HomeMy WebLinkAboutPermit Electrical 2007-7-6
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number LoitV\ ZO 0 b - 0 If 7 )
(-oCo/O'l
Date
1. LOCATION OF INSTAUATION: 3. COMPLETE FEE SCHEDULE BELOW
/ g <J'D ;J..A...,deN' -:i:yL ~J
Owners SignaturfjOTlCE"
. -L;'S'" u 8% State Surcharge
J nJ J.-tt1NIJ I ~HALL I:XPIRI: IF THE WORKO% Administrative Fee
AUTHORIZED UNDER THIS PERMIT IS N013% Technology Fee
COMMENCED OR IS ABANDONED FOR
Inspection Req,,'NV f8D-lJAt PERIOD ' TOTAL
~e ) (p D \ q ( .
t%t ts11 z..Jf) oi
LEGAL DESCRIPTION: L- C r- I 0
17D3 "24"34 05fCO
JOB DESCRlt' I ION:
I-k~~e-
Wf/LC
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRAL'lUR INSTALlATION ONLY
Electrical Contractor ~'-'" 'r~e.. E l-u.. -h-, 'c: !:,,{.
Address 341D5 ~V' ~ {)t-.
City t: \ACj~l\-e. Phone 52.0 - CD '-I (p (p
Supervisor License Number 32 cg- 5.5.
Expiration Date \ 0 - l- 2.. 00"'"
.--constr. Contr. Number 2.0 - S 20f C
Expiration Date c- \ -2,-OCg-
Signature of Supervising Electrician
w~7JJ~
Owners Name JAv' I~f\.. ~ J/\...\ '? ve-e
Address I Z 3 ~ l Sa. f
~~F~ Phone 7'16- 9'#b
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included / /tJ6
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or S- '1;-
portion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
-----
B. Services or Feeders -Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amrr $125.00
601 Amps to 1000 A~DfNTION: Oregon lallVlmcpJJres yOU t~
Rmow rules adOplSO DY lha.n..... - U . .
Over 1000 Amps!>>dfification C nt- _, . ~J"~\'Pgon t1hty
Reconnect Only In OAR 952-0d1-B~'1e iJlVl:lI!~~are set forth
0090 v. Ilough OAR 952-001-
.~ ,ou may obtafn copies of the rules b
c. Temporary Serv0aUIJ,g lfhedeenter. (Note: the telephone Y
number for the Oregon Utility Notificati
Installation, Alteration o~iin6-80Q-332-2344)" on
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69~00
401 Amps to 600 Amps $100.00
Over 600 'Amps or 1000 Volts see "B" above.
D. Branch Circuits
New' Alteration or Extension Per Panel-
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder' not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergyIResidential $ 25.00
. Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
cOI
/60K
20'"
100S-
ZL[ 7 z 1.
Shared Drive(T:)/Building FonnsIElectrical Permit Application 8-06,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1890 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1703243405100
Springfield
PROJECT DESCRIPTION: Single Family Residence, Lot 10 - King Henry
Owner: JA VIER RODRIGUEZ
Address: 1236 I STREET
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01175
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 246,349.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Plumbing
Contractor
RB N ME CONTRACTORS INC
SOURCE ELECTRICAL INC
TOMS PLUMBING SERVICE INC
License
162665
160918
159425
BUILDING INFORMATION I
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
ATTENTION: Oregon '8Ii'61:ftQulres you to 2
fo".~w rules a~Pted bYI-lbfMRr~ .Utility
!'Jotlflcat/on ~n era Tho~~Mre set forth
In OAR 952-,(>. ff.- 010 through OAR 952-001-
0090.. You rftl Y'gbtain copies of the rules b
ca"~ng the center. (Note: the telenhnnilll y
I PUBLIC IMPROVEMENTSL,.III1iJI::IJUr lhe. Ui'egon utility Notification
I Center IS 1-800-332-2344), .
Fully Improved Sidewalk Type: Curbside 5'
Yes Downspouts/Drains: Curb and Gutter
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
R-3
U
VN
4
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
17.00
8.00
25.00
22.00
36.82
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE: ' _ .
r~~H~~~Z~~ 8~~~~ r;:,~RE IF THE WORK
x:n~NgX~ ~~:~tBANrio~E~~ri~ NOT
Pal!e 1 of 5
2
26.00
Wall Heat
Electric
Electric
Path 1
n/a
Phone Number: 541-746-4146
Expiration Date
01/0612009
07/28/2008
05/12/2008
Phone
541-521-8698
541-520-6466
541-607-8879
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant I,.oad:
6,052
936
1,347
782
Status
Issued
CITY OF SPRINGFIELD /
Building/Combination Permit
PERMIT NO: COM2006-01175
ISSUED: 05/0912007
APPLIED: 09/12/2006
EXPIRES: 11109/2007
VALUE: $ 246,349.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Dwellin2:s
Gara2:e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,283.00
782.00
Value
Date Calculated
Description
Total Value of Project
$226,017.00
$20,332.00
$246,349.00
09/12/2006
09/12/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $678.21 9/13/06 2200600000000001278
~Mechanical Issuance Fee~ $10.00 5/9/07 1200700000000000543
+ 10% Administrative Fee $154.76 5/9/07 1200700000000000543
+ 5% Technology Fee $79.62 5/9/07 1200700000000000543
+ 8% State Surcharge $111.55 5/9/07 1200700000000000543
3 Baths One & Two Family $306.00 5/9/07 1200700000000000543
Addressing Assignment $31.00 5/9/07 1200700000000000543
Building Permit $1,043.40 5/9/07 1200700000000000543
Dryer Vent $6.00 5/9/07 1200700000000000543
Exhaust Hoods $9.00 5/9/07 1200700000000000543
Fire SF Fee - Residential $153.25 5/9/07 1200700000000000543
Minim um/ Adj ustmen t Mechanical $12.00 5/9/07 1200700000000000543
Plan Review Major - Planning $198.00 5/9/07 1200700000000000543
Sanitary Sewer - Improvement $534.34 5/9/07 1200700000000000543
Sanitary Sewer - Reimbursement $702.72 5/9/07 1200700000000000543
SDC MWMC Administration $10.00 5/9/07 1200700000000000543
SDC MWMC Improvement $961.52 5/9/07 1200700000000000543
SDC MWMC Reimbursement $91.61 5/9/07 1200700000000000543
SDC Sanitary/Storm Admin $171.73 5/9/07 1200700000000000543
SDC Transpo Admin $66.06 5/9/07 1200700000000000543
SDC Transpo Improvement $836.32 5/9/07 1200700000000000543
SDC Transpo Reimbursement $189.58 5/9/07 1200700000000000543
Storm Drainage Impervious Area $1,429.73 5/9/07 1200700000000000543
Vent Fan $18.00 5/9/07 1200700000000000543
Willamalane Single Family $1,000.00 5/9/07 1200700000000000543
+ 10% Administrative Fee $20.10 7/5/07 1200700000000000866
+ 5% Technology Fee $10.05 7/5/07 1200700000000000866
+ 8% State Surcharge $16.08 7/5/07 1200700000000000866
Residence Wiring 1000 Sq Ft $106.00 7/5/07 1200700000000000866
Residence Wiring Ea Addtl 500 $95.00 7/5/07 1200700000000000866
Total Amount Paid $9,051.63
Pal!e 2 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Initial Review
Initial Review
Planninl!: Review
Planninl! Review
Public Works Review
Public Works Review
Public Works Review
09/12/2006
05/0712007
09/1412006
09/12/2006
04/25/2007
04/26/2007
05/07/2007
05/07/2007
I Plan Reviews I
09/12/2006 APP
05/07/2007 APP
09/14/2006 APP
04/09/2007 WE
04/25/2007 APP
04/26/2007 WE
05/07/2007 10
05/07/2007 APP
Pal!e 3 of 5
CITY OF SPRINGFIELD e
Building/Combination Permit
PERMIT NO: COM2006-01175
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 246,349.00
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.
Received plans from public works.
Completed review and compiled
information. Okay to issue.
Plan Review Fee paid. Okay to
proceed with structural review.
Need penalty permit and inspection
for sanitary sewer.
Waiting for final plat.
Solar exemption by SS based on 21'
setback on Lot 7.
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
PW rvw completed Fri 5/4/07 --
Unable to input into Tidemark due
to computer issues. JLP 10 4/7/07
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 H20
systems, until the subdivision is
accepted by City Council". SDC fees
reflect an equal distribution of
impervious surface sq/ft for joint uSt
drive for Lots 8,9, & 10. Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
LLH
LLH
SJS
TAJ
JLP
JLP
JLP
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01175
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 246,349,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
09/1212006 09/1212006 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
09/1212006 09/27/2006 APP RJB
Structural Review
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.
~eolliredJnSDections I
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 arid 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.
Pal!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01175
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 246,349.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Gas: When all gas 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
Pal!e 5 of 5
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0ll75
COM2006-0l175
COM2006-01175
COM2006-0ll75
COM2006-01175
Payments:
Type of Payment
Check
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000000866
Date: 07/05/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PALADIN WORKS
BOOKKEEPING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6814
In Person
Payment Total:
Page 1 of 1
11:18:08AM
Amount Due
106,00
95.00
10,05
16.08
20,10
$247.23
Amount Paid
$247,23
$247.23
7/5/2007