HomeMy WebLinkAboutPermit Electrical 2009-5-22
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INITIALS
DATE
SOURCE
225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)72&-3753 . FAX: (541)72&-3689
ELECTRICAL PERMIT APPIJCATION
City Job Number COU;f,ZOO 9- 00 z. 72
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LEGAL DESCRIPTION:
I"/D3311(
OZ'{uO
JOB DESCRIPTION:
$el.vu.i;
ec--c.o~"'-t::T:-+-
Permits are non-transferable and ~xpire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Dale
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A.NewJResidential~Siine'or'IVhiltiJF;JmiirT"er~Uin"?Unit 'K"
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,
Service Included
1000 sq, ft, or less
Each additional 500 sq. it, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder '
$117,00
$21.00
$55,00
'~~ONTAAcrORmvSTA'T,T~,i~OMONLYI B.
. 2. ~~~;-':i'Li1;liij:APTiG~'1"o;qZ'Q~r:i~t;i.i'2ill0-iY'2ii1+>
Electrical Contraclor l?f)h i S 1:-/~fY' I L rnc. 200 Amps orless $ 70,00
20 I Amps 10 400 Amps $ 83,00
Address Pc), f!:,,, X 2 <;[2.. I 401 Amps 10 600 Amps $138.00
, , 601 Amps IOe1000,AmP.SJ 10 $180,00
c. / G/ -1.I ,;j N O'caon IMW I 4u"vv 1 - ,
City E"l",; e n~ Phone 1,,'1/' (p 4t'A'1JT-!J/;,J : OverdIOOO,AmpslVoltsUtili\Y, $413,00
/ 1 df'!)(" uy '''" "'-~"' >/
-. follow ru es a RecoDfl3~!J9!>iYs are set f9~tll I $ ,00 h S
Notiticatlon Ceme\. " hOAR 952,0.0.1:, Ii' ,
"lLlllS in OAR 952,QQC1' ~~S""~d!illl!;;" " '
Supervisor f-!cense Number 7 77 M'd'">" \fou may. , !el!l(:!qra~ ~~~~~~ij~{F~t~!!$8s!t0+.+i&/'E'(~""'",4
"---, 'Ih cenler' oe,' ",t-'~",_:
/' ,-) calling e, ;..' ......' i1tjlai; Notification
Expiration Dale () - 0 I - 2. 01 V nllmeer for lIiIInst;;Uation..,Alterati~n or Relocation
Geri\erd601J&lg~~~i~;t"J' , . $ 55,00
Constr, Contr, Number is-tt. 78 201 Amps.lo'400Amps $ 76.00
401 Amps 10 600 Amps $110,00
Expiraliou Dale 'I? - / '-( :.- 2-0 I /
Over 600 Amps or Volts
Signature of Supervising Electrician D.
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,~
Owuers Name V D(l...,v De,v oS ~
9'10 M
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City EU4bt1€ / Phone
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OWNER INST;tLLATlON ,
The installation is being made on,property I owu which
is nol inlended for sale, lease or renl.
Address
95 AI
Owners Signatur~e: I
, \.
f\ '" \ri \ t>.. :\
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Inspection,Request: 726-3769
New Alteration or Extension Per
One Circuit
Each Additional Circuil or wiIh
Service or Feeder Permil
$ 48,00
$ 4,00
E. mi~4ftim1~~~~l:d~7tH{itf$~~~~~h~iimr.~
, ~i!~~==~~;;~~7~T'HE'W~~~'''''*''~'"'..-t.
S;~;O~t;~e~;"';tl..tiA'DER THIS Pc~;;~:T, _ !S.sl55,OO
~lll,j"M.L~qsu. g _0 c-....-,dK
L' netl\E-''''''.m~lleliti.ll,BANDul~t.U $ 28,00
l81v..". .!!YJID.J1.1I.
LiAiil~d1lller~<P~mll ' $ 50,00 '
Minimum Electric Permit Inspection Fe~ is $50.00 + Surcharges
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4. I'SUBTOTAEfOEumOVE"~~I'~'". ~iI!iIIl!.".,
~!l<h;t:Fl~<tI&"""~mMtl1Yb!WlfkliliWdl~m%'liJ1tl~Am<. ,tw"'y "
I tp;( State Surcharge ' 7 ::i'b ,
lu% A~SuaL~"~
5% Technology Fee
TOTAL
'3'r
73 71
Shared Drive(f:)/Building FormslI;:lectrica1 Permit Application 7-D7.doc
, '
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: 10/28/2009
VALUE: $297,016.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1099 ANDERSON LN
ASSESSOR'S PARCEL NO.: 1703331102400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New.
Residential
PROJECT DESCRIPTION: New Single Family dwelling
Owner: BENSON VERN W
Address: 940 HWY 99 N
EUGENE OR 97402 '
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License
ADAIR HOMES INC ,593"ou to
INTERSTATE EL, ECTRIC.INCegon laW reQu'l1~o712\!Jlility
__...-..\"'-HIl'\l'. VI h QfRO II
MICHAEL STEPHEN'Sl\JFal;!.d~,ed by I"e I s k(~5j~, torth
3T PLUMBING\IN~I !.~;~ r.enler. Those r~he n~?Qj7;7~-OOi-
I\iV~'''.._ -~~ ,,,"" ",,--.... :"'.- rUlt:"...,
in OILFBUII:D1NG.lNF0RMNflON.lJhOne
0090" lU~ '~-;:8nler, (No\e,.':'v Noliiicalion
, I cal\ing #"Iof Stories:gon Ullllly 44) 2
b r""'v1l\uV'- qr::t?2.3 .
R~3 nurn e Hei!':ht Of iitrJlCture'- 26.00
('Oti1t:1 ,~ ,
U Type of Heat: Wall Heat
VB Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building:
Expiration Date
03/19/2010
09/05{2010
04/13/2011
, 03/04/2011
Phone
503-645-1156
503-393-2223
541-431-3962
503-932-2719
Contractor Type
General
'Electrical
Low Voltage Electrical
Plumbing
3
,
i
Lot Size: 5,553
Sq Ft 1st Floor: 1,768
Sq Ft 2nd Floor: 1,128
Sq Ft Basement:
Sq Ft Garage/Carport 440
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,
! REQUIRED PARKING
Overlay Dist: :~' otal: 2
# Street Trees Rqd: ~t. \NO?' andicapped:
Paved Drive Rqd: t.'},?\?t. \Ve~\,\ \'2>~, ompact:
%~~~~er(!f'S\\t>.\.\. ,,\\\\'2> ?fill\J \) rO?',
"\,U\S,:,:~~,-,,, \\~~~~ ~u~~\)O~t: :
I PUBLIC I~RO~E~~?,fS-k\\O\)'
C,\;~/"~Q(l \)p.\ \ - Sidewalk Type:
Fully Improved "'~, \ U Curbside 7'
Yes Downspouts/Drains: Curb and Gutter,
For this parcel in Dove Estates, it is the recommendation to the Building. Division, by tbe City
Enginneer: "That no connections shall be made to sanitary'or storm H20 systems, untH the
Storm water to c1llrbd.OO~Jl'iInJ:letJDe~""~ltppnllOlliIUpjJroved on PIP and by Dean Bi,shop on 2-26,2009
I DEVELOPMENT INFORMA nON I
12.00
25.00
15,00
10,00
0,00
Subdivision Nol Accepled
Street Improvements:
Storm Sewer Available:,
Speciallnstr~ction:
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
DescriPtion
Tvpe of Constrnction
Gara!!elMisc
SF /Dnplex
U VB Utility
R-3 VB 1&2 Familv
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Bnilding Permit
Dryer Vent
Fire SF Fee - Residential
Plan Review Major - Planning
Plan Review Residential .
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbnrsement
SDC Sanita~y/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbnrsement
SDC Transportation Admin
Sidewalk Permit'
Storm Drainage Impervions Area
Vent Fan
WiIlamalane Single Family
+ 12% State Snrcharge
+ 5% Technology Fee
Low Voltage - Residential,
Minimnm/Adjnstment Electrical
+ 12% State Snrcharge
+ 5% Technology Fee,
Service Reconnect
Total Amonnt Paid
I V aJuation Descrintio~ I
,
$ Per Sq Ft
or mnltiplier
$37,72
$96.83
Sqnare Footage
or Bid Amonnt
440.00
2,896.00
Total Valne of Project
Fril~. Pli~ I
Amonnt Paid
$243.79
$116.53
$79.00
$402.00
$38.00
$1,514.61
$9.00
$166,80
$211.00
$984,50
$589.02
$774.62
$10.00
$1,009.17
$97.90
$151.49
$888,98
$201.54
$72.63
$88.00
$911.13
$27.00
$2,858,00
$6.96
$2.90
$32.00
$26.00
$7.56
$3.15
$63.00
$11 ,586,28
Date Paid
3/4/09
, 3/4/09
3/4/09
3/4/09
3/4109
3/4/09
3/4/09
3/4109
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
4/13/09
4/13/09
4/13/09
4113/09
5/28/09
5/28/09
5/28/09
Pa!!e 2 of 4
CITY OF SPRINljI<lELD
Building/C~mbination Permit
PERMIT NO: COM2009-00272
ISSUED: 03/04/2009
APPLIED: Oi/26/2009
EXPIRES: 10/28/2009
VALUE: $1297,016.00
Valne
$16,596,80
$280,419,68
$297,016.48
Date Calcnlated
03/0212009
03/0212009
Receipt Nnmber
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
, 1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000156
1200900000000000260
1200900000000000260
1200900000000000260
1200900000000000260
2200900000000000571
2200900000000000571
2200900000000000571
,
" ~i
CITY, OF ~r'Kll"lGFIELD
Building/CqrnbinationPerrnit
,
Status
Issued
PERMIT NO: COM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009
EXPIRES: ,]0/28/2009
VALUE: '$;297,016.00
225 Fifth Street, Springfield, OR
54]-726,3753 Phone
541-726-3676 Fax
54],726-3769 ]nspection Line
Plan Reviews I
Planning Review
02/26/2009
02126/2009
APP DDK
See conditions of DRC2007-00031
for saved trees and approved plans,
Existing trees may be nsed to meet
street tre'e requirements.
For this parcel in Dove Estates, it is
the recommendation to the Building
Division;:bythe City Enginneer:
"That no connections shall be made
to sanitarY or storm H20 systems,
until the,subdivision'is accepted by
City Co~ncil".
Public Wor~s Review
02/26/2009
02/26/2009
APP LKW
Structural Review
03/03/2009
03/03/2009
APP CJC
As noted'on plans and in conditions
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. '
RPflll_
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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
fonndation inspection, '
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor 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 been approved. ;
Wall ]nsulation: 'Prior to cover.
Ceiling ]nsulation: Prior to cover.
Final JJuilding: After all required inspections have been requested and approved and the building is complete.
i
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.,:
Underfloor Plumbing: Prior to ins.ulation or'decking.
Underfloor Drain: Prior to cover?r placement of concrete.
Rough Plumbing: Prior to cover and including required testing,
Paee 3 of 4
CITY OF SPRINGFIELD
"
i:
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00272
ISSUED: 03/04/2009
APPLIED: 02/26/2009'
EXPIRES: 10128/2009
VALUE: $297,016.00
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 tilling trench and including required testing,
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required te~ting.
Rough Mechanical: Prior to Cover
Final Mechanical: When, all mechanical work is complete.
Temp~rary Electric: Approval required prior to Utility Company energizing pole.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
By signature, 1 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 shau'be done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees wbo arc ,in compliance with ORS 701.005 will, be used on this project.
1 further agree to ensure that all required inspections arc 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. I,
Owner or Contractors Signature.
Date
Paee 4 of 4
~
225 Fifth-8treet
, Sp~i~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00272
COM2009-00272
COM2009-00272
Payments:
Type of Payment ,
CreditCard
cReceintl
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
raid By
DAVID LAWLER
~",,~l;1t,~~"fJl..~~'... '..".
'~ .
W.,'
2200900000000000571
Received By
Check Number
Batch Number
djb
Page 1 of I
City of Spripgfield Official Receipt
Development Services Department
Pu~lie Works Department
Date: 0512812009
Item Total:
Authorization
Number
il
How Received
033018 In Person
Payme."t Total:
9:14:53AM
Amount Due
63,00
3,15
7,56
$73,7]
Amount Paid I
$73,71
$73.71
~
'f'
5/28/2009