Loading...
HomeMy WebLinkAboutPermit Electrical 2010-4-2 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477.PH(541)726-375HFAX(541)726-3689 ~', ~,J '., I. ',_ H;,,' .". . ;', .'",.', . _ . ,. ". DE~c~~TMENtUSEONL y Pennitno.:C:/O - ;90 Date: '--I 'J- / c) This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wurk is not started within 180 days of issuance or if work is suspended for 180 days. . "E()CAL:"GOVERNMENT;;AeI"ROVAEW";2~'fi').';1!: Zoning approval verified? 0 Yes 0 No ;~';:?lY,.),:icATEGORYiY,OF~C()NSTRUCTI()N",lY"';.', ",: /' o Residential D Government D Commercial ~~~;fJ()BjjiSr1iE~INF()RI\IIATIQN1:ANDTh!Il'().cATI()N~~,~f;f! Job site address: 25 'i' I /J,) (,;-n--\ -;: "\ City: <; (:u) ZIP: Cj1 V(ll Reference: Name: E-mail: CCB license no,: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ ~~.~ Oz,."O ~\Q ~~~~ ~~ 440-2584-J (9/08/COM) oo.! ~~~~~~!~~~'~~~~6E~~S~HEp~~~t~~~~?~~~~~~~ .. '.' - ." :. '," .' - "".' . .';." "'- ': ..-'- -- -.;"~ ': ',: Cost " . 'Total ,Numberof.inspectio'ris'pedtein:O, ,.{ 'Qty: .:':t~e~?~ ':' {,,':C_05(, t.: ~..":~,, ~,:1, '. ,:''';.'' .: _ ,-' ,'::',.' i;;-:'\c'- Jf," ,'''' ""l_~' ~. ,~;$';'"._ . . ."_- Residential, per unit, service included: 1,000 sq, ft, or less (4) ! $134,00 $ I ]L( Each additional 500 sq, ft, or portion '3 $ 25,00 $ ')) thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ " 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation. alteration. relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600' amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6,00 $ b. Fee for branch circuits without purchase of a service or fe.eder fee: First branch circuit (2) $ 55,00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~~~~&1~~1j~t~~~~ir;A-~,eiJft~ANT~n$'El;l~{1f;:::~kt:i~i\l~a~~El;r,::~-:; (A) Enter subtotal of above fees '. . (Minimum Permit Fee $58.00) $')..:JI (B) Enter 12% surcharge (,12 x [A]) $ 2. S-DI; (C) Technology Fee (5% of [A]) $ lei}!) TOTAL fees and surcharges (A tbrougb C): $ 7--'1'1,':, ) ,'; , CITY OF SPRINGFIELD Building/Combination Permit I." . Status Deferred Payment Agreement 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00190 ISSUED: APPLIED: EXPIRES: VALUE: 02/1112010 09/30/2010 $ 201,233.00 SITE ADDRESS: 2591 16TH ST ASSESSO'R'S PARCEL NO'.: 1703243103300 Springfield TYPE O'F W<?RK: Single Family Residence TYPE O'F USE: New Residential PRO'JECT DESCRIPTlO'N: New Single Family Dwelling, lot 8 Legacy Estates ************DPA************* O'wner: RICK PRO'DEN Address: 3287 16TH STREET SPRINGFIELD O'R 97477 Phone Number: 541-746-0064 Contractor Type General Mechanical Plumbing ..~... \~',r.1 reOl\\~e:s. yv:~1.;~~,/ AI r;C0NT ACTO'R,INFO,RMAiPIOI\t th , Ilel"J r'.""'" c'_" '''-hose ru ~, 0' . 001 ,0 ' . 'c ter: '" ~.1'l952- - . . Contra ctor Noti;ica:IO~ ~~_0010 through qe~C&'M!es byExptratlOn Date PRODEN HOMi1'iS)AR 952.-0 obtain copies qJ; iftlphone 03/02/2012 COMFORT FL<llW~~I~gb<f~)r. (Not~~.i~'11bti1ication 06/27/2011 CHAPIN ENTERPJi'iSES" Ahe Oreg?~ 0~_' ',' 05/06/2010 m NFORMATlON Phone 541-746-0064 541-726-0100 541-485-1146 3 # of Stories: ' 2 Height of Structure Type of Heat: Forced Air Gas W'ater Type: , Gas Range Type,: Gas Energy'Path: Sprin~le~ Building: No . Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,740 1,277 645 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 U VB 401 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 16.00 11.00 50.00 10.50 - un" DEV,El,Ql? E IRMA S NOT ,iJT\-\ORlZED UNDIE!'ABAN;~NED FOR ~OMMlq.yol:.tl!Ya:Rs .:0 y 1 &~~rAvt fI]!f!\00Jq d: l\N Paved Drive Rqd: 'Y~of Lot Coverage: 1l~11":;''1"...... I . 2 Yes 21.70 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Speciallnstrnction: I PUBL,IC IMPROVEMENTS i Fully Improved Yes Storm water to curb via weep hole Sidewalk Type: Downsponts/Drains: Cnrbside 7' Cnrb and Gutter Notes: Paee I of 4 CITY OF SPRINGFIELD Building/Combination Permit ":'< PERMIT NO: COM2010-00190 ISSUED: APPLIED: EXPIRES: VALUE: Status Deferred Payment Agreement 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriution Tv De of Construction Garaee/Misc SFffiuDlex U VB Utility R-3 VB 1&2 Familv Fee Description SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid 02/11/2010 09/30/2010 $ 201,233.00 . ",' -.-.... -; , I Valuation Description ~ $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 401.00 1,922.00 Value Date Calculated Total Value of Project $15,125.72 $186,107.26 $201,232.98 02/11/2010 02/1l/20 1 0 ~ Amount Paid' Date Paid Receipt Number $10.00 $22.63 $1,333.57 $101.97, $25.08 . ' $10.45' $134.00' $75.00 2/23/10 2/23/10 2/23/10 2/23/10 412/1 0 4/2/10 412/10 4/2/10 1201000000000000166 1201000000000000166 1201000000000000166 1201000000000000166 2201000000000000317 2201000000000000317 2201000000000000317 2201000000000000317 $1,712.70 I Plan Reviews l Initial Review 02/16/2010 02/16/2010 APP LLH Plannine Review 02/16/2010 02/19/2010 APP DDK DEFERRED PAYMENT AGREEMENT. Structural Review 02/16/2010 02/19/2010 APP CJC As noted on plans Public Works Review 02/1912010 02/22/2010 APP LKW LDAP fee is $472.50 to be included in DPA. Storm water to curb via weep hole 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 bemade the following work day. l' 1 ~erillirerU.nsnections , 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. Final Mechanical: When all mechanical work is complete. Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726_3769 Inspection Line PERMIT NO: COM2010-00190 ISSUED: APPLIED: EXPIRES: VALUE: 02/11/2010 09/30/2010 $ 201,233.00 Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover . .-:f.<~' ~ i,l'U Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. , Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Shear Wall Nailing: Before covering sheathing with finish materials. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. .:' p~' ~ ~; Perimeter Foundation Drains: After graveland'filte~ c10tb is installed but prior to backfill. Undertloor Plumbing: Prior to insulation o~, d~cking. Underfloor Drain: Prior to cover or placement of concrete. Rongh Plumbing: Prior to cover and inclnding reqnired testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor 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. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. ~'(, ; '~.::;> .' "t-~l' . 1 . i . . , ,), i Paee 3 of 4 . i.l~!' Status Deferred Payment Agreement 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: COM20]0-00190 ISSUED: APPLIED: EXPIRES: VALUE: 02/11/2010 09/30/2010 $ 20],233,00 By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne 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. . ,<,. -11 \ r t <{1/--- i IV Owner or Contractors Signature , ~ ~. . ' Paee 4 of 4 4- -v-'Zo I 0 Date 225.F,ifth -Street J, Sprmgfield, Oregon 97477 541-726-3759 Phone tU;t~~"~~"~[ji ....em............. ~; :.... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000317 Date: 04/02/2010 1:10:03PM Paid By RICK PROD EN Item Total: Check Number Authorization Received'By, Batch Number Number How Received Amount Due 134.00 75.00 25.08 ]0.45 $244.53 Job/Journal Number COM2010-00190 COM2010-00l90 COM2010-00190 COM20 I 0-00 190 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + ]2% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid cjc 00594c In Person Payment Total: $244.53 $244.53 'i' . I,' ',,,, 'I.. .." _. .'. eye ..,1 ':. ... .."., i:;:); cReceiptJ Page 1 of 1 4/2/20 I 0