HomeMy WebLinkAboutPermit Electrical 2008-2-19
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COMPLErEFEE SCHEI~'~EWW
225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
'F"'T\6N' G~"H~d!1IS~VQJ!li~
, ' I v, d by the Oregon fitiflty
b:c\!f ~ules adopte 1iE3}. re sEU. iorth
t' -, IllGatlon <JOIUUai[6D\S~li~h'dl~'g5f!d~tion I
In OAR 952-~1r~Est~Jd~~s of the rules by
0090. You rT2tM9~Jr(lQoWP. D\GIlelephone
calling the4X~n'~~~cwiU~t/1~tifiCatiOn
number for tfiE09_~SU'lC\-.~2-2j44\.
CelOijlt4%OU'1'tfil'p]or l1J"ObV olts see "B" above
D. Branch Circuits
/ \ I New Alteration or Extension Per Panel
~ \itt( ~ -\lit Jia---- One Circuit
~ !:t- ~Each Additional CirCUlt or with
( U G.. ~_.. 7"n... ervlce or Feeder Permit
Owners Name (c...r\. ,~' '7 I ""'\
Address C .s--~ II I , -f-t..... ~/ f- E. Miscellaneous (Service/fee~~r not included) -Each Installation
City S"P I;:' \ Phone 7f 7 - 2 8')"J
ELECTRICAL PERMIT APPLICATION
CityJobNumber (O#'fAt:-007- O/76S-
/ <3' ~~ ~~" '~'~i~-""~"", ";' ',W' " /
1. LOCATION OR INSTALfATION:
/ 7 50L ~hvl J,A A.;t-
,
LEGAL DESCRIPTION:
/70:5 21.(00
JOB DESCRIPTION:
~V' ( IL €;:.- Ho(.A..sc:
OO(;D(
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.
CONTRACTOR INSTALLATION ONLY
v ~ ~>i~ i
Electrical Contractor ( r~'\vl t--z.- Glec-h".( /
Address ?-lll ~ ,-d\AJ(y-Irl AJ i
City G. Jd f rJr
'-J
Phone ~r:S -~ Zc;!
Supervisor License Number
6J-415
ExpiratIOn Date
IO/(TL) 7j]~O
Constr Contr Number I 700 b!~,
Expiration Date l C / \./ 7~'C,q
Signature of Supervising Electrician
I
OWNER INST ALLA TION
The installation is being made on property I own which
IS not intended for sale, lease or rent.
Owners Signature
Inspection Request: 726-3769
A. New Residential-, Single or Multi-Family pe~ dwelling unit.
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
$11 7 00
$ 21.00
$55 00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
3
$ 70.00
$ 83 00
$13800
$180.00
$413.00
$ 55.00
21D
$ 55 00
$ 76.00
$110 00
5"S-
$ 48.00
Z c::::> $ 4 00
80
Pump or irrIgation $ 55 00
Sign/Outline Lighting ~5.00
Lumted EnergylResldential 1\'r- \NQ 8 00
LimIted Energy/CommeM\v..cc. \~-,,J\\\ \S ~ 0.00
Miniml\'~tricrf~r~R~~iO_~O + Surcharges
4. ~~~~~~l\~O ,: 3LfJ
:~~OO.
5~~~gy Fee
TOTAL
L/38 IS-
#v" C!:
'I'. 7 Z Z t> FfNL f ,4-/""~ f
Shared Dnve(T )/BUIldmg FormslElectncal PermIt Apphcatlon 1-08 doc
( O~/O-O77~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 08/19/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1950 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703240000601
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence and interior remodel
Residential
Owner: HELFRICH FAMILY TRUST
Address: 2587 N 19TH ST
SPRINGFIELD OR 97477
Phone Number: 541-913-7220
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
OWNER
SCHULTZ ELECTRIC INC 179066
JUNG ENTERPRISES INC 102455
READY ROOTER DRAIN CLEANING & R SIl92524
BUILDING INFORMATION I
Expiration Date
Phone
10/30/2009
11/17/2008
02/18/2009
541-505-8351
541-741-0002
541-744-7991
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories: 2 Lot Size:
Height of Structure 22.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: fL' l""!( N: nrA9fJ1J law~8cfJi~~r~gt1'~rport
Energy Path: ,. " ~ . Pa~tilbY thl~(!5M?J\M'tJtility
Sprinkled Bui,ll1i?~'.~~~ G:~fJY.aThose RR~~thH~ith
I DEVELOPMl!,l~ 1 ri~ii,O-~MtUlp~~nll~I~~~~ ~t7~eCl~t~~J~y
calling the center. (Note: the tel~Ji&RED PARKING
Overlay Distl1umber for ttJ~~~RoVtility NotpbqtMon
# Street Trees Rqd: Center IS 1-aO~2-2344>nandicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
742
105
180
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
35.00
25.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Not\CE: \RE \f THE WO~l{
lH\S PERM\T SHA~~ ~S PERM\T \S NOT
AUTHOR\ZED UNRD\S ABANDONED fOR
COMMENCED 0
ANY 180 DAY PER\OD. -
Notes: Connect to new gutters to existing gutter system on home
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 08/19/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount
Carport
Dwellin2S
Use Bid Amount
Carport
V Wood Frame
$ Per Sq Ft
or multiplier
$1.00
$20.00
$103.00
Square Footage
or Bid Amount
10,500.00
180.00
847.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$10,500.00
$3,600.00
$87,241.00
$101,341.00
12/04/2007
11/20/2007
11/20/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $379.75 11/20/07 1200700000000001423
-Mech Iss 2+ Appliances- $40.00 1/25/08 1200800000000000072
+ 10% Administrative Fee $110.14 1/25/08 1200800000000000072
+ 12% State Surcharge $126.00 1/25/08 1200800000000000072
+ 5% Technology Fee $58.30 1/25/08 1200800000000000072
Add, Alter, Extend Circ $48.00 1/25/08 1200800000000000072
Add, Alter, Extend Circ Ea Add $56.00 1/25/08 1200800000000000072
Appliance Vent $7.00 1/25/08 1200800000000000072
Building Permit $630.00 1/25/08 1200800000000000072
Dryer Vent $7.00 1/25/08 1200800000000000072
Exhaust Hoods $10.00 1/25/08 1200800000000000072
Fire SF Fee - Residential $51.35 1/25/08 1200800000000000072
Fixture $224.00 1/25/08 1200800000000000072
Not Covered Mechanical $7.00 1/25/08 1200800000000000072
Plan Review Minor - Planning $116.00 1/25/08 1200800000000000072
Plan Review Residential $29.75 1/25/08 1200800000000000072
Plan ReviewIResidential Hourly $150.00 1/25/08 1200800000000000072
SDC Sanitary/Storm Admin $8.58 1/25/08 1200800000000000072
Storm Drainage Impervious Area $171.63 1/25/08 1200800000000000072
Vent Fan $28.00 1/25/08 1200800000000000072
Wood Stove/Insert $33.00 1/25/08 1200800000000000072
+ 10% Administrative Fee $34.50 2/21/08 2200800000000000230
+ 12% State Surcharge $41.40 2/21/08 2200800000000000230
+ 5% Technology Fee $17.25 2/21/08 2200800000000000230
Add, Alter, Extend Circ Ea Add $80.00 2/21/08 2200800000000000230
Perm Serv/Fdr 200 amps or less $210.00 2/21/08 2200800000000000230
Temp Power 200 amps or less $55.00 2/21/08 2200800000000000230
Total Amount Paid $2,729.65
I Plan Reviews I
Initial Review
11/21/2007
11/21/2007
APP LLH
Pa2e 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 08/19/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
Public Works Review
11/21/2007
11/21/2007
11/28/2007
11/28/2007
APP
APP
TAJ
BRC
SDC Worksheet Attached
Structural Review
11/21/2007
12/03/2007
WE
DLM
Need add'l in for to complete review.
E-mailed owner and designer a
request for info (see documents)
12/3/07dlm. E-mailed designer add'l
request for info. (in job folder) on
12/4/07dlm.
Structural Review
01/04/2008
01/17/2008
APP
DLM
Received revised building plans and
lateral engr'g.1/4/08dlm After
cursary review, distributed revised
plans to PW & Planning due to add'l
info. that may affect them
1/17/08dlm.
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.
~eouire~nsDections I
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.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After aU required inspections have been requested and approved and the building is complete.
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.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 08/19/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wood Burning Insert: After installation.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
COM2007-01705
COM2007-01705
COM2007-0 1 705
COM2007-01705
COM2007-01705
COM2007-01705
Payments:
Type of Payment
CredltCard
cRecelOtl
RECEIPT #:
2200800000000000230
Date: 02/21/2008
DescnptlOn
Temp Power 200 amps or less
Perm ServIFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmistratlve Fee
Paid By
AARON HELFRICH
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIved
dJ b 021792 In Person
Payment Total:
Page I of 1
8:17:52AM
Amount Due
5500
210 00
8000
1725
4140
3450
$438.15
Amount Paid
$438 15
$438.15
2/21/2008