HomeMy WebLinkAboutPermit Electrical 2007-7-6
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PB:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COvtA. 7...&0 b - 0 / II ~
1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOW
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LEGAL DESCRIPTION: L-trr- c.( A. New Residential- Single or Multi-Family per dwelling unit.
/7D'3 -ZLl 34 all roo
JOB DESCRIPTION:
4. SUBTOTAL OF ABOVE
NOTICE: . R~4fS_W&lUe
THI~ t"tRi.Jil1 SHAll ~~~.t$~te Fee
AUTHORlZED UNDER 0 t!J~ Fee
COMMENCED OR IS ABAN
ANY 180 DAY PERIOD. TOTAL
Shared Drive(T:)JBuilding FonnslElectrical Permit Application 8-06,doc
Ho "'- ~ t'
W I flf::.~
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. CONTRACTOR lNSTALI4TIONONLY
Electrical Contractor ~\..\. 'r~e... El-(..c.:n., "c.. .I:",(.
Address 34\D5 ~ L.\y ~ '7.:rt->
City t:: \Afj (l\.e.
Phone 5' 2.0 - w '-l {g lD
Supervisor License Number
32~5.s
Expiration Date
to - l- 2.. CD,... '.'\:,
2.0' - S 2,0/ C
(- \ -2,OOg'
Constr:-Contr. Number
~XPiration Date
Signature of Supervising Electrician
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I ' I.
Owners Name 6)tf(t+,S f SL..JlS ll.~
Address 3t.J 'S-b .sEA-v~ LI
City {;tl G-t7Vr Phone 991- OCfS""7
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
CL~: HoOICl)'i
S Ins~ection Request: 726-3769
0I-B .. ~-1/UD I 6 '{
Service Included I /6(,
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or ~ <J~-
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
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
Installation, Alteration or Relocation
200 Amps or less _ $ 50.00
201 Amps to 400 Am;MiENTION: Oregon 1~l}'lIlQulres you to
401 Amps to 600 ~ow rules adopted b~tb,.~egon utility
Notification Center, Tffose rules 8111 Ssl iorih -
Over 600 Amps or lR~A'W~~eoJjl~bfh'C'through OAR 952.001-
D. Branch CircuitsQQ9Q. You may obtain copies of the rules by
N Alt t.. "Ex,eta, ',lin9..tb.e ~nter, (Note: the telephone
ew era Ion or --.mmB~rt6f\"'~tegon UtIlity NotlftcatIon
One Circuit CentAr fA 1-80~Qi\M4\-
Each Additional Circuit or with .
Service or Feeder Permit $ 3.00
E. Miscellaneous (Service/feeder not included) -E;nch Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residen,tial $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
"2--0 J
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1866 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404500
Springfield
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01179
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/18/2007
VALUE: $ 246,349.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 4 - King Henry
Owner: CHRIS & HOLLIE SWISHER
Address: 34956 SEAVEY LOOP RD #53
EUGENE OR 97405
Contractor Type
General
Electrical
Plumbing
Phone Number: 541-998-0459
I CONTRACTOR INFORMATION I
Contractor
RB N ME CONTRACTORS INC
SOURCE ELECTRICAL INC
TOMS PLUMBING SERVICE INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
162665
160918
159425
Expiration Date
01106/2009
07/28/2008
05/12/2008
Phone
541-521-8698
541-520-6466
541-607-8879
BUILDING INFORMATION I
1
R-3
U
VN
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
4
2
26.00
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:
782
6,729
936
1,347
I DEVELOPMENT INFORMATION I
22.50
8.00
7.00
20.50
27.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
1
Yes
25.50
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS.
Fullv Improved Sidewalk Type: curl ide 5'
Y es ATTJiN\TdQ1lluQmmm~ reqlt!rMbYmIJ utter
follow rules adopted by the OregolllJtlI
Notification Center. Those rules.. let forth
In OAR 952.Q01.Q010through OAR 852-001-
0090. You may obtain copiQ oflhe rule. by
calling the center, (Note: the teloCn
number for the Oregon UtIlity N
Center Is 1-800-332-2344).
NOTICE:
THIS PERMIT SHAll EXPIRE,IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01179
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/18/2007
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 I
Dwellinl!s
Gara!!e
Tvpe of Construction
V Wood Frame
Gara!!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 2200600000000001276
-Mechanical Issuance Fee- $10.00 5/9/07 2200700000000000692
+ 10% Administrative Fee $154.76 5/9/07 2200700000000000692
+ 5% Technology Fee $79.62 5/9/07 2200700000000000692
+ 8% State Surcharge $111.55 5/9/07 2200700000000000692
3 Baths One & Two Family $306.00 5/9/07 2200700000000000692
Addressing Assignment $31.00 5/9/07 2200700000000000692
Building Permit $1,043.40 5/9/07 2200700000000000692
Dryer Vent $6.00 5/9/07 2200700000000000692
Exhaust Hoods $9.00 5/9/07 2200700000000000692
Fire SF Fee - Residential $153.25 5/9/07 2200700000000000692
Minimum/Adjustment Mechanical $6.00 5/9/07 2200700000000000692
Plan Review Major - Planning $198.00 5/9/07 2200700000000000692
Sanitary Sewer - Improvement $534.34 5/9/07 2200700000000000692
Sanitary Sewer - Reimbursement $702.72 5/9/07 2200700000000000692
SDC MWMC Administration $10.00 5/9/07 2200700000000000692
SDC MWMC Improvement $961.52 5/9/07 2200700000000000692
SDC MWMC Reimbursement $91.61 5/9/07 2200700000000000692
SDC Sanitary/Storm Admin $144.39 5/9/07 2200700000000000692
SDC Transpo Admin $68.38 5/9/07 2200700000000000692
SDC Transpo Improvement $836.32 5/9/07 2200700000000000692
SDC Transpo Reimbursement $189.58 5/9/07 2200700000000000692
Storm Drainage Impervious Area $929.32 5/9/07 2200700000000000692
Vent Fan $24.00 5/9/07 2200700000000000692
Willamalane Single Family $1,000.00 5/9/07 2200700000000000692
+ 10% Administrative Fee $20.10 7/5/07 1200700000000000872
+ 5% Technology Fee $10.05 7/5/07 1200700000000000872
+ 8% State Surcharge $16.08 7/5/07 1200700000000000872
Residence Wiring 1000 Sq Ft $106.00 7/5/07 1200700000000000872
Residence Wiring Ea AddtI 500 $95.00 7/5/07 1200700000000000872
Total Amount Paid $8,526.20
Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2006-01179
225 Fifth Street, Springfield, OR ISSUED: 05109/2007
541-726-3753 Phone APPLIED: 09/12/2006
541-726-3676 Fax EXPIRES: 12/18/2007
541-726-3769 Inspection Line VALUE: $ 246,349.00
I Plan Reviews ,
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.
Planninl! Review 09/12/2006 02/11/2007 WE TAJ Permit review is done, but on hold
until plat is recorded.
Planninl! Review 04/25/2007 04/25/2007 APP TAJ
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 10 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 09/12/2007 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 09/2912006 APP RJB
Pal!e 3 of 5
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01179
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/18/2007
VALUE: $ 246,349.00
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,
~eouiredJnsnections ,
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.
Pa1!:e 4 of5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01179
ISSUED: 05/09/2007
APPLIED: 09/12/2006
EXPIRES: 12/18/2007
VALUE: $ 246,349.00
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
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
CO M2006-0 1179
COM2006-0 1179
COM2006-0 1179
COM2006-0 1179
COM2006-0 1179
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 07/05/2007
1200700000000000872
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
5637
In Person
Payment Total:
Page I of I
11:41:13AM
Amount Due
106,00
95,00
10,05
16.08
20,10
$247.23
Amount Paid
$247.23
$247.23
7/5/2007