HomeMy WebLinkAboutPermit Electrical 2007-7-6
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225 Fn''''1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRJ[CAL PERMIT APPLICATION
City Job Number COM ZoO '-- C> l ( b 7
lnstallation, Alteration or Relocation
200 Amps~rr~TION: Oregon law reqUir~5'hcm ~o
:j~>>~~ r~~""adopted by th~ 013 onCJtlllt)'
201 AmPf:J91i~R~uorrcenter. Those rules a (fe~qorth
401 Aml)O't>~'R'~1U01-0010ttuauQh OAFntW001-
Over 60~ ?f~q/otImlJr*lS~ ~i~~he rules by
DB . h ~f\ltmthe center, (Note: the telephone
. ranc nurri6er for the Oregon Uti\ity Notification
New Alteration o.aemarsI6n1~(Paaa-2344),
One Circuit $ 43.00
Each Additional Circuit or with
11 Or / / A A Service or Feeder Permit
Owners Name Hex ^->> t::1. (n-vt +-
'Address / () J 0 I .p IL/:-:S id ~A- S E. Miscellaneous (Service/feeder not included) -Each Installation
City &vlG--t:7v~ Phone:3 0 Z - / 4 7 J
1.
LOCATION OF INST4LLATION:
/t70 J~dt:7J htL
i..o r 8
o 49()O
3.
\J-J
LEGAL DESCRIPTION:
/70.3 Zl{ 34
JOB DESCRll" lION:
}4(A..~ ~r
WI tLt
Permits are non-transferable and expire if work is
not started witbin 180days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~..\.\-~e... E I-(...C.. 1;.. 'c. .!:,,-l.
Address " 341D5 ~,,~ ~
City t: \Afj -en-e.
Phone 5'2.0 - CD ~ {p (p
Supervisor License Number
32%5.5
Expiration Date
\ 0 - 1- 200"""
ronstr. Contr. Number
2.0- 52-PIC
Expiration Date
"1- \ -2rOCg-
Signature of Supervising Electrician
wJL /I Jd-.c~
\ > (/
COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I $106.00
,.-
.5 $ 19.00
;06
9,)
$50.00
/
B. Services or Feeders -Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
, $ 50.00
C. Temporary Services or Feeders
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
I
OWNER INSTALLATION Limited EnergylResidential $ 25.00
The installation is being made on property I own which "Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcbarges
/ Owners Signature: 4. ,SUBTOTAL OF ABOVE 20 I
NOTICE: .' rxP1DE 11= THE WORK 8% State Surcharge /60 If
THIS PEKIVIII SiiAll ~ S' 'PER' Mil IS NOT 10% Administrative Fee ZOIO .
, AUTHORIZEO UNDER THl 5% Technology Fee JO () fP
OMMENCED OR \S ABANDONED FOR
I Inspeed.. ~m'fllo7~RIOD. TOTAL Z <n 9-
iJ Ct6 i 100 \ OJ 't Shared Drive(T:)/Building FonnsIElectrical Permit Application 8-06.doc
t~Y. I tvt/O ~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1870 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1703243404900
Springfield
PROJECT DESCRIPTION: Single Family Residence, Lot 8 King Henry
Owner: HENRY & STEPHANIE ORELLANA
Address: 1050 PRESIDENT STREET
EUGENE OR 97401
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01167
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 253,825,00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential.
Phone Number: 541-302-1473
I CONTRACTOR INFORMA nON I
Contractor Type
General
Electrical
Plumbing
Contractor
RB N ME CONTRACTORS INC
SOURCE ELECTRICAL INC
TOMS PLUMBING SERVICE INC
License
162665
160918
159425
Expiration Date
01/06/2009
07/28/2008
05/12/2008
Phone
541-521-8698
541-520-6466
541-607-8879
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
5
2
26.50
Wall Heat
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
902
8,827
914
1,413
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
5.00
31.00
40.00
38.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Fullv Improved
Storm Sewer Available: Yes
Special Instruction: NOTICE: . WORK
THIS PERMIT SHALL EXPIRE IF THE
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 5
REQUIRED PARKING
2
Yes
20.50
Total:
Handicapped:
Compact:
2
AlTdiM1i10m~fi)flBgon law reqUlrel}..~y.t~ '
follQw rule".@QQQted by the QreJlOtf 5
NotitrdaMJWti~Ht'ep'llffiose rul~I1YEf: ~ ffr
In OAR 952-001-0010 through OAR 952..Q01-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01167
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/0912007
VALUE: $ 253,825.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Gara!!:e
Type of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,327.00
902.00
Value
Date Calculated
Description
Total Value of Project
$230,373.00
$23,452.00
$253,825.00
09/12/2006
09/1212006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $693.00 9/13/06 2200600000000001281
~Mechanical Issuance Fee~ $10.00 5/9/07 1200700000000000541
+ 10% Administrative Fee $157.86 5/9/07 1200700000000000541
+ 5% Technology Fee $80.76 5/9/07 1200700000000000541
+ 8% State Surcharge $113.37 5/9/07 1200700000000000541
3 Baths One & Two Family $306.00 5/9/07 1200700000000000541
Addressing Assi,gnment $31.00 5/9/07 1200700000000000541
Building Permit $1,066.15 5/9/07 1200700000000000541
Dryer Vent $6.00 5/9/07 1200700000000000541
Exhaust Hoods $9.00 5/9/07 1200700000000000541
Fire SF Fee - Residential $161.45 5/9/07 1200700000000000541
Minimum/Adjustment Mechanical $12.00 5/9/07 1200700000000000541
Plan Review Major - Planning $198.00 5/9/07 1200700000000000541
Sanitary Sewer - Improvement $573.93 5/9/07 1200700000000000541
Sanitary Sewer - Reimbursement $754.77 5/9/07 1200700000000000541
SDC MWMC Administration $10.00 5/9/07 1200700000000000541
SDC MWMC Improvement $961.52 5/9/07 1200700000000000541
SDC MWMC Reimbursement $91.61 5/9/07 1200700000000000541
SDC Sanitary/Storm Admin $169.28 5/9/07 1200700000000000541
SDC Transpo Admin $66.25 5/9/07 1200700000000000541
SDC Transpo Improvement $836.32 5/9/07 1200700000000000541
SDC Transpo Reimbursement $189.58 5/9/07 1200700000000000541
Storm Drainage Impervious Area $1,292.79 5/9/07 1200700000000000541
Vent Fan $18.00 5/9/07 1200700000000000541
Willamalane Single Family $1,000.00 5/9/07 1200700000000000541
+ 10% Administrative Fee $20.10 7/5/07 1200700000000000868
+ 5% Technology Fee $10.05 7/5/07 1200700000000000868
+ 8% State Surcharge $16.08 7/5/07 1200700000000000868
Residence Wiring 1000 Sq Ft $106.00 7/5/07 1200700000000000868
Residence Wiring Ea Addtl 500 $95.00 7/5/07 1200700000000000868
Total Amount Paid $9,055.87
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
PlanniDl!: Review
Planninl!: Review
Public Works Review
Public Works Review
Public Works Review
Public Works Review
09/12/2006
05/0712007
09/14/2006
09/1212006
04/25/2007
04/26/2007
05/07/2007
05/07/2007
09/12/2006
I Plan Reviews I
09/12/2006 APP
05/07/2007 APP
09/14/2006 APP
WE
04/25/2007
04/26/2007
APP
WE
05/0412007
10
05/07/2004
APP
09/12/2006
WE
Pal!:e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01167
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/0912007
VALUE: $ 253,825.00
LLH
LLH
LLH
SJS
TAJ
JLP
JLP
JLP
JLP
Partial Submittal day prior to
holiday. I was out the week of 5-8,
plans were not routed until today
(9/11/06). Applications were not
complete - HeM 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 F'~e paid. Okay to
proceed with structural review.
Survey 5' minimum setback
Waiting final plat
Rcvd from Planning 4/2612007---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 us{
drive for Lots 8,9, & 10. Future
Storm to curb & gutter. Curbcut &
Sidewalk fees collected thru PIP
process. JLP APP 5/7/07
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
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01167
ISSUED: 05/09/2007
APPLIED: 09/1212006
EXPIRES: 11/09/2007
VALUE: $ 253,825.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
09/12/2006
09/25/2006
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.
~eolJiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion me~sures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Final Electric: When all electrical work is complete.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Pal!e 4 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01167
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 11/09/2007
VALUE: $ 253,825.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-01167
COM2006-0 1167
COM2006-01167
COM2006-01167
COM2006-01167
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200700000000000868
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
6413
In Person
Payment Total:
Page 1 of I
1l:29:41AM
Amount Due
106.00
95.00
10.05
16,08
20,10
$247.23
Amount Paid
$247.23
$247.23
7/5/2007