The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-10-9 ZON '~y , INITIAL~ DATE ~~C\.oq, SOURCE . ~ l O~O'6'- O~ 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX: (541)726-3689 ELECTIUC# PERMIT APPLICATION City Job Number( 'fTYV1m~ - m6'Sh 1. 'ltJJ;t{jGA'1fjQ'1'{jF}iNSTA'i:!i!ATiON1r~~ 3. 51?:'5:~~~~~-~~ Date LEGAL DESCRIPTION: \ 'is 0'2.-0<-t 140 I 2...1 L.f JOB DESCRIPTION: ~~.'. .,' ..)7,;".;q&4~Vi4~i;"";~'7"~~ti%~1Vpi''''''1>Il''~='i''*r''''!l~*%~fim0W'~li0J'Jjj_~. A. t~N~!!~!!~~@!~f!t~~^,~g!!~g:f1j~,~!~J~WJ!!~YdiR~8~~Ul9g~~l!j~;"" " Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Service Iocluded 1000 sq. ft. or less Each additional500,sq. ft. or portion thereof Each'Manufact'd Home or Modular Dwelling Service or ' Feeder ) $1\7.00 117 c tJT:l 'if''I ' u:: '~ L/ $21.00 $55.00 '1'01!jje'("llW~ti~-:;Y'iG""\'~-:":""-":~"'-:~")W'iliiiiid'rWj)iC':J':>.'I(lU~l\Wlfu;J'1t"jf~"'ii0iiill "CONFJtAd1:7iR1lNSTXIfmilftoMQNFfFi- 2 " 'i!r1ij!.~0w*h~""'''0''",1'''0<".,.'~::$10Nt'4hi'1)~&i'3-'''1i-'''U'''~''i:?i"",c;;""""".i#.lI ~leCtriCal~on=ctor J~,~/ h~(ij~ r~~'aC1 200 Amps or less ( '20 I Amps to 400, Amps Address 191/)''1' h/2A/'l/I 12.b 401 Amps to 600 Amps 601 Amps to 1000 Amps City ~ ,u?1 /Ckt.. Phone (C; O?,) ~ =5 A 0411 Over 1000 Amps;'V olts , Reconnect Only B. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Supervisor Liceose Number .:; 4'P?f') s C. / 0 ! / / / () Installation, Alieration or Reloc~tion 200 Amps or less Constr. Contr. Numher I C; .:j.~ &-;> .<{ 201 Amps to 400 Amps / /n /t2 -d" //D 401 Amps to 600 Amps Expiration Date u /, - r Over 600 ASignatur~' ~e Of/:~erv iS~2 '_~. D. New Alteration or Extension Per Panel . """ rf/ r.; (, / One Circuit $ 48.00 ~ Each A"!IlIi!i<!-"",,irUliit OJ: with . , ~ ' '" ..,.,.Uf... v,\l,yOlr raw reqUires y...., """0 O Serv!l;e! or~eedCl' Remllt d . c~ "-" OwnersName( :.f('()4-oV ,Y . .',.; '~':~~~~~I",e,bytheulegonUtility Address 57;}..;;). . ~ I r1 01-' lA:u 1 E. ~ ':~. "" ay 0 aln cop'ies of the rul .8 h City ~ jJ)~ ()7 flhone. Pump:o~lrrngatIorCenter. (Note: tho tolpn~J55.~O U - , sigrJlllMi'tgtilin-gOregon Utilitv Notii;ca$,~~.OO OWNER IN~'bkTION Limited EnefJ7It~~ilreJii.qPO-332-2344). $ 28.00 IlUTIu1:; The installatijlpIi8qe~1W1IP'59WP[ePtJ1Nr~:w,~if.!t WORK Limited Energy/Commercial $ 50.00 is not intend'A\f~'h~'ll'l:"De l%fD'ttrl TH! S PEH [Vi iT I S N~rnimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Sign~1MENCED OR IS ABANDONED FOR 4. dO { . c"J"Cl ANY 180 DAY PERIOD. 8% State Surcharge t.O ' OS 10% Administrative Fee .:;;:;'-1 . I 2- 5% Technology I'ee ~6 . I IJ TOTAL, d 55 .';)7 . Shared J?rive(f:)/Building FormslElectrical Permit Application 7-07.doc Expiration Date $ 55.00 $ 76.00 SlIO.OO Inspection Request: 726-3769 IAI .J( y\ Y" , ~- 0"O~ If' f Building/Combination Permit PERMIT NO: COM2008-00856 ISSUED: 07/16/2008 APPLIED: 06/13/2008 EXPIRES: 02/25/2009 VALUE: $ 281,785.00 Status Issued CITY OF SPRINGFIELD " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5722 Peridot Way ASSESSOR'S PARCEL NO.: 1802041401214 Springfield TYPE:OF WORK: Single Family Residence TYPE!OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: Address: Phone Number: 541-736-3873 SAMUEL. PAZ 4127 VIRGINIA A V , SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor License ADW LLC 172229 VALLEY ELECTRIC CO, LLC 15364 RONS HEATlNqAND AIR CONDITIONING 169680 WEST COAST PLUMBING CONTRACTORS 168880 BUILDING INFORMATION,) , Expiration Date 09/22/2008 10/24/2010 04/20/2009 03/03/2010 Phone 541-683-3279 503-838-0447 541..343-6829 541-926-5300 # of Units: I # of Stories: 2 Lot Size: 7,628 Primary Occupancy Group: R-3 Height of Structure 26,00 Sq Ft I st Floor: 1,617 Secondary Occupancy Group: U Type of Heat: Electric Sq Ft 2nd Floor: 960 Primary Construction Type, VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 400 # of Bedrooms: 3 Energy Path: Path I Sq Ft Other: Sprinkled Building: ,No Occupant Load: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REQUlRED PARKING 18,00 Overlay Dist: Total: '7.00 # Street Trees Rqd: 2 Handicapped: ATTENTIO'" nrenorllo"I'~~"i'.- "''" 'n "7.00 'C'. .'. ,Paved'Drive.Rgd:NOTICE' Yes Compact: follow rule"-yl~ptel1 by tl'O' \.,J. ''';J,'.,' 'l;!lll\l ,,' Nolification ~~~~er. Th(J<>e iJ?8~.f:~gt!:~fr6r[W' THIS PERMlt3S\!lALL EXPIRE IF THE WORK in OAR 952,uul.Q010 thrcuqr (:N~ 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT UU80.. YOU may OIJ"- puiiii6MPRO'YEMENisl "~MENCED OR IS ABANDONED FOR calling the center. I." 'd . -, d." ." ~' . Street Improvements: number for thel Ol,eqon U'liily ['.loliliclltion "" 18~~~Xa~~~t~P:. . ., CenIW'I~ ,'!'jlf8,:,ej.2.2344). , ' , CurbSIde 7 Storm Sewer Available:' Yes ,Downspouts/Drai~s: Curb and Gutter Special Instruction: 2 Notes: Stormwater to curb Page I of 4 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descrivtion Tvpe of Construction Dwellines Garaee V Wood Frame, Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Fire SF Fee - Residential Fireplace (Listed) Minimum/Adjustment Mechanical Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDe MWMC Administration SDC MWMC Improvement SDC MWMC Reimhursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Temp Power 200 amps or less Willamalane Single Family + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid i I' 1 j CITY OF SPRINGFIELD 'I I B~ilding/Combination Permit PERMlT NO: COM2008-00856 ISSUED: 07/16/2008 APPLIED: 06/13/2008 EXPIRES: 02/25/2009 V A'LUE: $ 281,785,00 I V~,h-,3tion Descrintion , 11111 $ per Sq Ft or multiplier $105.00 $28,00 Square Footage or Bid Amount 2,577.00 400,00 Value' Date Calculated $270,585,00 $11,200.00 , $281,785,00 06/13/2008 06/13/2008 Total Value of Project ~ Amount Paid $828.36 $20.00 , $211.63 $236.09 $108,62 ,$337.00 $35.00 $7.00 $1,274.40' $148,85 $17.00 $26,00 $205,00 $11 7.00 $84.00 $50.00 $591.72 $778.17 $10.00 $990.39 $95.35 $154.29 $862.25 $195.48 $69,98 ' $962,11 $55.00 $2,513.00 $20.10 $24.12 $10.05 $11 7,00 $84.00 $11,238.96 Date Paid Receipt Number 6/13/08 7/16/08 7/16/08 '7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 'I 7/16/08, \ 7/16/08 7/16/08 :, 7/16/08 7/16/08 7/16/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 1200800000000000650 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 ' 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786, 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 1200800000000000786 2200800000000001489 2200800000000001489 2200800000000001489 2200800000000001489 2200800000000001489 Paee 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00856 ISSUED: 07/16/2008 APPLIED: 06/1312008 EXPIRES: 02125/2009 VALUE: $ 281,785.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews , Initial Review 06/13/2008 06/13/2008 APP NJM Structural-Review 06113/2008 06/13/2008 APP C)C Public Works Review 06/13/2008 06/17/2008 APP LKW Stormwater to curb Plannin2 Review 0611312008 07/1112008 APP EMM 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. Rpnllirprll'\1rprtion~ ~ 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 -Curbside: After forms are erected but prior to placement of concrete, ' Ufer Electrical Ground: Instali ground rod at footing and call for inspection in conjunction with footing and/or . fc:mndation inspection. Footing:- After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Posland Beam: Prior to floor insulation or decking, Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with tinish materials, Framing Inspection: Prior to cover arid 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. Rough Plumbing: Prior to cover and inclnding required testing. Water Line: Prior to tilling trench and including required testing, Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to tilling trench. Pace 3 of 4 CITY OF SPRIN(jJ:<lELD Status , Issued Building/Combination Permit PERMIT NO: COM2008-00856 ISSUED: 07/16/2008 APPLIED: 06/13/2008 EXPIRES: 02/25/2009 VALUE: $ 281,785.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all.plumbing work is complete. 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: Approvalrequired prior to utility company energizing service. Final Electric: When all electrical work is complete, 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 Paee 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00856 COM2008-00856 COM2008-00856 COM2008-00856 COM2008-00856 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 10/08/2008 2:17:J8PM 2200800000000001489 Description Residence Wiring 1000 Sq Ft, Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 117.00 84.00 10.05 24.12 20.10 $255.27 Paid By JEFFREY LANDAUER Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid n)m 000017 In Person Payment Total: $255,27 $255.27 Page 1 of 1 10/8/2008