HomeMy WebLinkAboutPermit Electrical 2005-2-25
~?"RINaFt:ELO "~{~~i~jC_~
__! ,,'_/:"_\ . ,..,~::~~,::.~~~~r;~J~
225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (54~~.9,o1: ~,;:r.~t~:~~{~~>]
ELECTRICAL PERIYlIT APPLICATION 0' 0'0& %~"'j1~ ~_ '''>1
, q'e ~ ;s> /) 't q
City Job Number c.o~z.oo4-O 112Cj Date Z-2.'-o ~,~ ,0/)/;, O're~&vo
01/' _ "" ~ 9v/~ ~'lt,
1. LOCATION OFINSTALLATloNj:";.;":': 3.'f:oiIP4~ ;"1ij?E3s.f.~ti;h .~.m<ow$'~:'~f~~"'t,.,
' ".L.",.';,.. ""."",,,,,,,.,jh",' .'c..,. "..,~' ,'",.'.'"'.k..... ::#''''CCh._."""._ ., ,','," _, ~,..~ ",' M'_,"'~' -c"""~:t~/,~,.., .." -,:9./;0/<",""'4,>,,;,,;.. "",~'",.';
b ? g- D A~ ~ 5--+ b 'Z- 8'" Z. vre /0;.;,,"", !
. ','"," .j""Ii"'~;'~'" ','
, 'eliing uflit. i"~'
'i_: ,~'-... ,', -';.,.;;..;1:,,~ ~.;;,~'.."'_""..;...-._;'.H~.,j
''-.
LEGAL DESCRIPTION
/70"2. 3<-t3 L{
00500
JOB DESCRIPTION
LJ l (L.~
c.
,ILI- ~Lt:)t' .s
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
- "~$;t:~'~':\"~'j:7~;~t7-~?;~~;~71P-:S',::,.:;-,~~t"",":
A. New Residential",:" Single or Multi
j",,:: ':,."::',;!;:".".;,~;:,,,,,;,;,,,,,;';,~-~,'w~~~~<1.-'}."''''''''',. .....;;.:~.14",.';:~;u.:.',...c"-'"-
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
~""~"';';"":~'c1!~~;?\~~~~\:'!'~>:;-->::-',~,""'-""~"''''''''~ ":">'('~e'~':"':?,:"T>-;'lJn~~~,:,';s~:i:'-:":~)r~
CONTRACTOR INSTALEATIONONLY, B.
2. ,.." ..,','" ",."'"",,.,' ',h, .,' . ",""'",..""'".",..'"",....;,'".,,,,J,...;Jl
Electrical Contractor
7 'F-
If', J ~ 'C' \n ="" \~('h ,('
/
L<' ,~~ IV\ f~\)\",
Address .~ \ -) c;
City r- l \/; ~: I...... ~,
J
Supervisor License Number
_ r.
~~)S~C j
Expiration Date
i ('\ I (\ I / ~)c,c--)
, I
Constr. Contr. Number \l ~~) .~
Expiration Date (':.;.. / C ':j / ;~~ t ,I: '\
, I
{ i" Nom, v/A$c-h r:;:^-
fZ:::s b"2 5" ( m 14-( ;Y'
City S~(= ~ Phone
T/lM. ~ I
SI
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
'(;3b
/9
(
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100,00
New Alteration or Extension Per Panel
\', .,
OI)e Circuit '. "
Each Additional Circuit or with
Sei\ric~~or Feeder Repnit \
~...J v'
~,~~,Oj)\
j\$03\)0
:4; ~C\~l-~::~;';~,',:,:':"77~';r. ~,:.:\!1<1<',\':',~:~.:~:,.t.". ;',"--, '/<,' ",-~'_:' ,-,ll__":" _'~>'N.. . ':".~Y~'...f. ~'~: >:'^ .'-<_:: .-",'~""'-" ,.HI
E. ~i~~~IJa~~?~s'(~~Jw,~~{f#er not included) -Each Installation
.,~::,'~.,~\'!}'-; 'J~1 \;, "",; ,.,', ;, "'""",~,"
Pump' or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
200 Amps or less
201 Amps to\400 r~W~es )lou.~o
.-0 <,~,4,ObAmp'sc\~,~~?ll~~90n Ut\\lW i,
_, " 60rAmPSt6))0'00~mP~re set 'o~,
- +--\~c )' ", ;:rhC'ls8 r gC:2 00 I
Phone "::-) .)-;01 i, ,r.n g~eri1JOOU' JXfi1Rs~t()AR ;} - \).
'. " ',,: ') R~prt~M:dt\1~,o " s oi the ru\e::l 'i
C.' . ')::O,...::~...,\I....,.Qb.\.ta\n cople hon~
('. (', c.."). '{ 0 ~ \ \ ~".'.' '. "'.....,.'...,.'.'.".
. \ . '--' ;-t.' ...... ..... ....
," ~a\\\n~l r n~- th~ ore9 32.-2344).
numbe &~Wfl\tjd\t,~e~atlOn or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
O.':~~_~?;9,,~~p~..?!"'~OOO Volts see "B" above,
D.B"anc~Circuits'
~..;ti.~"'.b.i,;WJ/lo.:';l~~."...".,..~~i~~t<c.
7% State Surcharge
1 0% Administrative Fee
TOTAL
h)\
1.[)'85
bS-50
7bb~
Shared Drive(T:)/Building Farms/Electrical Permit Application 1-03,doc
~S:;G~IEU). . ji. ".'.._.'.'.. .... ~,...'.....
WiL- ~L.. )
'. "
. -----.. .--.'..--,.... " , '
Status
Issued
CITY OF SPRINGFIELD
Building/Combination permit
PERMIT NO: COM2004-01129
ISSUED: 10/15/2004
APPLIED: 09/10/2004
EXPIRES: 08/16/2005,
VALUE: $ 542,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6280 Aster St 6282
ASSESSOR'S PARCEL NO.: 1702343400900
Springfield TYPE OF WORK: Tri-Plex
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two Tri Plex Units
Owner:
Address:
ADELAIDA D WULLSCHLEGER4.IfmtrtOWlOregon law requires you to
6251 MAIN ST APT 1 follow rules adopted by th 0 U . .
SPRINGFIELD OR 97478 Notification Center. Th e I regon ,tllrty
. ose ru p.~ ~r~ <'Cot f,..r+h
III UAI1l:Jo~-001-o01 0 tb(f'l'~!l~~ 952-001-
~fJlOO~~~~1~ rules by
camii"Q"ihe center. (Note:.the teleph . .
Contractor number for the Oregon t!t~BtificaWNlratlOn Date
APAZ Center is 1-80D-332-2344)
ESSEX GENERAL CONSTRUCTION 5453f. 11/10/2006
REYNOLDS ELECTRIC 17252 02/08/2007
STATEWIDE MECHANICAL LLC 148558 08/03/2005
STATEWIDE MECHANICAL LLC 148558 08/03/2005
EMERALD EXCAVATING INC
Phone
541-744-2046
.541-342-4509
541-343-7297
541-461-8973
541-461-8973
541-345-1505
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Sewer
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
6
R-l
13
# of Stories: 2 Lot Size:
Height of Structure, 22.00 Sq Ft 1st Floor:
1>0 ^1.;-~~f,pf Heat: Electric Sq Ft 2nd Floor:
n\1 UWil~~ :rype: Electric , Sq Ft Basement:
TH~a~~~t}{pe5HALL EXPIRtI~~IJiFlE W~~ Garage/Carport
AU ~Q~gf~@Itj.NqER THIS p~rtt~lr IS ~~ t Other:
COm1r~~~~'OWlr.;:ABANDO~ro FOR~~ upant Load:
I DE~ELcir~ rNF1W~~fA TION .
3,024
3,248
VN
294
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of5
~lii:iiti
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01129
ISSUED: 10/15/2004
APPLIED: 09/10/2004
EXPIRES: 08/16/2005
VALUE: $ 542,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$82.00
$1.00
Square Footage
or Bid Amount
6,484.00
11,000.00
Value
Date Calculated
Apartment Hous V Wood Frame
Pavinl! Use Bid Amount
Total Value of Project
$531,688.00
$11,000.00
$542,688.00
09/20/2004
09/20/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $1,107.05 9/3/04 1200400000000001310
-Mechanical Issuance Fee- $10.00 10/15/04 2200400000000001297
+ 10% Administrative Fee $324.58 10/15/04 2200400000000001297
+ 7% State Surcharge $219.15 10/15/04 2200400000000001297
Addressing Assignment $62.00 10/15/04 2200400000000001297
Annexed 1979 or Before $-67.79 10/15/04 2200400000000001297
Backflow Device $14.00 10/15/04 2200400000000001297
Building Permit $1,969.65 10/15/04 2200400000000001297
Dryer Vent $36.00 10/15/04 2200400000000001297
Fixture $770.00 10/15/04 2200400000000001297
Paving $115.20 10/15/04 2200400000000001297
Plan Review Comm/Ind/Public $1,303.51 10/15/04 2200400000000001297
Plan Review Fire & Life Safety $802.16 10/15/04 2200400000000001297
Sanitary Sewer - 1st 50 Feet $45.00 10/15/04 2200400000000001297
Sanitary Sewer - Improvement $2,193.24 10/15/04 2200400000000001297
Sanitary Sewer - Reimbursement $2,885.24 10/15/04 2200400000000001297
SDC MWMC Administration $10.00 10/15/04 2200400000000001297
SDC MWMC Improvement $4,450.16 10/15/04 2200400000000001297
SDC MWMC Reimbursement $421.88 10/15/04 2200400000000001297
SDC Sanitary/Storm Admin $6.41 10/15/04 2200400000000001297
SDC Sanitary/Storm Admin $532.21 10/15/04 2200400000000001297
SDC Transpo Admin $-7.06 10/15/04 2200400000000001297
SDC Transpo Admin $284.70 10/15/04 2200400000000001297
SDC Transpo Improvement $-62.97 10/15/04 2200400000000001297
SDC Transpo Improvement $3,254.74 10/15/04 2200400000000001297
SDC Transpo Reimbursement $-14.28 10/15/04 2200400000000001297
SDC Transpo Reimbursement $737.79 10/15/04 2200400000000001297
Storm Drainage Impervious Area ' $132.06 10/15/04 2200400000000001297
Storm Drainage Impervious Area $2,385.14 10/15/04 2200400000000001297
Storm Sewer - 1st 50 Feet $45.00 10/15/04 2200400000000001297
Storm Sewer Each Addtll00' $56.00 10/15/04 2200400000000001297
Temp Power 200 amps or less $50.00 10/15/04 2200400000000001297
Vent Fan $72.00 10/15/04 2200400000000001297
Water Line - 1st 50 Feet $45.00 10/15/04 2200400000000001297
Water Line - Each Addtll00' $28.00 10/15/04 2200400000000001297
Pal!e 2 of 5
Status
Issued
CITY OF SPRINGFIELD'
, Building/Combination Permit
PERMIT NO: COM2004-01129
ISSUED: ~OiI5/2004
APPLIED: '09/10/2004
EXPIRES: 08/16/2005
, VALUE: $ 5:42,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-7i6-3676 Fax
541-726-3769 Inspection Line
Willamalane Apartments
Refund - Willamalane
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$5,536.00
$-1,384.00
$65.50
$45.85
$636.00
$19.00
10/15/04
10/29/04
2/25/05 '
2/25/05
2/25/05
2/25/05
2200400000000001297
VOUCHER#82932
1200500000000000255
1200500000000000255
1200500000000000255
1200500000000000255
Total Amount Paid
$29,134.12
I Plan Reviews I
Fire Department Review
09/1312004
, 09/27/2004
OK
GRG
Plan Review: two triplex
apartments, one with a garage. Job
#COM2004-1129. Occupancy
Classification: R-1. Construction
type: V:'N. '
Provide address numbers in
contrasting color from the
background positioned plainly
visible and, legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 and 1997 Springfield Uniform
Fire Code 901.4.4).
Provide fire extinguishers with a
minimum rating of 2-A:I0-B:C
every 75 feet of travel distance.
Option: Locate, fire extinguishers
inside, each unit. The t~p of the
extinguisher(s) shall be ~etween 3
and 5 feet.a.bove finished floor
(Springfield Uniform Fire Code
1002.1).
.,' .:\\
Initial Review
Planninl!: Review
Smoke alarmssho~n on Plan Sheet
AI0 in Symbol and Description
boxes b.llt.not on the ,floor plans.
Smoke dete,ctors, shall be installed
per Oregon Str~ctural Specialty
Code 310.9.1.4~ith hush features
required per O~S 479.297
Paragraph 2.
09/08/2004
10/07/2004
09110/2004
10/07/2004
APP
APP
LLH
EMM
" ,
Pal!:e 3 of5
! j ,
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01129
ISSUED: 10/15/2004
APPLIED: 09/10/2004
EXPIRES: 08/16/2005
VALUE: $ 542,688.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
09/1312004
WE
Public Works Review
09/13/2004
10/06/2004
APP SB
Structural Review 09/10/2004 09/14/2004 WE TCM
Structural Review 10/07/2004 10/07/2004 WE JMP
Structural Review 10/08/2004 10/08/2004 PEND TCM
Structural Review 10/1112004 10/1112004 APP TCM
Structural Review 10/11/2004 10/11/2004 WI JMP.
Structural Review 10/13/2004 10/13/2004 10 JMP
Sarah Summers is planner for Site
Review. Final Site Plan was
incomplete. New plan to be
submitted (which means building
plan should be changed also to
reflect). Development Agreement
will need to be signed.
SDC fees added. and corrected.
Curbcut and SIdewalk permits
added. No encroachment required.
LDAP Application required before
issuance.
Waiting for engineering calulations,
and foundation change on point load
footings.
See attached reminder of
outstanding items faxed to Art Paz.
Received requested information
from Paz, review pending.
Revisions received comply with
requested data.
Waiting for approval ofLDAP.
Virginia says she will finish the
LDAP approval for Art Paz to pick
up this morning.
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.
Ule(]lIire~nsnections I
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After aU erosion measures are in place.
Dfer 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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete. .
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.
Firewall: Located and constructed according to plans.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pal!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-01129
ISSUED: 10/15/2004
APPLIED: 09/10/2004
EXPIRES: 08/16/2005
VALUE: $ ,542,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
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.
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'
. r:
Pae:e 5 of 5
225 Fiftb. Street
SprIngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1129
COM2004-01129
COM2004-01129
COM2004-01129
Payments:
Type of Payment
CreditCard
2/25/2005
RECEIPT #:
1200500000000000255
Date: 02/25/2005
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addt1500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ELLEN REYNOLDS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 065647 In Person
Payment Total:
Page 1 of 1
11:53:16AM
Amount Due
636.00
19.00
45.85
65.50
$766.35
Amount Paid
$766.35
$766.35