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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 , " :', '.....'. x rnsJ\g2t~~,:"" ~, J f.",-, 10 Tqn '\Y:i'[11J":<", . 'f' 'U-' ..~,J" -:. ," I. i t.J "1:.1..J. nut '-1 , "',..,. ' .. , -'q~'!!:l' WI , .'Jwl'iVHu rg' (,,, J$ ,'.,." '11"1-'; I ~J.lj i ., 0" ' ' , ' '(;" u',' LJ", . cr" 1_ ",W w.", t.J.:JJ~..,; _,'I:, '-, "/V'l-r '1]1'\ '\'IU'I '3'" ]'J' .. .' U,\" 'lj .." ,.t.u ~ I hi ' w O..iU . \ ....n,;f'ii" ..,L.V 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 -,;.<". < t'. "." '."/.~:' "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