HomeMy WebLinkAboutPermit Electrical 2009-12-2
ifIectrical Permit Application
o D
225 Fifth StrccttSpringfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
SPRONGFIELD Il~L;6EE~~TMENt\j~EONl y
l~,' ~'"" I CC>v<1ZCO f - C) 12.. ''1
~ _ ~~~r Permit no.:
. I Date: / Z- ~ L -0 ~ I
This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
1"'1,'" :, "i;I:!OCAL~'G0\fERNMENT;;AP,RROVAt[q,;,#.{""i1\i":(;~'1
I Zoning approval verified? 0 Yes 0 No I
l'ft')2:\:'i~i;(:i:HCArEGORy,jIOF,;;C0NS'[RUCTIONI\M"/',;:.;' ";J~:.I
I erResidential I 0 Government I 0 Commercial I
1~~~tOBISIJ:E11INFQRMMf()Nr'ANDli1irOC'A'liIOlll~~~ii'i~1 ],000 sq ft. or less (4)
I Job site address: 7~1g FI)e/~eo ~ 5r ,I I ~~~~:fditionaI500 sq, ft: or portion
. . U
I CIty: 5/Jr.-<-J" I) I State: OIL I ZIP: f ~1f;Z,tl I I Limited energy (2) . $ 32.00 $
~~~;e:en~e/~;~~~~; 0F'WJ;~~:~~i~~';':?: I ~~~~I~:nS~~~~~~~~e~;:r(~)odular $ 63,00 $ I
I 1 r;J -v J ? } I I Services or feeders: installation, alteration, relocation I
c...'W/,~~e... ~/~t+ f4/O e I q.,A-</# >? ?,ra...,;..L,
I I 1200 amps or less (2) , I $ 81.00 $8/ I
L,rC:OrH
I . cPROPERTY.:OWNER '" I I 201 to 400 amps (2) $ 95.00 $ I
I Name: '" I I I 40] to 600 amps (2) $156.00 $ I
,I )4~ '-c/ (.J-I- /VI,-r
I Address: 72<;(1, t;;/~/~i'fr S+ )~t60Itol,000ampS(2) $205.00 $ I
I City: ~r'~4rl.cf) I State(lO(L ~~IP"~~~I\i'~verl,000ampsorvoltS(2) $469.00 $
I Phone:':'1I-;~I- t,e67 IEalo;_OI~1I~~e~~\;:ie!l1\~)~OnnectonlY(2) $ 63.00 $
I E-mal' t.~~'e.OO\',a ~oset11. O"'~ "')~ ~~orary services or feeders: installatton. alteraltOn, relocatton
. J. . ""'ka~ '.\'" ...,,,..4j\l9~t9\ ','\'.e 111\ ~of/lll amps or less (2) $ 6 $
ThIS mstallatlOn IS bemg moo IClllnrr'~~ ,~" 3.00
owned by me or a membe"'~ !i ~ : ~e ~o' \{\I,eRR'to 400 amps (2) $ 87.00 $
property IS not Intended for\1ll "q~tll'I:'1J<,"~P \l\\\\II!
479.540(1) and 479.560(1). ~~\\I\g \l\9 GD'~'()(eldO~,~2'~~ I, 401 to 600 amps (2) $126.00 $
Signature: ~~ \Of ~... ,.&0 Over 600 amps or ],000 volts, see servIces or feeders sectIOn above
I ',." CONTRACTOR ~STAL~10N ", I Branch circuits: new, alteratton, eXlensJOnperpane/
I Business name: S~t-{}. I I 8. Fee'for branch circuits with purchase ofa service or feeder fee:
I Address: J I Each branch circuit I $ 6.00 I $
I City: I State: I ZIP: 1 I b. Fee for branch ci~cuits without purchase ofa service or feeder fee:
I Phone: I Fax: I I First branch circuit (2) I $ 55.00 $
E-mail: I I Each additional branch circuit V'I $ 6.00 $ (/ R
CCB license no.: 1 BCD license no,: 1 I Miscellaneous fees: service or feeder ~ot included I
I Signing supervisor's license no.: I I I?ach pump or irriga.t.i~n;Cir~.le $ 63.00 $ I
I Print name of signing supervisor: I 'Each sign oToutline . ~.: $ 63.00 $ I
I Signature of signing supervisor: I I ~it~:~~~~.t.()W ~~N:: $ 63.00 $ I
,,\()'\\c,~~~~ ~~~~~l~~"w I~n;.~)'_.~ _, or.~~8:.~~,.~. ""'11
\;\\\~~;~\1.~ ~)i#~~~'~;:~:~~~ANT'''USE~'~''Jii",S;~,::t\ii"r:'&l;.::::1
~\~~'t.~ ,($~\fu'.: Permit Fee $58.00) $ I Z. 7
C,v 'O~ .
~~'l \ ,I (B)Enter]2%surcharge(.12x(A]) $ /JC(~I
I (C) Technology Fee (5% of[A]) $ bC( ~ 1
I TOTAL fees and surcharges (A through C): $/50 'i'$<
1i'(4:~';::';;!~.~*":~i~!t::'4'~g;'i!~""'it;"I""'E E- 'ilSC '" ED'-!i"iE;~:+mw;~'J'~'~i-;!~~,-';r-~~..f~~'
f",;,,-:,'li:\'L'F>';'!:~:~:",]1,:i));I;,'G;;:Ar; _~, " _171 _' ,VI,;,; , jI&;~~~1~~1,!(,lt-4';jJl:~~iii;;~'~}lf47~
1.,NUni~er'~r.i~;p~~ii~!oisp~[itf~'i) :JIQiy.1 ~;.r.oaSr!1 :'1~~atl;
,'" '"_,,,'>' ,J._. ",~{,'""-!r'..'"..'.~v-"'f~.-"~..,.p.,,,",_,c. ,;-.1.'., ',~".. '_.'__n '.,1";
Residential, per unit, service included:
I $134.00
$
$ 25.00
$
\jJ\V.cf\
\fq: t~y
~
440.2584-J (9/08/COM)
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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: COM2009-01214
ISSUED: 09/03/2009
APPLIED: 08/20/2009
EXPIRES: 06/02/2010
VALUE: $ 62,688.00
Springfield TYPE OF WORK: Single Family Residence
SITE ADDRESS: 7298 ELDERBERRY ST
ASSESSOR'S PARCEL NO,: 1802022100600
Residential
TYPE OF USE: Addition
PROJECT DESCRIPTION: Bed/Bath and Garage Addition to Single Family Residence
Phone Nnmber: 541.231-6867
Owner: WITTMER DANIEL A JR
Address: 7298 ELDERBERRY ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Mechanical
Plnmbing
Contractor
OWNER
OWNER
OWNER
OWNER
# of Units:
Prima.)' Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I CONTMCTOR INFORMATION I
License'
Expiration Date Phone
'/Ou\o
la'" tequltllS Utility
_\'TIO\ll: o!ego~ b~ the Ole~~~et 10M
~, I ""~.~.&o.j!.do\lte Tr_.o.I\l1eS,e::\ 2"".00'.
~,\U". ..... :t \l.'- _u - ~I.- a bY
Notiflcat 0181::1 WlI I
., 0",1\ 9 - obtaIn , \he \e e ~en
.n 'IoU mIl:.""" "tJote" "otilica\.iO I
0990. ll",..r",~, .\.!.\i\\W"
R-3 calling the ~lDt6f'$'l}~t1i344). 17,00
nllmbet 10 j\l'Ul'I\tiP.if: aseboard Electric
VB ce ater Type:
Range Type:
Energy Pat~.:_
Sprinkled Bii.i1ding:
.........
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
'Sq Ft 'Garage/Carport
Sq Ft Other:
Occllpant Load:
15,246
342
784
.-;-::;..-..;~;_...........
No
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
Overlay Dist: Total:
# Street Trees Rqd: . -. Handicapped:
Paved Drive Rqd: Ye....:'...'''';,.'Co~~ct:
% of Lot Coverage: 23.~\i: 1~'E. '140
NOi\~~~,"\'f ~\-\t>.\.\. ~~'d' Of?JJ\\1 \S ~Oi
I PUBLIC IM~QViMm:~' '~\Jt:: :~~~OO~E\J rvr.
, ",_ ~.U\ \\\vl'\\J .
, CO"NlEN cD\"Jl}~walk Tvpe:
fully ImlJrOved '" Q DIW \,,,,, '0 .
Yes r>,N'I '\ \) Downspouts/Drains:
20,00
25,00
6.00
0.00
Curbside 5'
Curb and Gutter
Notes: STORM DRAINS TO CURB AND GUTTER
Paee I of 4
_5;, ~RINQ~I,m:.,", .~,,' ., r,"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garaee/Misc
SFlDnplex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjnstment Plumbing
Plan Review Major - Planning
Sanital)' Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps 0.. less
Total Amount Paid
Structural Review
10/19/2009
Initial Review
Initial Review
08/20/2009
08/21/2009
Plannin2 Review
08/21/2009
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$37,72
$96,83
Square Footage
or Bid Amonnt
784,00
342,00
Total Value nf Project
U'''r< PlW
Amount Paid
$343,56
$79,87
$43,83
$79,00
$528.56
$56,30
$57,00
$1.00
$211.00
$176,37
$231.94
$44.62
$484.16
$15.48
$6.45
$48,00
$81.00
$2,488,14
Date Paid
8/20/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
12/2/09
12/2/09
12/2/09
1212109
I Plan Reviews I
08/21/2009
08/21/2009
08/25/2009
WI NJM
APP LLH
WE
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01214
ISSUED: 09/03/2009
APPLIED: 08/20/2009
EXPIRES: 06/02/2010
VALUE: $ 62,688.00 .
Value
Date Calculated
$29,572.48
$33,115.86
$62,688,34
08/20/2009
08/20/2009
Receipt Number
2200900000000000938
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001024
1200900000000001291
1200900000000001291
1200900000000001291
1200900000000001291
Engineering for retaining wall at
garage addition
DDK
Hillside - Requested revised plot
plan showing complete site,
including walkways, drivc\\-'ay,
decks, patios, all structures etc. in
order to determine lot coverage.
Plans on hold until new plot plan
received,
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Status
Issued
CITY VI' ~ndNGFlELD
Building/Combination Permit
PERMIT NO: COM2009-01214
ISSUED: 09/03/2009
APPLIED: . 08/20/2009
EXPIRES: 06/02/2010
VALUE: $ 62,688,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Plannine. Revicn'
08/27/2009
08/27/2009
API' DDK
Received revised plot plan showing
all improvements on site, Approved
as shown on plans, Removal of 5 or
more trees will require a tree felling
permit.
Puhlic Works Review
08/2112009
08/28/2009
API' BJG
STORM WATER TO CURB AND
GUTTER. WORK BEING DONE
ON FAIRLY FLAT GRADED
SOIL. NO LDAP REQUIRED,
As noted on plans
Structural Review
0812112009
08/28/2009
API' CJC
Initial Review
10/19/2009
10/19/2009
APP LLH
Received engineering for retaining
wall at garage addition
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.
Rp'\IW;rrt In<nections ~
Footing: After trenches are excavated,
Foundation: After forms are erected hut prior to concrete placement.
Slab: To be made after all inslah building service eqnipment, cunduit piping and other equipment items are in
place but prior to concrete.
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.
Drywall: Prior to taping,
Special Inspection . Soils/Compaction: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield, Copies of inspection results shall he provided to the City of Springfield,
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and tilter cloth is'installed but prior to backlill,
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to covel' and including required testing,
Water Line: Prior to filling trench and including required testing,
Sanitary Sewer Line: Prior to filling trench and including required testing.
.'
Storm Sewer Line: Prior to filling trench,
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01214
ISSUED: 09/03/2009
APPLIED: 08/20/2009
EXPIRES: 06/02/2010
VALUE: $ 62,688.00
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electdcal work is complete,
Electric Service: Approval required prior to utility company energizing service.
By signature, ] 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 be made of any structure without permission of the Community Services Division, Building Safety,
] further certify that only contractors and employees who arc 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.
~' ;fI f If} .
c:::J../-' r ~
-
?~L/7
Owner or Contr~gnature
Date
Paee 4 of 4
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01214
COM2009-01214
COM2009-01214
COM2009-0 1214
Payments:
Type of Payment
Check
cRecein!l
v~:
~.-
City of Springfield Official Receipt
Development Services Department
Puhlic Works Department
RECEIPT #:
1200900000000001291
Date: 12/02/2009
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DANIEL WITTMER
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
2062
In Person
Payment Total:
Page I of I
I :20:00PM
Amount Due
81.00
48,00
6.45
15.48
$150.93
Amount Paid
$150.93
$150,93
12/2/2009