HomeMy WebLinkAboutPermit Electrical 2006-8-15 (2)
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'" CITY OF~c'RINGFIELD, OREGON \. _..'
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225 J'UlO STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City JobNwnber (liSYVl2lXJb-D075~ Date <6p5J()~
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
11 0;2 :'J:l A~ ()qYJ()
JOB DESCRIPTION
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3.
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
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$106,00
$ 19,00
Permits are non-transferable and expire if work Is
not started within 180 days of Issuance or if work is
Suspended for 180 days.
Each Manufact'd Horne or
Modular Dwelling Service or
Feeder
$50,00
CONTRACTOR INSTALLATION ONLY
B. Sen'ices or Feeders -Installation, Alterations or Relocation:
2.
Electrical Contractor Alert Eleetr ie Ine
, 2W. ~~'biless XPIRr- II'" TUC ~~3,po.\,\
-roD' ,,;:t' CL!.I\.LL E L II "'~ v
2012\fu1 PSt!91~,AD:iPS' ~r-"'" niT \$.75.001'
ITI v R lHIS v I~U
401 Am Sfu''''~'~E ,LI \IVI" $J.25.00
t"l15"Pv' .,~./ P- -"-n r:Ut"I
601 rAni' srio1iOO6lN.P JS ABANUUI\lCU I $163,00
vQ".P,.~,~ - p
747 - 2 213 Oyer\lOOO)~pSIVoHsR\OD, $375,00
RecolUlect Only $ 50.00
Address 1970 N. 28th Street
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City Sprincrfield Phone
(541)
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C. Temporary Sen'ices or Feeders
Supervisor License Nwnber 2 4 3 S
E~ntionDare 10/01/2007
Constr, CoDb', Number 12 7 7 2
InstaOation, Alteration or Reloattion
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
N' ---""~'~ti' " """-E.~.~_lrl:''' "p",,,,,\p:rpc:lyou tG)
I "e"c-Al""ra 08.or: .X..,..SIVD' er .ne , 't
f@.i1!l\GircUit; adopted by tile Oregon Utl~$-'43.00
I Each,AdditiOnal GircUi~or.mthJles are ::It;;l iOrt\1
~'(~i~:o~rF~/Pennithr'ough n.'.R %2-$(61.00
11"1 ~.:r'", vVL'.-\.JV I vv...... ..
n"\I:~l \0':)11 may obtain COpi8S of the rul:;s I.::~
E.\ '; ~ii~~I~~n~~~.. ~~~'\ ~~(~~s~~rl !!o.tJ.n.~liJ d~~)~-Ea ch In sta lIa t10 n
'. n",\, "f~1 t1.1R Or:.;oon U'~:lily ~'L'.Ii,,;;;ncn
Pu1ripor ~g~f!~~ _ 1-\;CQ-':t32-:2~).'\ $ 50.00
SignlOutlirie ~ightihg u'" '$ 50,00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45,00
MInimum Electric Permit Inspection Fee Is 545.00 + Surcharges
$ 50,00
$ 69,00
$100,00
OS/22/2007
E~ntion Dare
Signature of Supervising Electrician
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Owners Name MiKel 6l~
Address QOfrJ8 ~ Y2.d
City Sflvi~~Jd. Phone ...J47-0MD
OWNER INSTALLATION
The installation is being made on I'."I'...~I I own which
is not intended for sale, lease or rent.
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Owners Signature:
4. SUBTOTAL OF ABOVE
8% Stare Surcharge
100;0 ~dministrative Fee
S~/~ I~ .~
TOTAL '
Inspection Request: 726-3769
Shared Drivc(T:)lBuilding FonnalElcctri<:a1 Pcnnit Application I-%,doc
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00758
ISSUED: 07/14/2006
APPLIED: 06/20/2006
EXPIRES: 02/09/2007
VALUE: $ 133,284.00
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4590 Daisy St
ASSESSOR'S PARCEL NO.: 1702324309600
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Andrews Acres lot 3
'Residential
Owner:
Address:
MIKE BLANKENSHIP
8063 THURSTON ROAD
SPRINGFIELD OR 97478
Phone Number~ 541-747-0145
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'~.~,r o~RN\I\ v".,n~~ ,\""II\) I 0- NeD \,-U\"\
1 CONTRACTOR\INEQRM~'FION~II ~'3~~D
PlV ' ' ' C\:.\J v' \ '
Contractor CON\~~~ ~i~eO~~\OD'Expiration Date
MIKE BLANKENSHIP CORP "NY 78966 01/09/2008
ALERT ELECTRIC INC 12772 OS/22/2007
JUNG ENTERPRISES INC" 102455 10/04/2006
DOUGS PLUMBING INC 110163 11/24/2007
r BUILDING INFORMATION I
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Contractor Type
General
Electrical
Mechanical
Plumbing
Phone
541-912-4582
541-747-2213
541-937-2688
541-688-3385
3
# of Stories: 1
Height of Structure 16.50
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,219
1,236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
420
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
11.00
20.00
8.00
11.00
0.00
DEVELOPMENT INf.QRMA;I!I0Nrc ) to
ATTENl UN, V'V~- the Oregoll vt\\\W
,I~<; 2doot~d by p. s0t torth
tallow fl0verlay, Dlst:hose rules ar, 'f' OO~ ,.
" t' r: (~p.r,l~~I, I 0J\f{ Qr)t- J I
Notltlca \(~'~~~~t_Jls~~t~q~;\gh t ,': ~ ,Ins \')\,4
\11 OAR 9Pave~. DJ~~~\~qjjp\8S o. th\:"~;"'1-res
0090, Yc..%'OHiot Cove~~g;~-=,)', \,,10 t:~,c./. ~J):70
callillg the cellter.C\~Of\ Ijt\',,1\r \'\:~,' (";..1' .
, ... +~< thp. Or",., ""..,. \
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
'H.,lt...,......
A t"l. U ,_ ..... -'I'. <-.....
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIā¬~IMBR0VEMENTS ,
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No connection to Sanitary/Storm Sewer until Council acceptance of project
Pae:e 1 of 4
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00758
ISSUED: 07/14/2006
APPLIED: 06/20/2006
EXPIRES: 02/09/2007
VALUE: $ 133,284.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,236.00
420.00 .
Value
Date Calculated
Description
Total Value of Project
$122,364.00
$10,920.00
$133,284.00
06/20/2006
06/20/2006
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Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $439.50 6/20/06 1200600000000000915
-Mechanical Issuance Fee- $10.00 7/14/06 1200600000000001070
+ 10% Administrative Fee $112.00 7/14/06 1200600000000001070
+ 8% State Surcharge $82.97 7/14/06 1200600000000001070
2 Baths One or Two Family $254.00 7/14/06 1200600000000001070
Addressing Assignment $31.00 7/14/06 1200600000000001070
Building Permit $676.15 7/14/06 1200600000000001070
Curbcut Permit $80.00 7/14/06 1200600000000001070
Dryer Vent $6.00 7/14/06 1200600000000001070
Exhaust Hoods $9.00 7/14/06 1200600000000001070
Fire SF Fee - Residential $82.80 7/14/06 1200600000000001070
Furnace - up to 100,000 btu $12.00 7/14/06 1200600000000001070
Heat Pump $12.00 7/14/06 1200600000000001070
Plan Review Major - Planning $198.00 7/14/06 1200600000000001070
PW Disc - 2nd Permit (Street) $-30.00 7/14/06 1200600000000001070
Sanitary Sewer - Improvement $381.40 7/14/06 1200600000000001070
Sanitary Sewer - Reimbursement $501.40 7/14/06 1200600000000001070
SDC MWMC Administration $10.00 7/14/06 1200600000000001070
SDC MWMC Improvement $865.31 7/14/06 1200600000000001070
SDC MWMC Reimbursement $82.03 7/14/06 1200600000000001070
SDC Sanitary/Storm Admin $116.09 7/14/06 1200600000000001070
SDC Transpo Admin $66.92 7/14/06 1200600000000001070
SDC Transpo Improvement $805.70 7/14/06 1200600000000001070
SDC Transpo Reimbursement $182.69 7/14/06 1200600000000001070
Sidewalk Permit $80.00 7/14/06 1200600000000001070
Storm Drainage Impervious Area $831.64 7/14/06 1200600000000001070
Temp Power 200 amps or less $50.00 7/14/06 1200600000000001070
Vent Fan $18.00 7/14/06 1200600000000001070
Willamalane Single Family $1,000.00 7/14/06 1200600000000001070
+ 10% Administrative Fee $14.40 8/17/06 2200600000000001155
+ 5% Technology Fee $7.20 8/17/06 2200600000000001155
+ 8% State Surcharge $11.52 8/17/06 2200600000000001155
Residence Wiring 1000 Sq Ft $106.00 8/17/06 2200600000000001155
Residence Wiring Ea Addtl 500 $38.00 8/17/06 2200600000000001155
Pae:e 2 of4
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00758
ISSUED: 07/14/2006
APPLIED: 06/20/2006
EXPIRES: 02/09/2007
VALUE: $ 133,284.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $7,143.72
I Plan Reviews I
Initial Review 06/22/2006 06/23/2006 APP LLH
Planninl! Review 06/23/2006 07/12/2006 APP TAJ Existing Street trees may be counted
for the required street trees
Public Works Review 06/23/2006 07/06/2006 APP JAP
Structural Review 06/23/2006 07/05/2006 OK RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
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.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Pae:e 3 of 4
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.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00758
ISSUED: 07/14/2006
APPLIED: 06/20/2006
EXPIRES: 02/09/2007
VALUE: $ 133,284.00
/
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Final Electric: When all electrical work is complete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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
Pae:e 4 of 4
225 Rieth Street
\ '
Sprmgfield, Oregon 97477
541-726-3759 Phone
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Ca of Springfield Official Receipt
~Iopment Services Department
Public Works Department
RECEIPT #:
2200600000000001155
Date: 08/17/2006
9:06:51AM
Job/Journal Number
COM2006-00758
COM2006-00758
COM2006-00758
COM2006-00758
COM2006-00758
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10% Administrative Fee
+ 5% Technology Fee
Paid By
ALERT ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk . 017955 In Person
Payment Total:
Amount Due
106,00
38,00
11,52
14.40
7.20
$177.12
Payments:
Type of Payment
CreditCard
Amount Paid
$177.12
$177.12
cReceinll
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8/17/2006