HomeMy WebLinkAboutBuilding Electrical 2008-9-18
SP~'NGFIELD ZO N ltir
~ INI1lALS,,~
~ DATEG\' ~,a7..
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~. . SOURC,\,<,\ ~Qal
. ELECTRICAL PERMiT APPLICATION ./
'CityJobNumber' r..oVVl.?,eJol?-OO8'/b Date q/I~ 08
I .
3. I COMPLETEFEESCHEDULEBELOW
CITY OF SPRINGFIELD, OREGON .
1: I WCATION OFINSTALLATION:
415 ()OX daLf .4-lI-f
LEGAL DESCRlPTlON: J 70.3 ZZ41. oziPoA.1 New Residential-Single or Multi-Family per dwelling unit.
. .t1iFU.J ( .k Lj (' ~ ./ Service Included
JOB DESCRIPTION: 1000 sq. It. or less
Each additional 500 sq, ft. or
portion thereof
2. I CONTRAcrORINSTALLA.1;ION ONLY I. B. I Services or Feeders -'Instanati09' Alterationso~ Relocation:
Electrical Contractor ..d. i t c;'~~ .200 Amps orless . $ 70.00
. . . I-\~'-t !::t~ Itud: Oreg~~1fflero!,i~YRJI to ?'2-0A I $ 83.00 F'J6.ciJ
Address (),Q, eox Llag~~g~:~;~~~:~~~:e1W~~~~~t $138.00
1\ I \_ ~_ ,in o.~R 952-001-0010@h\rgpsI!li\lllIfffiMI~' $180.00
City N" Ii I.XLYlU Phone t:) WBdj Wln-81q;;l:itltaimwPieoo:lllli\llJ'.Abm by $413.00
J calling the center. (d<I<lIliiIattEOil\8phone $ 55.00
number for the Oregon Utility Notification
Supervisor License Number . ~ q WS Center is c~~q:~~~~j8ervices or Feeders
Expiraiion Date /0"- / -/0
Constr. Contr. Number . C 4- t 0
Expiration Date (; / ~ /;;;' 0/ n
. I Over 600 Amps or 1000 Volts see "B" above.
~. ~a~ret)ervip(Sing EJec~ ~ " D. I Branch Circuits
( . . ~. ~ New Alteration or Extension Per Panel
One Circuit
. '. - , - '. --- Each Additional'Circuit or with
Owners Name &- -Zc T C Moffete or Feeder Permit '" WO",] 4.00 .
Address. /0 7 I Mtau;/.J i4A TI-flSloo.riMlir.~li\A~~!f~~~;Ie:N~)-EaCh I.nstanation 1
City S.pF}, Phone ~~=~=AS ABANDONED FOR '$ 55.00
ANfijl8{5lalW=p1.iiII\l@9. . $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy(Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcbarges
4.1 Sl.mWlALOFABOVE I ~.3,c9
12% State Surcharge . C1 . Lf f.t;>
10% Administrative Fee <?~
5% Technology Fee J.I~I ~
TOTAL Shared Driv~:)IBuilding FonnsIElectrical pe,'!l~~'I-O~l
.'
S f::(L.V'/C...I; .
Ctf,wve'
,
Permits are non-transferable and expire i(work is
not started within 180 days of issuance or if work is
Suspended for 180 days. .' .
OWNER INSTALLATION
The installation isbeing made on property I own which
is not intended for sale, lease or. rent.
Own'ers Signature:
Inspection Request: 726-3769
I:,~" 967.. 7D'f ~
$117.00
$21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder-
$55.00
Insb.nation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps'
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
$ 48.00
;..}:~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00816
ISSUED: 06/2712008
APPLIED: 06/09/2008
EXPIRES: 03/2212009 .
VALUE: $ 6,000.00
225 'Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 475 OAKDALE AVE
ASSESSOR'S PARCEL No'.: 1703224202600
SPRINGFIETYPE OF WORK: Fonndation
TYPE OF USE: Addition
PROJECT DESCRIPTION: Fonndation for Moved Residence (previons address 1053 Harlow Rd)
Residential
Owner: BETZ GERALDINE A & MIKE.EV ANS
Address: 107IHARLO'w RD
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plnmbing
,I. CO~~~C~?~'~~~a~~~~~~~ut to
Contractor ;...v rple" adopted by the llf€@RS'eUtilitlExpiration Date
RIVER V ALLEY'~'..uiLDiRsj\\l';'cer. Those rUlset forth 04/15/2011
Iu ,. ,'n "",,-uu1eu01 0 through 52-001-
G & E ELECTRI9)'~~F You may obtain copies5o rules by 09/15/2009
MIDWA Y MECHA:N;1!ii~l{~~\ienter. (Note: t 1 ~hone 01/30/2009
ADH PLUMBINGtllllGber for the OreSlon Utilitj7Rlb1Jllcatinn 04/03/2009
I BUI\-liI~G:rNFWMxt~.
, '~'\I
Phone
541-760-7881
54Ic967-8627
541-928-2423
541-967-7686
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type":
# of Bedrooms:
4
LotSize:
Sq Ft 1st Floor:
'Sq'Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
'481'''
I DEVEL91'~tNFORM~~ \f 1\1\:: S MOl .
, 1\'11S PERMII ""'OER.l\'1IS PERl.1IIVOR REQUIRED PARKING
OvW\I~RI2EO UN -IS ~B~MOONEO Total: . 2
# srr~:;:'i iE." ~~U:O\\OO. 2. Handicapped:
Pav. lf6~\i)#\'{ pE Yes. Compact:
'Yo 0 Coverage: 11. 70
# of Stories: .
Height of Structure....
Type of Heat:
Water Type:
Range Type:.
Energy Path:
Sprinkled Building:
2
9,000
1,059
1,014
n/a
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
10.00
1,704.00
64.90
. 0.00
...
I PUBLIC IMPROVEMENTS..
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
DownspoutslOrains:
Curbside 5'
Curb and Gutter
Notes: Common driveway agreement needs to be recorded prior to issuance.
Paee.1 of4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00816
ISSUED: '06/27/2008
APPLIED: 0610912008
EXPIRES: 03/22/2009
VALUE: $ 6,000.00
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Deserintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
"Fpp,.',~
Fee Description Amount Paid Date Paid Receipt Number
+ 1 0% Administrative Fee $5.50 6/6/08 1200800000000000599.
+ 12% State Surcharge $6.60 6/6/08 1200800000000000599
+ 5% Technology Fee $2.75 6/6/08 1200800000000000599
Plan Review Residential $54,81 6/6/08 1200800000000000599
Temp Power 200 amps or less $55.00 6/6/08 1200800000000000599
+ 100/0 Administratjve Fee $8.43 6/27/08 1200800000000000711
+ 12% State Surcharge $10,)2 6/27/08 1200800000000000711
+ 5% Technology Fee $22,97 6/27/08 1200800000000000711
Addressing Assignment $35.00 6/27/08 1200800000000000711
Curbcut Permit $85.00 6/27/08 1200800000000000711
Foundation Permit $84.32 6/27/08 1200800000000000711
Plan Review Major - Planning '$205.00 6/2 7/08 1200800000000000711
Sidewalk Permit $85.00 6/27/08 1200800000000000711
+ 100/u Administrative Fee $8.30 . 9/22/08 1200800000000000986
+ 12% State Surcharge $9.96 '9/22/08 1200800000000000986
+ 5% Tecbnology Fee $4.15 9/22/08 1200800000000000986
Perm Serv/Fdr 201 to 400 amps $83.00 9/22/08 1200800000000000986
Total Amount Paid $765.91
I, Plan Reviews I
Initial Review
06/06/2008
06/09/2008
APP LLH
Fire Fees and Willamalane Fees do
not apply. Existing residence in
Springfield being moved to a
different location in Sp'ringfield,
Public Works Review
06/12/2008
06/12/2008
PND LKW
Need new site plan and recorded
common drive easement prior to
issuance. Talkcd to Greg Larkin
and informed him of tbese
requirements, but will not hold off
on review of plans, will route.
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726"3769 Inspection Line
,
PERMIT NO: COM2008-00816
ISSUED: 06/27/2008
APPLIED: 06/09/2008
EXPIRES: 03/22/2009
VALUE: $ 6,000.00
Status
Issued
Pnblic Works Review
06/0912008
06/1912008
10 LKW
Received common driveway
recorded easement on 6/18/2008.
Greg will be bringing in driveway
drawings showing dimensions for
the common driveway.
Planllint! Review
06/09/2008
06/24/2008
App TAJ
The first 18' of driveway needs to be
paved if Oakdale is a curb and
gutter street.
Public Works Review
06/2512008
. 06/25/2008
APP BRC
No SDC's calculated for this portion
of work. BC
Structural Review
06/0912008
06/25/2008
APP RWC
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.
UleolJired.Jnsnections I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are ercctcd but pri~r to pl~cement of concrete,
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
fou ndation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to t100r insuJation or decking.
Floor Insulation: Prior to decking.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter c10tb is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rougb Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including rcquired testing.
Water Line: Prior to tilling trencb and including reqnired testing.
Sanitary Sewer Line: Prior to filling trench and including required testing,
Storm Sewer Line: Prior to filling trench.
Final Plumbing: Wben all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Paee 3 of 4
_S~RINl!1!ffl.!..:I;;', ....
I .
I
I
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00816
ISSUED: 06/2712008
APPLIED: 06/09/2008
EXPIRES: 03/22/2009
VALUE: $ 6,000.00
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Mecbanical: Prior to Cover
Final Mechanical: Wben all mechanical work is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection. .
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
Electric Service: Approval req~ired prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do bereby certify that all
information hereon'is true and correct, aud 1 further certify that any and all work performed sball be.done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any strncture without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees wbo 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, th~t 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 Sig,nature
Date
.
~
Pa2c 4 of 4
225 Fifth Street
Spri~gfieid, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0081'6
COM2008-00816
COM2008-00816
COM2008-00816
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200800000000000986
Date: 09/22/2008
Description
Penn Serv/Fdr 20 I to 400 amps
.+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
G & E ELECTRIC INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1419
In Person
Payment Total:
Page I of I
,
9:21:I7AM
Amount Due
83.00
4.15
9.96
8.30
$105.41
Amount Paid
$105.41
$105.41
9/22/2008