HomeMy WebLinkAboutPermit Electrical 2007-7-17
ZON L D'2-
INITIALS N ,\...\
DATE ~ [ - II - J ...,
SOURCE fY\--f~J~
Date! - \ '1 --- 0,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54])726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ l.r)f'l7- 00 6 9 7
Pump or irrigation $ 50.00
Sign/Outline Lighting $50.00
OWNER INSTALLATION Limited Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for sale, leq~t:.o~ ~t.. lo~nliVi~~\).ic Permit Inspection Fee is $45.00 + Surcharges
".,... ~ II.ll t'iJ'. p \.. ~[191~
. "....ot,~'1 S' ,1-\ - S DC.q\\~cr 'T'A T OFABOVE ~
Owners SIgnature: rt.P,,,, DCR 1\1\ r c-'t. \\lib',. .... U,1..L ( Z S
, Rr1ED UN L. m~EnfO
1\\\1nO t.._ OR \Cj ~B~NO '8% State Surcharge 10 .
COMMtN\..J.'J PERIOD. 10% Administrative Fee I Z 'f u .
AN\{ "\ 60 GA.\{ 5% Technology Fee 6'Z r
/S3~
1. LOCA.TION OF INST.ALLATION:
Jf~~ 7t{fk '*
LEGAL DESCRIPTION:
I/OZ3(ZL{ {b70Z
JOB DESCRIPTION:
~..........~ ~ WI ~Lt::
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 INSTALL4.TION ONLY
Electrical Contractor l ~ E E ~ C-\-\'\ C
Address 0 d..- '6 ~ 3 j cJW. ~ kre) Rd-
City <)D ~ \ cl Phone S,^ \ - Y \ ~ 8
,
Supervisor License Number Y \ ll.\ - .s
\b/'/01
.
\ DSY 15
3 / ?o/ 08
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
8Q ;~t')U&(~
N (;'hCD
?gJ ~(f
Phone 3l( J- -D l{ tf b
Owners Name
Address
City tJ,J... Crbv t:
Inspection Request: 726-3769
3. CO~MPLETE FEE SCHEDULE BELOl1-7
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
)
(
$106.00
/06
,e;
$ 19.00
$50.00
B. Services or Feeders.- Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 A... m.. ~'i- oc ffi,j. Oregon law ,aqulres VO'li),oo
20l~~w~~imO~tyled by the Oregon ~~&1t90
40J1\~ ~l ~~ Those rules B.I'=' .,a ij@~.DO
\'~uc,,:BwJ.lj H)' tt\ro~~h OAR 952
o'>\er~~Q,Q\-~ 3.'1R~~f ~b4Wd.l'es by
D. B~~b ~~y O. .a'Note: the telephot:'e
G8?\,ng.tn~~ ~nte~. ~Cln Util1ty Notification
N ew!Nt~halidJlro~~?J~~Q~ J3~l:\),
Ce"-A' IS FbUU
O C. 't ,,,l,d $4"'00
ne If CUI - J.
Each Additional Circuit or with
Service or Feeder Permit
$ 3.00
E. Miscellaneolls (Service/feeder not iucluded) -Each Installation
TOTAL
Shared Dnve(T:)/Building FonTIs/Electncal Permit Application 8-06.doc
CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMITNO: COM2007-00699
ISSUED: 06/04/2007
APPLIED: 05/16/2007
EXPIRES: 01/12/2008
VALUE: $ 146,046.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 499 34th St
ASSESSOR'S PARCEL NO.: 1702312410702
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
Owner: NEDCO
Address: 783 GRANT STREET
EUGENE OR 97402
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Plumbing
Contractor
RAINBOW V ALLEY DESIGN & CONSTR
L & E ELECTRIC INC
DOUGS PLUMBING INC
License
56107
105475
110163
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure: 15.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type:
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U
VB
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
11.60
5.00
32.00
6.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-345-0446
Expiration Date
04/04/2008
03/30/2008
11/24/2007
Phone
541-342-4871
541-933-2653
541-688-3385
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,487
1,344
282
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
21.80
I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you t.O
Street Improvements: .. Fullv Improved follo~~ltapted by the Orego'b~~~~e 5'
. N t'f' UQ.,Q c.~, I!Wt those rules,(lrf) S8L lorm
Stor~ Sewer A ~ailable: . Yes in 0~A~ij9~1!_'O~9~{~MtoU9h OAW~~tter
Special InstructI04,aOllCE. L EXP\RE \f THE WORK 0090. You may obtain copies of the rules by
TH\S PERM\T SHAl uLC. Dt:RM\T \S NOT calling the center, (Note: the telephone
Notes: Storm to tffi1HfjPltm. \Jl'W~lihT 5YlH/U"t 0 FOR number for the Oregon Utility Notification
COMMENCED OR \5 ABANDONE . Center is 1-800-332-2344).
\NY 180 DAY PER\OD.
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
Dwellinl!s
Garal!e
v Wood Frame
Garal!e
Fee Description
Plan Review Residential
Encroachment Permit
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology 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 - Unit Heater
Minimum/Adjustment Mechanical
Plan Review Major - Planning
PW Disc - 2nd Permit
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,344.00
282.00
Total Value of Project
~
Amount Paid
$466.96
$130.00
$10.00
$114.87
$69.77
$85.39
$254.00
$31.00
$718.40
$80.00
$6.00
$9.00
$81.30
$12.00
$6.00
$198.00
$-30.00
$395.81
$520.53
$10.00
$961.52
$91.61
$115.02
$71.71
$836.32
$189.58
$80.00
$729.30
$50.00
$12.00
$2,303.00
$12.50
$6.25
$10.00
$106.00
Date Paid
5/15/07
5/29/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
7/17/07
7/17/07
7/17/07
7/17/07
Pal!e 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00699
ISSUED: 06/04/2007
APPLIED: 05/16/2007
EXPIRES: 01/12/2008
VALUE: $ 146,046.00
Value
Date Calculated
$138,432.00
$7,614.00
$146,046.00
05/16/2007
05/16/2007
Receipt Number
1200700000000000576
2200700000000000844
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
1200700000000000677
2200700000000001144
2200700000000001144
2200700000000001144
2200700000000001144
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00699
ISSUED: 06/04/2007
APPLIED: 05/16/2007
EXPIRES: 01/12/2008
VALUE: $ 146,046.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring Ea AddtI 500
$19.00
7/17/07
2200700000000001144
Total Amount Paid
$8,762.84
I Plan Reviews, I
Initial Review
05/16/2007
05/16/2007
APP LLH
See attached memo from Planning
regarding accepting plans for
review.
Planninl! Review
Public Works Review
05/16/2007
05/16/2007
06/01/2007
OS/25/2007
APP T AJ
WE JLP
Plat & Site plan do not match.
Nedco to provide clarification & ne"
Documents if necessary. JLP WE
5/25/2007
Plans taken in prior to plat being
complete/filed. David Reesor
provided copy of plat for review.
PW Rvw completed --Storm to curb
& gutter. JLP APP 5/31/07
Public Works Review
05/31/2007
05/31/2007
APP JLP
Structural Review
05/16/2007
05/16/2007
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.
~eouiredJnsnections 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 s~eathing 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.
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.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00699
ISSUED: 06/0412007
APPLIED: 05/16/2007
EXPIRES: 01/12/2008
VALUE: $ 146,046,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00699
COM2007-00699
COM2007-00699
COM2007-00699
COM2007-00699
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001144
Date: 07/17/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
RAINBOW VALLEY CONSTR djb 014339 In Person
Payment Total:
Page I of 1
2:31:48PM
Amount Due
106.00
19.00
6.25
10.00
12.50
$153.75
Amount Paid
$153.75
$J53.75
7117/2007