HomeMy WebLinkAboutPermit Electrical 2008-3-25
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX' (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COm2..DO~ - Old 3:"
Date
1. . LOCATION OF INSTALLATION:
~33 kv-e-L Lr-I
LEGAL DESCRIPTION
\""103 ~""4- OS30-0
JOB DESCRIPTION
3. COMPLETE ~flEE SCHEDULE BELOW
A. . New Residential- Single or Multi-Family per dwelling unit.
Service Included
\AJU;\nC\~Slrvi.L~ ~~'-
Permits a'ft non-tranYerable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
I
2. 'CONTRACTOR INSTALLATION ONLY,
1000 sq ft or less
Each additional 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$ I 17 00 1/1- D D
$ 2 I 00 ~ + 01)
~
$55 00
B. . Services or Feeders - Installation, Alterations or Relocation:
,
Electncal Contractor
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70 00
$ 83 00
$13 8 00
$ I 80 00
$4 I 3 00
$ 55 00
Address
~
~
Supervisor Llcense-.N
C. Temporary Services or Feeders
Explr Ion Date
Signa,"" of Sup,msmg Elect"'..n ~
~
'"
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or I 000 Volts see "B" above
D. Branch Circuits
$ 55 00
$ 76 00
$ I 10 00
f
Owners Name ~...J{)e<- k. S'f-1N7)~A '1Je 1J.,,:!lA
I
Address .1'1 co N E 3 rJ Sfrc-. It<! h .--t:t .285
New Alteration or ExtenSIOn Per Panel
One CircUit
Each AdditIOnal CircUit or with
Service or Feeder Permit
$ 48 00
$ 400
E. . Miscellaneous (Service/feeder not included) -Each Installation
CltY~eN d ATT~~T'ONpQ)BeJo~ij r~.@~rz./r( Pump or lITIgatIOn $ 55 00
tOIlOW rUles adoptea oy me LJregon Li}.11:' Sign/Outline LI htmg $ 55 00
~otlflcatlOn Center. Those rules are set 10, 1... !ilnTU~1!:
OWNER INSih~~{)Io1-001 0 through OAR 952-001- Limited Energy~e~hi:leRnal $ 28 00
The mstallatIOBOOaellY@thlm8Y,lillpffipettylDl0\ViOMhelfules by' Limited Energy/B3~RfMilIT SHALL EXP~fblwTHE WORK
IS not mtended f<Caliti)ltgleh~~m6il.L (Note: the telephor.Mmimum Electnc Pfr.~Tl1QWlt&l6~~f6;J6ibD .plS~M6li~S\JOT
number for the Oregon Utility Notification r r J(Qf\Q~~~D OR IS ABANDONED F~ I cW
o}A'1fCfs Slg~tur~ n CJjlte~ i~ 1:800-332-2344). 4. SUBTOTAL ~f:jffMnrAY PERIOD. ;7U
~dN~ 12% State Surcharge !}t{.l9-
/' 10% Admmlstratlve Fee :;; D . 10
5% Technology Fee 10 _ OS
InspectIOn Request: 726-3769
TOTAL
;}.55,:;L 7
Shared Dnve(T )/Bulldmg Forms/Electncal Penmt ApplicatIon 1-08 doc
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01237
ISSUED: 04/13/2007
APPLIED: 09/27/2006
EXPIRES: 05/05/2008
VALUE: $ 239,984.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 633 Level Ln
ASSESSOR'S PARCEL NO.: 1703341405300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: DEA VILLA JOEL & SANDRA
Address; 1900 NE 3RD SUITE 106 #285
BEND OR 97701
Phone Number: 541-480-0421
I CONTRACTOR INFORMATION I
Contractor Tvpe
General
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
3
# of Stories: 2
Height of Structure 32.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,000
578
1,533
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
819
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
10.00
7.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
4
Yes
30.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
0.00
I PUBLIC IMPROVEMENTS .
1nTf-::l\1TI0N: Oregon law requirbL J - -, ~I!I
Street Improvements: d pted by t"""I"rpnon~~lty
Tallow rUles a 0 'l'lt IV'rmpro th
Storm St;'X~!if~YaitabG~nter, Those rules aRre9sS ~1 Downspouts/Drains: Curb and Gutter
SpecialItlstlU(ftliOOi!2-001-0010 through OA - - NOTICE-
0090. You may obtain copi~S of the rules by THIS PERMIT SHAll EXPIRE IF THE WORK
Notes: StJ8l~fJi(j)3t9flli\~:.4~g~~:~~y'f.~Z t~is area. Must g7:t1fmWil~~~t1tHt"'H5~Ei'\MIIT'VSI~!f
plUtmil~~:~t:r~~~l92~a,~ on machme 11/8/06 @ 2:C1YIW~t~CED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
... '!-..lI>-
Pal:!:e 1 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01237
ISSUED: 04/13/2007
APPLIED: 09/27/2006
EXPIRES: 05/05/2008
VALUE: $ 239,984.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Deck/Balcony
Dwellinl:!:s
Dwellinl:!:s
Garal:!:e
Garal:!:e
Deck
V Wood Frame
V Wood Frame
Garal:!:e
Garal:!:e
$ Per Sq Ft
or multiplier
$18.00
$103.00
$99.00
$26.00
$27.00
Square Footage
or Bid Amount
507.00
113.00
1,998.00
696.00
123.00
Value
Date Calculated
Description
Tvpe of ConstructIon
Total Value of Project
$9,126.00
$11,639.00
$197,802.00
$18,096.00
$3,321.00
$239,984.00
10/31/2006
04/04/2007
09/27/2006
09/27/2006
04/04/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $612.72 9/27/06 1200600000000001453
-Mechanical Issuance Fee- $10.00 4/13/07 1200700000000000416
+ 10% Administrative Fee $159.54 4/13/07 1200700000000000416
+ 5% Technology Fee $93.43 4/13/07 1200700000000000416
+ 8% State Surcharge $116.85 4/13/07 1200700000000000416
3 Baths One & Two Family $306.00 4/13/07 1200700000000000416
Addressing Assignment $31.00 4/13/07 1200700000000000416
Appliance Vent $6.00 4/13/07 1200700000000000416
Building Permit $1,020.65 4/13/07 1200700000000000416
Curbcut Permit $80.00 4/13/07 1200700000000000416
Dryer Vent $6.00 4/13/07 1200700000000000416
Encroachment Permit $130.00 4/13/07 1200700000000000416
Exhaust Hoods $9.00 4/13/07 1200700000000000416
Fire SF Fee - Residential $134.70 4/13/07 1200700000000000416
Furnace - up to 100,000 btu $12.00 4/13/07 1200700000000000416
Gas Fireplace $15.00 4/13/07 1200700000000000416
Gas Outlets 1-4 $4.00 4/13/07 1200700000000000416
Plan Review Major - Planning $198.00 4/13/07 1200700000000000416
Plan Review Residential $50.74 4/13/07 1200700000000000416
Plan Review/Residential Hourly $292.50 4/13/07 1200700000000000416
Sanitary Sewer - Improvement $573.93 4/13/07 1200700000000000416
Sanitary Sewer - Reimbursement $754.77 4/13/07 1200700000000000416
SDC MWMC Administration $10.00 4/13/07 1200700000000000416
SDC MWMC Improvement $961.52 4/13/07 1200700000000000416
SDC MWMC Reimbursement $91.61 4/13/07 1200700000000000416
SDC Sanitary/Storm Admin $146.19 4/13/07 1200700000000000416
SDC Transpo Admin $68.21 4/13/07 1200700000000000416
SDC Transpo Improvement $836.32 4/13/07 1200700000000000416
SDC Transpo Reimbursement $189.58 4/13/07 1200700000000000416
Storm Drainage Impervious Area $870.25 4/13/07 1200700000000000416
Storm Sewer Each Addtll00' $14.00 4/13/07 1200700000000000416
Temp Power 200 amps or less $50.00 4/13/07 1200700000000000416
Pal:!:e 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 12 % State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
Structural Review
Public Works Review
Planninl:!: Review
Public Works Review
$18.00
$1,000.00
$1.18
$20.10
$24.12
$10.05
$11.80
$117.00
$84.00
$9,140.76
4/13/07
4/13/07
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
I Plan Reviews I
09/28/2006
09/28/2006
09/28/2006
10/30/2006
11/08/2006
11/08/2006
09/28/2006
11/30/2006
12/05/2006
12/05/2006
APP LLH
WE DLM
WE JLP
APP T AJ
WE JLP
Pal:!:e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01237
ISSUED: 04/13/2007
APPLIED: 09/27/2006
EXPIRES: 05/05/2008
VALUE: $ 239,984.00
1200700000000000416
1200700000000000416
2200800000000000347
2200800000000000347
2200800000000000347
2200800000000000347
2200800000000000347
2200800000000000347
2200800000000000347
Bldg entry iinadequate for stair rise
(headroom); beam protection details
needed for untreated exterior
beams. Met w/ owner 10/31; he will
provide revisions. dIm
Storm H20 to curb & gutter. No
sidewalk in this area. Must get
Encroachment permit & necessary
plumbing permits for sanitary
hookup. Lft msg on machine 11/8/06
@ 2:25pm.Sent file to Tara, she will
return & will remain in PW until
owner completes an Encroachment
Permit ApplicationJLP
Revised plot plan OK too.
Tlkd w/owner Joel via telephone @
1:50pm 11/5/06. He informed me he
is not going to proceed w/project
until at least Feb 07. PW will list as
APP after Encroachment permit is
granted. File will be in my hanging
file system until owner proceeds
with encroachment process. Storm
H20 must go to curb & gutter.JLP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01237
ISSUED: 04/1312007
APPLIED: 09/27/2006
EXPIRES: 05/05/2008
VALUE: $ 239,984.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
04/05/2007
APP JLP
04/05/2007
Structural Review
03/12/2007
04/09/2007
APP DLM
Plan Review Comments
04/16/2007
04/16/2007
10 LLH
4/4/07Rcvd msg from Don, owner
submitted plan change on 3/12/07, I
borrowed plans from building file.
Made changes to SDC fee's & notes
in Tidemark. Owner must obtain an
Encroachment permit for sewer
connection prior to working in
Public RW. Added Enc fees &
placed application in file for
applicant.JLP 4/5/07
Received revised building plans
3/12/07dlm See documentation for
Plan review comments. meet w/
owner 4/9 to resolve remaining bldg.
issues. 4/5/07dlm
Additional fire and life safety fees
due. Incorrectly charged at time of
issuance. Additional fees due prior
to occupancy. See attached
documents or address file.
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.
~eouireCUnsnections 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 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.
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.
Pal:!:e 4 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01237
ISSUED: 04/13/2007
APPLIED: 09/27/2006
EXPIRES: 05/05/2008
VALUE: $ 239,984.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
Underfloor Gas: After line is installed and required testing and capped if not 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. Presure 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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Flllal Electric: When all electrical work is complete.
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.
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
Pal:!:e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-01237
COM2006-0l237
COM2006-01237
COM2006-0 123 7
COM2006-01237
COM2006-01237
COM2006-0l237
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000347
Date: 03/25/2008
DescriptIOn
Fire SF Fee - ResIdential
+ 10% AdmInistratIve Fee
Residence Wifing 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% AdmInistratIve Fee
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SANDRA DEA VILLA
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
ddk
1994
In Person
Payment Total:
Page 1 of 1
10:02:01AM
Amount Due
11 80
1.18
11 7 00
8400
2010
1005
2412
$268.25
Amount Paid
$268 25
$268.25
3/25/2008