HomeMy WebLinkAboutPermit Electrical 2007-1-24
Date
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. INITIALS
DATE
SOURCE
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEC11llCAL PERMITAPPLICAI10N
City Job Number roM ZOO ~ - " 0 7/ j-
!31J r c~~w.:;'/~(: c _:~, ~ ":, "200'Ainps':or ~le..ss
;\D~:i:~~li~;;' ':,' ',:'~' ,: ,,"'20IAinpsto 400~Amps
9'17 3/ TvW~~.Nc;;X~e~\,;',~, (,., 4011.A'mpst0600'Amps
0090. YO~~T!"a~ Db:!;:' ~!I;'}iM11 Arnps'toi,IOOOAmps
Jl/filL /;~/J f/~/ Phorteatfit(!0~cf~~~(~~'(~,~;~~:'~t~~)!6~oNrnpSIVOltS
f "um!Jnr'r,rH. O. ' .~.Ri'econnectjQ91y ,;
.... "'" de rS""JI' '\:r".' "
C."\""\ 4 .,.1..j i....f'l.
"'C)i I~Cr It; i _f.d ;.
~iS'.""
Installation, Alteration or Relocation
200 Amps or less $ 50.00
Constr. Contr. Number IS-/9 II 201 Amps to 400 Amps $ 69.00
Expi,,'ion D'" 1_ 0 ~~~~ ;~;~;:;;;o~~~; Vnlt' '" "8" ,bnyO. $10000
'\ Signature of Supervising E~~tnG,i@RIZED UNdLL EXPIRE"FT~W~~lt'~Its.
, ,I ..hOiyJ1v1ENCED 0 ER THIS PER~~'r tWTiNfn or Extension Per Panel
,'f. IU/Y~ (~.., R IS ABANDONPPP~Bv;cui\J
. ,/ - - vU liy\t-'tRIOD ~~n~ditionaICircuitorwith
... ~ . Service or Feeder Permit
Owners Name ~"AL "-C::-vL ,,\ .~~
Address 24 7 (7 W 6~ C Ie:-
City V~E:-M Phone S7 ~ -"]8f3
1.
LEGAL DESCRIPTION:
J 802 O'S"' I 1- I J )~C
JOB DESCRIPTION:
I~ .s ~.. (,J . ILe
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
\L'
) Electrical Contractor
Address
City
Supervisor License Number
Expiration Date
Id~ 1-/)7
J
OWNER INSTALLATION
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
A.
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
5
$106.00
/06
57
$ 19.00
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 43.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
/63
(~ oC(
1/;70
J AIr-
TOTAL f ? 0 C::> '4'
Shared Dnve(T )/BUlldmg Forms/Electncal PenTIlt ApplicatIOn 8-06 doc
8% State Surcharge
10% Administrative Fee
5% Technology Fee
Status
Issued
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00915
ISSUED: 08/22/2006
APPLIED: 07/20/2006
EXPIRES: 07/23/2007
VALUE: $ 186,540.00
SITE ADDRESS: 4749 Rocky Rd
ASSESSOR'S PARCEL NO.: 1802051211500
. Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence, Lot 4
Contractor ATT. License Expiration Date
PARKER HOMES 1f'j[,fjlolfoE~J!"ON:Ot ~'. 162168 11/18/2008
BA TEMAN ELECTB;~W l~c;'Jleb qUo egO:7/aI,~~~p . 06/2112008
HOME COMFORW '!J.~~~f'~g ~tA.;l~t~~ .oy iMJti~~res You 1006/2512007
HOME CO MFOR'1J!!J'J!:;\,!I'~ G(~ ^H~ll~ QO$e~4"~B(~gon Utilit.96/25/2007
I iCiBwliLUING'INE0RMAiI@NI -~R ~ Set fort;-
1!.JI/7L1'?": '. .. ,~ :n:/ IfEtr. (N - ""I;/S of th 52-001
"". I p "'~" ...... 9ta' tl e rei '
, #, of Sto'ries};':lgO '119 tele. 1 es L~ot Size:
, H~ig!lirOf ~t.r.~1~~~~!~~/itY.N!Jt12?~~?e "Sq Ft Ist Floor:
Type of Heat: ' orce~~~Uj.cflehr.l'c/On Sq Ft 2nd Floor:
Water Type: ). Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
3 Energy Path: Path 1 Sq Ft Other:
~OrtCf." Sprinkled Building: nla Occupant Load:
r, Ii\) n_
AUT: L DEM~:Lo.PMENT INFORMA nON,
COM Ii filZED UN'1'i[-L EXPIR .
A,~;~oMENCED (~lr~~a1 m~~, ll~/F rHE Wo Hillside
10.00180 DAY # Str.e$l18;,f]es/l{q'ilMlr IS RK 5
9.00 P&~jV~~)DrivJLRq<YED F, Nor Yes
48.00 % of'-tot Coverage: OR 34.70
0.00
Owner:
Address:,
PARKER HOMES
24717 WOLF CREEK RD
VENET A OR 97487
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
S~condary 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:
Phone Number: 541-579-8899
I CONTRACTOR INFORMATION I
, Phone
541'-935-7984
541-998-7187
541-345-2838
541-345-2838
1
R-3
U
VN
9,946
1,715
440
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
. I PUBLIC IMPROVEMENTS I
Fully Improved
Yes
Sidewalk Type:
Downspoutsillrains:
Curbside 5'
Curb and Gutter
Notes: Storm drain to curb & gutter.
Pal!:e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Dwellin1!:s
Gara1!:e
AC - Residential
V Wood Frame
Gara1!:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 5% Technology Fee
Sidewalk Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
1,700.00
1,700.00
440.00
Total Value of Project
~
Amount Paid
$551.46
$10.00
$133.62
$98.27
$254.00
$31.00
$848.40
$80.00
$6.00
$9.00
$107.75
$12.00
$15.00
$4.00
$12.00
$198.00
$494.76
$650.66
$10.00
$865.31
$82.03
$145.48
$66.28
$836.32
$189.60
$1,106.53
$50.00
$18.00
$1,000.00
$4.00
$80.00
$16.30
$8.15
$13.04
Date Paid
7/20/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
8/22/06
1/2/07
1/2/07
1/24/07
1/24/07
1/24/07
Pa1!:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00915
ISSUED: 08/22/2006
APPLIED: 07/20/2006
EXPIRES: 07/23/2007
VALUE: $ 186,540.00
Value
Date Calculated
$6,800.00
$168,300.00
$11,440.00
$186,540.00
07/20/2006
07/20/2006
07/20/2006
Receipt Number
3200600000000000391
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
1200600000000001322
2200700000000000004
2200700000000000004
2200700000000000108
2200700000000000108
2200700000000000108
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00915
ISSUED: 08/22/2006
APPLIED: 07/20/2006
EXPIRES: 07/23/2007
VALUE: $ 186,540.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$106.00
$57.00
1/24/07
1/24/07
2200700000000000108
2200700000000000108
Total Amount Paid
$8,169.96
Initial Review
Planninl! Review
I Plan Reviews I
07/21/2006 07/25/2006 APP LLH
07/25/2006 08/03/2006 APP TAJ Place orange construction fencing
around the tree conservation area.
No construction activity allowed in
this area. Choose street trees fro the
list on Exhibit B for trees inside the
Hillside District attached to the
street tree handout.
07/25/2006 07/26/2006 APP JLP
07/25/2006 08/21/2006 OK RJB
Public Works Review
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.
~eouiredJnsnections I
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Vfer 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.
Vnderfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00915
ISSUED: 08/22/2006
APPLIED: 07/20/2006
EXPIRES: 07/23/2007
VALUE: $ 186,540.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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.
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
Paee 4 of 4
225 Fift~ ~treet
Springfield, Oregon 97477
541-726-3759 Phone
CHv of Springfield Official Receipt
~ dopment Services Department
Public Works Department
Job/Journal Number
COM2006-009 I 5
COM2006-00915
COM2006-00915
COM2006-00915
COM2006-00915
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000000108
Date: 01/24/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PARKER HOMES INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
7762
In Person
Payment Total:
Page 1 of 1
3:07:37PM
Amount Due
106.00
57.00
8.15
13.04
16.30
$200.49
Amount Paid
$200.49
$200.49
l/24/2007