HomeMy WebLinkAboutPermit Electrical 2008-4-6
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~ A!. DATE "-'1- CJo ~OK_
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. , CITY OF SPRINLJELD. OREGON
225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-375J . FAX: (541)716-3689
ELECl'RlCAL PERMIT APPliCATION
CitY Job Number ,-Ol'V\ 7_0C ,- 0 / /7 S
Pmnp or irrigation $ 50.00
Sign/Oulline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Eleclric Permit Inspection Fee is $45.00 + Snrcbarges
/rz
NOTICE: 8%J?!lt,!;,l)urcharge N )"b
THIS PERMIT SHAll EXPIRE IF THOoJ.lYAHi\l!nistrative Fee / B 'Z<>
AUTHORIZED UNDER THIS PERMl'fA9'&Yi\t,logy Fee '1 to
Inspection Reqnest: 726-t;9MMENCED OR IS ABANDONED!Jl-PAL Z 7. 3 ~
! CC6 - I ~) q i AN'Y 1 80 DAY PERIOD. Shared Drive(T:YBuilding FurmslElectrical Pennit Application 8-06.doc
Wf'~ II Url 0 g-' SCANNED
1. LOCATION OF INSTALLATION:
I D 7 ') }L,.. , J.b..n A., c.:I-
LEGAL DESCRIPTION: U r s;- .
/703 Z4].L( O'lbDO
JOB DESCRIPTION:
fh, vo..f C'
[,/1 a..c--
Permils are non-transferable and expire if work is
not started within 180 days ofissnance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
ElectricalCOntractor ~....~e... EI<<.-h-.c. r"l.
Address 34IDS ~...~ ;,t-.
City t::\Afj~Y\.e. Phone $Z.O-CD'-Ugft,
Supervisor License Number 32 'j{.55
-#."
Expiration Date
lO- 1- 2..0C"T'
(CODStr. Contr. Number 2.0 - 52.-"1 t
\EXPiration Date '1- \ -2-00j?
Signature of Supervising Electrician
w~
u ...P ~
Hv. r~
s . c- s.t
Phone 7l/ 1- 779 Z
I Owners Name ~ vV\
Address S 2-bs-
~?I~
City
O~NERINSTALLATION
The installation is being made on 1':"l'o,.j I own which
is not intended for sale, lease or rent
Owners Signature:
3.
COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelli
Service Inclnded
(Ob
76
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manumct'd Home or
Modular Dwelling Service or
Feeder
I
'-I
$19.00
$106.00
$50.00
~
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
ATlENTlON: Oregon law requIres you to
c. Temporary Sefel~~pted by the Oregon Utility
Notiflcatlon Center. Those rules are eet forth
Installation, A1tbaiiMl&5~fi09D through OAR 952-001-
200 Amps or I~' You may obtain oop$lsa:dOhe rulea by
201 Amps to 400 A~J[ig the womllr. 11'f00_epnone
numuer for the -VI "\lUll IIlIIIOfI
401 Amps to 600 Amps Center Is ~ ::2: ).
Over 600 Amps or 1000 Volts see "B" above.
D. Brancb Circuils
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Eacb Installation
4. SUBTOTAL OF ABOVE
, .
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-0I173
ISSUED: 05/09/2007
APPLIED: 09/1212006
EXPIRES: 01103/2008
VALUE: $ 201,026.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1875 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404600
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 5 - King Henry
Owner: KIMBERLY HUFF & JA YCOB PHILLIPS
Address: 3265 SOUTH E STREET
SPRINGFIELD OR 97478
Phone Number: 541-741-7792
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mecbanical
Plumbing
Contractor License
RB N ME CONTRACTORS INC 162665
SOURCE ELECTRICAL INC 160918
USA HEATING & AIR CONDITIONING INC 154663
TOMS PLUMBING SERVICE INC 159425
Expiration Date
01106/2009
07/28/2008
03/10/2009
05/12/2008
Phone
541-52 I -8698
54 I -520-6466
541-942-1401
541-607-8879
BUILDING INFORMATION I
# of Units: 1 # of Stories: 2 Lot Size: 7,616
Primary Occupancy Group: R-3 Heigbt of Structure: 24.00 Sq Ft 1st Floor: 1,023
Secondary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 819
. Primary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft GaragelCarport 718
# of Bedrooms: 3 Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
I PUBLIC IMP"v ~ ..I...." II) I
REQUIRED PARKING
ATTENTION: ~ law requires y~ tc
fonoW rulel) a~tilo Oregon Utll" ,
Notlf~atlon CeIiWnPJilltlBe rules are set '01 h
1n2@A1ll952-OOHI010throughOAR962-00 I.
0090. You may obtain copies of the rules I ry
::t:~-:; ~~: ::-~:.. r............... f..od...~"_
number for the Oregon UtIlity NotIlIcatIoi I
. Center Is 1-80ll-332-2344).
Sidewalk Type: C b'd 5'
.. . . ur 51 e
DownspoutslDrains: Curb and Gutter
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00 Overlay Dist:
23.00 # Street Trees Rqd:
5.00 Paved Drive Rqd:
17.50 % of Lot Coverage:
22.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I of 5
. .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
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
Exhaust Hoods
Fire SF Fee - Residential
MinimumlAdjustment Mechanical
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm.Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
. Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,842.00
718.00
Total Value of Project
FpP~, ~
Amount Paid
$583.15
$10.00
$137.62
$72.31
$99.85
$306.00
$31.00
$897.15
$6.00
$9.00
$128.00
$12.00
$198.00
$554.14
$728.74
$10.00
$961.52
$91.61
$158.06
$67.14
$836.32
$189.58
$1,132.03
$18.00
$1,000.00
$18.20
$9.10
$14.56
$106.00
$76.00
$8,461.08
Date Paid
9/13/06
5/9107
5/9/07
5/9/07
5/9/07
519107
519/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9irJ7
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
7/5/07
7/5/07
7/5/07
7/5/07
7/5/07
Paee 2 of5
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01173
ISSUED: 05/09/2007
APPLIED: 09/1212006
EXPIRES: 01103/2008
VALUE: $ 201,026.00
Value
Date Calculated
$182,358.00
$18,668.00
$201,026.00
09/12/2006
09/12/2006
Receipl Number
2200600000000001279
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000539
1200700000000000871
1200700000000000871
1200700000000000871
1200700000000000871
1200700000000000871
. . . .
CITY OF SPRINGFIELD
Building/Combination Permit
Status Iss u ed PERMIT NO: COM2006-01173
225 Fifth Street, Springfield, OR ISSUED: 05/09/2007
541-726-3753 Phone APPLIED: 09/1212006
541-726-3676 Fax EXPIRES: 01/03/2008
541-726-3769 Inspection Line VALUE: $ 201,026.00
1 Plan Reviews I
Initial Review 09/1212006 09iI2/2006 APP LLH Partial Suhmittal day prior to
holiday. I was out the week of 5-8,
plans were not routed until today
(9/12106). Applications were not
complete - Held for additional
information. Plan review fee has nol
been paid. Structural plan review
not to be completed until plan
review fee is paid.
Initial Review 05/07/2007 05/07/2007 APP LLH Received plans from public works.
Completed review and compiled
information. Okay to issue.
Initial Review 09/14/2006 09/14/2006 APP LLH Plan Review Fee paid. Okay to
proceed with structural review.
Planoine: Review 09/1212006 WE SJS Survey for 5' minimum setback
Waiting for final plat
Plan nine Review 04/25/2007 04/25/2007 APP TAJ
Public Works Review 04/26/2007 04/26/2007 WE JLP Rcvd from Planning 4/26/2007---Plal
was released--Not yet filed.. Waiting
for Eng/Surveyor to file with LC &
verification from Jon D. for PW
review. JLP WI 4/26/07
Public Works Review 05107/2007 05/04/2007 IO JLP PW rvw completed Fri 5/4/07 ..
Unable to input into Tidemark due
to computer issues. JLP IO 4/7/07
Public Works Review 05107/2007 05/07/2007 APP JLP , For this parcel in King Henry
Court, it is the recommendation to
the Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H2O
systems, until the subdivision is
accepted by City Council". Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
Public Works Review 09/1212006 09/12/2006 WE JLP Can not complete PW Review.-- No
final plat & Per Cberyl, many
inspection issues remain
un-resolved, RE: Sidewalks, Curbs,
Driveway Locations, Sanitary Lines,
and Storm Drainage.-- Waiting for
inspection "OK", and Recorded
Plat.JLP
Structural Review 09/12/2006 09/27/2006 APP RJB
Paee 3 of 5
. .
.
. CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-0II73
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 01103/2008
VALUE: $ 201,026.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
ErosionlGrading Inspection: Prior to ground disturhance aud after erosion measures are iustalled.
Ufer Electrical Grouud: Install ground rod at footing and call for inspectiou in conjunction with footiug audlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected hut 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 heen 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 Bnilding: After all required inspections have heen requested and approved and the huilding is complete.
Underfloor Plumhing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumhing: Prior to cover 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.
Drywell: Engineered Drywell is Required.
Final Plumhing: When all plumhing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
. Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 4 of5
.
. CITY OF SPRIr~t.J< IELD .
Building/Combination Permit
PERMIT NO: COM2006-01 173
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 01/03/2008
VALUE: $ 201,026.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify tbat all
information bereon is trne and correct, and I further certify that any and all work performed sball be done in accordance witb
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and
that NO' OCCUPANCY will be made of any structnre 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
further agree to ensure 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
Pa!!e 5 of5
.
225 'Fifth' Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1173
COM2006-01173
COM2006-0 1173
COM2006-0 1173
COM2006-0 1173
Payments:
Type of Payment
Check
cReceintl
ii:~
.. of Springfield Official Receipt
~elopment Services Department
Public Works Department
RECEIPT #:
1200700000000000871
Date: 07/05/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PALADIN WORKS
BOOKKEEPING
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
5843
In Person
Payment Total:
Page 1 of I
I I :39:02AM
Amount Due
106.00
76.00
9.10
14.56
18.20
$223.86
Amount Paid
$223.86
$223.86
7/5/2007