HomeMy WebLinkAboutPermit Electrical 2008-4-8
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C01UPLETE FEE SCHEDULE BELOlV
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number CO","", z.J:>oK - 0 0 ZOO
1. LOCATION OF INSTALL4TION:
2~'b 17~
LEGAL DESCRIPTION
J 703 Z4 "5 (
05.roa
JOB DESCRIPTION
p",,,, / rV; rtLA Y.1// V A- L
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. CONTRACTOlJ.. INSTALLATION ONLY
Electncal Contractor OW H cLD ~ / ~
Address ICf (7 S- uJ ?fh.
CIty )f?"nr'pe
.. i'
Phone {{<g s:-~OOO
SupervIsor License Number 26'- lJ9"SC LC
'7/;/0 g
EXpIration Date
Constr ContI' Number / 2? 736
EXpiration Date (P /9/ 09
Signature of Supervlsmg Electnc13n
UJ21J-(j)~ 279'3 [(71+
u <
Owners Name ~-tI
Address '3 5Z-C>
City ~e-
j-;~M I
&{ t:7k wiry
Phone 'Z-"Z ( -Jt{O i
OWNER INSTALLATION
The mstallatlon IS bemg made on property I own which
IS not mtended for sale, lease or rent
Owners Signature
Inspection Request: 726-3769
Date
A. New Residentialh- Single or l\'lulti-Famil)' per dwelling unit.
Service Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$106 00
$ 19 00
$50' 00
B. Services or Fee~ers - Installation, AHeratioD'> or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63 00
$ 75 00
$12500
$163 00
$37500
$ 50 00
C. Ali~DP.r.Ia.rY Services or Feeders
,t ) _tl; IIU"}- "'" , ,
loi/ow !"~:Ef'~.~regon law requires
N.1\gtld~Hswc ~~?t~lt#j ~~i'ti.o8 yo~. ~o
in Q~f~ z1ler. Tho 1:18 n Ur;llty
oatti 'Nrlf~diJ~01O th se rules are SAt f.orfh50 00
tP :AYR~rr@WOIitErlFls~~~~9h OAR 952-001S.69 00
r~~lRjfJ1)~lo';6tlU?fm~ote.€t~eOftt~e r.utes 10'100 00
-" lOr tile Ore I" , E'm::fJnone
Over 6GG1~f>~S>11j~vm/stYeN~VjeaBY>n
D. Branch Circuits 332-2344).
New Alteration or Extension Per Panel
One CIrCUIt
Each AdditIOnal CirCUIt or wIth
ServIce or Feeder PermIt
$ 43 00
$ 300
E. Miscel1an~ollS (Service/feeder not included) -Each Installation
$ 5000
$ 50 00
Z)-o
b3~
TOTAL
Shared Dnve(T )/BuJldmg FonTIs/Electncal Per.11It AppliCJtlOn 8-06 do~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00200
ISSUED: 02/19/2008
APPLIED: 02/11/2008
EXPIRES: 10/09/2008
VALUE: $ 259,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2596 17TH ST
ASSESSOR'S PARCEL NO.: 1703243103500
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -legacy Estates lot 10
Residential
Owner: JORDAN & JORDAN CONSTRUCTION
Address: 3520 CELESTE WAY
EUGENE OR 97408
Phone Number: 541-688-3998
I CONTRACTOR INFORMATION I
Contractor Type
General
Low V oItage Electrical
Plumbing
Contractor License
JORDAN & JORDAN CONSTRUCTION INC 176193
OLD FIELDS INC 129736
GPC ENTERPRISES INC 136043
BUILDING INFORMATION I
Expiration Date
05/14/2009
06/09/2008
01129/2009
Phone
541-688-3998
541-485-6000
541-345-1931
3
# of Stories: 1 Lot Size:
Height of~"'tructltte.N' or~~ 2~0 SIFt 1st Floor:
H1 , - Pi I rI.:J. --: on w req Q.ClI k\
Type of :I:.I~~,(~, ru'eKWCfo~' If fhe n l. .~'foor:
Water lIJYP',~icatlon Center. Th ~~ rule ~q,qfh 'illnt:
Range ifMj~~R 952-001-001 0 t~gh fJ.1[fb _~~Carport
Energ)OBaIfh: You may obtail1l\!~pies ~t!er, tie'ij
Sprinkle(UJiiitgi~ center. ~te: the ~fMPABh:;~d:
nl'rnhC'" '~'f tk - C' U.'I
. . - ~,- c:;-""...." .I.y j~ullllcaIlon
I DEVELOPMENT INJ'~AitI~OI-332-2344).
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
2,200
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
635
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
10.00
23.00
28.75
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
35.60
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
. Fullv Improved NOTICe" .
Storm Sewer Available: Yes THI. DownspoutslDrams:
Special Instruction: S PERMIT SHAll EXPIRE IF THE WO
AUTHORIZED UNDER THIS RK
Notes: Storm drains to weep holes from the curb & ~tUMMENCED OR IS ABAN PERMIT IS NOT
ANY 180 DAY PERIOD. DONED FOR
Setback 7'
Curb and Gutter
Pa!!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
DweIlinl!:s
Garal!:e
AC - Residential
V Wood Frame
Garal!:e
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
I Valuation Descrivtion I
$ Per Sq Ft
or multiplier
$5.00
$105.00
$28.00
Square Footage
or Bid Amount
2,200.00
2,200.00
635.00
Total Value of Project
~
Amount Paid
$751.57
$40.00
$204.74
$228.68
$114.03
$337.00
$35.00
$7.00
$14.00
$1,195.64
$85.00
$7.00
$10.00
$141. 75
$14.00
$5.00
$205.00
$25.60
$117.00
$84.00
$673.33
$885.50
$10.00
$990.39
$95.35
$180.64
$862.25
$195.48
$67.85
$85.00
$1,257.48
$32.00
$55.00
$28.00
Date Paid
2/11/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
2/19/08
Pal!:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00200
ISSUED: 02/19/2008
APPLIED: 02/11/2008
EXPIRES: 10/09/2008
VALUE: $ 259,780.00
Value
Date Calculated
$11,000.00
$231,000.00
$17,780.00
$259,780.00
02/1912008
02/11/2008
02/11/2008
Receipt Number
1200800000000000124
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
2200800000000000222
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00200
ISSUED: 02/19/2008
APPLIED: 02/11/2008
EXPIRES: 10/09/2008
VALUE: $ 259,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
Plan ReviewlResidential Hourly
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$2,513.00
$50.00
$5.00
$6.00
$2.50
$28.00
$22.00
2/19/08
2/21/08
4/17/08
4/17/08
4/17/08
4/17/08
4/17/08
2200800000000000222
3200800000000000119
2200800000000000473
2200800000000000473
2200800000000000473
2200800000000000473
2200800000000000473
Total Amount Paid
$11,666.78
I Plan Reviews I
Planninl! Review 02111/2008 02/11/2008 APP TAJ
Public Works Review 02/11/2008 02/11/2008 APP LKW Storm drains to weep holes in curb
from gutter
Structural Review 02119/2008 02/19/2008 APP DLM See documents for Plan review
comments.
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.
L..ReouirerUnsnections I
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.
Sidewalk - Setback: 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 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.
Pal!e 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00200
ISSUED: 02/19/2008
APPLIED: 02/11/2008
EXPIRES: 10/09/2008
VALUE: $ 259,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all 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.
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.
Final Electric: When all electrical work is complete.
Low V oitage: Prior to cover.
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, Budding 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 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
COM2008-00200
COM2008-00200
COM2008-00200
COM2008-00200
COM2008-00200
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Date: 04/17/2008
2200800000000000473
Description
Low Voltage - ResIdentIal
MlDlmum/ Adjustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstratlve Fee
Paid By
MICHAEL RIMMER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb 04567d In Person
Payment Total:
Page 1 of 1
2:27:22PM
Amount Due
2800
2200
250
600
500
$63.50
Amount Paid
$63 50
$63.50
4/17/2008