HomeMy WebLinkAboutPermit Electrical 2007-8-16
SPRINCFIELD ZON
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (' 0 ~ ZJ::>c> 7 - 00 ~ ( 7
1. LOCATION OFJNSTALLAl'lON: 3.
if J Z 7- 'hrl-l 5":f 1\
,
LEGAL DESCRIPTION:
1762-727<.(
JOB. DESCRIPTION:
H-o~5 '=."
04207-
to/' I ILE"
Permits are non-transferable and expire if work is
not started within 180 days of issuance or ifwork is
Suspende.d for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor H / J (I S ~
Address ?f 7'7 So (?1~/ LlL7 'Dr
City Z J 4
(
Phone s'Il S DI st,r'(j
Supervisor License Number q R () '- <:;
Expiration Date / 0 - 1.- 0 7
Constr. Contr. Number ';) ( 3 S (
Expiration Date .;L. ~ Y - r1?
BUi'ingE: trk
Owners Name ~ C:r(:7,v€;- (6 s l~1
Address 21 to W ;1IIAIN S ~
Cit)G:s!h.c e' ~yePhone 7112 - K-6bJ
,
Date
COMPLETE FEE SCHEDULE BELOW
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
(
7
$117.00
If 7
b3
$ 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,
Recpnnect Only
$ 70.00
$ 83.00
$138.00
. $180.00
, $413.00
$ 55.00
C. Temporary Se,rvices or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
401 Am~s to 600 Amps $1 IO.~O .
~"tt~~Rff~1t!t~t~~e!Rm\Fal~ WORT
D. T\i~n~ ~~ioi\1NDER TH\S PERMIT \S NO
~~T~H~~\9~Dr02t&Ss~\}~w:\Q.~5DfOR
ORl-.~ 'rt~b DAY PERIOD. . $ 48.00
E!C\1I ctdi'tlOnal Circuit or with
Service or Feeder Permit
$ 4.00
E. Miscellaneous (Service/feeder not included) -Each Inst:Jllation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
OWNER INSTALLATION Limited EnergylResidential $ 28.00
The installation is being made on property I'own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. '(vvSC:-C:SS-OOg- ~ Milftllm:JJI4<<ulnii Permit Inspection Fee is $50.00 + Surcharges
Owners Signature: UO!l'90\~!lON ^l!\!~n UO~~~~ld:~ij~ OF ABOVE /8 D
f;lua4d~~a.l,~~~~ ul~lqo ^~W'Mltte.~trge II.( '10
^q S~IIIJ o~~o 46'noJlniHOO-~0G))~~gd tive Fee / ~
~ ~OO-C:S6 q, 041 'Ja\Ua5)>.A,lE:ffia~o Fee ~
I.Il10llaS ars salnJ a~q pa\dope saln.. MOll l( 0
Inspection Request: 726-376~l\l!ln ~0~~I~~:J~8' u06aJO :~.u.v 22 ( -
0\ no S . Shared Drive(T.)/Buildmg Fonns/Electncal Penn it ApplicatIOn 7-07,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4322 Daisy St
ASSESSOR'S PARCEL NO.: 1702323404202
Springfield
PROJECT DESCRIPTION: Single Family Residence
Owner: EUGENE KISHEN
Address: 2110 W MAIN STREET
SPRINGFIELD OR 97424
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00417
ISSUED: 04/26/2007
APPLIED: 03/21/2007
EXPIRES: 02/14/2008
VALUE: $ 208,441.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
Phone Number: 541-942-8663
I CONTRACTOR INFORMATION I
# of Units: 1 # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# ofBedroom~ ICE' 3 Ener,gy.Path:
NuT a . AIT SHAll EXPIRE IF THE~Olimed Building:
TUI~ P~R~/1 --- -'T Jr. U~T
AUTHORIZED UNDE.K lHI\:) r~PMENT INFORMATION I
COMMENCED OR IS ABAND . -
Frontyard SAN?{cil.80 DAY PER109~.00 Overlay Dist:
Side 1 Setback: 7.00 # Street Trees Rqd:
Side 2 Setback: 11.00 Paved Drive Rqd:
Rearyard Setback: 29.00 % of Lot Coverage:
Solar Setbacks: 37.50
Street Improvements:
Storm Sewer A vailable: ATTI~'Ntrdlf.PmiWon law requires you to
. . follow rules adotltVid by the Oregon Utility
SpeCIal InstructIon: Notification Center. Those rules are setforth
In OAR 952-o01-00tOJ.br()u.9hOMfm2~'
Notes: PW rcvd 3/28.JLP ~07 'fOttmi~~'M~l1N8t1Jif'YuJ'8 f)Eave below 8ft shall encroach upon PUE. JLP
APP4/8/07 calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Contractor Type
General
Electrical
Plumbing
Contractor
PROGRESSIVE CONSTRUCTION
BILLS ELECTRIC
DONALD CLEWIS
BUILDING INFORMATION I
I PUBLIC IMPROVEMENTS I
Pal.!:e 1 of 4
License
Expiration Date
. Phone
541-942-8663
541-501-5650
541-688-1931
21351
167921
04/28/2008
01/16/2008
2
27.00
Electric
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor: 702
Sq Ft 2nd Floor: 1,133
Sq Ft Basement:
Sq Ft Garage/Carport 448
Sq Ft Other:
Occupant Load:
1
Yes
26.30
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspouts/Drains:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
V Wood Frame
Garal.!:e
A.C. - Residen
Dwellinl.!:s
Garal.!:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Boiler/Comp Up To 100,000 btu
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
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
Storm Sewer Each Addtll00'
Vent Fan
Willamalane Single Family
Copies - Ea AddtI @ 50 Cnts Ea
Copy 6th @ 75 cents
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
1,835.00
1,835.00
448.00
Total Value of Project
~
Amount Paid
$597.93
$10.00
$140.51
$80.94
$103.27
$306.00
$31.00
$12.00
$919.90
$2.50
$0.75
$80.00
$6.00
$9.00
$114.15
$12.00
$198.00
$-30.00
$494.76
$650.66
$10.00
$961.52
$91.61
$120.03
$71.06
$836.32
$189.58
$80.00
$587.33
$14.00
$12.00
$2,303.00
$19.50
$1.50
Date Paid
3/21/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
4/26/07
8/8/07
8/8/07
Pal.!:e 2 of 4
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2007-00417
ISSUED: 04/26/2007
APPLIED: 03/21/2007
EXPIRES: 02/14/2008
VALUE: $ 208,441.00
Value
Date Calculated
$7,340.00
$189,005.00
$12,096.00
$208,441.00
03/21/2007
04/04/2007
03/21/2007
Receipt Number
1200700000000000305
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
2200700000000000592
1200700000000001016
1200700000000001016
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00417
ISSUED: 04/26/2007
APPLIED: 03/21/2007
EXPIRES: 02/1412008
VALUE: $ 208,441.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Replacement Plans per Hour
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$45.00
$18.00
$9.00
$14.40
$117.00
$63.00
8/8/07
8/16/07
8/16/07
8/16/07
8/16/07
8/16/07
1200700000000001016
1200700000000001052
1200700000000001052
1200700000000001052
1200700000000001052
1200700000000001052
Total Amount Paid
$9,303.22
I Plan Reviews I
Initial Review
Planninl.!: Review
Public Works Review
03/23/2007
03/23/2007
03/23/2007
03/23/2007
04/11/2007
04/08/2007
APP
APP
APP
NJM
TAJ
JLP
Structural Review
03/23/2007
04/16/2007
APP
DLM
PW rcvd 3/28.JLP 3/28/07 ***
Storm H20 to curb & gutter. No
Eave below 8ft shall encroach upon
PUE. JLP APP4/8/07
Called contractor and designer;
requested lateral design for the fronl
wall of teh bldg. and beam cales.
4/4/07dlm Received beam calcs.
Lateral design still pending
4/5/07dlm Received engineering
4/16/07dlm.
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.
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.
Pal.!:e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00417
ISSUED: 04/26/2007
APPLIED: 03/21/2007
EXPIRES: 02/14/2008
VALUE: $ 208,441.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
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
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Final Mechanical: When all mechanical 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
COM2007-00417
COM2007-00417
COM2007-00417
COM2007-00417
CO M2007 -00417
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
1200700000000001052
Date: 08/16/2007
Description
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
12:17:47PM
Amount Due
117.00
63.00
9.00
14.40
18.00
$221.40
Amount Paid
$221.40
$221.40
8/16/2007