HomeMy WebLinkAboutPermit Electrical 2007-6-27
I " ~}
ZON \....-.(j~.
INITIALS t\J ,'.....'\
DATE l - L - L l
SOURCE III " ;'{i _-
Date ~/?7-07
COllfPLETE FEE SCHEDL~ BELO'W
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM ?.-a-o 7- 0- ~ b 7 X
1. LOC4TION OF INSTALLATION: A- ~\;t 3.
, I
r'.... -; 3 - . C. -:? "7
~v _ (" L 5'- cJj"R/}JG~JIZ"{,Zl
,
LEGAL DESCRIPTION:
170 325'-t '3
01 bO a
JOB DESCRIPTION:
A-~LJ\..
I.-if ! ~
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
I
$106.00
lOb
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$ 19.00
Permits are non-transferable and expire if work is E~C.b Viiact'd Home or
not started within 180 days of issuance or if work is 'II t~~~a un~~ng Service or $50 00
Suspended for 180 days. Ot0g0~ \0: \\\0 Qt is0\ \0'\ .
~~~.. ~eO '0'1 t\l\eS e.t~~o ..
2 CONTRACTOR INSTA(1JJJ'Jff~'!!!fJ'-r.\\OS0 ~ ~~~Q:Ii;~eders - Installation, Alterations or Relocation:
. \ ~\Q'Jf . C0t\~Q~~\"tO. O\~. ~O~e
Electrical Contractor '~LLE (.~~~~~\~~~~ ~~\~~~ $ 63.00
. ~ \f\;p\). ,<ou ce\\\e<;e90n \')'2~~ to 400 Amps $ 75.00
Address ( / 1 tJ / G~~~e.O \_e()()'~~%l Amps to 600 Amps $125.00
{\O\i\tl~1 C~(\\et \;) 601 Amps to 1000 Amps $163.00
Phone 97_=5 b / Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Expiration Date it) / I / a ( Installation, Alteration or Relocation
, I 200~less $ 50.00
Constr. Contr. Number / 5 -:s :2c, -4 \x2W\~ ~~OO Amps $ 69.00
~ tI--?\~t. ~A~, s to 600 Amps $100.00
Expiration Date _JI) 1~4:. . ~\-\~\..\._-'fU~S? ~~:n d\~A 1000 V 1 "B" b
/ \<\ ~ \\\'" ~\::." \{\ ()~1tPl'OOO mps or 0 ts see a ove.
Signatufe OfSgWrv.' in~El ~?~ \1't.'U \)~ \<b t-.\)~~~. Branch Circuits
r' / - ,-\\Ol\ ~ O?-. \
I', i ~'\.\ \~,,~\t.\~Ct: Ot.~\O'U' New Alteration or Extension Per Panel
....,/': (- (J \J\\ ('\, ~ i . .
, / /f _/ I c~ c;;;;?- ,. .' ~vt'\ One CirCUit
v: 1/ v \\\;,\ . - Each Additional Circuit or with
//' " , ../^A ~ Service or Feeder Permit
Owners Name l)0 ,"-t. v r'-D
(J7Y G~~) i2d
City &u- c:, L-N d Phone 9 IT -- 51 b (
/
City MfJAJlV( 1:Jt lTl:-1
C!Jf2
Supervisor License Number ~ 9 r3ns
Address
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
C. Temporary Services or Feeders
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
lOb
8'1'6
!ol:-U
_s- 'J 0
i30 E-
4. Sl.IBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building FOIIDs/Electrical Permit Application 8-06,doc
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-00678
ISSUED: 06/12/2007
APPLIED: 05/11/2007
EXPIRES: 12/26/2007
VALUE: $ 65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2036 L St ADU
ASSESSOR'S PARCEL NO.: 1703254301600
Springfield
TYPE OF WORK: Accessory Dwelling Unit
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: ADU - detached garage with ADU above
Owner: WARD ALFORD DON
Address: 1574 COBURG RD UNIT 880
EUGENE OR 97401
Phone Number: 541-954-5169
I CONTRACTOR INFORMATION I
Contractor
OWNER
VALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WE!~~?~g~~;J.~~~i ~ 168880
foUOW rutes ad ~!ft fiJ .. - moo N
Notification Cent . h OAR .
# of Units: 'nOAR95a'()01'()01~.r ~eru'esby 2
Primary Occupancy Group: 0090. YQU3lTlay obta t~belle 23.00
Secondary Occupancy Group: calling \1Jle cen~r~9.Qf!' . fttY<<Notification Wall Heat
Primary Construction Type numbElffpr thei ~-800L~44). Electric
Secondary Construction Type: Center S Range Type: Electric
# of Bedrooms: 2 Energy Path: Path 1
Sprinkled Building: n/a
Contractor Type
General
Electrical
Mechanical
Plumbing
License
Expiration Date
Phone
10/24/2010
05/04/2008
03/03/2008
503-838-0447
541-343-6829
541-926-5300
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: 500
Sq Ft Basement:
Sq Ft Garage/Carport 500
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
7.00
18.00
18.00
18.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
1
25.00
NOTICE:
THIS PERMIT SHAll ~lfCII1\Wk.NTS I
AUTHORIZED UNDER P [RIJlli I
Street ImprovementsCOMMENCED OR IS ABANDONED FOR .
Storm Sewer A vailabJffiy 180 DAY PERIOD.
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes: Tie storm H20 to existing system as designated on plans. JLP APP 5/25/2007
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00678
ISSUED: 06/12/2007
APPLIED: 05/11/2007
EXPIRES: 12/26/2007
VALUE: $ 65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
DwelIines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
500.00
500.00
Value
Date Calculated
Description
Total Value of Project
$51,500.00
$13,500.00
$65,000.00
05/11/2007
05/11/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $278.95 5/11/07 1200700000000000562
~Mechanical Issuance Fee~ $10.00 6/12/07 1200700000000000755
+ 10% Administrative Fee $66.92 6/12/07 1200700000000000755
+ 5% Technology Fee $36.56 6/12/07 1200700000000000755
+ 8% State Surcharge $49.53 6/12/07 1200700000000000755
1 Bath One & Two Family $145.00 6/12/07 1200700000000000755
Addressing Assignment $31.00 6/12/07 1200700000000000755
Building Permit $429.15 6/12/07 1200700000000000755
Exhaust Hoods $9.00 6/12/07 1200700000000000755
Fire SF Fee - Residential $50.00 6/12/07 1200700000000000755
Minimum/Adjustment Mechanical $30.00 6/12/07 1200700000000000755
Plan Review Minor - Planning $112.00 6/12/07 1200700000000000755
Sanitary Sewer - Improvement $197.91 6/12/07 1200700000000000755
Sanitary Sewer - Reimbursement $260.27 6/12/07 1200700000000000755
SDC MWMC Administration $10.00 6/12/07 1200700000000000755
SDC MWMC Improvement $961.52 6/12/07 1200700000000000755
SDC MWMC Reimbursement $91.61 6/12/07 1200700000000000755
SDC Sanitary/Storm Admin $54.59 6/12/07 1200700000000000755
SDC Transpo Admin $83.43 6/12/07 1200700000000000755
SDC Transpo Improvement $836.32 6/12/07 1200700000000000755
SDC Transpo Reimbursement $189.58 6/12/07 1200700000000000755
Storm Drainage Impervious Area $213.12 6/12/07 1200700000000000755
Vent Fan $6.00 6/12/07 1200700000000000755
Willamalane Apartments $1,151.50 6/12/07 1200700000000000755
+ 10% Administrative Fee $10.60 6/27/07 1200700000000000829
+ 5% Technology Fee $5.30 6/27/07 1200700000000000829
+ 8% State Surcharge $8.48 6/27/07 1200700000000000829
Residence Wiring 1000 Sq Ft $106.00 6/2 7/07 1200700000000000829
Total Amount Paid $5,434.34
I Plan Reviews I
Initial Review
05/11/2007
05/14/2007
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD C
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-00678
ISSUED: 06/12/2007
APPLIED: 05/11/2007
EXPIRES: 12/26/2007
VALUE: $ 65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine Review
06/0512007
06/0512007
APP EMM
Changes shown on plan to meet
conditions of ADU review. See
attached memo and ADU decision.
Deed restriction needs to be
recorded before occupancy.
Waiting for additional information
regarding conditions of Planning
ADU review. See attached
document.
Tie storm H20 to existing system as
designated on plans. JLP APP
5/25/2007
Plannine Review
05/14/2007
WE
Public Works Review
05/14/2007
OS/25/2007
APP JLP
Structural Review
05/14/2007
05/14/2007
APP RJB
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.
~eouireCUnsDections .
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.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior 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 Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
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 backfill.
Underslab Plumbing: Prior to filling the trench and including required testing.
Underfloor 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 filling trench and including required testing.
Pae:e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-00678
ISSUED: 06/12/2007
APPLIED: 05/11/2007
EXPIRES: 12/26/2007
VALUE: $ 65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 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 of 4
225 ,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00678
<;:OM2007-00678
COM2007-00678
COM2007-00678
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
VALLEY ELECTRIC CO
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000829
Date: 06/27/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Receiyed
djb
1796
In Person
Payment Total:
Page I of I
10:01:14AM
Amount Due
106.00
5.30
8.48
10.60
$130.38
Amount Paid
$130.38
$130.38
6/27 /2007