HomeMy WebLinkAboutPermit Electrical 2009-4-13
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
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Permit no.:
I Date: t.(--/) - 0 1 I
Elect-rical Permit Application
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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1~;~~;~~~~~~'[0FJ!}9~~~R\JCi1JIQ~~Jhl1~~ Im~!;rl\1!!I.S!rEI'I~II~I~~I.~vl
II'V'1' I Residential, per unit, service included:
)9J Residential 1 0 Government I 0 Commercial
IRr1f.J0BIslmEIINi;:ORMAmIOfil~A:ND1I!JGC1l.'I]lo~r~~;i!tijl 11.000 sq. It or less (4) $134.00 .$
I Job site address: I ()t1J1 1^cJef<;!'),^- !- . I I ~~~~OafdditionaI500 sq. ft or portion $ 25.00 $ I
I City: )~....,,,^~.J,j State: of<.. I ZIP: 'r1'i771 I Limited energy (2) $ 32.00 $ .321
i~~~~RJ;R~~I~fiI]I:OF;iWJ~~~~~~~ I ~~~~l~~S~~~~~~~~ ~~:r <i)"odular. . $ 63.00 $ I
ILioM;kJ E>^e/~.':::. Lbw Vo./ ~. I I Services or feeders: installation. alteration. relocation I
~~~ilj!~~~~;;Rli~~~~R~~~~~_~iltii~W!~ I ~:~ ::;00:;: ~:~ : :::::: I
Name: 01 -rJ . I 401'to 600 amps (2) $158.00 $ I
.Ve.,.-", 0-<<-1'\<;0,",
I Address: Oft.( () II w VI. '7'7 AI. I I 601 to 1.000 amps (2) $205.00 $ I
I City: Fv.,~ -I State: of( I ZIP: "17,(o"l.. I I Overl,000_!'!P,J?,'\,OVCl'2!tSli2) $469.00 $ I
I Phone: f'<{! -U&' 1YfJ77 I Fax: - -'^'T'TFNTION: ~Jeil~e~~xp,~Ste;;ly~?:~~t~~~~h ,. $ 63.00 . $ I
I E-mail: ~~\\OW r.~~~Sf"~~r~f ~~~mP"(!~:Ii~;~~~~_~.:.o,.Lty.s~ers: installation, alteration, relocation I
This installation is being made on residential or farmtllY9peflY_0010C i~PQ'amp~l ~fl\\~lu\es bY $ 63.00 $ I
owned by me 0: a member of my immediate famill'.CF~is \J~- ma.y ot t2lJ1~4M\\n1pl((ZJ.~~~;,'~n $ 87.00 $ I
property IS not mtended for sale, exchange, lease, \)I:JI'ent. 'i5l1.!R c' n, ". \. . ....".)L. "" ,~"'~.,.. I I I
479.540(1) and 479.560(1). ca.lling tne t\ e ,)~9MQ'600\~,JI~J:u. $126.00 $
\ . bel 101 . J. omk;>"" -- .
Signature: nurn Ceo\( r i-p Ovtfl""OUU amps or 1 ,ODD volts, see services or feeders section above I
~C_GN;lrM:CJ[~BIINSm~l!l!AmfQN~~~~JL~m~l I Branch circuits: new, alteration, extension per panel I
Business name: IYt~J )j.,nL... .5.::.k. .,....... I I a. Fee for branch circuits with purchase'ofa service or feeder fee: I
I Address: 57(,,0 Pe..r.-d..f' tv......., I I EaChb;anch circuit . - I $ 6.00 I $ I
I City: SPn'hi/','-etJ. ] State: ~R I. ZIP: "l7'f 7 8" I I b. Fee fot btanch circuits without purchase ofa service or feeder fee: I
I Phone: SYl-852- "c,2-o I Fax: I I First branch circuit (2) I $ 55.00 $ I
I E-mail: lJ(OY E 1'13 @.'1.J....c:>c.> . u:>...... I I Each additional branch circuit I $ 6.00 $ I
I CCB license no.: /75 >"I(g I BCD license no.: I Miscellaneous fees: serVice or feeder not included I
I Signing supervisor's license no.: I Each pump or irrigation circle (2) $ 63,00 $ I
I Print name of signing ~upervisor: ~ I Each Sign or OUtlin"-lt~ling~MOI\\( $ 63.00 $ I
I 'tan . u;,,"J@I,V~tj,lin "",- a,'I;
Signature of signing supervisor: 1~1C. pE M 1~'~Q>'1'1'\~~ - _ ~ ~\!F $ 63.00 $
AllTHOR\21~,;a ~~lI{t~l!iII.~IQ\ml;M ~ $58.00 $
:.c~ ;~~~i~tl,f"'=":::="'~""~
A1 / \J ~ r~Minimum Permit~~Oa)"/ $ ~,
~~ tCl'Q/' . I (B)EnierI2%surcharge(.12x[A]) $ h 1b I
~ c.\j'" I (C) Technology Fee (5% of[A]) $ Z?O J
.......~ I TOTAL fees and surcbarges (A througb C): $ 6 7 8~
~ \>~
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440-2584-) (9108/COM)
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. CITY OF ~rK1!"GFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: ]0/1312009
VALUE: $ 297,0]6.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1099 ANDERSON LN
ASSESSOR'S PARCEL NO.: 1703331102400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Single Family dwelling
Owner:
Address:
BENSON VERN W
940 HWY 99 N
EUGENE OR 97402
, . yoU \0
on laW leC\Ulle~n Utility
__".,.,nl':r. 0le9 ~ h" the 01e9_ 00\ 101\h
, 1-\\ '-.' 0"\05 aOU\>'. Thnse lUlt:: ';:'::\ 952-0U1o
I CONTRAC~ORll"':"~Rl\1Nr"(I)N~.\e lules by .
"v." R 95'l-Uu' .. in COp"'". \ lephone .
'c in Of>, a" oo\a To' o' i,'Q.e e 'Do"~' D
ontractor gO. 'IoU (\\, n\el. ~1'",,'~e;M1 l'<o\i\l,'&"rratlOn' ate
ADAIR HOMES INC 00 calling \he ~~e 0Ieg(593J~~_231\1\). 03/1912010
INTERSTATE ELECTRI~Jl'\I,Gel IO~tel is ~ -eq~7hl 09/05/2010
MICHAEL STEPHEN SMITH JRce 175546 04/13/2009
,
3T PLUMBING INC 147077 03/04/2011
Phone
503-645-1156
503-393-2223
541-431-3962
503-932-2719
Contractor Type
General
Electrical
Low Voltage Electrical
Plumbing
BUILDING INFO,RMATlON I
;.~~.h
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: 2 Lot Size:'
Height of Strncture 26.00 Sq Ft 1st Floor:
Type of Heat: Wall Heat t,.sa.1l"t'P#.d Floor:'
Water T~l!e: _~~\f i n'ts~lIl1\!1lsement:
~i~Wjipe: \i S\\f>,\'\' t1E\~~lJI\is t Garage/Carport
~~~ l>\Dcll- i\-\ Ql>\c\)~ Other:
S ~pn9i~e;o \S f>,'O~~ Occupant Load:
i:>.\ 'Y'C:r\ Un _
I DEVELO?;~ENi~~ltNiWi{oNt
. '-'1".1: " ,
5,553
1,768
1,128
I
R-3
U
VB
440
REQUIRED PARKINC
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
25.00
15.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
3
Yes
33.10
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Fully Improved Curbside 7'
Yes Downspouts/Drains: Curb and Gutter
For this parcel in Dove Estates, it is the recommendation to the Building Division, by the City
Enginneer: "That 00 connections shall be made to sanitary or storm H20 systems, until the
Storm water to cubdiIliWutJi;huletJl}elV"":Gililll'nmulilUpproved on PIP and by Dean Bishop on 2-26-2009
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpeof Construction
Garage/Mise
SFfDunlex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Fire SF Fee - Residential
Plan Review Major. Planning
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Rejmhursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
I Valuation De~criDti~n I
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
440.00
2,896.00
Total Value of Project
~
Amount Paid
Date Paid
$243.79
$116.53
$79.00
$402.00
$38.00
$1,514.61
$9.00
$166.80
$211.00
$984.50
$589.02
$774.62
$10.00
$1,009.17
$97.90
$151.49
$888.98
$201.54
$72.63
$88.00
$911.13
$27.00
$2,858.00
$6.96
$2.90
$32.00
$26.00
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
4/13/09
4/13/09
4/13/09
4/13/09
$11,512.57
Plan Reviews I
Pace 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 10/13/2009
VALUE: $ 297,016.00
Value
Date Calcnlated
$16,596.80
$280,419.~8
$297,016.48
03/02/2009
03/02/2009
Receipt N umher
]200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000260
1200900000000000260
1200900000000000260
1200900000000000260
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: cOM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 10/13/2009
VALUE: $ 297,016.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine: Review
02126/2009
02/26/2009
APP DDK
See conditions of DRC2007-00031
for saved trees and approved plans.
Existing trees may be used to meet
street tree requirements.
For this parcel in Dove Estates, it is
the recommendation to the Building
Division, by the City Enginneer:
"That no c.onncctions shall be made
to sanitary or storm H20 systems,
until the subdivision is accepted by
City Council".
Public Works Review
02126/2009
02126/2009
APP LKW
Structural Review
03/03/2009
03/03/2009
APP CJC
As noted on plans and in conditions
letter.
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.
Rrr:gl'i['prllnsnections.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction ,,:.ith footing and/or
fouhdation inspection.
Footing:. After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: -Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: ~rior to cover and afte~' all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimetc.r Foundation Drains: After gravel and tilter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover 01' placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2009-00272
ISSUED: 03/04/2009
APPLIED: 02126/2009
EXPIRES: 10/13/2009
VALUE: $ 297,016.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
J
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plnmbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
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 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 structnre 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 construction.
ff/L(Lj
<(//1/0 Cj
Owner or Contractors Signature
Date
Pa2e 4 of4
225 Fifth Street
, .
SpriIigfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00272
COM2009-00272
COM2009-00272
COM2009-00272
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000260
Date: 04/1312009
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ J 2% State Surcharge
Paid By
MICHAEL SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
009471 In Person
Payment Total:
Page I of J
8:34:53AM
Amount Due
32.00
26.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
4113/2009