HomeMy WebLinkAboutPermit Electrical 2008-1-10
SPRINGFIELD LON \rO k(
~INITIALS -"IV'-'\.
---.- .&!.. DATEI-1.0- Q ~
-... I'iIIIF SOURCif'(\ V~)9t )
Date /-10'-0 zr
. CIJTY OF SPRINGFIELD, OREGQN ',.
.~ "".{ . -~ .'
225 FIFTII STREET . ~PRINGFILLD, OR 97477 . PH (541)726-3753 . fAX (541)726-3689
/& "LLJ'-<f-I ~~ 7C!O
LEGAL DESCRIPTION A New Resldcnttal- Smgle or Mnltl-Famdy per dwelhng umt.
N/ -? /( V L! /y. / k~I1&)JSefVIce Included
'l/iON ,,_ ,~~L- 1000 sq ft or less
C ~IJ ...,. Each addItIOnal 500 sq ft or
~I/ /./ hAA I ~/~4f portIOn thereof
- F I
Permits are non-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Snspended for 180 days
ELECTRICAL PERMIT APPLICATION
('7-/b~
r
LOCATION OF INS1'ALLATION:
CIty Job Number
1
2.
CONTRACTOR INSTALLATION ONLY
EJectncal Contractor L6' IV 7:X,{- /Lp
Address ;f. D. f....-y 4'/t:
CIty a~?tt)8.? Phone
3
COMPLETE. FEE SCHEDULE BELOW
$11700
$2100
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$5500
B ServIces or Feeders - In<lallatlOn, AlteratIOns or Relocatton.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
(> c> 60 I Amps to 1000 Amps
i5 -/03f~""? ~ Over 1000 AmpsNoIts
Reconnect Only
$ 70 00
$ 83 00
$13800
$18000
$41300
$ 55 00
SupervIsor LIcense Number
ExpIratIOn Date
k AJ9/f{)
ExpIratIOn Date N' -.1 IT - 6' q
"--:/;;";jJfhq
OwnersName ~t'" ~ t) IcC4E/fr
Address 707 j S/<',_~/ Lt.J E
CIty J.,,~ '17.,'.a-- Phone
Constr Contr Number
OWNER INST ALLA nON
The mstallatlOn IS bemg made on property I own whIch
IS not Intended for sale, lease or rent
Owners SIgnature
Inspcctton Request 726-3769
C Temporary ServIces or Feeders
InstallatIOn, Alteration or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 55 00
$ 76 00
$110 00
Over 600 Amps or 1000 Volts see "B" above
D Branch CirCUIts
New AlteratIOn or ExtenSIOn Per Pane)
One CIrCUIt
Each AddItIOnal CirCUIt or WIth
ServIce or Feeder Penmt
$ 48 00
$ 400
Mlscellaneons (Service/feeder not mcluded) -Each Installatton
Pump or Imgatton $ 55 00
SIgn/Outline Llghtmg $ 55 00
LImIted Energy/Resldcnttal 1- $ 28 00
LImIted Energy/Commerc131 $ 50 00
Mmlmum ElectriC Permit InspectJon Fee IS $50 00 + Surcharges
4 SUBTOTAL OF ABOVE
~O,H)
~~
~ptV-
-7 or",
12% State Surcharge
10% Admmlstratlve Fee
5% Technology Fee
TOTAL ~ ~ _!r~
Shared Dnve(T )/Bulidmg FonnslElectncal Permit ~;atlon 1"-08 doc
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~,
City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2007-01689
COM2007-0 1689
COM2007-01689
COM2007-0 1689
COM2007-01689
Payments
Type of Payment
Check
cRecelOll
RECEIPT #,
1200800000000000023
Date' 01110/2008
Description
Low Voltage - Residential
MIUlmum/AdJustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlUlstratlve Fee
PaId By
BRYCE OLSEN
Item Total
t:heck Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
dim
4244
In Person
Payment Total
Page I of I
10 13 24AM
Amount Due
2800
2200
250
600
500
$63 50
Amount Paid
$63 50
$63 50
1/10/2008
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01689
ISSUED. 11/2912007
APPLIED' 11/15/2007
EXPIRES. 06/10/2008
VALUE: $ 181,264.00
-Wi(~
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 4134 FILBERT MEADOWS Way
ASSESSOR'S PARCEL NO 1802064109700
SPRINGFIETYPE OF WORK Smgle Family ResIdence
TYPE OF USE New
PROJECT DESCRIPTION Smgle famIly reSIdence - SAME AS COM2007-00667 1285 41st PI
Total
4 HandIcapped
Yes Compact
ATTENT1liltJll Oregon law requires you to
follow rules adopted by Ihe Oregon Utility
t-JnhfJ",,!ln.n Gfrt~r Those rules are set forth
I PUBLIC IMPROVEMENTS .1>. OAR 952-001-0010 through OAR 952-001-
N-QJ!M~' 1)090 You may obtain copies of the rules by
Street Impr'tHIS PEt R'MIT SHALL oRn-H",hnnrrrved cal$)~it~l{:iftvlUr. (Note the telepeoPffslde 7'
CiIOln;:-lI ] I 'L WORK nUmh~ormhe Oreaon Ullllly ~Jotlflctl.'tlDn
Storm SeweAltrl'llM12'ED UNn R THIC; PI'':;' r:~~s vOJ ..~ ~R aUr"mJ -'f!~ -3 -23~ Ii anO Gutter
SPCClallnstet5fJ~~j:NCEnlnR~e ~e~,id,entJa,lf ?.n~ey\~y Jl:pron CurbSIde SIdewalk S an al J?~an~ar~~rawI~3-19) must
I V ~ ~b~ mamtamed m the dnveway approach as submItted With no vanatlOns due to the eXlstmg storm
l\r>..IV "~n n, V nc"" ~
Notes St<Jrm Fee'agreellli'ilh mlet The spokesperson for Bruce Wiechert Homes, Dernck Westover has submItted a
bUlldmg site plan that shows the storm dram mlet to remam and the standard CUI bSlde SIdewalk
WIll be mstalled If the Standards cannot be met or bUIlt, narrowmg of dnveway WIll be reqUIred
Any vanatlOns to the sIte plan or modIficatIOns to the eXlstmg mlet WIll not be permItted
Owner
Address
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Mechamca\
Plumbmg
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW
STEVEN R JOHNSON
LIcense
101717
105475
460
65065
BUILDING INFORMATION I
#ofUmts
Pnmary Occupancy Group
Secondary Occnpancy Gronp
Pnmary ConstructIOn Type
Secondary Construction Type
# of Bedrooms
1
R-3
U
VB
# of Stories I
HeIght of Structure 22 00
Type of Heat Forced Air Gas
Water Type Gas
Range Type Gas
Energy Path Path 1
Spnnkled BUlldmg nla
3
I DEVELOPMENT INFORMATION I
Front yard Setback
S,de 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
1500
870
900
1500
1800
Overlay D.st
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
Pa2e I of 5
Resldenttal
Expiration Date
09/16/2008
03/30/2008
06/27/2009
03/12/2008
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot SIze
Sq Ft 1 st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occnpant Load
1,580
452
REQUIRED PARKING
2
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: cOM2007-01689
ISSUED' 11/29/2007
APPLIED' 11/15/2007
EXPIRES 06/10/2008
VALUE $ 181,264,00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn neS~rtr,h~n I
A C - Reslden
Dwelhnes
Gara2e
AC - ResldentJal
V Wood Frame
Garaee
$ Pel Sq Ft
or multJpher
$400
$10300
$27 00
Square Footage
or BId Amount
1,580 00
1,58000
452 00
Value
Date Calculated
DescnptlOn
Tvoe of ConstructIOn
Total Value of Project
$6,320 00
$162,74000
$12,20400
$181,26400
11/15/2007
1111512007
11115/2007
~
Fee DeSCriptIOn Amount PaId Date PaId ReceIpt Number
Plan ReVIew Same As $220 00 11115/07 1200700000000001408
-Mechamcallssuance Fee- $20 00 11/29/07 1200700000000001446
+ 10% Admmlstratlve Fee $15820 11129/07 1200700000000001446
+ 5% Technology Fee $94 77 11/29/07 1200700000000001446
+ 8% State Surcharge $11843 11129/07 1200700000000001446
2 Baths One or Two Famtly $280 00 11129/07 1200700000000001446
Addressmg ASSIgnment $35 00 11129/07 1200700000000001446
Apphance Vent $700 11129/07 1200700000000001446
BotlerlComp Up To 100,000 btu $1400 11129/07 1200700000000001446
BUlldmg Permit $91640 11129/07 1200700000000001446
Curbcut PermIt $85 00 11/29/07 1200700000000001446
Dryer Vent $700 11129/07 1200700000000001446
Exhaust Hoods $10 00 11129/07 1200700000000001446
FIre SF Fee - ResldentJal $101.60 11129/07 1200700000000001446
FIreplace (LIsted) $17 00 11129/07 1200700000000001446
Furnace - up to 100,000 btu $1400 11/29/07 1200700000000001446
Gas Outlets 1-4 $500 11/29/07 1200700000000001446
Overwldth ApphcatlOn Fee $40 00 11129/07 1200700000000001446
Plan ReVIew MaJol - Planmng $205 00 11129/07 1200700000000001446
ReSIdence Wifing 1000 Sq Ft $11700 11/29/07 1200700000000001446
ReSIdence Wifing Ea Addtl 500 $63 00 11129/07 1200700000000001446
SdUltary Sewer - Improvement $530 51 11129/07 1200700000000001446
SaUltary Sewer - ReImbursement $697 67 11129/07 1200700000000001446
SDC MWMC AdmlUlstratlOn $1000 11129/07 1200700000000001446
SDC MWMC Improvement $990 39 11/29/07 1200700000000001446
SDC MWMC ReImbursement $95 35 11/29/07 1200700000000001446
SDC SamtarylStorm AdmlU $90 84 11129/07 1200700000000001446
SDC TI anspo AdmlU $78 24 11129/07 1200700000000001446
SDC Transpo Improvement $862 25 11/29/07 1200700000000001446
SDC Transpo ReImbursement $19548 11129/07 1200700000000001446
Sidewalk PermIt $85 00 11129/07 1200700000000001446
Storm Sewer Eaeh Addtl100' $1600 11129/07 1200700000000001446
Vent Fan $1400 11129/07 1200700000000001446
Wtllamalane SlUgle Famtly $2,303 00 11129/07 1200700000000001446
Paee 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' cOM2007-01689
ISSUED' 11129/2007
APPLIED. 11/1512007
EXPIRES. 06/10/2008
VALUE. $ 181,26400
~~~
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
+ 100/0 AdmlDlstrdhve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - ReSIdential
Mlmmum/Adjustment Electncal
$500
$600
$250
$28 00
$22 00
1110/08
1/10/08
1/10/08
1/10/08
1/10/08
Total Amount PaId
$8,560 63
Plan ReViews I
PlanmDe: ReView
1111512007
11/15/2007
APP TAJ
Structural ReVIew
1111512007
11/15/2007
APP DLM
Pubhc Works ReView
1111512007
1112712007
WE
Planmmz ReVIew
Pubhc Works ReView
11128/2007
11128/2007
11/28/2007
11128/2007
APP
APP
TAJ
LKW
1200800000000000023
1200800000000000023
1200800000000000023
1200800000000000023
1200800000000000023
Plant street trees as shown on street
tree plan attached to permIt specIe'
as shown, 2' cahper III Size, ledve
name tag on until mspected
Same-as permIt Approved as noted
on Plans
WaitIng for new site plan, or plans
descnbmg what they are gomg to do
regardmg mlet m dnveway
Rev"ed sIte plan IS OK
The ResldentJal Dnveway Apron
CurbSIde SIdewalk Standard (
Standard drawmg 3-19) must be
mamtamed lD the dnvewdY
approach as submItted WIth no
variatIOns due to the eXlstmg storm
dram mlet The spokesperson for
Bruce Wiechert Homes, DerrIck
Westover has submItted a bUlldmg
sIte plan that shows the storm dram
mlet to remam and the standard
curbSIde SIdewalk will be mstal\ed
If the Standards cannot be met or
built, narrowmg of dnveway WIll be
required Any vanatlOns to the site
plan or modIficatIOns to the eXlstmg
IUlet will not be permItted
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00
a m Will be made the same workmg day, IRSpectlOns requested after 7:00 a.m. Will be made the followlRg
work day.
I I?pfllllrprl Jn~,nprt~
Ufer Electncal Ground Install ground rod at footmg and call lor IUspectlOn m conjunctIOn With footlUg and/or
foundatIOn IOspectlOD
Pa2e 3 of 5
-u;:;- ~
--..-
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-01689
ISSUED. 11/29/2007
APPLIED, 11/1512007
EXPIRES. 06/1012008
VALUE: $ 181,264.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
FOOling After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnor to Iloor msulatlOn or deckmg
Floor InsulatIOn Pnor to deckmg
Shear Wall Nalhng Before covenng sheathmg WIth fiUlsh materials
Frammg Inspection Pnor to cover and after all rough m mspectlOns have been approved
WalllnsulatlOn Prior to cover
CeilIng InsulatIOn Prior to cover
Drywall Pnor to tapmg
Hold Downs Installed Special InspectIOn performed pnor to placement of concrete PrOVide report to CIty
BUlldmg Inspector
Fmal Butldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Underfloor Plumbmg' Pnor to msulatlOn or deckmg
Underfloor Dram Prior to cover or placement of concrete
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Water Lme Pnor to filhng trench and mcludmg required testmg
SaUltary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg
Storm Sewer Lme Pnor to filhng trench
Fmal Plumbmg When all plumbmg work IS complete
Underlloor MechaUlcal Pnor to msnlatlOn or deckmg and IJIcludlJlg reqUIred testmg
Underlloor Gas After hne IS mstalled and required testmg and capped If not attached to an app"ance
Rough Gas After hne IS mstalled and required testmg and capped If not attached to an apphance
Gas ServIce Atter hne IS mstalled and hne has been connected to a mmlmum of one apphance mclndmg reqUIred
testmg Presure test done at thIs pomt
Rough MechaUlcal Pnor to Cover
Fmal Gas When all gas WOI k IS complete
Fmal MechaUlcal When all mechaUlcal work IS complete
Rough Electnc Pnor to Cover
Electnc Service Approval required pnor to ullhty company energIZIng servIce
Fma' Electnc When all electrical work IS complete
EroslOn/Gradmg InspectIOn Pnor to ground dIsturbance and after erOSIOn measures are mstalled
SIdewalk - CurbSIde After forms are erected but prior to placement of concrete
Curbcut - Standard After forms are erected but prior to placement of concrete
Curbcut - Second After forms are erected but pnor to placement of concrete
Paee 4 of5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. cOM2007-01689
ISSUED. 11/29/2007
APPLIED. 11/15/2007
EXPIRES 06/1012008
VALUE' $ 181,264.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Low Voltage Pnor to cover
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certJly that all
mformatlOn hereon IS true and correct, and I further certJfy that any and all work performed shall be done m accordance wIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of any structure wIthout pel miSSIOn of the CommuUlty ServIces DIVISIOn, BUlldmg Safety
I further certJfy that only contractors and employees who are m comphance WIth ORS 701 005 will be used on thIS project
I further agree to ensure that all required mspectJons 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 remam on the sIte at all
times durmg construction
Owner or Contractors SIgnature
Date
Pa2e 5 of 5