HomeMy WebLinkAboutPermit Electrical 2010-2-22
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477. PH(54I)726-3753. FAX(541)726-3689
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Permit no.: ClD-)"'2:3
Date: ).
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.
".'i.:OCAL: GOVERNMENT'AP.PROVAL':'.,.'
Zoning approval verified? 0 Ves 0 No
'.;:' :'CATEGORY'()f,CONSTRUCTION'';.''
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D Residential D Government D Commercial
w.-i1~;!:J_OBiSITE(INF()RMATIONiAN[j1,!LtO__CA1iION:f:(;~~'::
Job site address: 0 '-/)' 5 <II ~n-
City: State: 0 (l..
PROPERTY. OWNER
Name: e,.("\/u W, eJ-.e-A ('...,0;+0",
Address: 507 S s)t I/>J
City: <: u u-<- ZIP: "I 7i 0 S
Phone:SVI -b8b Of 5 ~ Fax: GV/-:,Yf 36 7-
E-mail: [,V; <=c.-he~~ h.()~5 e Co~c."'>t ,IVC-t-
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Business name:
Address:
City: S
Phone:$~' -'!' - 4r 'i ~
E-mail:
CCB license no.: 0-':; 4 '7S"" BCD license no.:
- 3'ci-3c::.
Signing supervisor's license no.: '11 7 '1- S"'
Print name of signing supervisor: t;;' a 0", "0".1;:.,...
Signature of signing supervisor:
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440-2584-J (9/08/COM)
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,Number of insIiections per. item.(.). ".. Qty. .. cost
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Residential, per unit, service included:
1,000 sq. ft. or less (4) \ $134.00 $ l::?' \ .
Each additional 500 sq. ft. or portion 'L $ 25.00 $ Q
thereof .
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
60 I to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
.200 amps or less (2) tv'a $ 63.00 $
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a, Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b, Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) I. $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder ~o/ included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited~energy,panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees h.,A rf>
(Minimum Permit Fee $58.00) 1I T .
(8) Enter 12% surcharge (.12 x [A)) $ f ,I (j ~
(C) Technology Fee (5% of(A)) $ =\ ,t'} l)
TOTAL fees and surcharges (A through C): iJ \ 51 ~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00223
ISSUED: 02/23/2010
APPLIED: 02/2212010
EXPIRES: 08/23/2010
Y ALUE: $ ) 87,850.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1045 S 41ST St
ASSESSOR'S PARCEL NO.: 1802061418800
Springfield' TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling Lot 7 Filbert Meadows - SAME AS 1045 S 40th
Owner: BRUCE WIECHERT CUSTOM HOMES 1NC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
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I CONTRACTOR INFORMATION I
-
Contractor Type
General
Electrical
Mechanical
Plnmbing
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Gronp:
Primary Constl'llction Type
Secondary Construction Type:
# of Bedrooms:
"
3
ilIa
I DEVEJ"QPMENTlNFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rea ry,"'d Setback:
Solar Setbacks:
.c;>verlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
20.00
5.00
12.00
20.00
0.00
Residential
Expiration Date
Phone
03/30/20 I 0
06/27/2011
03/12/2010
541-933-2653
541-726-0100
541-342-3765
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
8,245
1,520
420
2
Yes
23.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
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Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
I PUBLIC IMPROVE_~ ..:,.:~~ .p,~E \f 1\'\E:~~~ },
Fnlly Improved 1\'115 PERtJ\\1!t..m~R~f$ PERtJ\,!f fC)"- ..,.Qiirbside 7'
Yes Ui\'lOR\1.En~lI~ ~~~EIoI _ c.uj~;_"nd Gutter
storm water to cnrb via weep hole A OMMENCa! OR g~ _ .".,,~:{;i~':'-'.,
~M'{ 180 OAY PERIO .
Notes:
Paee I of 4
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Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
TYlle of Coostruction
SF/Du~lex
SF/Dulllex
R-3 VB 1&2 Family
R-3 VB 1&2 Family
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00223
ISSUED: 02/23/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE: $ 187,850.00
I Valuation Descriotion ~
Square Footage
or Bid Amount
1,520,00
420.00
Value
Date Calculated
$ Per Sq Ft
or multiplier
$96.83
$96,83
$147,181.60
$40,668.60
02/22/2010
02/22/2010
Total Value of Project
$187,850.20
~
Fee Description Amount Paid .< Date Paid Receipt Number
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+ 12% State Surcharge $188.15 2/23/10 1201000000000000165
+ 5% Technology Fee $96,25 ' .. 2/23/10 1201000000000000165
1st Appliance $79.00 2/23/10 1201000000000000165
2 Baths One or Two Family $337.00 2/23/10 1201000000000000165
Addressing Assignment $38.00 2/23/10 1201000000000000165
Appliance Vent $9.00 2/23/10 1201000000000000165
Building Permit $1,066,91 2/23/10 1201000000000000165
Credit- SDC Storm Improv $-1,029.08 2/23/10 1201000000000000165
Curbcut I'ermit $88.00 2/23/10 1201000000000000165
Dryer Vent $9,00 2/23/10 1201000000000000165
Exhaust Hoods $13.00 2/23/10 1201000000000000165
Fire SF Fee - Residential $97,00 2/23/10 1201000000000000165
Fireplace (Listed) $20.00 2/23/10 1201000000000000165
Gas Outlets 1-4 $7,00 2/23/10 1201000000000000165
Plan Reyiew Major - Planning $211.00 2/23/1 0 1201000000000000165
Plan Review Same As $250,00 2/23/10 1201000000000000165
PW Disc - 2nd Permit $-30,00 2/23/10 1201000000000000165
Sanitary Sewer - Improvement $507,07 2/23/1 0 1201000000000000165
Sanitary Sewer - Reimbursement $666.84 2/23/10 1201000000000000165
SDC MWMC Compliance Charge $22,63 2/23/10 1201000000000000165
SDC MWMC Improvement $1,333.57 2/23/10 1201000000000000165
SDC MWMC Reimbursement $101.97 2/23/10 1201000000000000165
SDC Sanitary/Storm Admin $95.89" 2/23/10 1201000000000000165
SDC Tran Reimburs-Residential $211.21. . .; 2/23/10 1201000000000000165
SDC Trans Improyement-Resident $931.65 2/23/10 1201000000000000165
SDC Transportation Admin $93,36 2/23/10 1201000000000000165
Sidewalk Permit $88,00 2/23/10 1201000000000000165
Storm Drainage Impervious Area $1,029.08 2/23/10 1201000000000000165
Vent Fan $27.00 2/23/10 1201000000000000165
Willamlllane Single Fumily $2,858,00 2/23/10 1201000000000000165
+ 12% State Surcharge $22,08 2/24/10 1201000000000000173
+ 5% Technology Fee $9,20 2/24/10 1201000000000000173
Residence Wiring 1000 Sq Ft $134.00 2/24/10 1201000000000000173
Residence Wiring Ell Addtl 500 $50.00 2/24/10 1201000000000000173
<. Puee 2 of 4
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: COM2010-00223
ISSUED: 02/23/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE: $ 187,850.00
Total Amount Paid
$9,631.78
I Plan Reviews ~
Plaooine: Review
02/22/2010
02/22/20 I 0
APP
DDK
Require street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name tag on nntil approved.
storm water to curb via weep hole
As noted on plans
Public Works Review
Structural Review
02/22/20 I 0
02/22/2010
02/22/2010
02/2212010
APP
APP
LKW
CJC
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
l....Peo.llireCUnsnections I
Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjnnction with footing and/or
found~ltion inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: (}rior 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 rough in inspections have been approved.
Walllnsnlation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Bnilding: After all required inspections have been reqnested and approved and the bnilding is complete.
Perimeter Fonndation Drains: After gravel and filler cloth is installed bnt prior to backfill.
Underlloor Plnmbing: Prior to insulation or decking.
Underlloor Drain: Prior to cover or placement of concrete.
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Rongh Plnmbing: Prior to cover and inclnding required testing.
Water Line: Prior to filling trench and including reqnired testing.
Sanitary Sewer Line: Prior to tilling trench and including reqnired testing.
Storm Sewer Line: Prior to filling trench.
Pa2e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2010-00223
ISSUED: 02/23/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE: $ 187,850.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and req~ired iesting and capped if not attached to an appliance.
" ' -.
Rough Gas: After line is installed and requir,ed testing and capped if not 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.
Tempornry Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Sen'ice: Approval required prior to utility company energizing service.
Final Electric: When nil electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and nfter erosion mensures are installed.
Curbcut - Stnndnrd: After forms nre erected but prior to placement of concrete.
Sidewalk - Curbside: After forms nre erected but prior to placement of concrete.
By signnture, I state and ngree, that I have carefully exnmined the completed application and do hereby certify that all
information hereon is true nnd correct, and I further .c~rtify:t~lll an.y and all work performed shall be done in accordance with
the Ordinances of the City of Springfield nnd the La"" oflhe 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 Snfety.
I further certify thnt only contrnctors and employees who nre 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 nddress is readable f,.om 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
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225 Fifth Str.cet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000173
8:55:28AM
Date: 02/24/2010
Job/Journal Number
COM20 I 0-00223
COM20 I 0-00223
COM20 I 0-00223'
COM20 1 0-00223
Payments:
Type of Payment
CreditCard
cRccciotl
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
134.00
50.00
22.08
9.20
$215.28
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
d'b
J..
05531 d In Person
Payment Total:
$215.28
$215.28
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2/24/20 I 0