HomeMy WebLinkAboutPermit Electrical 2009-4-23
CITY OF SPRINGFIELD, OREGON
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; INITIALS TV rv\. _ ,
~- A!. DATE \.J -/3 -v,
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689
ELECTRICAf1PERMIT APPliCATION
City Job Number \..XYY)1 ~0 "m34-9
I. Itl!OOXTi6iv;."Oji/iNSTAiJi!AT1.--0,lNi"i.i~'i'~~ 3. ~eOltlPiE'rniFEESCiiEDl.iLE;BEL6WA~~1I'~(1i-~~~'
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JOB DESCRIPTION: '
~~ ~~~!~:e::le and expire if work is
not started within 180 days ofissu8oce or if work is
Suspended for 180 days.
Supervisor License Number -Qd. 9S Le. A
1/ { I Installatio~, Alteration ord}elocationv requireS you t.o
.. '/5' &,~ I ~ 200 Amps &lIIfsNTII~~~d~~~(td'b~'the Or$57:od)ttli~:Yh
':iH' fn\l"w ru 'T"e l'UIl->C ~I'p' s8 -
Constr. Contr. Number 201 AmpNOt400 AmpsCenter. "DS , "0:$79.002 nn1.
o 1lIl.;C:I.llV.' 0 QUill J.l.n 0.... -
401 Amps 0,600,AmRsOOi-001 lOr .cl $1'H.OOi~~ bv
c;;>,{OQ IItvf"\I'V-- t.. -J,~lI'-"-
Expiration Date CJ I, . o.v,:~~?'~~_~.r:.~~:?,~~~~~,~~~~~a'b;;~.e telepl\O~~!>""" ."
Signature of Supervising Electrician D. tIBranch,Glrcijits~"~f11!t~~~~''':<:~1~r~
lf~I'~~Jf1l~'!'"'hll~V~;r' .:t8(1{f:3~2~~~~;z<M~l.~~~
9 (l New Alteration or EXteDsion~Per Panel
~ ~ \...)U)(\~ ' One Circuit $ 50.00,
Each Ad~itional Circuit or with
rv /) A ,:"" u..- _ -- Service or Feeder Permit $ 5.00
Owners Namet:::Ll. 1(' L ~10n trVL..-1 .
Addres Q,'-..-,2 .~...( llAc.) 1_.\ E. ~~~"i~~~frs~~i~~~Jf~~Hi~~~~~f8~dj~ER~.-il'~~>>
u.. ) (...:::> '--1:.... ........\V\..C.AA... L....O-J ~U;i!!'Rf.t'\N'I,~'t<'Z:;.';'i~f!;!>~:'';W;;x'1!r~I'!.1;;ii5'\im...;;};tP.lfltlt'~~!Ylr~'l\;''.U:llE~mil~~~n'.;\':~~
City~' . {\ 0 " CJQ) Phon~ Pump or irrigation $ 57.00
:1CTlCE: Sign/Outline Lighting $ 57.00
OWNER TALLATlON :-~IS PERi\Il:Ifi'!1\t~q:!'i"'"ffi'~~~~tjtJ!jE WOD/( $ 29.00
,The installati~n is being made on property I own whicli HORIZE[!.iQ.i!\e.9f!:jqer~~{go,mC\'fI;,~j~ IS N::JT $ 52.00
IS not IOtendea for sale, lease or rent. CO M IvllMiijiiDJII!i IIPlCtriSRl'II3'i.1I~'t'1!l~ti'/;l' Fee is $52.00 + Surcharges
ANY 180'''21,,-,,~-,"--,,,,,,~-,''-'i\ij,,-w~.lli~Jijr~~,,,>;,,~,,..~ .c-<:>./ 1JV
4V~'t:~~~g~~~~t~~~~_t'\ ~
X 12% State Surcharge <:.- ,.., ~
10% Administrative Fee Ol .'7- \.J
, ~ 5% Technology Fee (.;, , 9f<'
I\~ ~ ~o.., TOTAL
V C(jv, P ~ Shared Drive(T:YBuilding Forms/Electrical Permit A p ,cation 7-08,doc
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,eON'FRAeI'OR'INSTALI1A'FION!ONI;Y,'
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Address UJJ.8tsJ hMrnh 1~
('ffl.
Ci~~_oPhone ~'t/-988 -09 7~
"
Expiration Date
Owners Signature:
Inspection Request: 726-3769
Date 4---2..3-0,\
~'-I"'~~~l-I~"~~.'H;gg~Ii':'~"---J("""~~,,.p;Q~-:-'W~~\G':t\""b.I1'<:)i~-{fI'r;:
A._ ,"'Ne",:Resii:lentiaLq;~ingleLor)Multi7~amil~jp'ei;dwelling-:u'nit!),-
l'::!:t!l,""iIL~~~l,,-lll!";;w.n'l>>'>~"lF_"~H<P....7oft.t:l'l.\1J"~WIlIJ'!J:''l\'!I'1Il'ti>.,L:.t'l',,~~r.<.!$~.:W~.._"'.r-l"..!:.I!'t'!(l(t~ ...,
SerVice Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$121.00
$ 22.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57.00
_.~ .-.' .._....-"K.:,~;<~~.;!._.,_'~...~. ", '''~'_~''''-;'.;i..>liL-;Yj~....~t'-'!il.~;w~~'W'''I"'
B,'S""'" . , '''-..'~ ,;'''''~'''''''iv'''I-t.,'I'I't'.'.' A"I't'" ""t-:"""~'<~R'~ "," "t" "","""
. ::1. er;vlces:or~f'_eeUers",':::"'! os a a Ion - era lons:or\.l e oea IOn:f~~ll
.~Wr:..,~j.lit..~"'~'f..~!Zom:''''-'''f.1i1~li;a;,(~\9'€IF.I:I'b''''''Pil-u.~'~~~~S~lwi.~1i!l::J\'~\it'
200 Anips or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
~'.';""'''''''-i'''''~!!I~''!'''''''''''''''''-''",'J.I' c"....,""'1i!tI1.....'- t'~_''';:'
C. ~q-em ''Ora . iScr.vices~or~Feeders" .' ~{?f;i"rj;'~T1~;(,~.1- c c, if(,~ J . ';~1':.~'
'"I!)f"".=J)~"~''f'''''''rl;;:n'~~~:h'!'''''''':-!'iO:'1~:,,,~~~t ~li .",~~lic~"1.ii~~~iC_, _ ~l$lJ.l;i...!J~tuL'~
'.,
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225 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM2009-00349
COM2009-00349
COM2009-00349
COM2009-00349
Payments:
Type of Payment
CredirCard
c1~ccei[")ll
9'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000420
Date: 04/23/2009
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CINDY GERMAN/SECURE
TECH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
11321a Phone
Payment Total:
Page I of I
9:21:4SAM
Amount Due
32,00
26,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
4/23/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00349
ISSUED: 03/] 7/2009
APPLIED: 03/]6/2009
EXPIRES: ]0/]7/2009
VALUE: $ ]98,286.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4090 FILBERT MEADOWS Way
. .
ASSESSOR'S PARCEL NO.: 1802064111800
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Filbert Meadows lot 47
SAME AS COM2008-01818 1215 S 40th PI .
Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Low Voltage Electrical
Mechanical
Plnmbing
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
SECURE TECH INC
COMFORT FLOW HEATING CO.
STEVEN R JOHNSON
License
101717
156618
460
65065
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
SecondllrY Occupancy Group:
Primary Construction Type
Secondary Constructiuu Type:
# of Bedrooms:
I
R-3
U
VB
# of Stories: I
Height of Structure 17.00
Type of Heat: Forced Air Gas
Water Type: ( Gas
Rauge Type: Electric
Euergy Path:
Sprinkled Building: n/a
3
I DEVELOPMENT INFORMATION I
Froutyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
14.00
15.50
5.00
11.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:'
Total:
4 Handicapped:
Yes Compact:
ATTENTIO~fi.:ul;egon law requires you 10
follow rules adopted by the Oregon Utility
"'1_..:."__i'_~'''''_,_.L_.. TI...___ ~..l__ ___ __....l__.i-
Residential
Expiration Date
09/16/2010
08/08/2009
06/27/2009
03112/20 I 0
Phone
54 t -686-9458
541-521-2837
541-726-0100
541-342-3765
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,773
1,634
462
REQUIRED PARKING
2
I PUBLIC IMPROVEMENl1S .JAR 952-001-0010 through OAR 952-001-
uv"O. y,~j1, mav obtain copies of the rules by
Street Improvements: II" l(le.walk f!)'P~tl h I h
Fully Improved, ca In IT,e G~"itb. \"ote: tete ep O<!'ilrbside 7'
Storm Sewer Available: Yes numbE:()i\Wnlfpo&lS9])'ral,Wllity No(i:~iiri)t\rnl1 Gutter
Speciallnstrucf1rJtICE: Center is 1-800-332-2344). ,
Notes: DrivJfj,~a~~Rfa"JiieS~lkF.i"Rl,/illiip!ie1iH:ll>INQJl,JhA Storm water to c~rb via weephole
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I of 4
-~
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescrilJtion
Tvpe of Construction
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
Estimate
Garaee/Misc
SF/Duplex
Fee Descriotion
+ 12% State Surcharge
+ 5% Technolog)' Fee
1st Appliance
2 Baths One or Two Famil)'
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dr)'er Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Cas Outlets 1-4
Plan Review Major - Planning
Plan Review Same As
PW Disc - 2nd Permit
Refund CY - SDC Storm Improv
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC M'VMC Reimbursement
SDC Sanitar)'/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Tcmp Power 200 amps or less
Vent Fan
WilIamalane Single Famil)'
+ 12% State Snrcharge
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
Square Footage
or Bid Amount
198,286.00
462.00
1,634.00
Total Value of Project
.ft..~ ~
Amount Paid
$226.16
$1l2.08
$79.00
$337.00
$38.00
$9.00
$1,1l1.68
$88.00.
$9.00
$13.00
$104.80
$20.00
$7.00
$211.00
$250.00
$-30.00
$-1,159.43
$134.00
$75.00
$483.84
$636.30
$10.00
$1,009.17
$97.90
$84.31
$201.54
$888.98
$82.08
$88.00
$1,159.43
$63.00
$27.00
$2,858.00
$6.96
Date Paid
3/17109
3/17/09
3/17/09
3/17109
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17/09
3/17109
3/17/09
3/17/09
3/17/09
4/23/09
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00349
ISSUED: 03/1712009
APPLIED: 03/16/2009
EXPIRES: 10/17/2009
VALUE: $ 198,286.00
Value
Date Calcnlated
$198.286.00
$17,426.64
$158,220.22
$373,932.86
03/16/2009
03/16/2009
03/16/2009
Receipt Number
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194'
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
1200900000000000194
. 1200900000000000194
2200900000000000420
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00349
ISSUED: 03/17/2009
APPLIED: 03/16/2009
EXPIRES: 10/17/2009
VALUE: $ 198,286.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$2.90
$32.00
$26.00
4/23/09
4123/09
4123/09
2200900000000000420
2200900000000000420
2200900000000000420
'Total Amount Paid
$9,392.70
I Plan Reviews I
Plan nine Review
03/] 6/2009
03/] 612009
APP TAJ
Require street trees as shown on the
street tree plan attached to the
permit: species as shown, 211
caliper, leave name tag on until
approval. location may be adjusted
somewhat to account for the location
of/he driveway.
Driveway approached per variance
appeal approval A
As noted on plans and in conditions
of approval letter
Public Works Review
03/] 612009
03/] 612009
APP LKW
Structural Review
03/] 6/2009
03/] 6/2009
APP 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, 'l',,/,\irp1' n<~nw:tinn< I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trcnches 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 sbeathing 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.
Final Building: After all required inspections bave been requested and approved and the building is complete.
Undernoor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inclnding required testing.
Paee 3 of 4
Lll y OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00349
ISSUED: 03/17/2009
APPLIED: 03/1612009
EXPIRES: 10/1712009
VALUE: $ 198,286.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and inclnding required testing.
Sanitary Sewer Line: Prior to fillhlg trench and including required testing.
Storm Sewer Line: Prior to lilIing trench.
Final Plumbing: When all plumbing work is complete.
UnderOool'Mechanical. Prior to insulation or decking and including required testing.
Undernoor 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 IIn appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance'including 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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
UfoI' Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
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 erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Cnrbcnt - Standard: After forms are erected bnt prior to placement of concrete.
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 1 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 Stakof Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre without permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used o",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 '