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Home My WebLink AboutPermit Electrical 2009-5-18 ", CITY OF SPRINGFIELD, OREGON' ,.W "P~INGP.I:tLD .., I.'''~".. ~~IALS. lJA,... ~ DATE ~ I'IiV' SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726M3753 . FAX: (541)726M3689 ELECTRICAL PERMIT APPLICATION City Job Numbe~ 2.~r:, ;ro I. I LOCAl'lONOFINSTALLATION: J({)/(J 5 Vb+' () / .- L~,osgzRgT~(lr / '100 200 Amps or less 20 I Amps to 400 Amps :J n -...e f A.t;::~~.~~~: "regon 1,,4.Q1r1\tppsllO 9~~:A,~ps , '/ ",',ps adopted b~6b'lfAli.ps\tO'~00dIA~ps .c 'l. J > ~J G" t Thor, "'100 or" set!Or'lT PhoneC>' : '..",l.Iull 'gen er. Over 1000 A",ps!Volt~ i,' OAR 952.001-0010 thrReb'6MJttPollIY" uu I 0080 You may obtain copies 01 the rules by I.{ ~ h tel' . /hlotV;'1he-telepoonz Supervisor License Number 17 'i ca"ng t e ~e~ 'c: l, fl'tl~p.riJmi&sm:iA"s or Feeders nUlllU'c:1 IVI u...... Oregon a1j . I . _ J / Center is 1-800-332-2344). .::rrru II 10 II Installation, Alteration or Relocation , Constr, Contr. Number I b S- '-17 :) S/ID JOB DESCRIPTION: !Io.....S~ w!tL€ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , 2. I CONTRACTOR INSTALLATION ONLY I Electrical Contractor L +- c Address q 2. 15 g '3 City '3 II' C \ ~ Expiration Date Expiration Date Signature of Supervising Electrician 'qLbkl)jub Phone (",."-\0",, 140 "'" S lyJ bU-94)~ O~ners Name ~< V ce Wi e,;.ked Address :, I:> 7 '1 SIC" v; t W City t:UjG"'<" OWNER INSTALLATION The installation is being made on property I own which . is not intended for sale, lease or rent. . Owners Signatur::^,- ~ ~~~) ~ 'b:W ~ Inspection Request: 726-3769 ~I ,~~ e- rJ:~~ ~ ~ Date >/FJO.7 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential - Single or Multi-Family per dwelling unit. Service Included I /3cf $0 ( ro ~OO 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwellillg Service or Feeder -::v $57,00 0.1 Se~ices or Feeders - Installation, Alterations or Relocation: $ 73.00 $ 86,00 $143.00 $186.00 $426,00 $ 57.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 57,00 $ 79,00 $114,00 Over 600 Amps or 1000 Volts see "B" above, D. I IJranch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50,00 $ 5,00 E. I Miscellaneous (Service/feeder not included) -Each Installation I NOTICE. THE WORK TH1SPf'~P,R~\ifrQlM~hL EXPIRE IFRtv-"f l~ 119157.00 AUT~i&I'\~.!!!J1~jgtiiii\gTHI~ PE \I __~. $ 57,00 cotv~\~1~\!;gID=I@AAesiflrnli~100NEu run $ 29.00 ANyLi'BiSel!JJ'iilefg~JM)"ercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4.1 SU8TOl'AI,OFAIlOVE I / 8l.( 12% State Surcharge 7, Z 05 .w%-.\L,'::jeC,c ~ee 5% Technology Fee Cje!>=> ZI r z-8 TOTAL , , Shared Drivc{T:)IBuilding FonnsIEleclrieal Permit Application 7-08.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00680 ISSUED: 05/19/2009 APPLIED: 05/1812009 EXPIRES: 1111912009 VALUE: $ 165,190.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1010 S 40TH PL ASSESSOR'S PARCEL NO.: 1802061419900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE:, New PROJECT DESCRIPTION: New Single family dwellillg filbert meadows Residential 'Owner: Address: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I " uW ~ laW requires yo ..,,'h Contractor t ' -:. '-~r)N~?;;?~d'b ~\~ensejO~ I.E!JlWifation Date BRUCE WIECHERT ClJSTOM'HbMEe~'I11',<;:}stOl,7,lm are set:ggpJ/I6/201O L & E ELECTRIC INc..)lIli~~tlon C~\1:oci10 thrl05ji751AR 95~es \93/30/2010 COMFORT FLOW HEAifiN'Ocb?ay obtain c460JS 01 th\e pruhO~eO~/27/2009 090 You 111 N"" lne te e STEVEN R JOHNSON) ,:,__ .hp r.enter. l 6~Q,6,~... "nlilicatiolU/12/2010 BuiL'DtNGI INFORM'A:.T,ION,i,-2344), vv".-- Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 2 # of Stories: Height of Structure 18.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric. Energy Path: Sprillkled Building: II/a Lot Size: Sq Ft 1st Floor: "Sq Ft 2nd Floor: 'Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,446 1,519 # of Units: Primary Occupancy Group: Secondary Oceupancy Group: Primary Construction Type Secondary COllstruction Type: . # of Bedrooms: I R-3 U VB 480 I DEVELOPMENT INFORMA TION , REQUIRED PARKING 2 , , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: 6 Handic\llffil'd: Paved Drive.JAA'tICf: Y~ IRE IF \il,lDt{'JH:''' %of Lot col,}'e'r'I~'\'>ERN\ll SHfi,\.ir~(lP S pERN\\\ \S 1'101 1,~,~\-\nR\IED llND,!;~;!\I\)ONED FOR I PUBLIC IMPROV~,!i)!\lmS~E~ ~~R\O~~ ' 'N~15u'lolX , F II I d ,... S,dewalk Type: u y mprove Yes Storm water to cllrb via weephole 23.00 5.00 10.50 19.00 0.00 Street Impl'ovemellts: Storm Sewer Available: Speciallnstructioll: Downspollts/Drains: Curbside 7' Curb and Gutter Notes: '. Paee I of.4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion TVlle of Construction Garaee/Misc SF/Dulllex U VB Utilitv R-3 VB 1&2 Familv Fee Descriution + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliallce Vent Buildillg Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - PhIDning Plan Review Residential Refund CY- SDC Storm Improv Sallitary Sewer - Improvemellt Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residelltial SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Vent Fan WilIamalane Single Family Refulld - Surch:lrge + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid 1 Valuation Oescriution I $ Per Sq Ft or multiplier $37.72 $96.83 Amount Paid $197.08 $101.47 $79.00 $337.00 $38.00 $9.00 $977.37 $88.00 $9.00 $ 13.00 $100.00 $7.00 $211.00 $635.29 $-841.92 $504.88 $663.96 $10.00 $1,009.17 $97.90 $136.75 $201.54 $888.98 $74.17 $88.00 $841.92 $27.00 $2,858.00 $-22,08 $22.08 $9.20 $134.00 $50.00 $9,555.76 Square Footage or Bid Amount 480.00 1,519.00 Total Value of Project F~p. ~ Date Paid 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19109 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/20/09 5/22/09 5/22/09 5/22/09 5/22/09 Paee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COMio09-00680 ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 11119/2009 VALUE: $ 165,190.00 Value Date Calculated $18, 105.60 $147,084.77 $165,190.37 05/18/2009 05/18/2009 Receipt Number 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 149719 1200900000000000525 1200900000000000525 1200900000000000525 1200900000000000525 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00680 ISSUED: 05/1912009 APPLIED: 05/1812009 EXPI RES: 11119/2009 VALUE: $ 165,190.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Planning: Review 05/18/2009 05/18/2009 APP DDK Require street trees liS shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag 011 until approved. Public Works Review Structural Review 05/18/2009 05/18/2009 05/18/2009 05/18/2009 APP APP LKW CJC as noted on plans /review letter 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. Rpnllirprlln~nections I Erosion/Grading Inspection: Prior to ground distllrbance and after erosion m'easures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install groulld rod at footillg 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 roughin inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Masonry: Filial Building: After all required inspections have been requested and approved and the building is complete. Undernoor Plumbing: Prior to insulation or decking. Underfloor Drain: 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 testillg. Storm Sewer Line: Prior to filling trellch. Final Plumbillg: When all plumbing work is complete. Paee 3 of 4 _-l?'~.7RI''''''~.'.''F:,''~''''.'' _. ". i.,.'.. ~'~ i ;. ...... l. :: .,....,~ ': ,'I 'W.P.f.;. '. . :':; ,'" ",- ;'''''.:.'' .,!, CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00680 ,ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 1111912009 VALUE: $ 165,190.00 225 Fifth Street~ Sprillgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726-3769 Inspection Lille Undernoor Mechanical. Prior to insulation or decking and including required testing. Undernoor Gas: After line is installed alld reqllired testing and capped if not attached to an appliallce. Rough Gas: After line is installed and required testing and capped if 1I0t 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatioll hereon is true and correct, and I further certify that any alld 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 compliallce with ORS 701.005 will be used on this project. I further agree to ensure that all required illspections 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 ,Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541.726-3759 Phone ~~AIN"I;I..~,,,..,.., ..". :." ~} ~A lIP.'! ,~' ~"""""'.'-,. ~. .' . . --.'.-..........-,.....,,' City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 Payments: Type of Payment CreditCard cRcceiotl RECEIPT #: Date: 05/22/2009 1200900000000000525 Descriptio'" Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge Pnid By BWCH Item Total: Check Number Authorization Received By Batch Number Number lIow Received djb 03594d In Person Payment Total: Page 1 of 1 II :39:52AM Amount Due 134,00 50,00 9,20 22.08 $215.28 Amount Paid $215,28 $215.28 5/22/2009