HomeMy WebLinkAboutPermit Electrical 2002-3-4
March 5, 2002
Glen Wallersted
4509 Camellia Street
Springfield, Oregon 97478
225 FIFT/-I STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (5~ll) 726-3689
wwwci.springfield,or.us
Enclosed is a copy of the electrical permit for 4509 Camellia Street, Springfield, Oregon.
When you obtained your permits, we neglected to properly validate it. I am enclosing a
copy of the permit for you to keep for your records,
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
~~JWV
Lisa Hopper
Building Safety Supervisor
cc: David Bowlsby
Encl
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602:8000-10; #Sf'Ji;;ItiJ
125 t'it' it! STREET, .', ',r 'r ELb~ ..tUCAL PERMITAPPLICATION
, SPRINGFIELD~ OREQON 97f77y:.:." ~. '0, ,', ;" ';, "Ii f \I wiNs":! ".~ '. ..,'..., ,.,f' , .,'
I. NSPECTIONREQUE. S1': 72.~~~i~.'~.,.\Vingprql~6ta~S\Jb.mille~.".~M,lli!\~l,.mhel":i~2~OOI'$O~~O 'I ','
'. ',' . '"co, ddo' a's' notraqUlra spedifrc~'afWI '
QFFicE: 726-3759~ .. :torying~.~n ; . i Hi:': (', ,"
,.,..,. '..' ..".'.,' .' ',"'"..' ,.y "'l!l.pproval,' .'- ;0' ' . .J!.;" '.'. '.' ." '
't ' ';?;", :':'.t': 'Ai ',: 1;;' 'jl..' ' :';, ;i;'JrP~ CO)y!pLETe. F'FiF'~HEl?ULE~ELOW
. 1. L!)Zlpg~PF ~~nz~on""~L~H,:t~:~e~u'~W~:Singl~:r .' ...
Authorized Signature ! ~.l,-",ullily per dwelhng umt.
Service Included:
-LEGAL DESCRIPTION
;702:- 3Z~ '3
o 4 Z-CS 0
Items Cost
Sm;n"."
JOB DESCRIPTION / 1000 sq.ft. or less
&..-W~c=- :i"I2-IiL $- ~ C~lZC...\..1s Each additional 500
LA ~r::-/ ro "'- ~c:L I sq, ft or portion
Permits are non-transferable and expire thereof
, 1/ I 1.:: i\J T10
if work is not started within 180 dfty,sl - N:Orsg Each Manufd Home or ,
of issuance or if work is suspenc\~8~~PW ~utes adOPts~rj ia'Mo~fJ1welliIlg
180 days., .t. 0 ICatlon Center. 1i b,\: 1rtieO&gor F'&tf~
. u' AR 952.001.0 . hOse rUles On Utility
2, CONTRACTOR INST ALLA <f?gl'!}(oWRYay ob 0Ip. tB~ft~d~~3@j~@nh
, ,- Callmg the Ce tam COPie~r ,~~,,'ltions or
Electrical' Contractor nUmber ff'\rth mer. (Note. tIM 0 ,ftoAf.t~s by' ,;; .
.. ' e OregO . etepho
Centeris 1-8 n Utili~1\Jn~:$:_-.ns \;
00-332. {)P.~km "
, ..". ?t4~1PS to 400 amps
401 amps to.600 amps
601 amps tOlOOO illl,lpS
Over 1000 amps/volts
Reconnect Only
$106.00
$ 19,00
$ 50.00
S upervi sg~ti~~f1~e
( .
. > '.-',i"_,
i:: 1._/,,:" '-'..",,<::_'_.~.! "
. . 'r>;: ,', '{'4><,-~,/
ExplIatIOl}.,pate,:' 0
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"." '."/.~:'
"CoRstr; Contr. Number]
'^~%:;.J':':-, ," ,':.-x. -'.
'f'i-\':(-i>,.
,'~~'"i't\H";;--"i
$ 63.00
$ 75.00
$125,00
$163.00
$375.00
-.L $ 50,00 5'"'0
Address
City
.:, -(\:._::~F::(~'~"~~",,,~, ?j\;\
','.;i..
Date
$50.00
$69.00
$100.00
'1;>. / I ,I I' i 15. Branch d~:~~;its
..'.......:.............,..............w,..,.,)~, },bfL. S~ r- Ne\xj1~....~.~r~..",~.,l...,..o,. n Ofi:,'.::,;f..,.....i,..tension perp~!l.'\.ib.'..~l.,., ..,.....
~~/i~ ~-J- On/b~~uitL ,;,...'.~~ ~<o:t
V5
$43,00
City'
~e);O:;;~;::fPhon~'.;.; '70/ 7 - 7)~ I
'. - .
Ea'chldditibl1al Circuit or with' Sen;i~e
or Feeder Permit Z- $ 3.00
~
;:OWNER INSTALLATION
The instaliation is beil1glnade
property'I o\vn which i~.not intynded
fat sale, 'lease Oi'i-enL'{'> '"
) f. .
",'E.
, ,
, '::"",-,.
. -- ,
NJi~sel1aneous (Service/feeder not included)
. -Eac!~, instal,lation
PunlPorirrigatioh .
, Sign/Outline Lighting
Limited EnergyIRes'
Liinited Energy/Comm
'$50,00
$50,00
$25.00
$45.00
.~ : .
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fce
99
6 9~
'7 '!-z
/tJ~
TOTAL
0;..
,
....~ .
Job# 02-00180-01
Page 1 of 3
TRAN8#~Ol-0008209
DA TE ~ t1AP 04 2002
AMT RECD:2 $ 749a53
CHi~NGE ~
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00180-01
225 Fifth Street
Springfield, OR 97477
v
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4509 Camellia St Spr
Assessors Map#: 17023243
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 04200
Subdivision:
Glen Wallerstedt
4509 Camellia
Phone Number: 541-747-7535
City/State/Zip:
Addition
Springfield, OR 97478
Value: $19,782
Scope Of Work: Garage Conversion
Glen Wallerstedt
4509 Camellia, Springfield, OR 97478
/ g!-
Glen Wallerstedt / ~O ~&
4509 Camellia, Springfield, OR 97478 .~ !=:j
~. ~'" ~
Glen Wallerstedt ~ ~ f::)<P
4509 Camellia, Springfield, OR 97478 / ,4S~ r~<<) #)
V ~"J S
Office Use b..y~~. -<. /":0' 'IS' ___~
~~ c'''~~' if
Lan'd Use: ,~~@I~~~~ ~elling # Of BuildiQg's:.,S2;'.f,,~" ~
Zoning ".....0. -~RC) ~ ~O Occupancy'Gr.c;,u-~:ctDw~ling
Bedro~~~~~~' ~<<> - Heat S,d.ci{~( .f~i6~(ij,~~~ltctric
~~~~.{5 ~ :-.\.. -';~. f', ~-' ~o, ~ ~
Water Heater: Range: ~. .~'..$J ,,<:>~ Sq:,~p~t#~l~'X'dl~\~.K-c'bo
~ ~. ~..., , 0'0' <'\) . c;-' .~ 50 ~ i"'- ::-:.v.' .
To request an inspection call the 24 hour recording at 7f@C?m9. All inspections re:91.geSJ~~~?e~~o~'.~,~\\~
a.m. will be made the same working day, inspections reque~ed after 7:00 a.m. will:'berrn,a.r;te:~e-f~IIQ~ilfl~ ,,~l'-
t, tzr ':..::-' ". .~- ::s,'" ",::1'1'
working day. .-c~..- C? -- ,'5::.(':3'" ~ ~ ~'r.~:/
/}'." ~r;p eJ)!--: ..(f ~. ,..9 r~"
. . AV .;;0.' _~ C"~ ~\o ~Qj .QJ"!)AC:),
ReqUired Inspections b:: ,c',' ~~ "lv ,r.Z1J' 'C. v ,,/~
, ".:! !'I;,r r'l:J ~. c.; !Q ,',",
I Building I ,<3~.;.%~j~~~o~ .;s-flJ ~ i'':'
-After tren'ches are excavated. ~(~{'~. &:.~'0J.fJ 0~
~After forms are erected but prior to concrete Placemt;@<8 v~ ~ () .
- To be made after all inslab building service equipment, co~it piping, and other equipment iter
- Prior to floor insulation or decking.
- Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
-Prior to taping.
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Footing
Foundation
Slab
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Bolts installed in
concrete
Garage conversion
Contractor
Registration #
Expiration Date
Phone
541-747-7535
541-747-7535
541-747-7535
3RSC
(VN) Wood Frame
I Job# 02-00180-01 I
Required Inspections
Building
Page 2 of 3
Hold Downs Installed
Vapor Barrier/Insulation -To be made after insulation and required vapor barriers are in place, but prior to any wall coveri
Final Building - When all required inspections have been approved and the building is complete.
Electrical
Street Improvement:
Curb Cut?0
San Sewer Depth (Ft):
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Rough Electrical
Electrical Service
Final Electrical
Water Line
Sanitary Sewer Line
CC-Second
Project Supervisor:
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
- Prior to filling trench.
- Prior to filling trench.
I Public Works I
-After forms are erected but prior to placement of concrete
Fully Improved
Improvement Agr.?D
Sidewalk Type: Setback - 5'
Additional ROW? D
Size Of Line (in):
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: 00/00/0000 00:00 AM
Types Of Warning Devices,Reqd.
Zoning: LDR .
FloodPlain? D Wetlands? D
Journal numbers
1 :
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
2:
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Flood Plain FEMA: Panel 1162 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 1196 Accessory560
Private Garage/Carp/Stor
# Of Stories:' 1 Height (feet): 14
Current Units: 1 Proposed Units:
Census Code: Does not apply
Total:1756
"
.
Fee
Residential Plan Check
Total Plan Check
Building Permit
Garage/Carport
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee '
Reconnect Only
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
New Curbcut
Additional Driveway
Total Public Works
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
~Yf,ral-Rhia '
,( / ~ . ~~
Signature
Checked By
Lisa Hopper
Bob Kettwig
Liz Miller
Bob Barnhart
Job# 02-00180-01 I
Paid On Receipt#
Plan Check
02/15/2002 8064
Building
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
Electrical
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
Plumbing
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
03/04/2002 8209
Public Works
03/04/2002 8209
03/04/2002 8209
System Development
03/04/2002 8209
03/04/2002 8209
Planning
03/04/2002 8209
Date Completed
Comment
02/19/2002
03/04/2002
03/01/2002
02/27/2002
.
Page 3 of 3
Value/Quantity
19,782
15,000
4,782
1
3
60
1
1
561
1
Fee Amount
$120.51
$120.51
$146.40
$68.40
$15.04
$17.18
$247.02
$.00
$50.00
$49.00
$6.93
$7.92
$113.85
$,00
$4.13
$59,00
$4.72
$67.85
$75.00
$35.00
$110.00
$153.15
$7.66
$160.81
$50.00
$50.00
$870,04
iv/4 I 1I"Z-
.'
Date
/
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
=1 $0.00
=1 $0.00 ,
=1 $0.00 ,
=, $0.00 , 1055
=1 $0.00 I 1056
=1 $0.00 rl
=1 $153.15 II
JOURNAL OR JOB NUMBER: 02-00180-01
NAME ORCOMP ANY: GLEN W ALLERSTEDT
LOCATION: 4509 CAMELLIA
TAX LOT NUMBER: 17-02-32-43 TL: 4200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE:
1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. COST PER S.F,
x'
561.00 $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERV. IOUS S,F. IX' COST PER S.F. x DISCOUNT RATE
QOO ~n3 5~
I ITEM I-TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's COST PER DFU
)"
o $21.37
B, IMPROVEMENT COST: ,
NUMBER OF DFU's COST PER DFU
o , ),,$16,24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9,57 0 .
B, IMPROVEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9.57 0
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's COST PER FEU
x
o $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's ' COST PER FEU
x
o $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4) .-
5. ADMINISTRATIVE FEE:
SUBTOTAL : ADM, FEE RATE
- x
$153.15 5%
276
SF
LOT SIZE:
x
COST PER TRIP
i.~" $16.21
x
NEW TRIP FACTOR
1.00 =1
x
COST PER TRIP
$68,94
x
NEW TRIP FACTOR
1.00 =,
=/
r
~1~
SDC COORDINATOR
3/4/2002
TOTAL SDC CHARGES =
DATE
o
=1
$153.15
=1
=1
$0,00
$153.15
=,
$0.00
=1
=1
$0.00
$0.00
$0.00
$0,00
$0.00
=1
$7,66
$160.81
SF
Cf}
'~
Q
o
U
~
-~
~
Cf}
~
l 0
~
I
I '11070
r 1091
I
, 1092
'I
~
I
1093
l i: 1094
, I
i:
1073
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
( # NEW - # OLD ) , UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB .......:, ( 0 0 ) x 3 = 0
DRINKING FOUNTAIN ( 0 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS./ ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / EYe. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER / MOP SINK ( 0 0 ) x 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETe. ' ( 0 0 ) x 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETe. ' ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 0 0 ) x 3 = 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR " ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 0 0 ) x 1 = 0
URINAL, STALL/WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 0 - 0 ) x 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
'( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =l 0
*EDU (Equivalent DwellingJJnit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
. ~ .'
MWMC CREDIT CALCUL'A TION TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFrER ANNEXATION)
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
, ,-
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2,06
1980 $4.83 1991 $1.64
1981 $4.77 1992 $1.45
1982 $4.64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0,97
1985 $4,09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2,98 1999 $0.22
1989 $2,52 2000 $0.04
VALUE /1000 CREDIT RATE
0,000 X $0,00 =1
0.000 X $0,00 =1
TOTAL MWMC CREDIT =,
$0,00
$0,00
$0.00