HomeMy WebLinkAboutPermit Electrical 2008-1-30
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SPRINGFIELD
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225 FIFfH STRtET - SPRINGFIELD, OR 97477 - PH:(541)726-3753 _ FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number t' n rY\ 7 j"\l.')--'/ ~ ()\ \ (()S
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
~
Permits are bon-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
12 h.(
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Address f? c) ,
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City
E"'l"jen!-
Phone (i'/I) ~ 9(, n':IY
Expiration Date
'/7'1'15
I{J-O/ -20/V
Supervisor License Number
Constr, Contr. Number
\
is-tt. 78
Expiratio~ Date
G
9 -/e.( - 2..01'/
Signature of Supervising Electrician
C/h.-
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<~ -"
Owners Name ~\t~~
/
Address
/
/
Phone
City
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OWNER INSTp.LLATION
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date' ) - 3D - 0 t'
3.
A.
Service Inclnded
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
,,-v
/ /7. G
-<1;)."0
/
d.
$117,00
$21.00
$55,00
B.
200 AmPs* . $ 70 00
ON: Oregon I.... j~..llIfft It;
201 Amp,&ft adopted ~...... t'I'eQb~Ii~
401 AmlNt!ltill@!ltlmlrolenter. Those rulesa&illll<l%rttI
601 Am~!iltO~1.0010through OAij~01.
Over I O&P~ Y~.II,may obtain cop,;;;> ,,; ;~~16S by
Reco~ect~lr~g.t'fie center. (Note..t.lle te .1?!18!i'e
, number for the Oregon Utility No lfiealioll
B'_+4"/IiF'0ft&"~"ntel},i,S+i,,S,nn;33;ha.<l"4\"I!+B:"'__~"""'s~,.
C ~.~ '"'~''''.''s~''''.'c''.''''''F'!,c''~'''i~'i:li''~*~''' '>0*,'_5"\'''''~h=~..
. f.I'em ra,.J emces'Ol'ii eeuers:""GtiJ!'-d2'!P, if '1r1L'J'; '.22lli'ilifL5'(0.0?"4,- .
"""=.=R9.'.~"=r:y;=~"=,"""".,""_",,,,;=",,;~,,,;i.v,;",_,_,_,,,,_ '""i%'kW-ni"--"",,-diliilif~-~-.-"''''-.''-.-i%h.-E~,,1$0-1~''',_g",-~,,_~,;" '
, - "~._.-.=.~. ~**- * - *" ..
Installation, Alteration or Relocation
200 Amps or less $ 55,00
20 I Amps to 400 Amps $ 76,00
401 #!pn~ Amps $] ]0,00
~~e:~~=~~~a~:~l,l~1~'1~i.~~~K~Ii~""'..""'.1
D. ~!!',1!Ii~.!!!!fM_iltlllYIi1-[jiRt111lilsmli~l~lfi1!\'lr~Jli!'\ll!"~~~jifu
NewC1JNW~t~C;ji4Jl~!fo&IlA.~NED FOR
onei':'~&~80 DAY PERIOD. $ 48,00
Eacb Additional Circuit or with
Service or, feeder Permit
$ 4,00
E.
PUmp or irrigation $ 55,00
Sign/Outline Lighting $ 55,00
Limited EnergylResidential $ 28,00
Limited Energy/Commercial $ 50,00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
/69 00
'(,Q5
/Cj,oV
i.3;. qJ
4.
8% State Surcharge
10% Administrative Fee I
5% Technology Fee
TOTAL
$;)0/, 75
Shared Drive(T:)/Building FonnsIElectrical Permit Application 7-07.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/JournaJ Number
COM2007-0 1163
COM2007-01163
COM2007-01163
COM2007-01163
COM2007-01163
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200800000000000127
Date: 01/30/2008
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID R, LA WLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
083497 In Person
Payment Total:
Page 1 of 1
I :59:58PM
Amount Due
117,00
42,00
7,95
19,08
15,90
$201.93
Amount Paid
$201.93
$201.93
1/30/2008
.~~11\'1,~9gJ.!J:;,g? ""
~
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: COM2007-01163
ISSUED: 09/10/2007
APPLIED: 08/07/2007
EXPIRES: 06/11/2008
VALUE: $ 211,961.00
SITE ADDRESS: 5736 Peridot Way
ASSESSOR'S PARCEL NO.: 1802041401212
Springfield .TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence
Owner: HOME PARTNERS CREDIT CORP
Address: 1154 HIGHLAND AVE
CHESHIRE CT 06410
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 800-328-3380
I CONTRACTOR INFORMATION ,
Contractor
OWNER
ROBS ELECTRIC INC
MARSHALLS INC
HOME COMFORT HEATING & AIR INC
# 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:
21.60
5.00
9.00
20.00
37.50
License
Expiration Date
Phone
156678
25790
84164
08/14/2008
12123/2009
06/25/2011
541-686-5444
541-747-7445
541-345-2838
BUILDING INFORMATION I
I
R-3
U
VB
# of Stories: 2 Lot Size:
Height of Structnre 27.50 Sq Ft 1st Floor:
Type of Heat: orced Air Electric Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a _ SPfl:~t Load:
.1/ u'''''''-':'1C'C'.Ilf1R. L . li::I~ _._..
I DEVELOPMENT 1~,J1imJ\r~W1l!)N 1,1O~~:~I~~ ~~I'B~!ii~o
aU04UdlO, v.,, ,-, N 0 f.-ew n~~D PARKING
~n salnJ a4110 sa!doo U!13IQ 10 UI
Overlay Dim _ 6\:lI;/045nOJl.nO~OO-~OO-G9fb~ 'ION 2
# Street Tre~P&~lfs aJ13 sa\nJ aS041 'jawaO U:I fi~ped:
Paved Driv~~\\1 u05aJO a41 Aq Pf\l~op~ saM'jll~:
% of Lot Cov5f~A SaJlnbal M13I~JO .NO
6,065
756
756
3
484
419
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
:VnTf('r:~
Storm Sewer \\>\<allable: DownspontslDrains:
Special !h1t'ru'Cfi(i)I,qIT SHIErcel in Morning View Subdivision, it is the recommendation to the Building Division, by
iJ) TI-fORIZED UN . €ilreeJit.Jl:tWOll/.lf.onnections shall be made to sanitary or storm H20 systems, until the
Notes: C()~.\?J;~\'l':l!lJ 6'/:1 df, ~ Ml:Jrity Council".
MVY 180 DAY PER:~tBANDONED FOR ,
"
Page 1 of 4
Status
Issued
225 Fifth Strect, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriution
Tvpe of Constrnction
Dwellings
Garage
V Wood Frame
Garage
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fnrnace - up to 100,000 btu
Plan Review Major - Planning
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 Impervions Area
Storm Sewer Each Addtll 00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
I Valuation Descri~tion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,931.00
484.00
Total Value of Project
~
Amount Paid
$665.47
$40.00
$160.46
$90.94
$\18.70
$337.00
$35.00
$1,023.80
$85.00
$7.00
$10.00
$120.75
$14.00
$205.00
$-40.00
$489.70
, $644.00
$10.00
$961.52
$91.61
$120.37
$72.95
$862.25
$195.48
$85.00
$611.76
$16.00
$55.00
$21.00
$2,303.00
$15,90
$19.08
$7.95
$\1 7.00
$42.00
Date Paid
8/9/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
911 0/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
9/10/07
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
Page 2 of 4
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-01163
ISSUED: 09/10/2007
APPLIED: 08/07/2007
EXPIRES: 06/11/2008
VALUE: $ 211,961.00
Value
Date Calculated
$198,893.00
$13,068.00
$2\1 ,961.00
08/0712007
08/0712007
Receipt Number
2200700000000001275
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
'1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
1200700000000001175
2200800000000000127
2200800000000000127
2200800000000000127
2200800000000000127
2200800000000000127
,--,.~Ii:'~I~,~f,!!Q:!:a'
Ii
"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01163
ISSUED: 09/10/2007
APPLIED: 08/0712007
EXPIRES: 06/11/2008
VALUE: $ 211,961.00
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $9,614.69
I Plan Reyiews I
Initial Review 08/0812007 08/08/2007 WE LLH Waiting to process until plan review
fee is paid.
Initial Review 08/10/2007 08/10/2007 APP LLH Plan review fee paid. Okay to
process.
Public Works Review 08/10/2007 08/13/2007 APP TSS Stormwater routed to curb and
gutter.
Structural Review 08/10/2007 08/24/2007 APP DLM See documents for Plan review
comments
Plannine: Review 08/1012007 09/06/2007 APP TAJ
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'III,irpoi Tn'npr~~
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insnlation 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.
Page 3 of 4
CITY OF SPRINGFIELD'
, Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-0] 163
ISSUED: 09/]0/2007
APPLIED: 08/07/2007
EXPIRES: 06/] 1/2008
VALUE: $ 2] ],961.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping,
Hold Downs Installed: Special Inspection 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.
Underlloor Plumbing: Prior to insulation or decking.
Underlloor Drain: Prior to cover or placement of concrete.
Rough Plnmbing: Prior to cover and inclnding required testing.
Water Line: Prior to filling trench and including'required testing.
Sanitary Sewer Line: Prior to filling trench and including reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rongh Mechanical: Prior to Cover
Underlloor Mechanical. Prior to insulation or decking and including reqnired testing.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signatnre, 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 tile work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding 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 ensnre that all reqnired 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
Page 4 of 4