HomeMy WebLinkAboutPermit Electrical 2010-3-25
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689
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DEPARTMENT USE ONLY
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Pennit no.:
Date: 3-2 ')-/0
This permit is issued uuder 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.
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Zoning approval verified? 0 Ves 0 No
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Reference:
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Business name:
Address:
City: S
Phone:$'fl -52' - 4r 'i ~
E-mai!:
CCB license no.: I O~ 4 7S- BCD license no.: -'36 3 c::...
Signing supervisor's license no.: '-/ I 7 '{ - S-
Print name of signing supervisor: /; C\ 0" ....ov.Jy"-
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Signature of signing supervisor:
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440.2584-J (9/08/COM)
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. '. ,', ',' " . ... . ....., Cost " Total
,Numb,er o.f ;j,speclioni p~ritemO, .,; Qty. i.'ea;':, .I..'cost.
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Residential, per unit, service included:
1,000 sq. ft. or less (4) / $'34.00 $/3t
Each additional 500 sq. ft. or portion :3 $ 25.00 $7S-
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 $
201 to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $'58.00 $
60 I to 1,000 amps (2) $205.00 $
:E ~rWO amps or volts (2) $469.00 $
e ~~,,~~~nly (2) $ 63.00 $
~'i..~ ~Wiiervices or feeders: installation, alteration, relocation
0 ~~ ~less(2) I $ 63.00 $f-, <.
~IlOO\\l~ps (2) $ 87.00 $
\
~lAAlp 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 ofa service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase ofa service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outl~n~,1ighting, (2 $ 63.00 $
Signal circuit or-os r ~anel, $ 63.00 $
alteration, Qr,,\Il~i "
~f\p ~~"W).~" $58.00 $
ri{;fi\:: "~~~eLicANtfuSE\'/;': ~;);;i(r;~i;'i:;';" '.
~~~"1 subtotal of above fees SZ7Z
..< ~. Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD $ "2" "<
(C) Technology Fee (5% of(AD $ /3t .0
TOTAL fees and surcharges (A through C): $ 210' Zl\
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00360
ISSUED: 03/30/2010
APPLIED: 03/25/2010
EXPIRES: 09/30/2010
VALUE: $ 189,070.00
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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: 1181 S 41ST ST
ASSESSOR'S PARCEL NO,: 1802064111100
Springficld TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Same as COM2008-00360 1217 s 41st
I PUBLIC IMPROVEMENTS ~ .,'.., ...."t.~ 0..\\'\\
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d(\""C~. ~ Cb"'~\.\ '''~~~ts/Drains:
Driveway approved to mafM(n~~~Jl(~~~ \I.'O\I.~V-
\,,~ Q\'-\1.\:.V O\'- '.; ~
Stormwater to curb and gutter. \>-\J\V;,~X.~Ct.~, \,t.\,-\O .
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Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I CON.T-RA€TOR'INFORMATlON ~
Contractor Type
Contractor
License
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I BUILDING INFORMATION I
'IOu .!
~'!~t..e5 'li\'I
# of Units: I egonNaW g~"C/fll90n \,)\\ t\h I
Primary Occupancy Group: ~~~: Ot p\ed mi\!ll~~€&i~~"
Secondary Occupancy Group:":r ~ ,uteS ad~et. i~~ fiP.. 95 i~'\Sfed Air Gas
Primary Construction Type '0 \~\C~ ee~_0010~W1r. 1J\:\\\e t~one Gas
Secondary Construction Type~O o/'S 952.'O~'I o'o\alR:OOPi.. ~\ele~ica\iOn Electric
# of Bedrooms: ~O. '((31 tn cen\e'.~r~\It\\~~O\\ .
calling \~~t \\\8 .Ot g'6'_~\5ll.B:Irldlhg: n/a
e EVELOPMENT INFORMATION
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overhiy Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
18.00
7.00
10.00
25.00
3.75
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
$ Per Sq Ft
or multiplier
Squa~e Footage
or Bid Amount
Type of Construction
Paee I of 4
Residential
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,201
1,686
430
REQUIRED PARKING
2
Yes
33.80
Total:
Handicapped:
Compact:
2
. ~'J,;"~':?'
Value
Date Calculated
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00360
ISSUED: 03/30/2010
APPLIED: 03/25/2010
EXPIRES: 09/30/2010
VALUE: $ 189,070.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Estimate
Garaee/Misc
SF/Duolex
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
$1.00
$37.72
$96.83
189,070.00
430.00
1,686.00
$189,070.00
$16,219.60
$163,255.38
$368,544.98
03/25/20 I 0
03/29/2010
03/29/2010
Total. Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $250.00 3/25/10 2201000000000000278
+ 12% State Surcharge $32.64 3/30/10 1201000000000000276
+ 12% State Surcharge $189.13 3/30/10 1201000000000000275
+ 5% Technology Fee $13.60 3/30/10 1201000000000000276
+ 5% Technology Fee $96.65 3/30/10 1201000000000000275
1st Appliance $79.00 3/30/10 1201000000000000275
2 Baths One or Two Family $337.00... : .. 3/30/10 1201000000000000275
Addressing Assignment $38.00 '(. 3/30/10 1201000000000000275
Appliance Vent $9.00 . 3/30/10 1201000000000000275
Building Permit $1,075.05 3/30/10 1201000000000000275
Curbcut Permit $88.00 3/30/10 1201000000000000275
Dryer Vent $9.00 3/30/10 1201000000000000275
Exhaust Hoods $13.00 3/30/10 1201000000000000275
Fire SF Fee - Residential $] 15.65 3/30/10 1201000000000000275
Fireplace (Listed) $20.00 3/30/1 0 1201000000000000275
Gas Outlets 1-4 $7.00 3/30/10 1201000000000000275
Plan Review Major - Planning $211.00 3/30/10 1201000000000000275
PW Disc - 2nd Permit $-30.00 3/30/]0 120]000000000000275
Residence Wiring 1000 Sq Ft $134.00 3/30/10 1201000000000000276
Residence Wiring Ea Addtl 500 $75.00 3/30/10 1201000000000000276
Sanitary Sewer - Improvement $573.20 3/30/10 ]20]000000000000275
Sanitary Sewer - Reimbursement $753.82 3/30/1 0 120]000000000000275
SDC MWMC Administration $]0.00 3/30/1 0 ]20]000000000000275
SDC MWMC Compliance Charge $22.63 3/30/10 ]20]000000000000275
SDC MWMC Improvement $1,333.57 3/30/10 1201000000000000275
SDC MWMC Reimbursement $101.97 3/30/]0 ]20]000000000000275
SDC Sanitary/Storm Admin $105.79 3/30/10 ]201000000000000275
SDC Transpo Improvement $931.65 3/30/10 1201000000000000275
SDC Transpo Reimbursement $211.21 3/30/10 1201000000000000275
SDC Transportation Admin $91.1(j." ~~ "r 3/30/10 1201000000000000275
Sidewalk Permit $88.00. 3/30/10 120]000000000000275
Temp Power 200 amps or less $63.00 3/30/]0 ]20]000000000000276
Vent Fan $27.00 3/30/]0 ]201000000000000275
Willamalane Single Family $2,858.00 3/30/10 1201000000000000275
Total Amount Paid $9,933.67
Paee 2 of 4 .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00360
ISSUED: 03/30/2010
APPLIED: 03/25/2010
EXPIRES: 09/30/2010
VALUE: $ 189,070.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
03/25/2010
03/25/2010
I Plan 13.e,Yiews I
- .
03/25/2010 OK
03/25/2010 APP
DJB
- DDK
Public Works Review
03/25/2010
03/25/2010 APP
TSS
Required street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name tag on ulltil approved.
Stormwater to curb alld gutter. Plol
plan shows driveway width of 26
feet. No applicalion for overwidth
driveway submitted, therefore
maximum approved widlh is 24 feet
Strllctural Review
03/25/2010
03/29/2010
APP CJC
As 1I0led on plans
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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.
.~enllirerUnsnections ,
Erosion/Grading Inspection: Prior to groun~:~~.!st~r.~~~;n~e and "after erosion measures are installed.
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Sidewalk - Curbside: After forms are crecled"ut prior to placement of concrete.
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Curbcut - Standard: After forms are erected- b'ut prior to placement of cOllc"ele.
Ufer Electrical Ground: Inslall ground rod at footing and call for inspeclion in conjunction with footing alld/or
foundation inspection.
Footing: After trellches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrele.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailillg: Before covering shealhing with "nish materials.
Framing Inspection: Prior to cover alld after all rough in inspections have bee II approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
, (if g, ". 1! '<i_,;t~ ,\ \
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Final Building: After all required inspections have been requested alld approved and the building is complete.
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Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00360
ISSUED: 03/30/2010
APPLIED: 03/25/2010
EXPIRES: 09/30/2010
VALUE: $ 189,070.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Perimeter Foundation Drains: After gravel and IiIter cloth is installed but prior to backfill.
Vnderlloor Plumbing: Prior to insulation or decking.
Vnderlloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench ~n~ inc.!ud,I.ng r.equired testing.
Storm Sewer Line: Prior to filling trench.
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Water Line: Prior to tilling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Vnderlloor Gas:. After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required 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. Presnre 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.
Temporary Electric: Approval required prior to Vtility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete. ,
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By signature, I 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 furthe.r certify that any and all work performed shall be done in accordance with
the Ordinances of lhe City of Springfield and lhe Laws of the Slate of Oregon pertaining to the work described herein, and
that NO OCCVP ANCY 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 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.
Owner or Contractors Signature
Date
Page 4 01'4
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225 Fifth Street
Springneid; Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000276
Date: 03/30/2010
9:12:S9AM
Job/Journal Number
COM20 1 0-00360
COM20 1 0-00360
COM20 I 0-00360
COM20 I 0-00360
COM20 10-00360
Payments:
Type of Payment
CreditCard
cReceintl
Description ; {-,.,'
Residence Wiring] 000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BWCH.
Check Number
Batch Number
Received By
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Page I of I
Item Total:
Authorization
Number
Amount Due
134.00
75.00
63.00
32.64
13.60
$318.24
How Received
Amount Paid
o 1529d In Person
Payment Total:
$318.24
$318.24
3/30/20 I 0