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Home My WebLink AboutPermit Electrical 2009-7-1 ~,'.p' CITY OF SPRlNGF,lELD, OREGON WN MDIL-- DJ:a...~~~ INfI1ALS \~ ~- DATE \.\.0-'\ ---.. ~ SOURCEt.A.c,\,~ _ VJ~1 Date 225 FIFIH S11l.EET . SPRINGFlEUI, OR !l7477 . PH:(S4t)726-3753 . FAX: (S4I)726-J689 ELECTRICAL PERMIT APPLICA110N City lob Number ' (l ()M 2. 00 q- DD <( ~? I. /W'cATI6N~ '. iE'.',,;',:d.t:z::li(77dN:~ F~, ,.,..._'n...~"~"",_,."".J.'.""."".,, 48{;'o /I 5t, 3. ltQ~.u'L;'C~:L;~ ':t>vfmiJ'U.c1'EiIJElib:w)~;;it~ : ,.,'..I~....Ir.,~'"",,,,,,~ .~I'~.I,.t,,:r..-~ " Expiration Date LEGAL DESCRIPTION: /70Z>ZL{( OfCYOr;> JOB DESCRIPTION: . " 4'6'(-0 4- 'd: Sf~.tfOc,.t>~ l"'U~ '" , I .;" lI'-"'U4. r I Permits arenon-transCerable and expire ICwork Is Each Manufact'd Home or 'not started within 180 days oCissuance or ifwork is Modular Dwelling Service or Suspended Cor 180 days. Feeder 2. ,~g~f~lJ;r.8N!1 B._ "'., CN IIOtJ' ' ," Elec1rical Contractor ,4~fruilil4r;9!:E'2,riJql'<- reqUir~2f){) ~s or less : $ 70.00 -""~"f/an C '-'-4 "y the 0 0 VOl) to ,in OAR 9c;~~ente'. "'"hose reg~O,It!tffli1s to 400 Amps $ 83.00 Address /170 )(lOgO ~$'-'d'.Jl-0~rbth,n' rUlesar(40ho\m~to6ooAmpS $]38.00 - "'''y 001 ,'Igh OAR Oc; '."11 , Calitng the cent aln capies af th 60i'AJil.ps to 1000 Amps $180.00 City SO, ;"q.(;ce.rdJ nUpfto,,:efarfn7l,-Z!: if2dt}: the tel:q~~fIim'o AmpsIVolls $413.00 " Center is l-lo4o" uliitty Nau/R~&''lfhect Only $ 55.00 ' , " -332-2344). ""lion " Supervisor License Number ' ';-D 1,,;2. .s c. ~(;il1'i\\j\:"~I:"@i,~~'F~~;."l>l!~~.......... F" .".,.J"1"I."',"I."".~;.,r!11''''.,,''_ / 0 I D I I <LV I 0 Installation, Alteration or Relocation 200 Amps or less ' ': ( 201 Amps to 400 Amps 401 Amps 10 600 Amps Over 600 Amps or 1000 VOlls see "B~ above. D.~~ r-:.(:l ~ A. m~~~~(iX~j~te~~~i1j.:):~i~iiiIIlt11m.. Ii Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof I I ur:uo Isl{ zs A-tt71iO $55.00 Conslr. CoDlr. Number 7 C>_ SS-C $~O $ 76.00 $110.00 ' b3 Expiration Date 7-1-"2D/O City ~g lec1rician,- ~ N~w Alteration or Extension Per Panel / - .' ~r:../ ~h c;..";;':~Onal Circuit or wiih $ 48.00 Jffi2-SIl::R'~ilrr:Ac...,.,,-.A.""- sem, 'ce or Feeder Pennit' " $ 4.00 Owners Name ~ if.r.:p:: H!"~! f'l?'lJIRC '" THE W _ .' , Address ?cfj{)M(.l'P~ ~~~B@> PERMIT IS~~~_ $.y t1t~ 180 ;~;;R;trf1l(ffEO~IdllR Pump or irrigation "$ 55.00 ' Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee b $50.00 + Surcharges 4.~lf.4 . 22--7_ ~Sta~ Surcharge 12% Z{;'r . IQ!4..A~~:)dlmvc ree 5% Technology Fee . ({ -'~~ 't:};l;t~0i;'5:'l0'~:t~;r ~ ~4-~';f.~;tof::9' 1t',~~ ti ~tt~~~";y.'~L;;.~;,!;~; OWNER lNSTALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: (\ ~ ~\'l^'~ ' InspectIon Requesl: 7~ ~.^v 0.... \ \ TOTAL , ShMcd Drivc(T:)lBuilding FormsIEJcctrical Permit Application 7~7.doc If 10 Z5"~ ~ , Building/Combination Permit PERMIT NO: COM2009-00438 ISSUED: 04/21/2009 APPLIED: 04/01/2009 " EXPIRES: 12/23/2009 VALUE: $ 155,000.00 ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD SITE ADDRESS: 4860 A ST ASSESSOR'S PARCEL NO.: 1702324101000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Ne~ PROJECT DESCRIPTION: Single family residence, Lot3, Meyer Estates Subdivision Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: i"'E 'Nl)~~ NO"\C~~, ".,- <:\.\1>.'-'- E1?1~~ 1~~Mi IS Wj't , I PU\ijjk'iM-iJqXEMENT~l'~'D6NEO fO\". f ,1',;-1,'.;/-' I , , I ,"~ \\1 COi~\Il\l:NCI:O un ~\OD. Sidewalk Type: YM.'l'i 180 DI\'i pI: Downspouls/Drains: Owner: SPRINGFIELDIEUGENE HABITAT FOR HUMA Address: P.O. BOX 488 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumhing Contractor License OWNER ALERT ELECTRIC INC 12772 OWNER ._~[,'lTInM' OreCjon law requires Y~~'~'~II SPECIALTY..PCUM.1!!N9,~qp.d bv the OregoII02~7,!~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: IV"....... - - ....... ___ ..."u.... ....."..., _n...._ . Notiticati prBUIL'DING'.lNFORMNTl0N'I01- in OAR g,,,,"uu,: ~;t' in copies otthe rUles by OOliO, You ma# of Stories:e. the telephone 1 R-3alling the CH~ig{it 6f'StructurWotiticatioI24.00 number for t:iPy"p""~f13'!i:l~at:;2"~'2344). Wall Heat C nteu, 1- uv v'-' VB e water Type: Electric Range Type: Electric 3 Energy Path: Sprinkled Building: nla I DEVELOPMENT INFORMATION I Frontyard Sethack: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: 20.00 4.00 3.00 14.60 13.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm drains to existing Page I of 4 Residential Phone Numher: 541-741-1707 Expiration Date Phone 0512212011 541-747-2213 11121'/2009 541-686-4191 Lot Size: Sq Ft l.stFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft G,aragelCarport Sq Ft Other: Occulmnt Load: 2,954 612 828 REQUIRED PARKING 2 Total: Handicapped: Compact: To Storm Sewer Status Issued 225 Fifth Street, Springfield, 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 Surcharge + 5% Technology Fee . Miscellaneous Plumbing + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Bat~s One or Two Family Addressing Assignment Building Permit Dryer Vent Fire SF Fee - Residential Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin , SDC Tran Reimburs-Residentia] SDC Trans Improvement-Resident SDC Transportation Admin Storm Drainage Impervious Area Vent Fan Willamalane Single Family + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Total Amount Paid , I Valu'ation Description I $ Per Sq Ft or multiplier $1.00 Amount Paid $606.19 $6.96 $2.90 $58.00 $166.15 $79.78 $79.00 $337.00 $38.00 $932.60 $9.00 $72.00 $2 11.00 $357.62 $470.3 ] $10.00 $1,009.]7 $97.90 $103.13 $201.54 $888.98 $78.70 $601.12 $27.00 $2,858.00 $26.65 $11.10 . $134.00 $25.00 $63.00 $9,561.80 Square Footage or Bid Amount 155,000.00 Total Value of Project Fp~, PliO I Date Paid 4/1109 4/10/09 4/10/09 4/10/09 4/21109 4/21/09 4/21/09 4/21109 4/21/09 4/21/09 4/21/09 4/21/09 4/21/09 4/21/09 4/21/09 4/21/09 .4/21/09 4121/09 4/21109 4/21/09 4/21109 4/21109 4/21109 4/21109 4/21/09 6/30/09 6/30/09 6/30/09 6/30/09 6/30/09 Page 2 of 4 CITYi OF SPRINGFIELD Building/Combination Permit PERMIT NO: CQM2009-00438 ISSUED: 04/21/2009 APPLIED: 04/01/2009 EXPIRES: 12/23/2009 VALUE: $ ,,155,000:00 Value Date Calculated $] 55,000;00 $155,000.00 , 04/0112009 Receipt Numher 2200900000000000318 1200900000000000255 1200900000000000255 1200900000000000255 1200900000000000282 1200900000000000282 1200900000000000282 ]200900000000000282 ]200900000000000282 ]200900000000000282 ]200900000000000282 1200900000000000282 ]200900000000000282 1200900000000000282 1200900000000000282 1200900000000000282 1200900000000000282 1200900000000000282 ]200900000000000282 1200900000000000282 120~900000000000282 1200900000000000282 1200900000000000282 1200900000000000282 .1200900000000000282 220~900000000000735 2200900000000000735 2200900000000000735 2200900000000000735 2200900000000000735 1) . Status Issued CITY OF SPRINGFIELD Building/C()mbination Permit PERMIT NO: GOM2009-00438 ISSUED: 04/21/2009 APPLIED: 04/01/2009 EXPIRES: 12/23/2009 VALUE: $ 155,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541 "726-3676 Fax 541-726-3769 Inspection Line Initial Review 04i0212009 I Plan Reviews I 04/02/2009 APP LLH Planning Review 04/0212009 04/0312009 APP DDK Street tree to he located in front yard of lot. This meets cluster subdiviston design standards, coverag~. and set hacks. Route st~rm to existing Public Works Review 04/0212009 04/03/2009 APP BJG Structural Review 04/02/2009 04/0812009 APP CJC , ' Stamped truss engineering to be provide<! no less than three days before in'stallation of roof trusses i 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~p~ Underground Plumhing: Prior to filling the trench and including required testing. Site Inspection: To be made after excavation but prior to setting I'orms. Erosion/Grading Inspection: Prior to ground disturhance and after erosion measures are i~stalled. Vfer Electrical Ground: Install ground rod at footing and call for inspectio'n in conjunctiou:fwith footing and/or foundation inspection. Footing: After trenches are eX,cavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 11001' 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 Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and coustructed according to plans. Final Building: After all reqnired inspections have been requested and approved and the building is complete. Vnderlloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. Water Line: Prior to tilling trench and including required testing. Page 3 01' 4 CITY"OF SPRINGFIELD Building/Co'mbination Permit " Status Issued I PERMIT NO: COM2009-00438 ISSUED: 04/21/2009 , APPLIED: 04/01/2009 EXPIRES: 12/23/2009 VALUE: $ :155,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Undernoor Mechanical. Prior to insnlation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Final !Clectric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the ~ompleted application and do h~reby 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 Springlield and the Laws of the State of Oregon pertaining to the wo~k 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 compliance with ORS 701.005 will'he used on this project. I further agree to ensure that all reqnired 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 Contr~ctors Signature Date Page 4 of 4 City of Springfield Official Receipt Developmert Services Department Public Works Department 225 Fjfth Street Springfield, Oregon 97477 541-726-3759 Phone ' Job/Journal Number COM2009-00438 COM2009-00438 COM2009,00438 COM2009-00438 COM2009-00438 Payments: Type of Payment Check cRcceintl RECEIPT #: 2200900000000000735 Date: 06/30/2009 II :53:58AM Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge Amount Due 134,00 25.00 63.00 ILlO 26.65 $259.75 Paid By SPFD HABITAT FOR HUMANITY Item Total: Check Number Authorization Received By Batch Number Number How 'Received Amount Paid djb 1998 In Person $259.75 Payment Total: $259.75 Page I of I 6/30/2009