HomeMy WebLinkAboutPermit Electrical 2007-8-13
CITY OF SPRINGFIELD, OREGON
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number L() vtA. z-oc 7 - 0 D 6 5 C{
Date,
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INITIALS
DATE
SOURCE
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3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION:
.
--4'75/ ~hN $JT.
LEGAL DESCRIPT10N:
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JOB DESCRiPTION:
~!::>t' ("v'l{k'
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
CONTRACTOR INSTALLATION ONLY
2.
Electrical Contractor UA q S:/4-t-~ 200 Amps or less .--r
NOnCE: 201 Amps to 400 Am IS womt.
~/")c;:p~~ ~ERMt1i<8~iYJa~;sTHE ,'. '
- AUTHORIZEOdJ~tlltijSoIi ~'T IS N<fl'
Phone 9'$Y-7~NCED~~&~D FOR
ANY 180 DNlftftl@mnly
37~S
I
z
$117.00
1/7
42
$ 21.00
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
Over 600 Amps or I 000 Volts see "B" above.
S tu f S EI tr D. Branch Circuits
~ re 0 up~;ng U~d," " New Altmtinn o. .xten,ion p" Panel
~~ ~ _ One Circuit
- ~ Each Additional Circuit or with
c::~r- LL/ Service or Feeder Permit
Owners Name c.<.:> J. ~ I... '"'-
Address l.( Z ( 7 ZI,A.. , .s E. Miscellaneous (Service/feeder not included) -Each Installation
5 rl~ Phone 7LfL( - 0 If zg
Address J~ 3 ~
City ~{,.!J.
/"-
Supervisor License Number
C. Temporary Services or feeders
Expiration Date /0 - / - c ?
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Constr. COQtr. Number /? o/R .3
5. - -;>0.... a?,
Expiration Date
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
$ 55.00
$ 76.00
$110.00
$ 48.00
~-
I?'-U -$ 4.00
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
OWNER INST ALLATlON Lim~~~WI $ 28.00
The in.staIlation is being made on property I own wh~ott ()fe~~~~6W~ $ 50.00
IS not Intended for sale, lease or rent. At t Cl , ~1.iil$BW_' on Fee is $50.00 + Surcharges
'OnOW ru 88 ftter :Tb9!i~~Q, ·
Owners Signature: Notificat\On ~t~b'~the /5" i
\n O~ J52 may owAn;_~p~Gl&P"'on. (z- -, z.
Q09O. lOU.... Cen\tbtlaoM. n / J- '0
ca\\\ng 'He the O~_ . / 'io
number~~ter l8 1. I 9 r 5 7
TOTAL J -
Shared Drive(T:)lBuilding FormslElectricaI Permit Application 7-07,doc
City
Inspection Request: 726-3769
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6959 Main ST
ASSESSOR'S PARCEL NO.: 1702353309500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Lot 2 Redwood Subdivision
Owner: AADCO ENTERPRISES LLC
Address: 421 72ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
AADCO ENTERPRISES LLC
CRAFTSMAN
License
129873
170183
I BUILDING INFORMATION I
# of Units: J~1 \f -n\~ \t1l~ries: 1
Primary O~~f.trouJ~\.\. ~.l!\~ RlJ\\1 \iI~ofStructure: 15.50
Secondary ~~~!.~o DEl' 1\\'6 ~E ME.O f(]\lpe of Heat: orced Air Electric
Primary C01 .~_ \s "BA"OO Water Type: Electric
Secondary iT"~efJ~J\ Range Type: Electric
# of BedrooneOl-A'W\l:'~ Q~'i ~El'\OO. 3 Energy Path: Path 1
~ ,\&v Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
10.00
31.00
18.00
7.50
Overlay Dist:
# Street Trees Rqd: 0
Paved Drive Rqd:
% of Lot Coverage: 19.50
Residential
Phone Number: 541-744-0428
Expiration Date
06/18/2008
05/30/2008
Phone
541-744-0428
541-954-7589
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,335
1,280
495
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: SIdewalk Type
Fullv Improved ':
Storm Sewer Available: Yes A"C,m~-~.orm Sewer
Special Instruction: follow rul.. adopted by u:. 8Oon.. folia
Notification Center. Thole are 95M01-
Notes: Storm tied to designated storm system approved during PIPlIPOM~~flil=ghofO~"'rultl""
0090. You may obtain 88 UIV ww
calling the center. (Note: Ule teIePhOnt
number for the Oregon Utility NotifloIIiaft
Center 111-800432.a44).
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
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
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,280.00
495.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$131,840.00
$13,365.00
$145,205.00
05/02/2007
05/02/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $464.85 5/2/07 1200700000000000488
-Mechanical Issuance Fee- $10.00 6/15/07 1200700000000000776
+ 10% Administrative Fee $115.29 6/15/07 1200700000000000776
+ 5% Technology Fee $63.11 6/15/07 1200700000000000776
+ 8% State Surcharge $85.13 6/15/07 1200700000000000776
2 Baths One or Two Family $254.00 6/15/07 1200700000000000776
Addressing Assignment $31.00 6/15/07 1200700000000000776
Building Permit $715.15 6/15/07 1200700000000000776
Dryer Vent $6.00 6/15/07 1200700000000000776
Exhaust Hoods $9.00 6/15/07 1200700000000000776
Fire SF Fee - Residential $88.75 6/15/07 1200700000000000776
Furnace - up to 100,000 btu $12.00 6/15/07 1200700000000000776
Plan Review Major - Planning $198.00 6/15/07 1200700000000000776
Sanitary Sewer - Improvement $474.97 6/15/07 1200700000000000776
Sanitary Sewer - Reimbursement $624.64 6/15/07 1200700000000000776
SDC MWMC Administration $10.00 6/15/07 1200700000000000776
SDC MWMC Improvement $961.52 6/15/07 1200700000000000776
SDC MWMC Reimbursement $91.61 6/15/07 1200700000000000776
SDC Sanitary/Storm Admin $152.92 6/15/07 1200700000000000776
SDC Transpo Admin $67.59 6/15/07 1200700000000000776
SDC Transpo Improvement $836.32 6/15/07 1200700000000000776
SDC Transpo Reimbursement $189.58 6/15/07 1200700000000000776
Storm Drainage Impervious Area $1,221.64 6/15/07 1200700000000000776
Temp Power 200 amps or less $50.00 6/15/07 1200700000000000776
Vent Fan $18.00 6/15/07 1200700000000000776
Willamalane Single Family $2,303.00 6/15/07 1200700000000000776
+ 10% Administrative Fee $15.90 8/13/07 1200700000000001028
+ 5% Technology Fee $7.95 8/13/07 1200700000000001028
+ 8% State Surcharge $12.72 8/13/07 1200700000000001028
Residence Wiring 1000 Sq Ft $117.00 8/13/07 1200700000000001028
Residence Wiring Ea AddtI 500 $42.00 8/13/07 1200700000000001028
Total Amount Paid $9,249.64
Pal!e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
05/03/2007
05/03/2007
I Plan Reviews I
05/03/2007 APP
OS/24/2007 APP
Public Works Review
05/03/2007
05/03/2007 WI
Public Works Review
05/11/2007
05/11/2007 APP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
LLH
TAJ
As per Condition 5 of the tentative
approval for Redwood Lane
Subdivision: the address shall be
plainly visible and legible from Main
Street.
Rcvd 5/3/2007---Waiting in order
PW rcvd for rvw.JLP WI 5/9/07
Storm tied to designated storm
system approved during PIP
process. JLP APP 5/11/07
JLP
JLP
Structural Review
05/03/2007
05/09/2007
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.
~eolJiredJ'nsnections I
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.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After aU 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.
Rough Plumbing: Prior to cover and including required testing.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 ofthe 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
22~ Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00634
COM2007-00634
COM2007-00634
COM2007-00634
COM2007-00634
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001028
Date: 08/13/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CRAFTSMAN ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1469
In Person
Payment Total:
Page I of I
1l:34:18AM
Amount Due
117.00
42.00
7.95
12.72
15.90
$195.57
Amount Paid
$195.57
$195.57
8/13/2007