HomeMy WebLinkAboutPermit Electrical 2007-7-6 (2)
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Date ~pI?..-' '( -01.0 - Or
," . "CITY OF SPRINLIELD. OREGON
225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(54I)726.3753 . FAX: (54I)726-J689
ELECTRICAL PERMIT APPLICATION
City Job Number ('..DW"'. 7 0 0 6. - D / I \ b
I. LOCATION OF INSTALlATION: r. I 3.
I go 8' 1 (1.1C. ~,..~ L-T-
, / '
LEGAL DESCRIPTION: 1-0 T c.::>
/70] ZLl3Cf D l.f700
JOB DESCRIPTION:
HcV\.~~ W(IL~
Permits are non-transferable and expire if work is
not started witbin 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALlATION ONLY
Electrical Contractor ~ ..-i!,e.. E I.u. -h. c. :C"l.
Address 34"'5 ~... ~ ;,+...
City t:: 1A'j-(J\.(" Phone '52...0 - CD '-I (g (p
Supervisor License Number 32 'is' 5.5
Expiration Date
lO- 1- 2..00"T'
2.0- 5'2.-qt
1- \ -2,008'
~onstr. Contr. Number
\ Expiration Date
Signature of Supervising ElectriCian
w~ JIJ j~
Owners Name -:Ibh", vVl k \~o^M d
Address L;] f ~. b if-t^ fL
City S?(~ Phone /,6b - 3l.fLfO
COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling nnit.
Service Included
1000 sq. fl or less
Each additional 500 sq. fl or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
IDb
7b
/
cf
$106.00
$ 19.00
$50.00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
20 I Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
60] Amps to 1000 Amps $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only 0'-'- _.Ull.~OJoU to
_~re~~:=~bYttI8o:;gon Utility
C. Tempora'f.lofi;~tlbl'fcr~ . oaerul8sar8setfortt
. 1l\2AR.952..Q01-001 0 throu:: ~8'::bY
Installation, Ott5~~~p 1.tlllt!Phone
200 Amps or lessaliing the center. (N~N1!~
20 I Amps to 40UJJGIlpJ for the C, "l:l~;' ....~'~
40] Amps to 600 AmpsCenter Is 1-8ll . $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergylResidential $ 25.00
The installation is being made on .._._.:/ I own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Sign""""NOT\CE: EXPIRE If il-lE ~O~TOTAL OF ABOVE / B Z
T\.I\~ PERMIT SH.".\.l ~ PERMli IS NQ.l Stale Surcharge !II,) b
AUil-lORlltU UlltiC~ ABANDONED fOR 10"10 Administrative Fee It! ~u
COMMENCED OR I 5% Technology Fee 9'''
1 M DAY PERIOD. 86
Inspection Requesf!~6-3'169 TOTAL Z z."3 -
ti~~-; I~~\~IO~ SCANNED -~""-,-~....-~
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: cOM2006-01136
ISSUED: 05/08/2007
APPLIED: 09/01/2006
EXPIRES: 12/18/2007
VALUE: $ 224,803.00
SITE ADDRESS: 1889 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 6 King Henry
Owner: JOHN AND ROCHELLE MACDONALD
Address: 438 SOUTH 69TH PLACE
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor License
RB N ME CONTRACTORS INC 162665
SOURCE ELECTRICAL INC 160918
USA HEATING & AIR CONDITIONING INC 154663
TOMS PLUMBING SERVICE INC 159425
. BUILDING INFORMATION I
Contractor Type
General
Electrical
Mecbanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
SR-3.I
VN
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
5.00
7.00
20.00
0.00
Street Improvements:
Phone Number: 541-606-3440
Expiration Date
01106/2009
07/28/2008
03/10/2009
05/1212008
Phone
54 I -521-8698
541-520-6466
541-942-1401
541-607,8879
4
# of Stories: 2 Lot Size:
Height of Structure: 27.00 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path.l\TTENTlON: Oregon law Si\CJttl,@fh)!iliJ to
Sprinkled Jtui'J/JiIilf:ules adorrt,<i\d by ttmRojliilifltl.\\i1tY
~1l"\tifl,..o+l"'n ~onto.r TnnQQ "flo.a ~rf' opt fnrth
I DEVELOPMENlIJINF@RM;.\;'l'l~NUlu through OAR 952-001-
't.rw~~. fLw\f.wf ey'!'in copies ofthlliE~m'ED PARKING
calling the center. (Note: the telephone
Overlay Disliumber for the Oregon Utility Notlt~lJn 2
# Street Trees Rqd:Center is1-80~2.2344)f1andicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 25.80
6,234
960
1,341
654
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Curbside 5' .
Curb and Gutter
Storm Sewer Available:
Special Instruction:
FulIV Improved
Yes
DOW.DSpoutsmrains:
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee I of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer. Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
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
Storm Drainage Impervious Area
Vent Fan
WiIlamalane 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
2,301.00
654.00'
Total Value of Project
Fpp<, PIiiJ
Amount Paid
$631.74
$147,07
$76.05
$105.83
$306.00
$31.00
$971.90
$6.00
$9.00
$147.75
$12.00
$198.00
$534.34
$702.72
$10.00.
$961.52
$91.61
$139.10
$68.91
$836.32
$189.58
$834.01
$18.00
$1,000.00
$18.20
$9.10
$14.56
$106.00
$76.00
$8,252.31
Date Paid
9/13/06
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
5/9107
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
5/9/07
7/5/07
7/5/07
7/5/07
7/5/07
7/5/07
Paee 2 of 5
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01136
ISSUED: 05/08/2007
APPLIED: 09/01/2006
EXPIRES: 12/18/2007
VALUE: $ 224,803.00
Value
Date Calculated
$227,799.00
$17,004.00
$244,803.00
09/01/2006
09/01/2006
Receipt Number
2200600000000001282
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
2200700000000000694
1200700000000000870
1200700000000000870
1200700000000000870
1200700000000000870
1200700000000000870
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: cOM2006-01136
225 Fifth Street, Springfield, OR ISSUED: 05/08/2007
541-726-3753 Pbone APPLIED: 09/0 l/2006
541-726-3676 Fax EXPIRES: 12/18/2007
541-726-3769 Inspection Line VALUE: $ 224,803.00
I Plan Reviews I
Initial Review 09/11/2006 09/11/2006 APP LLH Partial Submittal day prior to
holiday. I was out the week of 5-8,
plans were not routed until today
(9/11/06). Applications were not
complete - Held for additional
information. Plan review fee has not
been paid. Structural plan review.
not to be completed until plan
review fee is paid.
Initial Review 05/0712007 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.
Pian nine: Review 09111/2006 WE SJS Waiting for final plat.
Survey 5' minimum setback
Plannine 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---Pla.
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 05/07/2007 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 05/07/2007 05/07/2007 APP JLP For tbis 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 09111/2006 09/1212006 WE JLP Can not complete PW Review.-- No
final plat & Per Cheryl, 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 09111/2006 09/25/2006 APP RJB
Paee 3 of5
.
. CITY OF SrKll~lJl<lJ!,LD'
Status
Issued
Building/Combination Perin it
PERMIT NO: cOM2006-01136
ISSUED: 05/08/2007
APPLIED: 09/0112006
EXPIRES: 12/18/2007
VALUE: $ 224,803.00
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.
I>>p~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection io conjunction with footing and/or
foundation inspection.
Final Electric: When all electrical work is complete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor 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 all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor 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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required.
Final Plumbing: When all plumbing work is complete.
Undertloor 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.
Paee 4 of5
GI!AJNG1!iao
-Itrf ~'.'- j .
,
...._,. ',-,-,
. ~ _.., .......;r
.
. CITY OF SPRIr~lJr IELD .
Building/Combination Permit
PERMIT NO: cOM2006-01136
ISSUED: 05/08/2007
APPLIED: 09/0l/2006
EXPIRES: 12/18/2007
VALUE: $ 224,803.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
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 aoy 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 tbe 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
Paee 5 of5
.
~
~....
225 Fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1136
COM2006-0 1136
COM2006-0 1136
COM2006-0 1136
COM2006-0 1136
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
I of Springfield Official Receipt
evelopment Services Department
Public Works Department
1200700000000000870
II :37:39AM
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PALADIN WORKS
BOOKKEEPING
Received By
d'b
J
Page 1 of 1
Date: 07/05/2007
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
106.00
76.00
9,10
14,56
18.20
$223.86
Amount Paid
6041 In Person
$223.86
Payment Total:
$223.86
7/5/2007