HomeMy WebLinkAboutPermit Electrical 2003-9-18
225 FIFTH STREET
SPRlNGFIELD, OREGON 97477
INSPECTION REQUEST: 726~3769
. OFFICE: 726-3759
.
ELE.CAL PERMIT APPLICATION
City Joh NumhereO~..'"lOd~<!?OSq4-
3. COMPLETE FEE SCHEDULE BELOW
. I. LOCATION OF INSTALLATION
Iz'll.( J)e:-z... ,Z-dJ€
",,,,II .
~\o'l'\'~lf Residential-Single or
.\\.6 "e~~ \e,,6 Il Multi-Famil)' per dwelling unit.
LEGAL DESCRIPTION .A ,..,.._ _1l'O"'~ _9.01 Service Included:
\"l 0 ';. '""Z. :; A; Il.-- D ~ ~ ..00IlI' <;:)fl-r:; ->>. 'Jl.. Items Co,! Sum
~\O~\{\y 600':1 ,,- L..-::
JOB DESCRlPTION'~~". e~6 , \ ~ 0 sq.ft. or less
Av D 10 - 1-'I(orfl"E 0.<~ Each additional 500
- ______ sq. ft or portion
Permits .;lre non-trans;era,~lt a~~\~\le\Il'. thereof
If work IS not started wdiun 180,davs . Each Manufd Home or
of issuance or if work is susp~~lded 'for Modular Dwelling
180 days'.L Service or Feeder .;?,
~~ 0" .:p i..
2. CONTRACTOR lNS~ ~A TION ONLY B. Services or Feeders ",-4, .::y ;::.0 !:'l .
.~~."- I II' AI! ,00 t'-~ _0 n~ "
":-:~" ~ nsta allan, sra,JJln~or~v 0'" 0
Electrical' Contra~or~< ~() Fr "'--/)J I AIL-Relocation: oOv. j.'li ~ OJ ....!!} ~ ~
~~~- ~O~~0~~
Address_/~._.<~.. ~<<J 7 rfl 200 amp'6,ir'fa~'~O &~0-fl~.&(.J'?f $ 63.QO_
ci:i.'r.~' ~ . . 20 I aI;lP~ ~,?>"4 $al~s '$>"';;Soll) ~O'.,. . $ 75.00 _
City~~e-~ Phone ~g s- ,:~c!() ~~:~::tt:&,~~};,:{,~~~~ ~~~;'.~~ _
~~~_~1;'$;'_ ~:,;,~;~:: ~'*f'J'Jll#f#';>:';i::
" ,,~,~:,'.'"'~"SSri'..>:.: Co.: ,_' ;}i.,; . . -C' '. ';[c:c'lifl)Ojft9fs9iCJjY~ces~r~~id~rs ~. ,>
~~~~iir.NUI\lb~~;Zib - q~"i C,fp ,.:, ~~"'itt~~t~~<$~!~~~1Relocation ,,-,
~ -/' '-' "~',,,,,,,,'i!':;$'-j:;,"0q, ..-.
'. . Expiration Dale ., b - r.:2ZcN;;'J, , 200anlps"Qrless , $50.00
201 ~mpS'lo 400 amps ' $69.00
Over 401.10 600 amps $100.00
Over 600 amps or 1000 volts see
"B" nbove
$106.00
$ 19.00
$ 50.00
Signature of Supcr\'ising Electrician
d6fCvft.~
, {3 D. Branch Circuits
OWllcrs Name 7J Ii' 0,,"; ~. . f'.A-tIZ.e>./ vll../C-iHtot:r New Alteration or Extension Per Panel'
Address l-i.4-6,.-1>1i:-L~1Z- ~\\lE..
Cil,: ~ I "'~f \~L~Phonc
One Circuil
$43.00
Each Additional Circuit or with Service
or Feeder Permit $ 3.00
OWNER INSTALLATION
The installation is being made on
property I O\\'fi which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Scn'icc/feeder not included)
-Each installation
Pump 'or irrigation
Sign/Outline Lighting
Limited Ener&'YlRes
Limited Energy/Comm
$50.00
$50.00
~$25.00 "Z...Spo
$45.00
l\linimum Electric Permit Inspection Fcc is S45.00 + Surcharges
.J f'-A?
TOTAL
'"
C1i :-
3r.t:-
Jj.-'':.--
~2- "!
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
8% Administrative Fee
,
,
.
. CITY VI< ;snc..INGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00594
ISSUED: 0911212003
APPLIED: 07/08/2003
EXPIRES: 03/12/2004
VALUE: $ 237,927.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1244 Delrose Dr
ASSESSOR'S PARCEL NO.: 1703234409400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: BURKHART DEAN C & KAREN S
Address: 1616 HASKELL ST BURLINGTON IA 52627
I CONTRAClul<.JNFORMATlON I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
SOFT TECH BUILDING SYSTEMS LLC
BINNS ELECTRIC CO
MARS HALLS INC
CHAPIN ENTERPRISES INC
License
Expiration Date
73762
25790
81994
06/06/2005
1212312003
05/06/2004
Phone
541 726-3922
541-687-1362
541-747-7445
541-485-1146
BUILDING INFORMATION I
# of Buildings: I # of Stories: 2 Lot Size: 12,607
Primary Occupancy Group: R-3 Height of Structure 24.25 Sq Ft 1st Floor: 2,172
Secondary Occupancy Group: U-I Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 260
Primary Construction Type VN Water Type: Gas Sq Ft Basement:
Secondary Construction Type: Range Type: Gas Sq Ft Garage/Carport 739
# of Bedrooms: 3 Energy Path: Path I Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Yes
23.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
20.90
5.00
5.00
100.00
30.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
No
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Notes:
Pa!!e I of 4
"t'
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00594
ISSUED: 09/12/2003
APPLIED: 07/08/2003
EXPIRES: 03/1212004
VALUE: $ 237,927.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuatinn Descrintion I
Dwellines
Garaee
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,432.00
739.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$220,339.20
$17,588.20
$237,927.40
07/08/2003
07/08/2003
~ Fpp< tiWIJ
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $659.20 7/8/03 1200200000000001724
-Mechanical Issuance Fee- $10.00 7/30/03 1200200000000001866
+ 10% Administrative Fee $162.22 7/30/03 1200200000000001866
+ 7% State Surcharge $113.55 7/30/03 1200200000000001866
3 Baths One & Two Family $306.00 7/30/03 1200200000000001866
Annexed 1998 $-21.50 7/30/03 1200200000000001866
Appliance Vent $6.00 7/30/03 1200200000000001866
Building Permit $1,014.15 7130/03 1200200000000001866
Curbcut Permit $75.00 7/30/03 1200200000000001866
Dryer Vent $6.00 7/30/03 1200200000000001866
Exhaust Hoods $9.00 7/30/03 1200200000000001866
Furnace - up to 100,000 btu $12.00 7/30/03 1200200000000001866
Heat Pump $12.00 7/30/03 1200200000000001866
Plan Review - Planning $59.00 7/30/03 1200200000000001866
PW Mull Disc - 2nd Permit $-30.00 7/30/03 1200200000000001866
Residence Wiring 1000 Sq Ft $106.00 7/30/03 1200200000000001866
Residence Wiring Ea Addtl 500 $95.00 7/30/03 1200200000000001866
Sanitary Sewer - Improvement $430.25 7/30/03 1200200000000001866
Sanitary Sewer - Reimbursement $566.00 7/30/03 1200200000000001866
SDC MWMC Administration $10.00 7/30/03 1200200000000001866
SDC MWMC Administration $109.32 7/30/03 1200200000000001866
SDC MWMC Improvement $34.83 7/30/03 1200200000000001866
SDC MWMC Reimbursement $332.86 7/30/03 1200200000000001866
SDC Transpo Admin $50.22 7/30/03 1200200000000001866
SDC Transpo Improvement $727.42 7/30/03 1200200000000001866
SDC Transpo Reimbursement $164.89 7/30/03 1200200000000001866
Sidewalk Permit $75.00 7/30/03 1200200000000001866
Storm Drainage Impervious Area $945.98 7/30/03 1200200000000001866
Temp Power 200 amps or less $50.00 7/30/03 1200200000000001866
Vent Fan $6.00 7/30/03 1200200000000001866
Willamalane Single Family $1,000.00 7/30/03 1200200000000001866
+ 10% Administrative Fee $4.50 9/12103 2200200000000001518
+ 7% State Surcharge $3.15 9/12/03 2200200000000001518
Low Voltage - Residential $25.00 9/12/03 2200200000000001518
Minimum/Adjustment Electrical $20.00 9/12/03 2200200000000001518
Paee 2 of 4
,.;
.
. CITY OF ;SrKll~l:r1'l~LD
Building/Combination Permit
PERMIT NO: COM2003-00594
ISSUED: 09/12/2003
APPLIED: 07/08/2003
EXPIRES: 03/12/2004
VALUE: $ 237,927.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $7,149.04
I Plan Reviews I
Initial Review 0710912003 07109/2003 APP LLH
Planninl! Review 07109/2003 07118/2003 APP TAJ Survey required to verify side
setbacks. LOMR-F case #
01-10-275A revised FEMA Oood
map to allow building in this area.
A tree felling permit is required if 5
or more trees 5" dbh are removed.
Public Works Review 07109/2003 07110/2003 APP DJW
Structural Review 07109/2003 07130/2003 OK TCM
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.
IR~~
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Site Inspection: To he made after excavation but prior to setting forms.
4 Erosion/Grading Inspection: After all erosion measures are in place.
5 Ufer Electrical Ground: Install ground rod at footing and call for inspection In conjunction with footing andlor
foundation inspection.
6 Footing: After trenches are excavated.
7 Foundation: After forms are erected but prior to concrete placement.
8 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
9 Post and Beam: Prior to Ooor insulation or decking.
10 Shear Wall Nailing: Before covering sheathing with finish materials.
II Framing Inspection: Prior to cover and after all rough in inspections have been approved.
12 Walllnsulation: Prior to coyer.
13 Ceiling Insulation: Prior to cover.
14 Drywall: Prior to taping.
15 Final Building: After all required inspections have heen requested and approved and the building is complete.
16 UnderOoor Plumhing: Prior to insulation or decking.
17 UnderOoor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trencb.
22 Final Plumbing: When all plumbing work is complete.
23 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Gas: After line Is Installed and required testing and capped If not attached to an appliance.
25 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.
26 Rough Mechanical: Prior to Cover
Paee3of4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00594
ISSUED: 09/12/2003
APPLIED: 07/08/2003
EXPIRES: 03/1212004
VALUE: $ 237,927.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
27 Final Gas: When all gas work is complete.
28 Final Mechanical: When all mechanical work is complete.
29 Temporary Electric: Approval required prior to Utility Company energizing pole.
30 Rough Electric: Prior to Cover
31 Electric Service: Approval required prior to utility company energizing service.
32 Final Electric: When all electrical work is complete.
33 Low Voltage: Prior to cover.
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.~onstruction.
I~-l);t~ ;:r'~~0~
v 1-.
Owner or Contractors Signature I
'7 -(2-- o.s
Date
Paee 4 of 4
225 Fifth Street
Spriogfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00594
COM2003-00594
COM2003-00594
COM2003-00594
Payments:
Type of Payment
Check
llirr~.'-:"A ._I;IAl>_"-=,~.. ..-._.-..-._ :...
_;_"',"'~'c . l::"' ;
, " '"'" ~,"_,~" .1
Receipt #: 2200200000000001518
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
jmp
Check Number
Batch Number Authorization Number
Paid By
OLDFIELD'S WAREHOUSE
64112
City of Springfield Official Receipt;
Development Services Department
Public Works Department
Date: 09/1212003 1I:02:26AM
Amount Paid
Item Total:
25.00
20.00
3.15
4.50
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.