HomeMy WebLinkAboutPermit Electrical 2007-6-29
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· CIT')" OF SPRINGFIELD, OR'EGON
,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELE~lKlCAL PERMIT APPUCATION
City Job Number c; 0 f')1 2. 0 0 lffC/ i' 77 Date
1. I WCATION OF INSTALLATION:
i 15 '6 J./ I'C\ VI. ~ Nft. Yl Y' yS cT
LEGALDESCRIPTIO!i /703 Zq-:rc.{ 04700 A.I New Residential-Single or Multi-Family per dwelling unit. I
S,p l '\..-f /, ( / e~ of! q 7)j "7 S" Service Included
fOB~ESCRIPTION: . 1000 sq, ft. or less ! $106.00 lu~
'. r;) Each additional 500 sq. ft. or / / 7 ~
E I ~ctl- /' "<:,.\ I ^ LA e... L i' V\... portion thereof ., $ 19.00
"p:&rmits are non-transferabfe":.nd expire if work is Each Manufact'd Home or
'il~t started within 180 days of issuance or if work is Modular Dwelling Service or
':.'"8uspended for 180 days. Feeder
2. I CONTRAL! uR IN~ALLATION ONLY B. I ~ervices or Feeders-. Installation, Alterations or Relocation:
. Electrical Contractor ~ Oi.,t V"c < E / e c+ r;~L 200 Amps orless $ 63.00
~,.,.~.,
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Phone ~41. 520- fp.l!(P(P Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
New Alteration or Extension Per Panel
OneC' ..IaW""*".
Each '. "ttteuregon .8Adh
Servo , 1hoI8nd1a..l9tj~"
r:-;,tirtW\ 952-OO1..ootO......~ ~:~;- ~
E. L~!~~'m!f~4.~oMCb Installation I
P~p ~~ th8'Or~gon uti,ity~,\~~g~
~ign/Outline Li~_r I. 1-8Q0-33243 . '$ 50.00
Limited EnergyIResideniia1 $ 25.00
Limit~~EQ~rgy/Com,?lercial $ 45.00 .
Minimum Electric Perm~t Inspection Fee is $45.00 + Surcharges
~~r~:~MITSHAllEXPIR"E F~~OFf'~VE 'Ill-
~~ UtlDER THIS PEFtWtI~~ N@1harge ' i 1'1 ,)(0
AU I HORIZJ;u ., f\~~inistrative Fee. /8'ZQ
COMMENCED OR IS ABANDOI~Jo'te'(;tmology Fee . '1'0
ANY 180 DAY PERIOD. l.." '., 3 E3f,
Inspection Request: 726-3769 TOTAL t:titi Zt-
Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06.doc
Address
3.J1f.os
5"/
~~I"'/'(
City E J ~iA- tC..
Supervisor License Number ~ tl. ~,; .3
Expiration Date 10 / 0 / I ;. () (/ 7
Constr. Contr. Number .Ji~ (!) CUff
Expiration Date 7 - ;:z g' , 0 €(
Signature of Supervising Electrician
-- _... ,..
..?~,~..
w~ 7fA~
u
Owners Name 5' 1';. v^t:::
Address -fii!I //6J~~S.
City 'S1>~~
Co;l.-..et. ""-
l./tffk s l-
9?8-37Jb
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent. .,'
Owners Signature:
3. I COMPU11!. FEE S\;l1bfJULE BELOW
$50.00
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch Circuits
$ 50.00
$ 69.00
$100.00
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01177
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/29/2007
VALUE: $ 250,701.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1884 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404300
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 2 - King Henry
Owner: STEVE & PAULA COLEMAN
Address: 1165 SOUTH 44TH STREET
SPRINGFIELD OR 97478
Phone Number: 541-998-3756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
RB N ME CONTRACTORS INC 162665
SOURCE ELECTRICAL INC 160918
USA HEATING & AIR CONDITIONING INC 154663
TOMS PLUMBING SERVICE INC 159425
BUILDING INFORMATION'
Expiration Date
01106/2009
07/28/2008
03/10/2009
05/12/2008
Phone
541-521-8698
541-520-6466
541-942-1401
541-607-8879
# of Units: 1 # of Stories: 2 Lot Size: 6,531
Primary Occupancy Group: R-3 Height of Structure: 26.00 Sq Ft 1st Floor: 948
Secondary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 1,411
Primary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 660
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00 Overlay Dist: Total: to
5.00 # Street Trees Rqd: ~ta1bI~~"'tY
5.00 Paved Drive Rqd: <<* lClmo "'~~~torth
34.00 % OfLotiJ6~ge: foR- 1h.....:952-001.
_,"'.' 33.00 'iY",~~\f~~~tlOl ~__O~~"eru'esby
fl;:~U hQJI'i. t.A\1 S\'\l~\..L - r~"'';'l,\1 \ tirC.o:YcMamayvu~~ete\epnullv
1\r\\S ?E\'\w' U~t)€' W:MENT, ~the Center. ""-uilitY No\\fiCatlon
Street Improvements: .\ \ \""\10~\lt~ll'\lft\aT~~ d . t@qll~I,llJ.~.2344}. .
,"u \ ~Cpr~"1l ve ~" ,;aoo-v- CurbSide 5'
Storm Sewer Available::::'O,,^\\J\t: O~~ p~R~ 'Yes DoVri'spoutsmrains: Curb and Gutter
Special Instruction: !\~\( '\ ~O
2
Notes:
Pa2e 1 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01177
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/29/2007
VALUE: $ 250,701.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,359.00
660.00
Value
Date Calculated
Description
Total Value of Project
$233,541.00
$17,160.00
$250,701.00
09/12/2006
09/12/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $686.66 9/13/06 2200600000000001275
-Mechanical Issuance Fee- $10.00 5/9/07 1200700000000000542
+ 10% Administrative Fee $155.84 5/9/07 1200700000000000542
+ 5% Technology Fee $80.27 5/9/07 1200700000000000542
+ 8% State Surcharge $112.59 5/9/07 1200700000000000542
3 Baths One & Two Family $306.00 5/9/07 1200700000000000542
Addressing Assignment $31.00 5/9/07 1200700000000000542
Building Permit $1,056.40 5/9/07 1200700000000000542
Dryer Vent $6.00 5/9/07 1200700000000000542
Exhaust Hoods $9.00 5/9/07 1200700000000000542
Fire SF Fee - Residential $150.95 5/9/07 1200700000000000542
Minimum/Adjustment Mechanical $6.00 5/9/07 1200700000000000542
Plan Review Major - Planning $198.00 5/9/07 1200700000000000542
Sanitary Sewer - Improvement $534.34 5/9/07 1200700000000000542
Sanitary Sewer - Reimbursement $702.72 5/9/07 1200700000000000542
SDC MWMC Administration $10.00 5/9/07 1200700000000000542
SDC MWMC Improvement $961.52 5/9/07 1200700000000000542
SDC MWMC Reimbursement $91.61 5/9/07 1200700000000000542
SDC Sanitary/Storm Admin $141. 71 5/9/07 1200700000000000542
SDC Transpo Admin $68.64 5/9/07 1200700000000000542
SDC Transpo Improvement $836.32 5/9/07 1200700000000000542
SDC Transpo Reimbursement $189.58 5/9/07 1200700000000000542
Storm Drainage Impervious Area $880.99 5/9/07 1200700000000000542
Vent Fan $24.00 5/9/07 1200700000000000542
Willamalane Single Family $1,000.00 5/9/07 1200700000000000542
+ 10% Administrative Fee $18.20 6/29/07 1200700000000000841
+ 5% Technology Fee $9.10 6/29/07 1200700000000000841
+ 8% State Surcharge $14.56 6/29/07 1200700000000000841
Residence Wiring 1000 Sq Ft $106.00 6/29/07 1200700000000000841
Residence Wiring Ea Addtl 500 $76.00 6/29/07 1200700000000000841
Total Amount Paid $8,474.00
Pa2e 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status Issued PERMIT NO: cOM2006-01177
225 Fifth Street, Springfield, OR ISSUED: 05/09/2007
541-726-3753 Phone APPLIED: 09/12/2006
541-726-3676 Fax EXPIRES: 12/29/2007
541-726-3769 Inspection Line VALUE: $ 250,701.00
I Plan Reviews I
Initial Review 09/12/2006 09/12/2006 APP LLH Partial Submittal day prior to
holiday. I was out the week of 5-8,
plans were not routed until today
(9/12/06). Applications were not
complete - Held for additional
information. Plan review fee has not
been paid. Structural plan review
not to be completed until plan
review fee is paid.
Initial Review 05/07/2007 05/07/2007 APP LLH Received plans from public works.
Completed review and compiled
information. Okay to issue.
Initial Review 09/14/2006 09/14/2006 APP LLH Plan Review Fee paid. Okay to
proceed with structural review.
Plannin2 Review 09/12/2006 11/01/2006 WE TAJ Permit review is done, but on hold
until the plat is recorded.
Plannin2 Review 04/25/2007 04/25/2007 APP TAJ Survey required because of
minimum setbacks.
Public Works Review 04/26/2007 04/26/2007 WI JLP Rcvd from Planning 4/26/2007---Plal
was released--Not yet filed-- Waiting
for Eng/Surveyor to file with LC &
verification from Jon D. for PW
review. JLP WI 4/26/07
Public Works Review 05/07/2007 05/04/2007 DEN JLP PW rvw completed Fri 5/4/07 --
Unable to input into Tidemark due
to computer issues. JLP 10 4/7/07
Public Works Review 05/07/2007 05/07/2007 APP JLP For this parcel in King Henry
Court, it is the recommendation to
the Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H2O
systems, until the subdivision is
accepted by City Council". Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
Public Works Review 09/12/2006 09/11/2006 WE JLP Can not complete PW Review.-- No
final plat & Per Cheryl, many
inspection issues remain
un-resolved, RE: Sidewalks, Curbs,
Driveway Locations, Sanitary Lines,
and Storm Drainage.-- Waiting for
inspection "OK", and Recorded
Plat.JLP
Structural Review 09/12/2006 09/25/2006 APP RJB
Pa2e 3 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-01177
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/29/2007
VALUE: $ 250,701.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
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.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
Pa2e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-01177
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/29/2007
VALUE: $ 250,701.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa2e 5 of 5
225 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-0 1177
COM2006-0 1177
COM2006-01177
COM2006-01177
COM2006-01177
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000841
Date: 06/29/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LEE RIGGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 434590 In Person
Payment Total:
Page 1 of I
10:48:58AM
Amount Due
106.00
76.00
9.10
14.56
18.20
$223.86
Amount Paid
$223.86
$223.86
6/29/2007