HomeMy WebLinkAboutPermit Electrical 2009-5-6
. '. CITY OF SPRINGFIELD,; OREGON
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225 ~"IHH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO""" t..OO 9 - 0050 Z.
JOB DESCRIPTION: .. 1000 sq. ft. or less ~ol} \0
j' Each additionaJ.\i,\\1ll'gQ. tt'il\l\'l:<\
.>ez.-\.Il.q.", "'~Ul~ . portion~\lf-\O\'O~O\\s'O\\O~\.
, I ~O\\ \X\'O 0.\'0 2-r;FJ
Permits are non-transferable and expire if work is O'o"t. ~ e'd.li\'iIt~f~(-Il<RO~\l? ~'OS '01
not started within 180 days of issuance or ifwor~~""'i\ '" a! f.1~8~i1lll~~~<le\~o\\e $5700
Suspended for 180 days. I' ell tl}\Il c.~'a\'(j\I)\X\\ ~\'OsO Ww\!. 0.\::.O~. .
\0\\0. C0.i.\O\\ <;fJ\.r:LI..0.\\\.c2.l..e'c\""~~o\::.\\C , _ . .
'2. I CONTRACTOR INSTALLATION O~b\\1~,?- 9<;,-;a~0.~&~t(?:stql.CI1~\'l:~ll,lD/fIallation, Alterations or Relocation:
, ." ~ . I ' \\\ 0 I). 'lol} '0 c'O\\\~\'O~O~:~?,'/:-'"
Electrical ContractOr 1 "flY\ \... 1lM1 ~ ,,\~\\\~ \~~~ss $ 73.00
,.-' v~~'O'O\ e%\\~PS to 400 Amps $ 86.00
Address Lo~8tsJ (-(OI1rnhl~ . ('ff1."('\ 401 Amps to 600 Amps $]43.00
.' ". 601 Ampstq 1000 Amps $186.00
Ci~<L.,Phone 5'1P188 -0174> Over 1000 AmpsNolts $426.00
"1 (}J Reconnect Only $ 57.00
Supervisor License Number "b"d.9S Le. A' c. I Temporary Services or Feooers
'1/11
.
Constr. Contr. Numher -s:t 15&'1.12 I ~
efo"'!
1. I LOCATION OF INSTALLATION: I
bO~ Z. 6rA7'Jj-o~- LI
LEGAL DESCRIPTION,
17023l{33 01 C;OD
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Expiration Date
. ,
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Expiration Date
. I Signature of Supervising Electrician
'\2~ ~Q~. "
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'BUC.H
307..3 S/?V,lIelN W
City eu:.6-e7V~ Phone t.06-SD'SO
Owners Name
Address
OWNER 1NST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
'.~
~Q.6\
uP lb~ {
Inspection Reqnest: 726-3769
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3. I COMPLETE FEE SCHEDULE BJ!:WW
A. I New Residential- Single or Multi-F~mily per dwelling unit.
Service Inclnded
$121.00
$ 22.00
Installation, Alteration or Relocation
200 Amps or less ~7 .00
201 Amps to 400 Amps ,..rof$ 9.00
401 Amps to 600 Amps f!1~ \~"\~'\c:. ~ 4.00
~\\\~ ~\ \ l'-
. O~ 6.llQ Amp~ or ~~~l~~~~ ~~
,\\~1\C~~*,~,,-~~t.~ ,\~{:>.~\,\l:;)~~
~~i~ O~I$b~D Per Panel
~~ '~~~~~~~~w;th
se,,,,Wto\ ll!eder Permit $ 5.00
E.I Miscellaneous (Sel'vice/feeder not included) ~Each Installation I
$ 50 00
Pump or irrigation $ 57.00
Sign/Outline Lighting $ 57.00
Limited EnergylResidential $)100
Limited Energy/Commercial $ 52.00
Minimum Electric Permit Inspection Fee is ~O + Surcharges
4. I SUBTOTAL OFABOVE ~~ 1 s 2::;
.
6"(:;,
'1:- IV
32
12% State Surcharge
+'::'~~ l.c.-,}jnidT::ltivf' Ff'P-
s%
5% Technology fee
TOTAL
67E!.f:!.
Shared Drive(T:)fBuilding Forms/El~ctrycal Permit Application 7-08.doc
(
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/0512009
EXPIRES: 11/0412009
VALUE: $ 300,000.00
S[TE ADDRESS: 6032 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343301900
Springfield TYPE OF WORK: Singh; Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence.- MtGate West lot 3
Owner:
Address:
BRUCE WEICHERT CUSTOM HOMES INC
3073 SKYVIEW LN '
EUGENE OR 97405
. ATT~I.CONTRACT9RJNF.ORM-A:.1QNfI
follow rules adopted by the ureg?n u\IIiij
Contractor Notification Center. Those rules <l:lI~~~serth
BRUCE WIECHERT,eU~j1J(j)JWEtOMES\!N{}AI01fJ'1'7001-
L & E ELEC"t~r6:ij.y~- may obtain copies of th\5l:1f5ls by
MICHAEL STE<l\HE~ SM1(j\H1U.\t. (Note: the t'i'I1fs~~ne
COMFORT FOOWber for the. Oregon Utility N~Ulcatlon
STEVEN R JOHNSOrPenter IS 1-?OO-332-2346~065
BUILDING INFORMATH,?N,
Contractor Type
General
Electrical
Lo,v Voltage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:'
Speeiallnstruction:
18.00
15.00
9.00
56.00
52.50
1
R-3
U
VB
# of Stories:
Height of Strncture 27.00
Type of Heat: ForcedAir Gas
Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building: nla
3
Residential
Expiration Date
09/16/2010
03/30/2010
04/13/2011
'J'
06/27/2009
03/12/2010
Phone
541-686-9458
541-933-2653
541-431-3962
541-726-0100
541-342-3765
Lot Size:
Sq Ft 1 si Floor:
Sq Ft 2nd Floor:
,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupa~t Load:
12,389
2,000
1,209
I DHW[~ENT INF.?~MA.TlO~ "HE WOR\{
IHI~ ~ltt\IVIII ':>n,-,...1: ~
AUTtlm. \WJQ.!}NDER.THIS. PERM1J I~ NOT
COM~~~Q,FR~ABANDONE~I~{J~ .
AN'f4e.0 i)Jl.'{oPi4'dOD. Yes
% of Lot Coverage: 26.00
I P~BLIC IMPROVEMENTS'
,I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Side,walk Type:
Downsponts/Drains:
Curhside 5'
To Storm Sewer
Notes: Stm and San sewer to private drainage utility at north property line.
Page 1 of5
Status Issued.'
I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection, Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee'
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut - 2nd Curbcllt
Curhcnt 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, - Improv.e.ment
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SD.C MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbtir~ement
SDC Transportation Admin
Sidewalk Permit i
. I
Temp Power 200 amps .or less
Vent Fan . I
Willamalane Single I'amily
+ 12% State Surcharge.
+ 5% Technology Fee
Low Voltage - Residential
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amollnt
300;000.00
Total Value of Project
r~p, P~irl I
Amonnt Paid
Date 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
3/5/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11 /09
3/11/09
3/11 /09
3/11/09
3/11/09.
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09.
3/11/09
3/11/09
3/11/09 .
3/11/09
3/11/09
3/11/09
5/4/09
5/4/09
5/4/09
Paee 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
I,
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 11/04/2009
VALUE: $ 300,000.00
Value
$300,000':00
$300,000:00
Date Calculated
03/05/2009
Receipt Number
1200900000000000161
1200900000000000174
1200900000000000174.
1200900000000000174
1200900000000000174
1200~00000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000]74
1200~00000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
]200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
]200~00000000000174
1200900000000000330
1200900000000000330
1200900000000000330
Status Issued I
I
225 Fifth Street, Spring1ield, OR
541-726-3753 Phone I
541-726-3676 Fax
541-726-3769 Inspection Line
CITY:OF SPRINGFIELD
"
,
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 11/0412009
VALUE: $ 300,000.00
Minimum/Adjustment Electrical
+ 12% State Snrcharge'
+ 5% Technology Fee I
Low Voltage - Residential
Minimnm/Adjnstment Electrical
$26.00
$6.96
$2.90
$32.00.
$26.00
5/4/09
5/6/09
5/6/09
5/6/09
5/6/09
1200900000000000330
2200900000000000480
2200900000000000480
2200900000000000480
2200900000000000480
Total Amonnt Paid
$12,610.94
Plannint?: Review
Strucfural Review
I Plan Reviews I
03/0512009 03/0512009 APP.
03/05/2009 03/06/2009 APP BJG
03/05/2009 03/0912009 APP DDK
03/05/2009 03/09/2009 APP CJC
03/16/2009 03/1612009 CJC
As noted on plans and in conditions
letter
Initial Review
Pnblic Works Review ,
Strnctnral Review
Site investigation report and
affidavit from Michael Rembolt PE
principal geotech engineer of K&A
Engineeri'ng. Report confirms
adeqnate 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 ~ifpllil'ed Insnectinns I
Erosion/Grading;Inspection: Pri~r to ground disturbance and after erosion measures are installed.
Sidewalk - Cnrbside: After forms are erected but prior to placement of concrete.
Curbellt - Ovenvidth: After forms are e~ected but prior to placement of concrete.
Erosion/Grading.lnspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Gronnd: Install gronnd rod a!'footing and call for inspection in conjunction with footing andlor
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 Hnish materials. .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Paee 3 of 5
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CITY OF SPRINGFIELD
"
.
Building/Co!nbination Permit
I
I
225 Fifth Street, Springfield, OR
J
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
Status
Issued
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 11/04/2009
VALUE: $ 300,000.00
Wall Insulation: Prior to cover. ~
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
<.
Final Building: After all required inspections have been requested and approved and the bnilding is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumhing: Prior to insulation or deckiug.
Underfloor Drain: Prior to cover or placement of coucrete.
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.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to iusulation or decking and including required testing.
Underlloor Gas: After line is ius tailed and required testing and capped if not attached to an appliance.
Rough Gas: After line is iustalled and required testing and capped if uot 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 utility company energizing,serv.ice.
Final Electric: When all electrical work is complete:
Low Voltage: Prior to cover.
Page 4 of 5
Status
Issued
CITY'OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 11/04/2009
VALUE: $ 300,000.00
225 Fifth Street, Spring~eld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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 he made of any structure without permissiou 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 furthei. agree to ensnre that all required inspections are requested at the proper time,that each ad'dress is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plans will'remain on the site at all
times during construction. I'
Owner or Contractors Signature
Date
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Paee 5 of 5
225 Fifth Street.
. .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
Payments:
Type of Payment
CreditCard
cReceiOll
,
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
. Public Works Department
2200900000000000480
Date: 05/06/2009
Description
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
.CINDY GERMAN
,
i
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
djb
o 1600a In Person
Payment Total:
Page 1 of 1
8:01 :OOAM
Amount Due
32.00
26.00
2.90
6.96
$67.86
Amount Paid
$6786
$67.86
5/6/2009