HomeMy WebLinkAboutPermit Electrical 2007-12-11
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689
ELECTRICAL PERMIT APPLICATION
City Job Number (~ 2J)07- Ol9ot-\- Date
1. LOcATION OF INSTALLATION,: ' 3.
1z.,~3 S. 41 SJ- oJtCl-+ .
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
ie' II Service or Feeder Permit
Owners Name 'R rll cA!!.. \AJ...._:C'^P.tVT \In. /Il)ilIt:$
Address 301~ S\LvI V j'e.w E.
City Svf~'PW--,; cl; I tUN' ure~;~ la~&r:q:i~;~~to :~:t!t::rii;ingIALI Fvor"c Ie Tire, '~I~~;~
01 ~W r01leo a!i9pted by the Oregon urn v. ., , I v, - -,,, k.. : ,c i!\ Jrrl\
OWNER ~~if~H,*,\.!Prlb. Those rules are set ldrfh LimiJep E.!lergy!Ee~~eE~\I!IH:5 Dr:,(", : ~ 2.~j~0 ~<<.. b f)
The installktion"islbeiilg.made@>h"";'''''''I'J11 ~21:u01. Lilhited Energy(COInl11erEil)\ ~.\ ,I I' ~,,' .' ,.$.50,00 _
is not interlliea(for)!lalefl!e~eJbJt$imtcopies of the rules byMinimum Electric Permit Tilspection Fee is $50.()0 + Surcharges
calling the center. (Note: the telephone ' ,
Owners Sigll!ltUJt;19r for the Oregon Utility Notification 4. Gb. 0 0
Center is 1-800-332-2344). 8% State Surcharge 4 . 00
10% Administrative Fee S . 9-0
5% Technology Fee '2., ~'tl
bl. So
LEGAL DESCRIPTION:
\ r5h'AOCP 4\ II CD{\, il
JOB DESCRIPTION:
~~~ \JiAe.o V/Lb, QfM.'{.. VfAC-
t I I
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.
Electrical Contractor --rhv tt b S~
Address ~ 1~ H~eJ-- S'f.. 1)v1Jb
. -
City ~~ Phone bn-48'4g
I
Supervisor License Number
Expiration Date
1/~12-"
\ J ~ 101
I
Sig~~; ~
Constr. Contr. Number
Expiration Date
Inspection Request: 726-3769
11-/lll OJ
A.
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
$117,00
$21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70,00
$ 83,00
$138.00
$]80.00
$413,00
$ 55,00
C.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600
D.
$ 55,00
$ 76.00
$110.00
$ 48.00
$ 4.00
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01564
ISSUED: 10/19/2007
APPLIED: 10/1812007
EXPIRES: 06/1012008
VALUE: $ 210,727.00
-1ii4ili
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1283 S 41ST ST
ASSESSOR'S PARCEL NO.: 18020641] 1600
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -Filbert Meadows lot 45
SAME AS COM2007-00590 4082 Filbert Meadows
Owner: BRUCE W]ECHERT
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I. CONTRACTOR INFORMATION I
Contractor Type
General
Low Voltage Electrical
Plumbing
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
THE HD STORE INC
STEVE R JOHNSON
License
101717
173726
65065
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
# of Stories: I
Height of Structure 23.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path I
Sprinkled Building: nla
3
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
5.00
19.00
17.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-686-9458
Expiration Date
09/1612008
01105/2009
03/1212008
Phone
541-686-9458
541-683-4848
541-342-3765
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
1,817
604
REQUIRED PARKING
3
Yes
39.20
Total:
Handicapped:
Compact:
2
ATTENTION: Oregon law reCluir~lIfYBILJa IMPROVEMENTS'
St t I ~~w~lIles adopted by the Oreyu,jUl""J SOd Ik T
ree m :m n- S": " I ewa e:
otllca Ion Center. ThoSFliUlf)lril!il"61i\!dorth yp Curbside 5'
Storm Se\'R:o;\flIOlilUOO1-001 ~ thro~gh OAR 9~01- ~nTI~~ownspoutslDrains: To Storm Sewer
Speciall~tii'll1"tu may obill\!J.EOI!)\I&rWilhli ft\(1~~ approved for 2 ,[,bY I'istiIKr;I\~!l.~rL EXPIRE IF THE WORK
calling the center. (Note: the telephone H ::, tilVl I "MAL
Notes: IlOIII/JjljilrufBrtl;~efe15E1OOes WiPt.'f~otification AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01564
ISSUED: 10/1912007
APPLIED: 10/18/2007
EXPIRES: 06/1012008
VALUE: $ 210,727.00
I Valuation DescrintIon I
A.C. - Residen
Dwellin2S
Gara2e
AC - Residential
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
1,817.00
1,817.00
604.00
Value
Date Calculated
Descriotion
Tvoe of Construction
Total Valne of Project
$7,268.00
$]87,151.00
$16,308.00
$210,72 7 .00
10/1812007
10/18/2007
10/18/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $220.00 10118/07 1200700000000001317
-Mech Iss 2+ Appliances- $40.00 10/19/07 1200700000000001320
+ 10% Administrative Fee $170.23 10/19/07 1200700000000001320
+ 5% Technology Fee $100.06 10/19/07 1200700000000001320
+ 8% State Surcharge $126.50 10/19/07 1200700000000001320
2 Baths One or Two Family $280.00 10/19/07 1200700000000001320
Addressing Assignment $35.00 10/19/07 120070000000000]320
Appliance Vent $7.00 10/19/07 1200700000000001320
BoilerlComp Up To 100,000 btn $14.00 10/19/07 1200700000000001320
Building Permit $1,020.22 10/19/07 1200700000000001320
Curbcut Permit $85.00 10/19/07 1200700000000001320
Dryer Vent $7.00 ]0/19/07 1200700000000001320
Fire SF Fee - Residential $121.05 10/19/07 1200700000000001320
Fireplace (Listed) $17.00 10/19/07 1200700000000001320
Furnace - up to 100,000 btu $14.00 10119/07 1200700000000001320
Gas Outlets 1-4 $5.00 ]0/19/07 120070000000000]320
Overwidth Application Fee $45.00 ]0/19/07 1200700000000001320
Plan Review Major - Planning $205.00 10/19/07 1200700000000001320
Residence Wiring 1000 Sq Ft $117.00 10/19/07 120070000000000]320
Residence Wiring Ea Addtl 500 $63.00 10/19/07 1200700000000001320
Sanitary Sewer - Improvement $571.3] 10/19/07 ]200700000000001320
Sanitary Sewer - Reimbursement $751.33 10/19/07 1200700000000001320
SDC MWMC Administration $10.00 10/19/07 1200700000000001320
SDC MWMC Improvement $990.39 10/19/07 1200700000000001320
SDC MWMC Reimbursement $95.35 10/19/07 1200700000000001320
SDC SanitarylStorm Admin $96.58 10/19/07 1200700000000001320
SDC Transpo Admin $77.23 10/19/07 1200700000000001320
SDC Transpo Improvement $862.25 10/19/07 1200700000000001320
SDC Transpo Reimbursement $195.48 10/19/07 1200700000000001320
Sidewalk Permit $85.00 10119/07 1200700000000001320
Storm Sewer Each AddtllOO' $16.00 10119/07 1200700000000001320
Vent Fan $21.00 10/19/07 120070000000000]320
Willamalane Single Family $2,303.00 10/19/07 1200700000000001320
+ 10% Administrative Fee $5.00 12/11107 1200700000000001481
Pa2e 2 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01564
ISSUED: 10/19/2007
APPLIED: 10/18/2007
EXPIRES: 06/10/2008
VALUE: $ 210,727.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
MinimumlAdjustment Electrical
$2.50
$4.00
$28.00
$22.00
12/11107
12111107
12/11/07
12/11/07
1200700000000001481
1200700000000001481
1200700000000001481
1200700000000001481
Total Amount Paid
$8,828.48
Plan Reviews I
Plannine: Review
10/18/2007
10/18/2007
APP
TAJ
Plant street trees as shown on the
attached street tree plan: species as
shown, 2' caliper, leave name tag on
until approved.
Storm to weep holes in cu rb
Same.as Plan review
Public Works Review
Structural Review
10/18/2007
10/18/2007
10/18/2007
10/18/2007
APP
APP
LKW
DLM
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.
I, Rpru;m] wprtior< ,
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: ]nstall ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor 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 ]nstalled: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumhing: Prior to insulation or decking.
Pa2e 3 of 4
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01564
ISSUED: 10/19/2007
APPLIED: 10/18/2007
EXPIRES: 06/10/2008
VALUE: $ 210,727.00
225 FiHh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 ]nspection Line
Undertloor 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 reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance inclnding required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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 thaI' any and all work performed shall he 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 nsed 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
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~"AI,Na,",""", ~
~ A.. - .
lli::ai
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1564
COM2007-01564
COM2007-0 1564
COM2007-01564
COM2007-0 1564
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001481
Date: 12/11/2007
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
THE HD STORE
Item Total:
CheCk Number Authorization
Received By Batch Number Number How Received
ddk 8218 In Person
Payment Total:
Page I of I
10:42:27AM
Amount Due
28,00
22,00
2,50
4,00
5,00
$61.50
Amount Paid
$61.50
$61.5U
1211 1/2007