HomeMy WebLinkAboutPermit Electrical 2008-11-14
Date
ZON 'N'-W
INITIALS ~ IM..
DATE\\ -\L\...-o l)
SOURCl\'{'.,.~~ I .
II -1 ?:,- 0 r
SPRINGFIELD
~-
225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (54t)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CJ( - 00 q L.f ~
1. II~I(jNj'oEJiNs7i}iti!fle\PioNr0ili!~!~
... . ~~~""~-"'7""",.",."".,.-"~ill~
3::l0.,C-j /'3:2LfI O~ '
LEGAL DESCRIPTION:
\/0-:;;) 3\ '3\ t)C\4c5'?
JOB DESCRIPTION:
~~~v_-lol
(p
Permits are non~tran~rerable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
!l1:;~$5H;0ii0AH$&g'P\'i!h1ct10t"~'r~0WlI~]'l"NrtY)j""+7-'T~7~~915
2 liceONT~eT.o.R'I~STADEATIO~:Q1Yl.::~
. aP<r'41mj6;jl"g'"mt;"*ft,'_""',,,,d*;j;0@'?")lsillillii~*'f:,"J"mwiJ'E!kJll(jQi\!a~rii.fui!$tiV~d1""',
Electrical Contractor AN h i ~. ~ I ufr I L . r:.n ( .
Address t c) . fJ,,,, X 2 'l( 2- /
City EV/.7 en~
Pbone (iW) (" ~(, n':t Y
Supervisor License Number '17'11./ S
Expiration Date / () - CJ / - 2 0/ 0
Constr. Contr. Number
is-{,t. 78
Expiration Date
(j -/'-(- 7-01/
Signature of Supervising Electrician
~;-C.-.
:7 __
Owners Name
//
/
Address
City
/
Pbone
/
/
OWNER INST~LATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
A. I~N1*:r~idilitliI~rsrfi1i.~~~1Mlfiti!Fr:iiNT~d'Wmi~t~
~';Hiil_,,,,",,,,:,,,,,,,,.,,,w'tJ1ii%jjjMhJ~;&~r;",""''''~'''''~''''''''''''"''"''_..b'-""n."_,,._Y'ftJt..-~.llt..'.-'m"".-~~~~
Service Included
/;;2 /. "" l5V
$.l-H'.OO ;Y/:J .
$~O' ;.?;),oV
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof ,
;:;
C
Eacb Manufact'd Home or '
Modular Dwelling Service or $5500
Feeder ATTENTION: Ore .'
fnf! I "gO.f! 12W reqUires VOII ~/\
B.
o - -0010 through O~8.<l 0 '"
200 Amps o~Jl You may obtain ConiAO gf'b11?r~7,-OOl-
201 Amps lfl~~'M~ center. (Note: the t~A!..PAf6e:<,uy
401 Amps to 600 ~At'he. Oregon Utility /I$1/~1\;@.qio"
er IS l-Buu-,,~;< :<34ill
601 Amps to 1000 Amps - ~(i10.00
Over 1000 AmpsNolts $413.00
Reconnect Only $ 55.00
c.
Installation, Alteration or Relocation
200 Amil~ RWl'sS $ 55.00
2011}1,Q;p~\tMoO Amli'~ I WMR
4011Mb~sij~IlMI:U~ALL EXPIR[ Ir ~\,[ $,110,00
. All RIZED DER THIS P[Rr.,IT I:, NUT
Ove, ~~~ili~IJiI'f.~.)-liiIh'!~i',:j,~:~
D. "iBifi1)!fI~~nili!f%]~:~~~~~Dii11~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48;00
$ 4.00
U$0J~qill~;;JE$!t;p:jip?W1lli:8iAhQ$i;j$ii!18-"'''fJ:,''tJ.:-N%4'*WKiX'(4:;jt00t!i~!:0!i4Ss<~0'#;;ii{hi.'"'#%;,~Fs!%'h'YE&~Uiim
E. ,M''!Cellaneousj(~~tY'c,!'\f~<!!;~:l!jl!lil!..El'l<!e<!);","I'!l"<;.h'Instij!!ation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. ,~L/, ~
. 8% State Surcharge if '-f ,6' IS
10% Administrative Fee sr7. qo
5% Technology Fee J 15;. 70 .
.:1/ ,r'
TOTAL ' JrI7L!,9
Shared Drive(f:)lBuiJding FonnslElectrical Permit Application 7-07.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00949
ISSUED: 08/08/2008
APPLIED: 06/30/2008
EXPIRES: 04/03/2009
VALUE: $ 385,000.00
SITE ADDRESS: 3239 Aster St 3241
ASSESSOR'S PARCEL NO.: 1702313109400
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex - Lot 6 Rakoczy Welker Subdivision
Owner: EMERALD FINANCE LLC
Address: 188 WEST B STREET
SPRINGFIELD OR 97477
Contractor License
OWNER. . utO
ROBS ELECTRIC INC ' leo,\..~5tffi');81Utilit'/
KEATING ENGINEERING ,Olego\'\ la~\'1e Olego\'\ tlo1tn
OWNER sr:;r: 'l"'\C:~\oO?teo 'o\e lUleS ~(e s~2_00"
RS PLUMBING CQ.~:rR:A'C.1;I~.qa(. ~~~'nuC)\'1l1lg~j,ules b'l
\:,(i~'B'uI~D1NG INF~RM1\Ti~le?\'1~~:;n
\\'\ ~ 'Iou ,,,-, 'e(. \"~'- 'Iit" \~ot\I\C
0090. ,'.0 ce\'\\ 0\'\ Uti " ^4\
cal\iil!;OFS't'f~SOleg _332-23.. ,,- 2
\,\U(li~i/iil\ 0 lS.tfQ~ 27.00
Tyf*e.lt eat: Wall Heat
. Water Type: Electric
RangeType: , . Electric
Energy Path: Path 1
Sprinkled Bnilding: No
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
20,00
5.00
5.00
35.00
0.00
I CONTRACTOR INFORMATION 1
2
R3
U
VB
6
Residential
Phone Nnmber: 541-729-2234
Phone Number: 541-687-9794
Expiration Date
Phone
08/14/2011
541-686-5444
541-242-0613
01/04/2010
541-461-4714
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,250
1,360
2,160
550
, DEVELOPMENT INFORMATION 1
, 'REQUIRED PARKING
Overlay Dist: f "t,,~Sl~~ 4
# Street Tre~'I~ "1.\. tf-?\?-t. ~~WI\1M'nh\Qa'pped:
Paved D~R . WI\i S"" 1~ \'<- ~act:
% of Lot ~~ ;t~\-z.t.U U~Ut.~ ~t3f...~UUto\t.U
~\)i'r\5? U Q~ \S
.- ,,,~HC"\~t t::i'\t'L
I PUBLIC IMPRO\'~~'l\"Sf~ r _
Sidewalk Type:
Page 1 of 4
Status
Issued
225 Fifth St'reet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line,
Description
Tvoe of Construction
V Wood Frame
Garage
DweIIines
Garae:e
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family
,Addressing Assigoment
Building Permit
Curbcut Permit
Dryer Vent'
Exhaust Ho'ods
'Fire SF Fee - Residential
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer -,Reimburs'ement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin'
SDC Transpo Improvement
SDCTranspo Reimbursement
SDC Transportation Admin
Sidewalk Permit '
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiIlamalaneAttached (duplex)
+ 10% Administrative Fee
+ 12% State,'Surcharge
+ 5% Technology Fee
Overwidth Application Fee
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Widng Ea Addtl 500
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00949
ISSUED: 08/08/2008
APPLIED: 06/3012008
EXPIRES: 04/03/2009
VALUE: $ 385,000.00
I V ~Iu~tio~ I)~~,c~iqtion I
$ Per Sq Ft
'or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
3,520.00
550.00
Value
Date Calculated
$369,600.00
$15,400.00
$385,000.00
06/3012008
06/30/2008
. Total Value of Project
FpP.P~irl 1
Amount Paid
$1,068.04
$40.00
'$252.36
$278.42
$134.76
$560.00
$70.00
$1,643.14 '
$85.00
$14.00
$20.00
$203.50
$205.00
$883.54
$1,161.94 '
$10.00
$2,01834
$195.80
$223.54
$1,777.96
$403.08
$154.40
$85.00
$1,110.20
$55.00
$28.00
$5,452.00
$37.40
$44.88
$19.20
$40.00
$-30.00
$242.00
$132.00
\
Date Paid
Receipt Number'
6/30/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08 '
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
11/14/08
11114/08
11114/08
11/14/08
11114/08
11114/08
11/14/08 '
2200800000000000991
1200800000000000853
1200800000000000853 '
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000000853
1200800000000001136
1200800000000001136
1200800000000001136
1200800000000001136
1200800000000001136
1200800000000001136
1200800000000001136
Paee 2 of 4
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00949
ISSUED: 08/08/2008
APPLIED: 06/30/2008
EXPIRES: 04/03/2009
VALUE: ' $ 385,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$18,618.50
I Plan Reviews 1
Initial Review
06/30/2008
06/30/2008
APP LLH
Public Works Review
06/30/2008
07/07/2008
APP LKW
Storm to curb & gutters, fifty
percent of non-roof impervious
runoff is required to be directed
through the vegetated treatment
system.
Structural Review
06/30/2008
07/14/2008
WE CJC
Waiting for firewall and structural
revisions- Truss docs fec'd. 7-18
Firewall Details Rec'd 7/28
Plannine: Review
06/30/2008
07/29/2008
APP T AJ
Survey required because of
minimum side setbacks.
StructuralReview
08/01/2008
08/01/2008
APP CJC
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.JleouirecUnsnections I.
Sidewalk' Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard:, After forms are erected but prior to placement of concrete.
Erosion/GradingInspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and cail for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to ~oncrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Pri(j"r 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 Insnlation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
Page 3 of 4.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00949
ISSUED: 08/08/2008
APPLIED: 06/30/2008
EXPIRES: 04/03/2009
VALUE: $ 385,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill.
Underlloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
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: Approval required 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 tbe 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 aU required inspections are requested althe proper time, that each address is readable from the
stniet, 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.' I
Owner o-r Contracto~s'Signature
Date
Page 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00949
COM2008-00949
COM2008-00949
COM2008-00949
COM2008-00949
COM2008-00949
COM2008-00949
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 10% Administrative Fee
Overwidth Application Fee
PW Disc - 2nd Permit
+ 5% Technology Fee
Payments:
Type of PaYlJlent 'Paid By
Check
cReceintl
MATTHEW OLSEN
CONSTRUCTION
City of Springfield Official Receipt
. Development Services Department
Public Works Department
1200800000000001136
Date: 11/14/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
7527
In Person
Payment Total:
,
"
Page 1 of 1
9:29:33AM
Amount (}ue
242.00
132.00
44.88
37.40
40.00
(30.00)
19.20
$485.48
Amount Paid
$485.48
$485.48
..----
II II 4/2008