HomeMy WebLinkAboutPermit Electrical 2008-11-12
Date
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INI11ALS N~
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<:ITY OF SPRINGFIELD, OREGON ,
, ,I '
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(S4I)72~J7SJ . FAX: (S4t)72~J689
ELECTRICAL PERMIT APPLICATION
City Job Number CrxY\7rvrY7 .....0 \ -.::>. 'A"'l
'~
200 Amps or less S 50.00
201 Ampstbr400~i>s S69.00
40 I Amps to(iQOrA!w.~1IT S H A LI FXP I R F W-lJI:H\9 WD R K
Over600Ari.pJ-bPi'rJii'o:voia~fBfIl\lSvRERMIT IS NOT
D.,jj~~~rlfiil.ifNCS();OR~IS' ABANDONED:FOR .
New Altera~on t~~IQh.\ii~JPPdnel
OiIe Circuit
, ~~ Each Additional Circuit or with
Owners ~ame ~ ~wfuv ~ I)/YJ n' ~ Servi~ ~r F~er Permit S 3.00, .'
: Adw-esAb ~O7-' ~ ?:7 ' J. 'MiseeU;;;;~iu,(SerVieetfeeder not Indnd~) -ElIeh. Iostaibi~?[~
City~~~
OWNER INSTALLATION
I. LOCATION OF INSTALLATION:
4 g-:s LY Pt- :S '(
LEGAL DESCRIPTION:
,., n~ ,'<,'::l. Lt ( em C\ lTD
JOB DESCRIPTION:
~/
Permits are non-transferable and expire if work is
not started within 180 days ofissnance or if work is
Suspended for 180 days.
2.
CONTRAC1'ORINSTALLATION ONLY
Electrieal Contractor Il / t: r f [ / ~L-J r i L....L" L-
Address
/970
tV z..~-rt.. .sr.
City :Jpn',,".-f;<.icl
Phone '.0I1-7Y7-lZI]
, Supervisor License Number
Sot;). <;
Expiration Date
/0- 1- 20/0
Constr. Contr. Number
/'l.77;:),
Expiration Date
,) -~.;l. - 'D "7
Phone
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. ,COMPLEl'E FEESCHEDULE BEWW
A. New Resldential- Single or Multi-Family per dweUing nnlt. "
Service Induded
1000 sq, fl or less
Each additional 500 sq, fl or
portion thereof
Each Manufact'd Home or
Modular Dwelling Servi~ or
Feeder
1';).1. "" /",/ c;--Q
SW6:OO d-'
'd--:;' , ""\ '"' 0"
$-t9:OO d cA .
/
/
S50.oo
B. Serviees "'r Feeders - Installation, Alterations or ReloCation:' \1i
. .. .. ;.. ..;.~, ..:.0
200 Amp~fTfflr S 63.00
201 Am ,In 400 12~: Oregon law requlr'$'7'&llbto
'~ITDvnure-,,~dopted by t1-,0 C, ~>l.qi;\JJ,ljjiiy
401 An1iI~!Pi~~~nter, Thai>(' ..d~: ~It'Sill't'6r:I-.
601 Anijl.Qo\fOOO:AJnpS-001 0 lhrouah O~f$tM901-
Over l(\ll@~~WOljgY obtain. copies of t~$ll~lOO bv
ReconnecHlHly:;J the center, (Note: the tel$J~,OQe
number tor the Oregon Utility l\iotifica'tion
C. ffiie~~~ry;~,~~ro~Fi.~dl,'h332-f3~4);;,. ",
InstaUatioD, Alteration or Relocation
$43.00
Pump or irrigation S 50.00
Sign/Outline Lighting S 50,00 .
Limited EnergylResidential (is"JiQ'-' 01 q . o-V
Limited Energy/Commercial S 45.00
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
,l/~ .fJO
9-.D, L. <-f
lrI',~
F?". iN>
~ \ 8"'. 4Lf
4. SUBTOTAL OF ABOVE '
8% State Surc~e
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:yauilding FonnsIElectrica1 Permit Application S-06.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01222
ISSUED: 06/25/2008
APPLIED: 08/17/2007
EXPIRES: 04/15/2009
VALUE: $ 136,475.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 [nspection Line
SITE ADDRESS: 4854 A ST
ASSESSOR'S PARCEL NO.: 1702324100900
SPRINGFIETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
_. _. i ,...,u_....,..,n 1.ow rPQllires you to
I PUBLIC IMPROV.EMEN~I~j; '~dop{ed by the Oregon ~~~~ih
, \'1 ,,' Ie ntp!, Those rules are se
Noliflcatlon e s,dewD1k ;r,y,pe;)AR 952-001-
, OAR9')2,OOHr\J,vln'~~," I b
m . . t 'n Nmip" of the ru es Y
Storm Sewer Available: 0090 You may CD'OWnspoutslDrains:rJilOne
S 'II . ... h entc'r (Note: tne It"""
pee.. nstructlOn: callmg \, e c ,', , . .'\,. Notification
mber for the Or8\10" vd ,'Y ,
nu . ~,","" ""J';LQ':!4irL
N All t d. . . ("D~ln l<"h1~hlJu.0'-'I'd-";' I f h' .
otes: S orm an samtary sewer connections are to pnvate systems.J uc'to t e unusua eSlgn 0 t e pnvate sanitary
system, City Maintenance will not accept responsibility for the non-standard connection.
Owner: SPFD EUGENE HABITAT FOR HUMANITY
Address: PO BOX 488
SPRINGFIELD OR 97477
. I CONTRACTOR INFORMA~ION I
Contractor Type
Electrical
Plumbing
Contractor License
ALE~~RIC INC 12772
SPECtf1':t! UUll'\lIij~@. ~~~R~~~.~:FWI1l~~74
AUTHORIZEr \ LtliiiLBlN€NNF0RMATlON I
- "n r'
COMMENCED UK "I-\[jl-\I~UUI'~LJ I v..
ANY 1 dO DAY PER\@!)5tories:
R-':i Height of Structure
, TYpe of .J:Ieat: ,
," ._",.v,....,.~'....,
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of B~drooms:
VB
2
25.00
Electric
Electric
Electric
Path I
nla
3
r DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
4.00
3.00
16.00
13.00
Overlay mst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Page I of 4
Phone Number: 541-741-1707
Expiration .Date
05/2212009
11121/2009
Phone
541-747-2213
541-686-4191
Lot Size: 6,534
Sq Ft 1st Floor: 662
Sq Ft 2nd Floor: 663
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING,
I
Total:
Handicapped:
Compact:
2
Status' Issued
225 Fifth Street, Springlield;OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwelline:s
V Wood Frame
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 Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
MinimumlAdjustment Mechanical
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary.Sewer - Reitnbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDCTranspo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Plan'ReviewlResidential Honrly
Plan Review/Residential Hourly
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee,
Low Voltage - Residential
Residence Wiring, 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01222
ISSUED: 0612512008
APPLIED: 08/1712007'
EXPIRES: 04/1512009
VALUE: $ 136,475.00
,I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
1,325.00
Value
Date Calculated
Total Value of Project
$136,475.00
$136,475.00
08/17/2007
ppp~, P:'1irl ,
Amount Paid
Date Paid
Receipt Number
$490.95
$40.00
$120.66
$136.84 .
$67.27
$280.00
$35.00
$755.30 '
$7.00
$10.00
$66.25
$19.00
$205.00
$346.87
$456,17
$10.00
$990.39
$95.35
$94.81
$862.25
$195.48
$77.53
$490.31
$55.00
. $14.00
$2,303.00
$50.00
$50.00
$17.20
$20.64
$8.60
$29;00
$121.00
$22.00
8/17/07
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6/25/08
6125108
6125/08
6/25/08
6/25/08
6/25108
6/25/08
6/25/08
6/25/08
6125108
6125/08
6125/08
6/25/08
6/25108
7/15/08
7/17/08
11112108
11/12/08
11/12108
11/12/08
11112/08
11/12/08
2200700000000001303
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000693
1200800000000000779
1200800000000000789
2200800000000001629
2200800000000001629'
2200800000000001629
2200800000000001629
2200800000000001629
2200800000000001629
$8,542.87
Pae:e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine: Review
Structural Review
Stl"Uctural Review
Public Works Review
Planninl! Review
08/20/2007
I Plan Reviews I
08/20/2007 APP NJM
CITY OF SPIUNGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01222
ISSUED: 06/25/2008
APPLIED: 08/17/2007
EXPIRES: 04/15/2009
VALUE: $ 136,475.00
Waiting until Plat is recorded and
recorded copies returned to
Planning. I told Roddy Toyota this
on 8/23/07.
Forwarded to Shawn Eaton with the
Building Department for review
under contract with the City of
Springlield.
Plans reviewed by Shawn Eaton,
with the Building Department under
contract with the City of Springfield.
All storm and sanitary sewer
connections are to private systems.
Due to the unusual design of the
private sanitary system, City
Maintenance will not accept
responsibility for the non-standard
connection.
Street tree to be located in the front
yard of the lot.
This meets cluster subdivision
design standards, coverage and
setbacks.
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.
08120/2007
08/24/2007
WE TAJ
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: ,After forms are erected but prior to concrete placement.
Post and Beam: Prior to l100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Page 3 of4
08120/2007
09/1 0/2007
IO LLH
09/1012007
09/13/2007
APP LLH
08/20/2007
05/14/2008
APP TSS
06/1212008
06/12/2008
APP T AJ
I Rr?"irp<j In~~?,~rtiw~
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01222
ISSUED: 06/25/2008
APPLIED: 08/17/2007
EXPIRES: 04/15/2009
VALUE: $ 136,475.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726'3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
\ .
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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 including required testing.
Water Line: Prior to filling trench and includ;'ng required testing.
'Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to IiIling 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: Approva~ required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
, Low Voltage: 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 permissio'n 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 ~uring construction.
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477,
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -01222
COM2007-0 1222
COM2007-0 1222
COM2007-01222
COM2007-0 1222
COM2007-01222
Payments:
. Type of Payment
Check
cRcceintl
RECEIPT #:
2200800000000001629
Date: 11/12/2008
Description
Residence Wiring 1000 Sq Ft
Low Voltage - Residential
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SPRFLD-EUGENE HABITAT
FOR HUMANITY
Item Total:
Check Number Authorization
Receive~, By Batch Number Number How Received
njn 1718 In Person
Payment Total:
Page lof I
8:09:54AM
Amount Due
12100
29,00
22,00
8,60
20,64
17,20
$218.44
Amount Paid
$218.44
$218.44
11/1212008