HomeMy WebLinkAboutPermit Electrical 2010-4-2
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477.PH(541)726-375HFAX(541)726-3689
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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
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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:
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440-2584-J (9/08/COM)
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,Numberof.inspectio'ris'pedtein:O, ,.{ 'Qty: .:':t~e~?~ ':' {,,':C_05(, t.:
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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,':, )
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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
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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
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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
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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.
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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.
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, ,), i Paee 3 of 4
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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. . ,<,.
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Owner or Contractors Signature
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Paee 4 of 4
4- -v-'Zo I 0
Date
225.F,ifth -Street
J,
Sprmgfield, Oregon 97477
541-726-3759 Phone
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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
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cReceiptJ
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