HomeMy WebLinkAboutPermit Electrical 2008-11-13
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225 FIFrH 5TREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C0W1200~ -' Olb( 0
JOB DESCRIPTION:
,. e-w.! I A~TL i-ku-<. V S-t
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor L_ &. E s:. \.QcJ,\( c 200 Amps or less $ 73.00
I
a ') f\ 1 201 Amps to 400 Amps $ 86.00
Address I d-833 JOI/\t7') A.U(') ''(1 401 Amps to 600 Amps . $143.00
601 Amps to 1000 Amps $186.00
. Phone '13') - J 5"1? Over 1000 AmpsNolts $426.00
t")/^ rlOtvr/~connect Only . $ 57.00
tvoli2"" rUle : Or!'.
1'("""'4 5 il) lecitl s;I'fir~~.m'IiIs~-'l!!",''1!l'''~IlIMR0'''''~'liil:_iII
Supervisor License Number "\ I - n_ OAIi' 9tq:;~~n:;..,.J!:l!r~.~!!.~~~illlRill!;;JlI;Ji~~
/ / -~"'U: YOll 2-001'0 r. 11,00$ I,e Or res Jlo
Expiration Date ( 0 0 \ \ 0 1)1J::~l)g tl, tn<tJl8~'Brl..r.swng,e,(~fl8I1Iflf$f~:ation ,.. 7
" er fore/e~'~fJ'tlli.o.4~~ Set f~:r ($ 57.00 5
Constr. Contr. Number IDS Y {'S Cel)te~~ ~h!tJ},~~o~r.Rf 1ir(jrrt<'OOI~ . $ 79.00
1.s408~~~~/~SbJ' _. $114.00
3/3t (nCf. over600~;l~l)eltssee"B"above.
I ;:w:~~"",,~,~"'t%
Signgsf Sa:G-)~~ D. ~::~;:;~:::U::~xtension Per Panel
Each Additional Circuit or with
Service or Feeder Permit
. lSWU-\
Address "3 () 7 ~ s \c..tlJC(.,~t' LN E.
City ~~ t:::"I'It: Phonlt~""~.. Pump!,r irrigation $ 57.00
. Co I NOR/ZED U LL f)(Pitlf'IFutline Lighting $ 57.00
OWNER INSTALLATION AN~MENCED O~DER TH/sM~~h1E~idential', $29.00
:ne installation is being made on prope'{.AA.~ytfffhS A8ANddf:,E~AJt1jOmmercial " $ 52.00
IS not mtended for sale, lease or re!lt. OD. Minimum '2tfJiJJt.: Permit Inspection Fee is $52.00 + Surcharges
~77
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7'10
J pr'
J 100 :n
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LEGAL DESCRIPTION:
/802 Ob Y t
113.00
City ~(cS.
Expiration Date
Owners Name
Owners Signature:
Inspection Request: 726-3769
.3.
A. eJ[~11l~li~g~~~~Eiinr;!~tT~~';mg{t~fi ..
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$121.00
I $ 22.00 z.. L
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57.00
B.
$ 50.00 .
$ 5.00
l2%.s!ate Surcharge
10% Adininistrative Fee
5% Technology Fee
TOTAL
Shared Drive(f:)/Building FormslElectrical Permit Application 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01610
ISSUED: 11/04/2008
APPLIED: i 1/0312008
EXPIRES: 05112/2009
VALUE: $ 189,070.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: . 1217 S 41ST ST
ASSESSOR'S PARCEL NO.: 1802064111300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Same as 1253 South 40th, Lot 42 Filbert Meadows
Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I CONTRACTOR INFORMATION 1
Contractor Type
General
Electrical .
Mechanical .
Plnmhing
Contractor License
BRUCE WIECHERT'CUSTOM HOMES INC 101717
L & E ELECTRIC INI:->' _-"r...,;._,.....' 105475
COMFORT FLOW 460
STEVEN R JOHNSON 65065
"TTE~!~
follnW rules adopte ~ ru\;S ~re set fort"
~fication cell.m.'> ~h QAR 952-001- I
~AR 952-O011~_ ~~:~'b"\be rules b1Jl.00
_ In You maylllrAalnRP.I{.. tM t~flfPf\l!>~r Gas
Calilng the c'e/1ttlll= lWl!Utilitv NotilicatlonGas
rwmber for tRs.~%\:~32-2344). Gas
T centi\l1i&-!ly&ll.H~
Sprinkled Bnilding: No
# of Units:
Primary Occnpancy Gronp:
. Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:' _ .
Paved Drive Rqd:
0/0 of I:.ot Coverage:
18.00
11.00
5.00
27.20
0.00
Residential
Phone Number: 541-686-9458
Expiration Date
09/16/2010
03/30/20 I 0
06/27/2009
03/12/2010
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size: 6,098
Sq Ft Is.! Floor: 1,686
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 430
Sq Ft Other:
Occupant Load:
"
REQUIRED PARKlNG
4
Yes
32.80
Total:
Handicapped:
Compact:
2
. I PUBLIC IMPROVEMENTS' :E \NO?'1.
- '.' i \2>frlt~~ ~\)1
FuIIv Improved "01\Ct. ~ S"'t>-.tt~ c:. ~~lA\1 \S Curbside 5'
Yes \S ~t.~W\\ ~1)\!~'.o~~g)niO? Curb and Gutter
Storm H2O SDC fees have been 0,t;lNl\lLIm\~~e8t\'?I'~~lchert Homes and City of
Sprin.gfield: A copy ~f the SDC sPI-Wt\h\~b~IJ\i.\ihQn\\'6'O'!Uded has been supplied with the
permIt for mformatIon only. CO\J\ 0" \)t>-.'{ ~t: - -
_ . t>-.\.N ~o\J . ."
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 4
_S~llit~!tl!ilI~Ie~ '
I: '
"
i~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
Description
Tvoe of Construction
DwelIin!!s
Garage
V Wood Frame
Gara!!e
Fee Descriution
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 4+
Plan Review Major - Planning
Plan Review Residential .
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Vent Fan
WilIamalane Single Family
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Residence Wiring Ea Addtl 500
Temp Power 200 amps orless
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01610
ISSUED: 11/04/2008
APPLIED: 11/03/2008
EXPIRES: 05/1212009
VALUE: $ 189,070.00
I v ~] L a (iw Descrintion I
.11.. __'1 I r
$ Pel' Sq Ft
or multiplier
$105.00
$28.00
. Square Footage
or Bid Amount
1,686.00
430.00
Value
Date Calculated
$177,030.00
$12,040.00
$189,070.00
11/0412008
11/0412008
Total Value of Project
FPPf' P'WU
Amount Paid
$42.00
$161.53
$181.14
$86.03
$289.00
$37.00
$976.53
$8.00
. $11.00
$1 05:80
$18.00
$15.00
$3.00
$211.00
$634.74
$121.00
$44.00
$546.95
$719.29 .
$10.00
$1,009.17
$97.90
$93.32
$888.98
$201.54
$80.37
$24.00
$2,513.00
$7.90
$9.48
$3.95
$22.00
$57.00
$9,229.62
Date Paid
Receipt Number
11/4/08
11/4/08
11/4/08
1114/08
11/4/08
1114/08
11/4/08
1114/08
11/4/08
1114/08
11/4/08
11/4/08
1114/08.
1114/08
1114/08
1114/08
11/4/08
1114/08
11/4/08
11/4/08
1114/08
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
'11/13/08
11/13/08
11/13/08
11/13/08
11/13/08
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604'
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001604
2200800000000001634
2200800000000001634
2200800000000001634
2200800000000001634
2200800000000001634
Page 2 014
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-01610
ISSUED: 11/04/2008 .
APPLIED: 11/03/2008
EXPIRES: 05/12/2009
VALUE: $ 189,070.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planning Review
11/03/2008
I Plan Reviews I
11103/2008 APP
TAJ
Public Works Review
11/03/2008
11/03/2008 APP
LKW
Follow attached street tree pIau. for
required 4 street trees: species as
. shown, 2" caliper, leave name tag on
until approved.
Storm water weep hole in curb.
Structural Review
11/03/2008
11/04/2008
APP CJC
Approved as noted on plans
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
wo'rk day.
~1?pnJlirp.t\Jnsnf>c.tions I
Erosion/Grading Inspection: Prior to gro'und disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer.:Electrical Ground: Install ground rod at footing and call for inspection in coujunction with footing and/or
foundation inspection.
Footing: After'trenches are excavated.
Foundation: After forms are erected but prior to concreie placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking. .
Shear Wall Nailing: Before covering sheathing with linish materials.
Framing Inspection:1 Prior to cover and after all rough in inspections ~ave been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspecior.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and IiIter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior foeover or pla~ement of-concrete.
Rough Plumbing: Prior to c~ver and including required testing.
Water Line: Prior to filling trench and including required testing.-
Page 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2008-01610
ISSUED: 11/04/2008
APPLIED: 11/03/2008
EXPIRES: 05/12/2009
VALUE: $ 189,070.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor 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 lias been connected to a minimum of one appliance including required.
testing. Presur" 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 toCover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully exaniined the comph;ted 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 constr~ction.
Owner or Contractors Signature
Date
Page 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 161 0
COM2008-01610
COM2008-01610
COM2008-0 161 0
COM2008-0 161 0
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
2200800000000001634
Date: 11/13/2008
Description
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative fee
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 04589D In Person
Payment Total:
)
\..
Page I of I
8:49:37AM
Amount Due
22.00
57.00
3.95
9.48
7.90
$100.33
Amount Paid
$100.33
$100,33
11113/2008