HomeMy WebLinkAboutPermit Electrical 2010-3-12
225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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COMZc>'O - 0 022-(
Permit no.: .
Date: "3 - ( Z - I 0
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.
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Zoning approval verified" 0 Yes 0 No
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'lliJResidential I 0 Government I 0 Commercial
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Job site address: 4 f'J 12. "A" 5'1.
City: 6n t2.IVt.+.e..1 1 I State: /'J~ I ZIP: '?747'O
Reference: 17bL '5 2-4 I I Taxlot.: 0 I ZOo
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:l~.uf11~er.l?f::m,~p.~~tl~.qs,p',~~)t~~'(,h"',~. Qty., y,>'--' ;:~",..:. ~'\' --to ,
,,,. _ ".ce'" "'_:-," ".,- -," {',.Wer. ,,'''. "f!' -'"C"'' ;~J~.". \,_ _." ._.1_ ~,e.~'_~~"' ' _C_OS.. t..:
Residential, per unit, service included:
1,000 sq. ft. or less (4) ( $134.00 $ ('3 r
Each additional 500 sq. ft, or portion I $ 25.00 $ z5'
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 $
~PRORER:rY.:OWNER c. . . 201 to'400 amps (2) $ 95.00 $
Name: SJk' II J:=tJ~ -;;..; .. 401 to 600 arnps (2) $158.00 $
Address: /2./0 /"JA-I< P"-iCIJ- "Rl 601'to,I,992amps (2) $205.00 $
City: /=." r-.. ,c I State: /712 I ZIP: ""_ AI ~ Z Over 1,000 amps or'volts (2) $469.00 $
Phone:54-1_ 74-1-/707 I Fax: _ _ 17' Reconnect only (2) $ 63.00 $
E-mail: -r;...OTJ1.j2.oO&-.f~...tNO.CDH.Al/o~Y.Jervices or feeders: installation, alreration, relocation
This installation is being made on residential or farm property ., i{'~I: ilI8!fa.. (l1) law .~, $ 63.00 $
owned bl: me or a member of my immediate family. This ~: ~., t ~ the O;:.~es YOt t,. $ 87.00 $
property IS not Intended for sale, exchange, \ease, or rent. OA~. Ll' lUte 'I fJt, 'h.
:~:~:::r~l)and 4. 79.560.(1.).,. . '. .~ ~ ~ntw.p~~.t s~:~~;~ fee:~r:6;::tion :bove
:::C.0NTRACliOR INSTALLATION ~1Yt . '~er panel
Business name: ,J(/er..f- EWr.c.. ~c.... a, Fee for ";'cuMl~.] ~service or feeder fee:
Address:. 1'17 C> tJ 2 8 1t-, ) -1-, Each branch circuit '-'/. $ 6.00 $
City: Slil~ ': , c, +'.(.LcP I State: D Y2-1 ZIP: 77177 b. Feefor branch circuits without purchase ofa service or feeder fee:
Phone:S'!/ - 1'i1- 2- <-I \ I Fax: sri -11i.- 01-1-7 First branch circuit (2) $ 55.00 $
E-mail: "Il~r + -". (-<. c.-'r- ~ \ Wl.-c,. CO'~ Each additional branch circuit $ 6.00 $
CCB license no.: l1. '1 I 'L-I BCD license no.: 70'-5'5" c... Miscellaneons fees: service or feeder not included
Signing supervisor's license no.: S' cL.'L.. - .s Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: c: II 0, l-/.It-rl",i, "<'1 Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor: // ~ ' 4~. ~A/ Signal circuit or a limited-energy panel, $ 63.00 $
A t'/~/v A'VT.A"V ./ - alteration, or extension (2)
~./ Each additional inspection: (I) $58.00 $
~ IDD. TO ~d ~urcharges (A through C): $ / P,6 :>;t
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440-2584-1 (9/08/COM)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00221
ISSUED: 03/1012010
APPLIED:" 02/19/2010
EXPIRES: 09/10/2010
VALUE: $ 155,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4872 A ST
ASSESSOR'S PARCEL NO.: 1702324101200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New Single Family Dwelling, Lot 5 Meyer Estates
Total:
Handicapped:
Compact:;;"",, .
",""'i~{.i>1\,~71~~?\f.'"
""",~,/r;5,;;,~>'i?'''''' ' -nl.'C. '11"" ~ \'1'''
ir.':t'~~'-'~'''' '"~ 1\ ,"'~
, I PUBLIC IMPROVE~~~ ~"'~\.\. ~\~ ~~~tO~~~S!~{\
1'r\\S O?\lt~'4~- , "j";,,N"'"'' Curbside 5'
Yes f>.\li'r\ ~\\C@>C.lU~/Drain's: To Storm Sewer
Storm water to curb/ All storm and sanita()O\~ ",~~I:f~are to private systems. Due to the
unusual design of the private sanitary syste~'fti~1VIaintenance will not accept responsibility for
the non-standard connection. ~,
. :"''':
,",.,\
Owner:
Address:
SPRINGFIELD/EUGENE HABITAT FOR HUMA
1210 OAK PATCH RD
EUGENE OR 97402
I CONTRACTOR INFORMATION .
Contractor Type
General '
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
. # of Bedrooms:
2
24.00
Wall Heat
Electric
Electric
3
No
'I DEVELOPMENT INFORMATION .
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
20.00
4.00
3.00
14.60
13.00
Street Improvements:
Storm Sewer Available:
Speciallnstructio~: ' '
Notes:
Paee 1 of 4
Residential
Expiration Date Phone
OS/22/2011 541-747-2213
11/21/2011 541-686-4191
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
3,049
650
650
2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00221
ISSUED: 03/10/2010
APPLIED: 02/19/2010
EXPIRES: 09/10/2010
VALUE: $ 155,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Constrnction
Estimate
$ Per Sq".ft . "
or mnltip)ier'
$1.00
Sqnare Footage
or Bid Amonnt
155,000.00
Valne
Date Calculated
Description
Total Value of Project
$155,000.00
$155,000.00
02/19/2010
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $606.19 2/19/10 2201000000000000153
+ 12% State Surcharge $165.07 3110/10 2201000000000000216
+ 5% Technology Fee $79.33 3/10/10 2201000000000000216
1st Appliance $79.00 3/10/10 2201000000000000216
2 BathsOne or Two Family $337.00 3/10/10 2201000000000000216
Addressing Assignment $38.00 3/10/10 2201000000000000216
Bnilding Permit $932.60 3/10/10 2201000000000000216
Dryer Vent $9.00 3/10/10 2201000000000000216
Fire SF Fee - Residential $65.00 3/10/10 2201000000000000216
Plan Review Major - Planning $211.00 3/10/10 2201000000000000216
Sanitary Sewer - Improvement $440.93 3110110 2201000000000000216
Sanitary Sewer - Reimbursement $579.86 3/10/10 2201000000000000216
SDC MWMC Administration $10.00 3/10/10 2201000000000000216
SDC MWMC Compliance Charge , $22.63'''XJ' 3/10/10 2201000000000000216
SDC MWMC Improvement $1,333.57 '1'::' 3/10/10 2201000000000000216
SDC MWMC Reimbursement $101.97 :' 3/10/10 2201000000000000216
SDC SanitarylStorm Admin $105.62 3/10/10 2201000000000000216
SDC Tran Reimburs-Residential $211.21 3/10/10 2201000000000000216
SDC Trans Improvement-Resident $931.65 3/1 011 0 2201000000000000216
SDC Transportation Admin $82.50 3/10/10 2201000000000000216
Storm Drainage Impervious Area $442.29 3/10/10 2201000000000000216
Vent Fan $18.00 3/10/10 2201000000000000216
Will.malane Single Family $2,858.00 I 3/10/10 2201000000000000216
+ 12% State Surcharge $19.08 3112/10 2201000000000000235
+ 5% Technology Fee $7.95 3/12/10 2201000000000000235
Residence Wiring 1000 Sq Ft $134.00 3/12/10. 2201000000000000235
Residence Wiring Ea Addtl 500 $25.00 ; 3/1211 0 2201000000000000235
,
Total Amount Paid
$9,846.45
I Plan Reviews ~
Initial Review
02/26/2010
02/26/2010
APP LLH
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Pa2e 2 of 4
<;",.' ...~ . CITY OF SPRINGFIELD
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.,.;;.
Building/Combination Permit
Status Issued PERMIT NO: COM20IO-00221
225 Fifth Street, Springfield, OR ISSUED: 03/10/2010
541-726-3753 Phone APPLIED: 02/19/2010
541-726-3676 Fax EXPIRES: 09/10/2010
541-726-3769 Inspection Line VALUE: $ 155,000.00
.Plannine: Review 02126/2010 02126/2010 APP DDK I Street tree to be located in front
yard. This meets cluster subdivision
standards for lot coverage and
setbacks. 3' walkway not required
from street through parking areH
but is required from parking area to
house.
Public Works Review 02127/2010 03/04120 I 0 jAPP LKW Storm water to curb/ All storm and
I sanitary sewer connections are to
I private systems. Due to the unusual
"F" I design of the private sanitary
system, City Maintenance will not
accept responsibility for the
IWE non.standard connection.
Structural Review 02/26/2010 03/05/2010 CJC Need energy path and stamped
I engineering and truss documents
Structural Review 03/08/20 I 0 03/08/2010 10 KLK Received wet-signature stamped,
structural engineering and truss
engineering. Energy Path 4A.
Structural Review 03/05/20 I 0 03/0812010 APP CJC As noted on plans
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.
lJeolliredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection. .,,~.,i:' ,.. '
Footing: Af~er trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r 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.
Roof Sheathing
Drywall: Prior to taping.
Pa~e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-0022l
ISSUED: 03/10/2010
APPLIED: 02/19/2010
EXPIRES: 09/1012010
VALUE: $ 155,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inclnding 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.
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
Electric Service: Approval required prior to,utility co.~pany energizing service.
Final Electric: When all electrical work is complete.
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 1 fnrther 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.
1 further certify that only contractors and employees who 'are in compliance with ORS 701.005 will be used on this project.
1 fnrther 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
. ',\fl:
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Pa2e 4 of 4
225 Fifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
GJ;Q~;~.. ..
Wt.,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000235
Date: 03/12/2010
8:31 :40AM
Paid By
HABITAT FOR HUMANITY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
134.00
25.00
19.08
7.95
$186.03
Job/Journal Number
COM201 0-0022 I
COM2010-0022 I
COM20 I 0-00221
COM20 1 0-00221
Description
Residence Wiring 1000 Sq Ft ......
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Payments: .
Type of Payment
CreditCard
Amount Paid
djb
342780 In Person
Payment Total:
$186.03
$186.03
cReceintl
Page 1 of I
3/12/2010