HomeMy WebLinkAboutPermit Electrical 2009-4-13
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I Signal circuit-or a limited-energy panel; $ 63.00 $ I
alteration, or extension (2) .
NOTICE: I, Each ~dditional insPict~''\:,.(}f!l}tl't _.. I :S8.00 1 $ ~ _
\~~0' ~~H~~~~r::~~~' .~ _To'~SE~.~-;:
~ i0 COMMENC~ =OORnlllnAiUt. 8:OW $ .) c
~ tt-f.. ANY 180 OA't'ljlJi;IU()!% sur~i2x [A]) $ b :; ~
~ -ct (C) Technology Fee (5% of[A]) $ 'Z pO
'S' TOTAL fees and surcharges (A through C): $. h 7 t:. )b
Electrical Permit Application
1~~ll!iDEPWTMENT:USEi0Nlh~1
~g~~"Y:;:-,2"~":"'><;;l'i'!J~",*4:i!0:Ng~1';iJS"*;S:G'~~~~,
ICOM.zoc) r- 00 Z7 J I'
Permit no.:
I'Date: L-/ -/ -; - 0 1 I
225 Fifth Street. Springfield, OR 97477.PH(54t)726-3753+FAX(541)726-3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire jfworkis not started within 180
days of issuance or jf work is suspended for 180 days.
E.1'!!~'1!)~I!Q(:i~L'f(;OJ{EI;l.NMEl':liti~eBR:Q);iA~1I'~~
Zoning approval verified? 0 Yes.. 0 No . I em;(;)~I'Q~I'-~9Slitll;t!L !~,
~~_Q1\iJ1E.G:Q:r-~yt{OI7:.llGOJIISIJjI;l.I!JQmIQN~l:Il\\1R~lllil ... .";:",,t.~~ili:z,_ ~@~" ~hils."-ii
1 .. I 1 I' I Residential, per umt, service included:
1iI Residential D Government D Commercial '
i~~~~~:;~~TE;I~~0:Mk;=~A~Oj:;~1l'QN~ki~~~: I ~~;ird:i:O:::~s~o(:~ ft or portion :1::::::
I City: 50r .'-'" L'; cd J 1 State: oR. 1 ZIP: 17Lf 7 71 1 Limited energy (2) $ 32.00
i=~~~:~~,i'~~[EiI7~wJ~;~~~~\I I J~~~I~~S~~~~:~~ re~~:r (~;nodular $ 63.00 $
L;......,i0 E. '-'\ Lf'rw vol t--..~ - I Services or feeders: installation, alteration, relocation
~.J.y..,...{ Ve.(.~ /i-.J-h...U -. I 200 amps or less (2) $ 81.00 $
1 20 I to 400 amps (2) $ 95.00 $
1 Name: Ve"-,,, 8 e.-.(""o "" 1 401 to 600 amps (2) . $158.00 $
I Address: eN 0 II..... ':J "1'" AI. I I 60 I to 1,000 amps (2) $205.00 $
I City: t?""""f.e--<.- 1 State:?>t' I ZIP: '17'107....1 1 Over 1,000 amps orvollS (2) $469.00 $
I Phone:J'fI-'/1J1:7 15'tr"i "1 1 Fax: _ AI rENTI~N j?,econnect only (2) $ 63.00 $
u;oa f..../I~ ~rv~un I
I E-mail: Notih~~;i~/; S i .a:Jml)!ir'lf~rtVl~'iPM'\9~~r~cznsta/latlOn, alteratIOn, relocatIOn
This mstallation is being made on residential or farm 6?ope"dy952_ ~e /l20P. '"l1%g~ ~,S!;~Jegon Utilitll 1 $ 63.00 $
owned by me or a member of my immediate famIly. -tKiS'O. You n 'I-VM It\ll/Oo:anms !;;:)"'" set forth I $ $
property is not intended for sale, exchange, lease, or rerrt.lm~ a)<1,fi<IQ;;., -~. ~ ~I'l. 0:,:: C" J. 87.00
479.540(1) and 479.560(1). ilumbe tfhe ce 11\91\ t'1I~~~~p,s~~)he rul!>.o h . 1 $126.00 $
r_ or he -". -. "", 18' . h )
Signature: Cent if evli1:;6'Ql) S'ip'!fer~,:f!f9,)vc;ltsS6ee services or feeders section above
Ililf~":\!.IIk~GONjlLMGmQB~IRS;JfAIfEP,.ffiloN~~41l;*";?i! IS B~~~~W~rl'1-;hiS34.;f'~);~bOOn extension per panel
I Business name: Mie.J,A.e-J >kA~"'" .c:t.e.... T r _ 1.1 a. Fee for branch circuits with purchase of a service or feeder fee:
1 Address: S 7& 6 ~:,j ,,.{.- c....,.....'j I 1 Each branch circuit I I $ 6.00 I $
I City: 50 r, \....,.(.. Lid. r State: "l'1 I ZIP: '17 Lf 7 Jl 1 b. Fee for branch circuilS without purchase of a service or feedetfee:
I Phone5l1-tlz-()(elO I Fax: I First branch circuit (2) I I $ 55.00 $
I E-mail: IXOYf:- 1'13 ~Y.,J.Od Co........ I Eachaddilionalbranchcircuit $ 6.00 $
I CCB license no.: 17S'..><f c., I BCD license no.: I Miscellaneous fees: service or feeder not included
I Signing. supervisor's license no.: I Each pump or irrigation circle (2) . I $ 63.00
I Print name of signing supervisor: Each sign or outline lighting (2) $ 63.00
I Signature'of signing supervisor:
$
$
440-2584-J (9108/COM)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00273
ISSUED: 03/04/2009
APPLIED: 02/2612009
EXPIRES: 10/13/2009
VALUE: $ 226,151.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1783 BRANDY WAY
ASSESSOR'S PARCEL NO.: 1703331101200
SPRINGFIETYPE OF WORK: Single. Family Residence
PROJECT DESCRIPTION: New Single Family Dwelling
TYPE OF USE: New
Residential
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
OccupantoLoad:
'flt\~
I DEVELOPMENT INFORMATION .l?'t. \~"i~~ \S ~Q"i
1'\C~' ",,'-I. <.'" c \l't.?~~ ",,?REQUIRED PARKING
\.\0' . ,.~"i S",,, n 1\\'" "X-\) IV..
OveH!l,X;!l\!'{;~~~n \)~\)t.'" Bt-~\)Q'~ Total:' 2
# St.1H'lt~~ Q? \s f>i 2 Handicapped:
PaveJll:l'i'1l~'t.\) \l't.?\Q\). Yes Compact:
% Ofn;,'tl~~y~gg~ 37.00
p.,\'\'/\ .
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
Enginncer: "That no connections shall be made to sanitary or storm H20 systl'ms, until the
Storm water to ca.bdOOoimttl<lm1eepted by City Council".
Owner: BENSON VERN W
Address: PO BOX 71095
EUGENE OR 97401-0182
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor '\'eS \l9ic~~~e
o,ll' " '\1\\\1
ADAIR HOMES INC !I \a,'l'J Ie o!e90'59~IO!\'o
INTERSTATE ELEI1O'RIO~~o '0'1 \Tle \eS a,!8I~,I~l)\-
MICHAEL S-11Bi!H\EI~I<lSMrirffl JR,'\ose!1l TI Op..?I~,!~ '0'/
TOMS PLU1\iBI~~~~J~'RVfCMN.cr(\IOIl~S 01 \rl~~1~e
3T PLUMBI~G~IJ.'ISqS'2.'OO\. "'o\il!l,~,~?"" \Tle :~~7,Q5'a,10(\
\"fY......' '," ~J.~~ . -r ~. . .~.""i '
OOgO.1 'BmLDlNGJNEORMA'l'-leNI
ca,\\'.. ~ 10P"~, \-\)\Jv j
"'I'oel ..- IS
I (\Il'" cfboNltories:
R-3 Height of Structnre
U Type of Heat:
VB Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
.25.00
Wall Heat
Electric
Electric
4
n/a
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
10.00
25.00
0.00
Subdivision Not Accepted
I PUBLIC IMPROVEMENTSI
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of 4
Expiration Date
03/19/2010
09/05/20 I 0
04/13/2009
05/12/2010
03/04/2011
Phone
503-645-1156
503-393-2223
541-431-3962
(541) 607-8879
503-932-2719
5,625
1,040
1,040
656
Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00273
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 1011312009
VALUE: $ 226,151.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Garaee/Misc
SF/Duplex
Tvpe of Construction
tJ VB Utilitv
R-3 VB 1&2 Familv
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
656.00
2,080.00
Value
Date Calculated
Description
Total Value of Project
$24,744.32
$20 I ,406.40
$226,150.72
02126/2009
02/26/2009
~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $239.36 3/4/09 1200900000000000157
+ 5% Technology Fee $117.58 3/4/09 1200900000000000157
1st Appliance $79.00 3/4/09 1200900000000000157
3 Baths One & Two Family $402.00 3/4/09 1200900000000000157
Addressing Assignment $38.00 3/4/09 1200900000000000157
Building Permit $1,225.64 3/4/09 1200900000000000157
Curbcut Permit $88.00 3/4/09 1200900000000000157
Dryer Vent $9.00 3/4/09 1200900000000000157
Fire SF Fee - Residential $136.80 3/4/09 1200900000000000157
Plan Review Major - Planning $211.00 3/4/09 1200900000000000157
Plan Review Residential $796.67 3/4/09 1200900000000000157
PW Disc - 2nd Permit $-30.00 3/4/09 1200900000000000157
Residence Wiring 1000 Sq Ft $134.00 3/4/09 1200900000000000157
Residence Wiring Ea Addtl 500 $100.00 3/4/09 1200900000000000157
Sanitary Sewer - Improvement $567.99 3/4/09 1200900000000000157
Sanitary Sewer - Reimbursement $746.96 3/4/09 1200900000000000157
SDC MWMC Administration $10.00 3/4/09 1200900000000000157
SDC MWMC Improvement $1,009.17 3/4/09 1200900000000000157
SDC MWMC Reimbursement $97.90 3/4/09 1200900000000000157
SDC Sanitary/Storm Admin $138.55 3/4/09 1200900000000000157
SDC Transpo Improvement $888.98 3/4/09 1200900000000000]57
SDC Transpo Reimbur~ement $201.54 3/4/09 1200900000000000157
SDC Transportation Admin $73.96 3/4/09 1200900000000000157
Sidewalk Permit $88.00 3/4/09 1200900000000000157
Storm Drainage Impervious Area $727.76 3/4/09 1200900000000000157
Vent Fan $45.00 3/4/09 1200900000000000157
Willamalane Single Family $2,858.00 3/4/09 1200900000000000157
+ 12% State Surcharge $6.96 4/13/09 1200900000000000261
+ 5% Technology Fee $2.90 4/13/09 1200900000000000261
Low Voltage - Residential $32.00 4/13/09 1200900000000000261
Minimum/Adjustment Electrical $26.00 4/13/09 1200900000000000261
Total Amount Paid $11 ,068. 72
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planniul! Review
02/26/2009
I Plan Reviews ,
02/26/2009 APP
Pubiic Works Review
02/26/2009
02/26/2009 APP
Structural Review
02/26/2009
02/26/2009 APP
CITY OF SPRINLI' I~LD .
Building/Combination Permit
PERMIT NO: cOM2009-00273
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 10/1312009
VALUE: $ 226,151.00
DDK
See conditions of tree feeling
DRC2007"00031 for "save" trees
and approved plan.
For this parcel in Dove Estates, it is
the recommendation to the Building
Division, by the City Enginneer:
"That no connections shall be made
to sanitary or storm H20 systems,
until the subdivision is accepted by
City Council".
Need engineering for
non-prescriptive 1stlloor joist
support
LKW
CJC
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 ~p,?)hl~ I~ections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Priol" to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before coverinisheathing with finish materials.
Framing Inspection: Priorto cover and after all rough ill inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Fonndation Drains: After gravel and tilter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
Underlloor Drain: Prior to cover or placement of concrete.
Rongh Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling trench and inclnding required testing.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
, Status
Issued
PERMIT NO: cOM2009-00273
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 10/13/2009
VALUE: $ 226,151.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after eros_ion measures are installed.
Siden'aIk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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 certit)' 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 construction.
/It/dJ ./L
i /1'5/0 "7
Owner or Contractors Signatnre
Date
Paee 4 of4
iiLD
225 Fif~h. Street
Spri~gfieId, Oregon 97477
54] -726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00273
COM2009-00273
COM2009-00273
COM2009-00273
Payments:
Type of Payment
CreditCard
cRe{;~inll
II..,.H..I..,.
REcE]PT #;
]20090000000000026]
Date: 04/13/2009
Description
+ 5% Technology Fee
+ 12% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Paid By
MICHAEL SMITH
Item Total:
Check Number Authoriziltion
Received By Batch Number Number How Received
djb
009471 In Person
Payment Total:
-'
"
Page I of I
8:35:39AM
Amount Due
2.90
6.96
32.00
26.00
$67.86
Amount Paid
$67.86
$67.86
4/13/2009