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HomeMy WebLinkAboutPermit Electrical 2009-4-23 CITY OF SPRINGFIELD, OREGON "::'~ ~ ro, [4. V ; INITIALS TV rv\. _ , ~- A!. DATE \.J -/3 -v, WIIIIIl.. I'5V SOURCE ~r-::" 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-~~~' . if~~".'\::6'"*,,,~G'~~1",u,::~~~~r-<J>i&~~ ~~~.:!'.ili~'i'~t"i!'.lreH~"'ii;~~:~'i:~~e~~'l!i".Jit'!Y.s.~;~~~~:;::~~'H~,,~.JIj;t!b;:Ir"~.~~ ~O hl~Yf rnNl~S I ~O~~;4~1~1: ~lrD 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 $52.00 + Surcharges ANY 180'''21,,-,,~-,"--,,,,,,~-,''-'i\ij,,-w~.lli~Jijr~~,,,>;,,~,,..~ .c-<:>./ 1JV 4V~'t:~~~g~~~~t~~~~_t'\ ~ X 12% State Surcharge <:.- ,.., ~ 10% Administrative Fee Ol .'7- \.J , ~ 5% Technology Fee (.;, , 9f<' I\~ ~ ~o.., TOTAL V C(jv, P ~ Shared Drive(T:YBuilding Forms/Electrical Permit A p ,cation 7-08,doc ~~~ '.\Y ~'.~;]ll1~~_____.....r;.;....~r.,,,,,w\:;,:it~,,'<V,_'!t:"''''':;'''''!I.m6."li1>ll ,eON'FRAeI'OR'INSTALI1A'FION!ONI;Y,' :'lec:;::i::::::rl\~'G::;"~ , Address UJJ.8tsJ hMrnh 1~ ('ffl. Ci~~_oPhone ~'t/-988 -09 7~ " Expiration Date Owners Signature: Inspection Request: 726-3769 Date 4---2..3-0,\ ~'-I"'~~~l-I~"~~.'H;gg~Ii':'~"---J("""~~,,.p;Q~-:-'W~~\G':t\""b.I1'<:)i~-{fI'r;: A._ ,"'Ne",:Resii:lentiaLq;~ingleLor)Multi7~amil~jp'ei;dwelling-:u'nit!),- l'::!:t!l,""iIL~~~l,,-lll!";;w.n'l>>'>~"lF_"~H<P....7oft.t:l'l.\1J"~WIlIJ'!J:''l\'!I'1Il'ti>.,L:.t'l',,~~r.<.!$~.: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'~ '., ~'~<,j~ r " 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 '