VALLEY ELECTRIC CO.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 1932 In Person
Payment Total:
$228,60
$228.60
Amount Paid
Page I of I
1117/2008