HomeMy WebLinkAboutPermit Electrical 2008-4-8
SPRINGFIELD ZON ~
, t .'_'" INITIALS ~~
l' .'~ ~, ' ~~~~CE ~~~
l//E~J
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number CO"""" 2-008"- 00 I ~J
1. LOCATION OF INSTA.LL4TION:
zs-~!'
/ 7+~
0"3 600
LEGAL DESCRIPTION
17D3Z4~(
JOB DESCRIPTION
f'vtN / '/ V /AlA vJ I V*L
I / I
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 INSTALL4.TION ONLY
Electncal Contractor OtD HeLl) S / ,,;vc-
Address /tf6S- u.) ?/A
CIty hOer/e
I
Phone lfS s:-~OOO
SupervIsor LIcense Number 21'> - l./9.sC LC
'7/;/0 g
Constr Contr Number / 2? 7.5 6
ExpIratIOn Date {P /9 / () f3
ExpIratIOn Date
Signature of Supervlsmg Electncmn
;!~~ ddJ~~ 7-79/5 1ib/4
..,. - J
}/vMt IS~^\ldGL:S.
Address 'Z OS 3. LIr '^ .144- S +
s ?l~ Phone 1..f~'I-65bo
Owners Name
CIty
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
3. COltfPLETE FEE SCHEDlILE BELOlV
A. New Residential- Single or J\'lulti-FamiIy 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 Feeders - Installation, Alterations or Relocation.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
$ 63 00
$ 75 00
$12500
$ I 63 00
$37500
$ 50 00
..' !A n.q /'-'Y~~~~~',,):rc~.j1J
c. nempGrary, Ser:yic.e~s tJt'f~eP;e(s: egon Ut'lity
!\!C'lfh""';~,'t~:!- = ;r~\-:~ T11( :~e i~le~ CIS [)e: lurt1
1b.~~tl~\~Aclter!iaofil YtIRl>@e:#t6n; 9::.2.(' J1-
OliGO You' ~la\1 o!Jtam C:)f);es of V-;8 ru!,::~b.\l
200 ~mD.s 0c[ eS~ntor (Nr-+e th - .~I~,h~ _~JU 00
'CnlHf'l1:j Hi ce. "\;;1. i vl '~i':nl;t",,,,'""T"Or;v
2Qi~ tMq~e\{!}~goll U tl11ty ~,i r t:fu::.at,;r99 00
401 Amps@e:600rA$n~s800-332-2344)' $10000
Over 600 Amps or 1000 Volts see "B" above
D. Branch Circuits
New Alteration or Extension Per Panel
One CIrcuIt
Each Addlttonal CIrcuIt or wIth
ServIce or Feeder Pemllt
$ 43 00
$ 300
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or lITIgatIOn $ 50 00
N~~ef~me Llghtmg $ 50 00
T/lI-~8IIFJ:ir%Vfl'F.gf1~l~~~PlRE Ir TI ;r4fo~K5 00 Z J
AULliN@~~rottNtJe~91-WS PER~1IT Ie tJof5 00
Minooi\Mtm~V~~ IA~~qm~~tJifbW'OO + Surcharges
4.Ar~'fflfDttP!)tRl.fUoroVE ~O
/Z!Yo State Surcharge b - /
10% AdmInIstratIve Fee ::>/ z..rO
5% Technology Fee 1-,3'SO
TOTAL
Shared Dnve(T )/Bulldmg FOIlTIs/Electncal Penmt Apph~atlon 8-06 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/0612008
APPLIED: 01/30/2008
EXPIRES: 10/16/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 259817TH ST
ASSESSOR'S PARCEL NO.: 1703243103600
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 11 Legacy Estates
Residential
Owner:
Address:
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
Contractor
HOMEBUILDERS
HOME BUILDERS CONSTRUCTION CO
L YNNS ELECTRIC
OLDFIELDS INC
COMFORT FLOW
DONALD CLEWIS
License
Expiration Date
133055
102316
129736
460
167921
BUILDING INFORMATION I
10/16/2008
10/14/2011
06/09/2008
06/27/2009
0111612010
Phone
484-6560
541-484-6560
541-726-7895
541-485-6000
541-726-0100
541-688-1931
VB
# of Stories: Lot Size:
Height of Structur~i'J: Oregon law reqtSq3Bt-ynltl Moor:
Type of Heat n,! ,JS adopted by the O~2IJtilitl'00r:
Water ,Ty,p'e:. atlDI\ Center, Those rule~~lJjltSf.JU@lrt~nt:
Range .1;y.p,e;k 952-001-0010 through CM FF~~A'h\7Carport
EnergYJ.e~tl\: You may obtam copies Q!,ltetrc!:)\%%P'Y
Sprinkle<tBiiiIdiug;;J center. ffi\pte: th~ijR~l?fleoad:
_ ,~,h:' ~M tho ()rAnnn I Itility Notification
I DEVELOPMENT INFO~'NO~f-332-2344).
2,860
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
6.00
37.00
18.75
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
31.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Notes:
Storm drains to weep holes to gutter
I PUBLIC IMPROVEME~
1~6~tB . \Rfp\F. THE WOR\{
Fullv Improved THIS PERMIT SH~l~'t~1 . IT IS NOT Setback 7'
Yes AUTHORIZED UNi}6~n1~~tPtf,~~sFOR Curb and Gutter
COMMENCED OR IS ABANDON
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Paj!e 1 of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
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
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
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
WiIlamalane Single Family
+ 10% Administrative Fee
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
330,000.00
Total Value of Project
~
Amount Paid
Date Paid
$940.06
$40.00
$232.32
$261.63
$127.76
$337.00
$35.00
$7.00
$14.00
$1,446.24
$85.00
$7.00
$10.00
$143.00
$17.00
$14.00
$5.00
$205.00
$117.00
$84.00
$673.33
$885.50
$10.00
$990.39
$95.35
$164.76
$862.25
$195.48
$69.07
$85.00
$964.27
$32.00
$55.00
$35.00
$2,513.00
$5.00
1/30/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
4/17108
Pa!!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 10/16/2008
VALUE: $ 330,000.00
Value
Date Calculated
$330,000.00
$330,000.00
01/30/2008
Receipt Number
1200800000000000082
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000474
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 10/16/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$6.00
$2.50
$28.00
$22.00
4/17/08
4/17/08
4/17/08
4/17/08
2200800000000000474
2200800000000000474
2200800000000000474
2200800000000000474
Total Amount Paid
$11,821.91
I Plan Reviews I
Planninl! Review
Public Works Review
0113012008
0113012008
01130/2008
01130/2008
APP
APP
EMM
LKW
Storm drains to weep holes to gutter
Structural Review
02/0112008
02/04/2008
APP
DLM
Approved as noted on Plans
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.
~eouiredJnsDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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.
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.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 10/16/2008
VALUE: $ 330,000.00
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.
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.
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, Building Safety.
I further certify that only contractors and employees who are III 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 Streft
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00133
COM2008-00133
COM2008-00 I 33
COM2008-00133
COM2008-00133
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000474
Date: 04/17/2008
DescriptIOn
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Low Voltage - ResIdentIal
MInImum/AdJustment Electncal
PaId By
MICHAEL RIMMER
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How ReceIved
dJb 08498d In Person
Payment Total:
Page I of 1
2:28:53PM
Amount Due
250
600
500
2800
2200
$63.50
Amount PaId
$63 50
$63.50
4/17/2008