HomeMy WebLinkAboutPermit Electrical 2007-7-5
I.,
ZON lA).'Z,
INITIALS ~ ~
DATE I-ov, -Or
SOURCE ~,
Date ~ -~- 0-'
".< Crr~j ~IF~[F>~rncr]fTIlErLj]J)O) (o)~<Gl(Q)~'
1P--,~"
',.~~~
225 Fll'.n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (OYVl 20 Ob- c> ) '3 ('2
1. LOCATION OF INSTA~TION:
/ g 7 2 lL. ~ '> IThY\ ~ e-f-
LEGAL DESCRIPTION: l-D T :3 '
/7D37Lt34 Ol.{l{OO
JOB DESCRIPTION:
/hv\.~ ~-
[..II fL C---
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 INSTALLATION ONLY
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included ( /() b
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or S- 'IS
portion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
.-'"
B. Services or Feeders -Installation, Alterations or Relocation:
Electrical Contractor ~~ .....c,e... E 1.(..C..1r, "c. 1: 1'.( ~
Address 3411>5 'Z> L."V" r- ~
City t:: \A~-el'\-e. Phone 52,0 - fr) c.{ {p (p
Supervisor License Number 32 'is' 5.5
Expiration Date lO - 1-- 2.. 00 -,....
~onstr. Contr. Number 20 - $ 20J t
Expiration Date l- \ - 2-00g-
Signature of Supervising Electrician
U/JL~,~ U .~~
Owners Name Si6-vtr" iJOIA/(A-c..t+
t14m SJ
Phone btJ - 9// g
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residential $ 25.00
The installation is being made_~.~~erty I own which Limited Energy/Commercial $ 45.00 '
is not intended for sale, le~~: P\R!1"i~fii~l4c Permit Inspection Fee is $45.00 + Surcharges
HIS PERM\1 SHALL EX ~ -1~o.T
Owners Signature: T THOR\ZED UNDER TH\S Pf,RM1WlHluYAL OF ABOVE ,Z 0 (
~~tJiM(NCC~ 1}R1S ABANOONEP1~J\eSurcharge /6 O}f
\.iU , ISO D~Y PER\OO. 10% Administrative Fee 7.. 0/0
ANY 1 1'\ 5% Technology Fee /0 i'.r
247 e-
Address '5' .> b
City t:7-t6-t-Air
h t~~n:R(;D\~;9
~i()'. 1 rcJt
200 Amps or less $ 63,00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts ~1t~you to
Reconnect Only ~TTENT\ON: Oregon ~:'i.aiidf'~n Uti\it'f
to\\oW rules adopte~~ rules are set torm
c. Temporary Ntstifroat\O~~~&10throu9bOAR952.oo~y
In OAR 952..()01- ta\n ~ ot'" rules
Installation, AlOOi&~~)\I ImlXc~on (Nole: the te!~~:n
\rng the C9llW1. ~.O\P---
200 Amps or less C:~ber 10r the Orego" ~.
201 Amps to 400 roMps center l.1-8U .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
TOTAL
Shared Drive(T:)/Building FonnsIElectrical Permit Application 8-06.doc
CITY OF SPRINGFIELD.
Building/Combination Permit
.
Status
Issued
PERMIT NO: COM2006-01312
ISSUED: 05/0912007
APPLIED: 10/12/2006
EXPIRES: 12/21/2007
VALUE: $ 274,416.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1872 King Henry Ct
ASSESSOR'S PARCEL NO.: 1703243404400
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 3 - King Henry
Owner: STEVE WOMACH
Address: 3956 PAM STREET
EUGENE OR 97402
Phone Number: 541-683-9118
I CONTRACTOR INFORMA TION ,
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 I
Expiration Date
01106/2009
07/28/2008
03/10/2009
05/1212008
Phone
541-521-8698
541-520-6466
541-942-1401
541-607-8879
# of Units: 1 # of Stories: 2 Lot Size: 7,591
Primary Occupancy Group: R-3 Height of Structure: 26.00 Sq Ft 1st Floor: 1,008
Secondary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 1,574
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 723
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.70
15.00
9.00
16.70
22.50
I DEVELOPMENT INFORMATION I ~fts..YPl1 to
All r:i'fTlON: Oregonb'vU\e'OYeUcfif\9t-ffitfG
Overlay Dist: fo\\oW rules adoPte~~tp~les are set iorth 2
# Street Trees Rqd: Notification CCr~10t~. QMl:952-001-
Paved Drive Rqd: In OAR 95~A' obta\n<ODp\eB:ilfthe ru\es by
% of Lot Coverage: 0090, YO~~.tt! ter (Note: the te\epho~e
ca\l\ng"tft ~n Or~gon Uti\ity Notification
number for t e. ~ t'')f).3I:\''-~M!''
vtJII L". ."" , =--
I PUBLIC IMPROVEMENTS I
Street Improvements:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes:
Storm Sewer Available:
Special Instruction:
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: COM2006-01312
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/21/2007
VALUE: $ 274,416.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,582.00
723.00
Value
Date Calculated
Description
Total Value of Project
$255,618.00
$18,798.00
$274,416.00
10/12/2006
10/12/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $737.36 10/12/06 2200600000000001432
-Mechanical Issuance Fee- $10.00 5/9/07 2200700000000000691
+ 10% Administrative Fee $165.07 5/9/07 2200700000000000691
+ 5% Technology Fee $84.17 5/9/07 2200700000000000691
+ 8% State Surcharge $118.83 5/9/07 2200700000000000691
3 Baths One & Two Family $306.00 5/9/07 2200700000000000691
Addressing Assignment $31.00 5/9/07 2200700000000000691
Building Permit $1,134.40 5/9/07 2200700000000000691
Dryer Vent $6.00 5/9/07 2200700000000000691
Exhaust Hoods $9.00 5/9/07 2200700000000000691
Fire SF Fee - Residential $165.25 5/9/07 2200700000000000691
Minimum/Adjustment Mechanical $12.00 5/9/07 2200700000000000691
Plan Review Major - Planning $198.00 5/9/07 2200700000000000691
Plan Review/Residential Hourly $90.00 5/9/07 2200700000000000691
Sanitary Sewer - Improvement $593.72 5/9/07 2200700000000000691
Sanitary Sewer - Reimbursement $780.80 5/9/07 2200700000000000691
SDC MWMC Administration $10.00 5/9/07 2200700000000000691
SDC MWMC Improvement $961.52 5/9/07 2200700000000000691
SDC MWMC Reimbursement $91.61 5/9/07 2200700000000000691
SDC Sanitary/Storm Admin $149.09 5/9/07 2200700000000000691
SDC Transpo Admin $67.94 5/9/07 2200700000000000691
SDC Transpo Improvement $836.32 5/9/07 2200700000000000691
SDC Transpo Reimbursement $189.58 5/9/07 2200700000000000691
Storm Drainage Impervious Area $876.97 5/9/07 2200700000000000691
Vent Fan $18.00 5/9/07 2200700000000000691
Willamalane Single Family $1,000.00 5/9/07 2200700000000000691
+ 10% Administrative Fee $20.10 7/5/07 1200700000000000873
+ 5% Technology Fee $10.05 7/5/07 1200700000000000873
+ 8% State Surcharge $16.08 7/5/07 1200700000000000873
Residence Wiring 1000 Sq Ft $106.00 7/5/07 1200700000000000873
Residence Wiring Ea AddtI 500 $95.00 7/5/07 1200700000000000873
Total Amount Paid $8,889.86
Pal!e 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2006-01312
225 Fifth Street, Springfield, OR ISSUED: 05/0912007
541-726-3753 Phone APPLIED: 10/12/2006
541-726-3676 Fax EXPIRES: 12/21/2007
541-726-3769 Inspection Line VALUE: $ 274,416.00
I Plan Reviews I
Initial Review 10/13/2006 10/16/2006 APP LLH
Initial Review 04/09/2007 04/09/2007 APP LLH
Plan Review Comments 04/03/2007 10 LLH See address file or attached
documents. Mailed letter requesting
information to complete plan review
Planninl! Review 10/16/2006 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 WE 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 10/16/2006 10/16/2006 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 10/16/2006 11/22/2006 WE LLH Forwarded to Tom Rogers for
review 10/16/2006. Letter mailed
11/22/06 from Tom Rogers
requesting additional information.
See attached documents
Structural Review 12/11/2006 12/01/2006 WE LLH Additional information needed to
complete review. See attached
documents from Rogers
Engineering.
Pal!:e 3 of 5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01312
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/21/2007
VALUE: $ 274,416.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/09/2007
04/26/2007
10 LLH
New submittal. Charge plan review
per hour. Plans forwarded to the
Building Department for review
under contract with the City of
Springfield.
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Structural Review
04/26/2007
05/0812007
APP LLH
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.
~e(]uiredJnsnections I
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.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
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.
Pal!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01312
ISSUED: 05/09/2007
APPLIED: 10/12/2006
EXPIRES: 12/21/2007
VALUE: $ 274,416.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
COM2006-0 1312
COM2006-0 1312
COM2006-01312
COM2006-01312
COM2006-01312
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
1200700000000000873
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 5465 In Person
Payment Total:
Page I of I
11 :42:35AM
Amount Due
106,00
95,00
10.05
16,08
20,10
$247.23
Amount Paid
$247.23
$247.23
7/5/2007