HomeMy WebLinkAboutPermit Electrical 2007-8-16
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225 FIFfH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMITAPPLICATION
City Job Number CO",^- ZOO 6 - 0 ( bt-:,o
Over 600 Amps or 1000 Volts see "B" above.
;?)i a ~~re of Supervisin D. Branch Circuits
'G7 /. New Alteration or Extension Per Panel
I / __' One Circuit
~?' ~/ Each Additional Circuit or with
c; ./ J '/ L Service or Feeder Permit
Owners Name ~-u.G-CAfc H S 6A/
Address Z((O W JAIIlriN -& T E. Miscellaneous (Service/feeder not incl~~~ch Installation
C;ty (<>(4r ~ G--.-V Phone 9Y Z - '6b6s tml\V~\Ij\\'l'<G\-\"LL ~~1~~~~:1 Il ~~
, ~~gfh\tftt~OtR 1\1 OQt-\fO f~5.00
OWNER INSTALLATION "Je\uSO LM\fu'e\2r~~Iff~~I~\3~N $ 28.00
The in.stallation is bein~tr$\QZ~~5~.~~lleQUJn\l L~~M~~n:O~RfI{hil~' $ 50.00 _
IS not mtendedU~~}!1aNefdl.\~t. ) 'Ja\USO all\ 6U\~\lP.D.il.num~~e~~lc Permit Inspection Fee is $50.00 + Surcharges
euo~de\e\ el.t\ .810M 9 no ^9UJ nOk 'O~lJu . 8 -'"""
Owners Signature.: J e~l ~O sa\doO U\ \'" Oo-~96 HV~ UlSUBTOTAL OF ABOVE I (..../
~\.\~e\n 6nOJ~\O~OO-~ \Ot.t.
-ll)n~:'.g6 B'VO ~ _ €l\l '1elY.80 uO\l901l1 "'8% State Surcharge '- II{ 1./0
iiO! \as are S611U d~q paldop9 salru MOUOJIO% Administrative Fee Ii:>
A\lH~n uo6eJO aL\~e\ uo6aJO :NOllN3UV 5% Technology Fee C;
~no" seJtnb8J ---? 7.. ( 90
Inspection Request: 726-3769 TOT AL v
[J7710N OTSl~411r:l:
LEGAL DESCRIPTION:
IfOZ- :S23l{ 04Z0('
JOB DESCRIPTION:
4/A'::>c WIll.:"
1.
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 INSTALLATION ONLY
Electrical Contractor H / ) f 's ~/
Address 37'7 S 0 C.1~/ L__7 'Dr
City 2'../ q
(
Phone S'I1 S DI st;r'c
Supervisor Lic~nse Number q 8 () '- <:;
Expiration Date / 0 - l.- 0 7
Constr. Contr. Number /). ( 3 S (
Expiration Date L,L;;... 9'- r'J?
Date
I
3.
COll-fPLETE FEE SCHEDUEE BEEOW
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
E\lch Manufact'd Home or
Modular Dwelling Service or
Feeder
I
:J
$117.00
117
63
$ 21.00
$55.00
B. Services or Feeders -Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Rec,onnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
$ 48.00
$ 4.00
Shared Drive(T:)/Building FonnslElectrical Pennit Appiication 7-07,doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01660
ISSUED: 03/15/2007
APPLIED: 12/27/2006
EXPIRES: 02/13/2008
VALUE: $ 164,094.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 477 S 43rd St
ASSESSOR'S PARCEL NO.: 1702323404201
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 3 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 40.48 " you to
ATTENT10N: Of!~O.:' ~awth~e~on Uti\it'f..
~\l rUIUIt caJ....Ff.L \' I aresvdw.L.'
I PUBLIC IMPROVEM~~dation Center. Those ruhe~AR 952-001-
In OAR 95~~~'Q,~~rou,~s of the rules bY
Fully Improved 0090. YOU mayW~~~e telephoneCurbside 5'
Yes camngt~iNut~M'CNiiltyNo~nmd Gutter
number tor the Oreg~ '-l'1~.2344).
Center is 1..a~
Storm H20 to curb & gutter. Project must follow any&all partition conditions of approvaI.JLP
Owner: EUGENE KISHEN
Address: 2110 W MAIN STREET
COTTAGE GROVE OR 97424
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
PROGRESSIVE CONSTRUCTION
BILLS ELECTRIC
OWNER
DONALD CLEWIS
21351
License
167921
BUILDING INFORMATION I
# of Units: 1 # of Stories: 1
Primary Occupancy Group: R-3 Height of Structure: 22.00
Secondary Occupancy Group: U Type of Heat: orced Air Electric
Primary Constructi'l.P_ Type VB ~~pe: Electric
Secondary <t40T~U:n !.Y~~~lt EXPlf\E \f TH ype: Electric
# of Bedroonwns PERMfi ~ T,,"S PERM\TiS ath: Path 1
AUTHOR\IEO UNOER BAa-IOONED ~i\nkled Building: n/a
'"' -~(,E.G ~~. ,c: A '"'''
~~~:O DA't PER\OO. I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
14.80
6.60
10.00
14.40
25.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal.!:e 1 of 4
Phone Number: 541-942-8663
Expiration Date Phone
541-942-8663
04/28/2008 541-501-5650
01/16/2008 541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,510
494
88
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garal!:e
Use Bid Amount
Garal.!:e
Patio/Porch
Fee Description
Plan Review Residential
-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 - up to 100,000 btu
Minimum/Adjustment Mechanical
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
Sidewalk Permit
,Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
+ 5% Technology Fee
Encroachment Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Copies - Ea AddtI @ 50 Cnts Ea
CITY OF SPRINGFIELD.
. Building/Combination Permit
PERMIT NO: COM2006-01660
ISSUED: 03/15/2007
APPLIED: 12/27/2006
EXPIRES: 02/13/2008
VALUE: $ 164,094.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$26.00
$1.00
Square Footage
or Bid Amount
494.00
1,760.00
12/27/2006
01/18/2007
Value
Date Calculated
Total Value of Project
$12,844.00
$1,760.00
$14,604.00
~
Amount Paid
Date Paid
Receipt Number
1200600000000001796
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
2200700000000000348
1200700000000000305
1200700000000000305
1200700000000001051
1200700000000001051
1200700000000001051
1200700000000001051
$500.76
$10.00
$123.05
$74.19
$90.07
$254.00
$31.00
$776.90
$80.00
$6.00
$9.00
$104.60
$12.00
$6.00
$198.00
$494.76
$650.66
$10.00
$961.52
$91.61
$137.28
$69.09
$836.32
$189.58
$80.00
$892.91
$50.00
$12.00
$1,000.00
$6.50
$130.00
$18.00
$9.00
$14.40
$10.50
12/27/06
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/15/07
3/21/07
3/21/07
8/16/07
8/16/07
8/16/07
8/16/07
Pal!:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01660
ISSUED: 03/15/2007
APPLIED: 12/27/2006
EXPIRES: 02/13/2008
VALUE: $ 164,094.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Copy 6th @ 75 cents
Replacement Plans per Hour
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$0.75
$45.00
$117.00
$63.00
8/16/07
8/16/07
8/16/07
8/16/07
1200700000000001051
1200700000000001051
1200700000000001051
1200700000000001051
Total Amount Paid
. $8,165.45
Plan Reviews I
Initial Review 12/28/2006 12/28/2006 APP LLH
LDAP Review 02/06/2007 10 BRC Spoke with Jay (914-5329) about
LDAP items. Over-the-counter
LDAP required. BC
Planninl.!: Review 12/28/2006 02/11/2007 APP TAJ The plot plan is ridiculously small!
Street trees were required to be put
in as part of the partition approval
(Condition 1 of SUB2004-00065). If
the trees haven't been planted, they
need to be done prior to occupancy:
2 on S 43rd and 1 on Daisy.
Public Works Review 12/28/2006 01/04/2007 WI JLP Waiting in order PW rcvd for
rvw.JLP
Public Works Review 03/26/2007 03/26/2007 10 JLP Rcvd $800 ashphalt deposit by
progressive exteriors. Rcpt #00414.
Check #10204. Sent copy of rcpt to
Ron Mason.JLP 3/26/2007
Public Works Review 02/06/2007 02/06/2007 APP JLP Storm H20 to curb & gutter.
Project must follow any&all
partition conditions of approvaI.JLP
Structural Review 12/28/2006 01/11/2007 10 LLH Plans sent to Building Department
for review under contract with the
City of Springfield.
Structural Review 01/11/2007 01/17/2007 APP LLH Plans reviewed and approved by the
Building Department, Shawn Eaton,
under contract with the City of
Springfield
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.
UeouireCUnsnections'
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.
Pal.!:e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01660
ISSUED: 03/15/2007
APPLIED: 12/27/2006
EXPIRES: 02/13/2008
VALUE: $ 164,094.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
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.
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.
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.
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
COM2006-0 1660
CO M2006-0 1660
COM2006-0 1660
COM2006-01660
COM2006-0 1660
COM2006-0 1660
COM2006-01660
COM2006-01660
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001051
Date: 08/16/2007
Description
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Replacement Plans per Hour
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ED FEDEWA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
053502 In Person
Payment Total:
Page 1 of 1
12:16:54PM
Amount Due
0.75
10.50
45.00
117.00
63.00
9.00
14.40
18.00
$277.65
Amount Paid
$277.65
$277.65
8/16/2007