HomeMy WebLinkAboutPermit Electrical 2009-5-4
225 Fifth Street. Springfield, OR 97477+PH(S41)726-3753+ FAX(541)726-3689
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Permit no.: I
I Date: s/~ 1 I
Etectrical Permit Application
This permit is issued uuder OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
~~~1!:0G~Ll(O()\l.ERNI\IIEN1ff~eeRQV~I.~&t~'i1
Zoning approval verified? 0 Yes 0 No
1~m.:g:Q~i]jE~()I:l.X4\:Q)i;,~C.:<;5N$)ljl:l.l!JQ1I110N~~~l!~
,~J~~~~lmEIIN~~R~~m~~;~NPI~~0~;i;~~~-!ilj ~:~~::ti~I,:el::'~:; service included:
I r'.? ~f I I Each additional 500 sq. ft. or portion
~i~i!i~~ i ;;~;==~1~)""''' : ::: :
I L:rN\.\kJ r:;'if\J2A'"Ct L.r.vJ Vi)~A" I I Services or feeders: installatIOn, alteratlOn, relocatlOn
I ,,\ \ 'ti\ \ v Di \ II 200 "');frl'li less (2) $ 81,00 $
.\ (J.lF.-~c--A. \To-.z.UJV""'- ~-\-zY.}.c-...\;bl,..-., '. ':) j . \ri__
~1lf'l!!!4f~f'~",>t4\Y'F1R"0F!ERm1f,4f0WNER",,~ie,''''''~J!l''''"'';'''I'C\ l\151"tp. 4JJO\ID;/t\' (2) $ 95,00 $
,y~ _'" iiXffifl,4l!':~,J.~!I,,~, ~,.. _, ""'~ -' "''''11,. s;.i3i.13VHf?~=~.~,~, " (- ..... \ . J,-
1 Name: 0 "1 Lor',. ( II , (v,!J<Jo'/.'~,,\re :'ibJ((oc6JlR~~~(2) $158,00 $
I'\'Ll(J \A ;v{lt~. \-/~"""'" H,o"l~) L~~(U'_ . "l";-
I Address: ,~^7~ <;IL... '1'''LJ:~'.':\~:?a.(\o.~;~\n~:~,J,)~Qll,1'~)Pvo,(iartt;is(2) $205.00 $
I City: C \,J I State: ',",n',~"\IC.ZIltH:HcF,,\,r:cl\l\4'60:(j\~QOI2r!\wr volts (2) I $469,00 $
c.-o,o~_ vK,,,", "",j ,v;x,' I 'P- "IV--
I Phone: _ _ I Fm1: ':,~<;\\ol:~ ",a.'J 0"'-'1' \,N",J''-'!!.t,onlillttonly(2) I I $ 63,00 $
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E-mail: \)r,:I~IJ.. . . ("\ \\\e v'" O(e~v ."'\} ~~porary services or feeders: installation, alteration, relocation
_"M(\';:1 . _~ \:ne .. 9,( u
Th" 1]' , b ' d 'd' ']'" ,< n' 'v' '-.ll>' 200 amps or less (2)
IS msta atlOn IS emg ma e on res! entia 9r.u.arm~lliiqpelty
owned by me or a member of my immediat~ 'family, 'This I 20 I to 400 amps (2)
property is not intended for sale, exchange, lease, or rent OAR I
479.540(1) and 479,560(1), 401 to 600 amps (2)
$134,00
$
$32
I
1
I
I
$ 63,00
$ 87.00
$126,00
$
$
$
Signature: Over 600 amps or 1,000 volts, see serv~ce~r feeders-section above
1~=~~:~N~;1:r~j~E~~:r~~&~t,~Z~~\ I :r;::~o:i::::S~ ~i::~;;;~~~:~::eL feeder fee
I Address: III 6"7&0 ?U;JII\-- W"-I{ I Each branc!\'\i:Ql\~c, ~~;:,~~ '(\Sf I $ 6,00 I $
I City: <:.r"';v-,,c.JA I State: D'R~ I ZIP: 0,7 'i 7t .t'\\:.~~\~~~1t~~~f>..~~ipurchaseofaserviceOrfeederfee
I Phone: sit, -<-/31- 3'1(0<.-1 Fax: - ~>\c. \' :;\\~~~~I,-,\;'ttim) $ 5500 $
I E.mail: \'i(\YFI4~(Ii),:-\~c,~ \ _\\t'0\~~lt~~I""~'r'l1\;ChCirCUit $ 6.00 $
I CCB license no,: '7S;'''-<{ Co ~ I BCD license no,: \ 'i\'1'1ii~li}\:,~s fees: service or feeder not Included
I M"\ .
Signing supervisor's license no.: ,~ch pump or irrigation circle (2) $ 63.00 $
I Print name of signing supervisor: . ~I! I Each sign or outline lighting (2) $ 63,00 $
I Signature of signing supervisor: ---7/Z / I. I Signal circuit or a limited-energy panel, $ 63.00 $
/ ' II~ alteration, or extension (2)
I Each additional inspection: (1)
'#
~~ Ib~'-
~ k.\
$58.00 I $
\$)<V ~
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I (A) Enter subtotal of above fees
(Minimum Permit~)
I (B) Enter 12% surcharge (,12 x [A])
I (e) Technology Fee (5% of [A])
I TOTAL fees and surcharges (A through C):
$ 5"B
: ~r~
$b~;
440-2584-J (9/08/COM)
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00302
ISSUED: 03/1l/2009
APPLIED: 03/05/2009 ,
EXPIRES: 11/04/2009
VALUE: $ 300,000.00
Status
Issued
SITE ADDRESS: 6032 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343301900
Springfield TYPE OF WORK: Single Family Resideuce
Residential
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - MtGate West lot 3
Overlay Dist: Hillside
# Street Trees Rqd: 3
Paved Drive Rqd: Yes
co", of Lot Coverage: 26.0!l.
NOTI t: EXPIRE IfTHE WORK
-I'j~ ncoM1T !;I-1All -I"""f" OInT
. ij)m~lmIW1IWvE~M.r' -C;NE~'F~R
MMEI'f\"tuun (v , ,J~ ,
Fully Im%O "80 DAY PERIOD. SIdewalk Type:
~~ Downspouts/~.rains:
Owner: BRUCE WEICHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E EI'.E-o'FRiI'OINOregon law requires you1~475
MICH~Et!)S'I1E,JiffEJNJSMI!JiIil)/Ilile Oregon Ulil~46
COMPORiiiCFtlJ0\\Center. Those rules are set fmllh
STEVt'r,c'RiI.J'tfltN'S'GN-0010 through OAR 952-~5\l65
:-:::. ~.'::":_:-.~':", :::"'::.:.-. .:..::.~:__:.I. ~:,_ .J........ ~J
calling the bE!tI!l1Lti~iMf~M"ji,'jij~ I
., _I I ""."fi-i\!~
number for ]he uregon Utility I~olllica ion
1 Center is Ih\,t;~€.l2344). 1
R-3 Height of Strncture 27.00
U Type of Heat: Forced Air Gas
VB Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
n/a
I DEVELOPMENT INFORMA~ION I
Front yard Sethack:
Side t Set hack:
Sidc 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
15.00
9.00
56.00
52.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Stm and San sewer to private drainage utility at north property line.
Page I of 4
Expiration Date
09/16/2010
03/30/2010
04/13/2011
06/27/2009
03/1212010
Phone
54] -686-9458
541-933-2653
541-431-3962
541-726-0100
, 541-342-3765
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
12,389
2,000
1,209
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
To Storm Sewer
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surchargel
+ 5% Technology Fee :
1st Appliance '
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curhcut - 2nd Curhcut
Curbcnt Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Mountaingate Impervious Area
Overwidth Application Fee
Plan Review Major. - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimhnrsement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Trans"o Reimbursemeut
SDC Transportation Admin
Sidewalk Permit '
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
+ 12% State Snrcharge
+ 5% Technology Fee
Low Voltage ~ Residential
I Valuation Deseriotion I
, ,
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$989.79
$281.49
$136.64
$79.00
$337.00
$38.00
$9.00
$1,522.75
$-45.00
$88.00
$9.00
$13.00
$160.45
$20.00
$7.00
$1,455.53
$45.00
$211.00
$134.00
$125.00
$589.02
$774.62
$10.00
$1,009.17
$97.90
$181.23
$888.98
$201.54
$70.11
$88.00
$63.00
$27.00
$2,858.00
$6.96
$2.90
$32.00
Square Footage
or Bid Amount
300,000.00
Total Value of Project
F....,~
Date Paid
3/5/09
3/11/09
3/11/09
3/11/09
3/11/09
3111/09
3/11/09
3/11/09
3/ll/09
3/ll/09
3/ll/09
3/ll/09
3/11/09
3/11/09
3/11/09
3/ll/09
3/ll/09
3111109
3/11/09
3/ll/09
3/11/09
3/ll/09
3/ll/09
3/ll/09
3/11/09
3/ll/09
3/11/09
3/11/09
, 3/11/09
3/11 /09
3/11/09
3/11/09
3111/09
5/4/09
5/4/09
5/4/09
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/1112009
APPLIED: 03/0512009
EXPIRES: 11104/2009
VALUE: $ 300,000.00
Value
Date Calculated
$300,000.00
$300,000.00
03/05/2009
Receipt Numher
1200900000000000161
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
]200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000]74
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000330
1200900000000000330
1200900000000000330
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 11104/2009
VALUE: $ 300,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Liue
Minimum/Adjustment Electrical,
$26.00
5/4/09
1200900000000000330
Total Amount Paid $12,543.08
Plannine: Review
Structural Review
03/05/2009
03/05/2009
Plan Reviews I
03/05/2009 APP
03/0612009 APP BJG
03/09/2009 APP DDK
03/09/2009 APP CJC
03/1612009 CJC
As noted on plans and in conditions
letter
Initial Review 03/05/2009
Public Works Review 03/05/2009
Structural Review
03/1612009
Site investigation report and
affidavit from Michael Rembolt PE
principal geotech engineer of K&A
Engineering. Report confirms
adequate bearing and drainage
characteristics for the site.
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 R~:]"ir~r In"?rtin~
Erosion/Grading Inspection: ~rior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Cnrbcut - Ovcrwidth: After forms are erected hut prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have beell approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.'
Paee 3 of 4
CITY OF ~rKll'll>l'l1<,LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00302
ISSUED: 03/II/2009
APPLIED: 03/0512009
EXPIRES: 11/0412009
VALUE: $ 300,000.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Masonry:
Final Building: After all required inspections have heen requested and.approved and the building is complete.
Perimeter Foundation Drains: After gravel and lilter cloth is installed but prior to backfill. '
Undertloor Plumbing: Prior to insulation or decking.
Underfloor Drai~: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testiug.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor 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 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to ntility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
By signature, 1 state and agree, that 1 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 aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without pennissiou of the Community Services Division, Building Safety.
1 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.
#!J//L
5Ifl()~
Date
Owner or Contractors Signature
Pa2e 4 of4
~.iii.........'
....,:.,- ..
City of Springfield Official Receipt
Development Services Department
Publie Works Department
225 Fifth Street
Sp.ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00302
COM2009-00302
COM2009-00302
COM2009.00302
Payments:
Type of Payment
, CreditCard
cRecelotl
RECEIPT #:
1200900000000000330
Date: 05/04/2009
8:IO:S1AM
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ S% Technology Fee
+ 12% State Surcharge
Amount Due
32,00
26,00
2.90
6.96
$67,86
Paid By
MICHAEL SM]TH
Item Total:
Check Number Authorization
Received By Batch Number Number. How Received
Amount Paid
djb
036766 In Person
Payment Total:
$67,86 '
$67.86
Page 1 of I
5/4/2009