HomeMy WebLinkAboutPermit Electrical 2004-6-18
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
Phone Over 1O~~'Pholts $375.00
~ .J/.ew~~~11\~" $ 50.00
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\~~"i,,~'ro.\ \~~'i) 'i)'ro. ~\'i)'i). Installation, Alteration or Relocation
C'i)~\l\t.~ 'i)~ \''t: 200 Amps or less I $ 50.00 50
l~'" \~ 201 Amps to 400 Amps $69.00
401 Amps to 600 Amps. $100.00
Over ??~ A!:'ps or 1000 Volts see "B" a1>.ove.
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New Alteration or Extension P~o<' ~~ .
One Circuit of\~ O~ ,,'O~~.
. Each Additional c~~~ ~e'i '~9P't !OO '01
E.S;i~~~~'~~1::1'~~tfII:;tio~~
~\~~~~~~~~~If'~'_'_".~
Pump ~fi'I~tiq6~ ~ ~"5!ft. ~o~....~loo
SignlOut~~~~~~~e O\~ $ 50.00
. Limited Ene~~~'eIllli~e' ~ $ 25.00
Limited Enerry/Commercial $ 45.00
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Date
1. ~TION oFiNsfA1JIfA.TiON.1'ti!C~:Sj
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LEGAL DESCRIPTION '(
IS02. O'3fL{ 062,00
JOB DESCRIPTION
=;;,ffL.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2. . -, - ... , -. ;- ~'-~~~a:c~~I>1'~H.CJ.iQ'<<6,t
Electrical Contractor
/
Address
City
Supervisor License Numbe~
. Expiration Date
Expiration Dat
o~rsName ~t ffJaflL JJ~
Address ~J~~r ~-ttd::..
Ci~ ~JL Phone /{fir '7>1fQ(p
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Ou)~ VJ]M i j; Jh
Inspection Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
. portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
lOCo
7b
\
L{
$ 19.00
. $50.00
B. ~s~il~~i:~1:JF~~~iiiff~li'~tfu~Alf~~iti~~I~~R~i~~~.'
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Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~~UlIo'jXt"6P~O'l1EJ~i~~g'(l~." ,-~-\
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:Yb!'''t1 ~\
i e..3S~
. Z L't..?!t!i'f
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical Pennit Application 1 ~3.doc
.
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~-
. CITYOJ:1 ~nUl~uJ:1mLD
Building/Combination Permit
PERMIT NO: COM2004-00514
ISSUED: OS/27/2004
APPLIED: 05/04/2004
EXPIRES: 12/0112004
VALUE: $ 233,346.40
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6843 Holly St
ASSESSOR'S PARCEL NO.: 1802031400200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR, Lot 34 South Hills North. SURVEY OF LOT REQURED
Residential
Owner: JOHN & MARIE AIELLO
Address: 5819 ASTER STREET #2 SPRINGFIELD OR 97478
Phone Number: 541-746-3496
I CONTRACTOR INFORMATION I
Contractor
OWNER
OWNER ~t:::>~'f.
DEAN M SCHU'='l~1(. ~ ~t:::>\ 133733
DONALD C ~fl"~\ ~f'- 33076.
~\.\. ~~':I '(- ~\lllILDING INFORMATION I
~~. ~ ':I~ 'NI(.~ .Q,~~
# of Units: <;:,'\~ o(,.9:-~ '\:)~ \':1 't't' # of Stories:
Primary occ\\'i~IlY~~ft:\) t:::>~ ~~. Height of Structure
Secondary O~~ M! ~ ~ '9.~ Type of Heat:
Primary Constr ~'fi. 'Viii' VN Water Type:
Secondary Constr~ . pe: Range Type:
# of Bedrooms: 4 Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Mechanical
Plumbing
License
Expiration Date
Phone
02/23/2005
06/10/2007
541-767-0626
541-688-1931
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
-
I DEVELOPMENT INFORMATION ,~'f"'~.Jt!.\
~~ ~~\REQUlRED PARKING
Overlay Dist: A~~'iUit1\1r.u..~~tal: 2
# Street Tree :qJ!"""~!'og#~O ~~andicapped:
PavedD . q~.,\\",,~~~~pact:
% q!i ~~~\O cP'l..-:-~ ,
~O~'t).(f)''l ~~~~)>
IP\;DL1'-l~l;~~1'~~~~~
Fully Improved .,~~'P'~ "~idewalk Type: Curbside 5'
Yes ~~ aa'~ DownspoutsIDrains: Curb and Gutter
Curbcut approach cannot angle, see attached standard spec for driveway approaches.
2
29.00
Gas
Gas
Gas
Path 1
n/a
6,969
1,638
755
514
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
10.00
10.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
DweIlines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1994
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fixture
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Heat Pump
Plan Review - Planning
PW MuIt Disc - 2nd Permit
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
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
$23.80
Square Footage
or Bid Amount
2,393.00
5 I 4.00
Total Value of Project
F pp< PlIiliLI
Amount Paid
$650.75
$10.00
$143.62
5100.53
5306.00
$31.00
$-31.73
$1,001.15
$75.00
$12.00
$9.00
$28.00
$12.00
$15.00
$4.00
$1.00
$12.00
$71.00
$-30.00
$533.51
$701.84
$10.00
$214.23
$314.63
$127.45
551.96
$727.42
$164.89
$75.00
$953.45
$36.00
$1,000.00
$23.20
$16.24
$106.00
Date Paid
5/4/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
5/27/04
6/18/04
6/18/04
6/18/04
Paee 2 of 4
. CITY v.. ~rK11~u1'l~L1J
Building/Combination Permit
PERMIT NO: COM2004-00514
ISSUED: 05/27/2004
APPLIED: 05/04/2004
EXPIRES: 1210112004
VALUE: $ 233,346.40
Value
Date Calculated
$221,113.20
$12,233.20
$233,346.40
05/04/2004
05/04/2004
Receipt Number
1200400000000000615
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000818
1200400000000000932
1200400000000000932
1200400000000000932
. \...l1 l' 0.. ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00514
ISSUED: OS/27/2004
APPLIED: 05/04/2004
EXPIRES: 12101/2004
VALUE: $ 233,346.40
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring EaAddtl 500
Temp Power 200 amps or less
$76.00
$50.00
6/18/04
6/18/04
Total Amount Paid
$7,602.14
I Plan Reviews I
Initial Review
Plannln2 Review
Public Works Review
05/05/2004
05/05/2004
05/05/2004
05/05/2004
OS/21/2004
05/12/2004
OK
APP
WE
RJB
TAJ
VRJ
Public Works Review
05/18/2004
05/18/2004
10
VRJ
Public Works Review
OS/26/2004
OS/26/2004
APP
VRJ
Structural Review
Structural Review
05/05/2004
05/05/2004
OS/26/2004
05/05/2004
APP
10
RJB
DJB
1200400000000000932
1200400000000000932
Curbcut approach cannot angle, see
attached standard spec for driveway
approaches. Intrusion of footings,
eaves or any other portion of the
proposed strueture Into easement
areas is prohibited. Survey is
required.
Spoke with Mr. Aiello, Front
portion of structure encroaches into
PUE by 14-inches as per his survey.
Applicant plans to modify house
plans and will work with Building.
Check setbacks. Survey may be
req uired.
Applicant submitted new site plan
5/18/04 decreasing depth at front of
garage by 2ft. to comply with
setback requirements.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
IRPnI~
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are In place.
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.
Pa2e30f4
.
. CITY OF M'1UNGFIELD
Building/Combination Permit
Status
Issued
. PERMIT NO: COM2004-00514
ISSUED: OS/27/2004
APPLIED: 05/04/2004
EXPIRES: 12/0112004
VALUE: $ 233,346.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
UnderOoor Plumbing: Prior to insulation or decking.
UnderOoor 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 mling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
UnderOoor 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.
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
Paee40f4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~
llliity of Springfield Official Receipt
Whelopment Services Department
Public Works Department
Job/Journal Number
COM2004-00514
COM2004-00514
COM2004-00514
COM2004-00514
COM2004-00514
Payments:
Type of Payment
CreditCard
6/18/2004
RECEIPT #:
1200400000000000932
Date: 06118/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Paid By
MARtE AIELLO
Item Total:
Check Number Autborization
Received By Batch Number Number How Received
djb 000415 144481 In Person
Payment Total:
Page 1 of 1
1I:40:50AM
Amount Due
16.24
23.20
106.00
76.00
50.00
$271.44
Amount Paid
$271.44
$271.44
':