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Home My WebLink AboutPermit Electrical 2007-8-24 \~?;(,fb ZON \ f\r7 INITlAL~W DATE ~~r\.Q~~t-,A SOURCE ~\ Date o'-l f~ 01 \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PEJPWT APPLICATION City Job Number l')' l.[)m~l);.. 1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOW jQ1)OS.. 4\SE ~bree~ \E~DiD~\: \t'fXX) A. New Residential- Single or Multi-Family per dwelling unit. Service Included ~B DESCRIPTION: 1000 sq. ft, or less .1 ~,( \ k~ ~~ ~:~:~1500 'q ft. m Per .ts are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or S.,p..d.d ,., 180 day'. 7... F..d" CONTRACTOR INSTALLATIO ONLY B. Services or Feeders - Installation, Alterations or Relocation: Elect' cal Contractor . 200 Amps or less $ 70.00 ..// 201 Amps to 400 Amps $ 83.00 Address .. 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180,00 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 $/17.00 $ 21.00 $55.00 Supervisor Licens .I Expiration Dtie , ~hi!ber \\ \, "\ C. Temporary Services or Feeders City / I i Constr. C";6ntr. Number / Expi!a'tion Date taM' of S.p",,;,;ng Eleotri,i'" Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76,00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits OwnO"N,me ~\-\~ W1D,U)s Address \W~~. ,"\\s:l .~ City ~~"cf.., Phone C\ \tL. 0\00 -'\\ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential \ $ 28.00 ~.iJ..2S.0? Limited Energy/Commercial ~50.00 Minimum Electric Permit Inspection Fee is O. Surcharges 4. SUBTOTALOFABOVE ~ L\5P" 8% State Surcharge ~- W l(Hor~5~trative Fee L\-. ~() 5!~~~ER_?JlfeSHAtl EXPIRE IF THE WORt? ..i c; tA~R~ORlLED UNDER THIS PERMIT IS NOT 5S.?:JS Ct} I,', 1'lUiMG5De(tijaSl~~~N~91 r~ Application 7-07.doc MJY 180 DAY PERIOD. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00752 ISSUED: OS/25/2007 APPLIED: OS/25/2007 EXPIRES: 02/24/2008 VALUE: $ 262,736.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1200 S 41ST PL ASSESSOR'S PARCEL NO.: 1802064110000 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Filbert Meadows lot 29 Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC OWNER COMFORT FLOW CHAPIN ENTERPRISES INC License 101717 105475 460 81994 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB # of Stories: 2 Height of Structure: 27.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 21.00 15.00 23.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Residential Phone Number: 541-686-9458 Expiration Date 09/16/2008 03/30/2008 Phone 541-686-9458 541-933-2653 06/27/2009 05/06/2008 541-726-0100 541-485-1146 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 8,193 1,464 832 632 96 4 Yes 25.50 REQUIRED PARKING Total: 2 Handicapped: Compact: Fullv Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: storm to curb & gutter. Pae:e 1 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00752 ISSUED: OS/25/2007 APPLIED: OS/25/2007 EXPIRES: 02/24/2008 VALUE: $ 262,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description A.C. - Residen Dwelline:s Garae:e Tvpe of Construction AC - Residential V Wood Frame Garae:e $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 2,296.00 2,296.00 632.00 Value Date Calculated Total Value of Project $9,184.00 $236,488.00 $17,064.00 $262,736.00 OS/25/2007 OS/25/2007 OS/25/2007 ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 5/25/07 1200700000000000636 + 10% Administrative Fee $186.86 5/25/07 1200700000000000636 + 5% Technology Fee $105.77 5/25/07 1200700000000000636 + 8% State Surcharge $137.39 5/25/07 1200700000000000636 3 Baths One & Two Family $306.00 5/25/07 1200700000000000636 Addressing Assignment $31.00 5/25/07 1200700000000000636 Building Permit $1,095.40 5/25/07 1200700000000000636 Curbcut Permit $40.00 5/25/07 1200700000000000636 Curbcut Permit $80.00 5/25/07 1200700000000000636 Dryer Vent $6.00 5/25/07 1200700000000000636 Exhaust Hoods $9.00 5/25/07 1200700000000000636 Fire SF Fee - Residential $151.20 5/25/07 1200700000000000636 Fireplace (Listed) $15.00 5/25/07 1200700000000000636 Furnace - up to 100,000 btu $12.00 5/25/07 1200700000000000636 Gas Outlets 1-4 $4.00 5/25/07 1200700000000000636 Plan Review Major - Planning $198.00 5/25/07 1200700000000000636 Plan Review Residential $712.01 5/25/07 1200700000000000636 Residence Wiring 1000 Sq Ft $106.00 5/25107 1200700000000000636 Residence Wiring Ea Addtl 500 $76.00 5/25/07 1200700000000000636 Sanitary Sewer - Improvement $653.09 5/25/07 1200700000000000636 Sanitary Sewer - Reimbursement $858.88 5/25/07 1200700000000000636 SDC MWMC Administration $10.00 5/25/07 1200700000000000636 SDC MWMC Improvement $961.52 5/25/07 1200700000000000636 SDC MWMC Reimbursement $91.61 5/25/07 1200700000000000636 SDC Sanitary/Storm Admin $107.27 5/25/07 1200700000000000636 SDC Transpo Admin $72.78 5/25/07 1200700000000000636 SDC Transpo Improvement $836.32 5/25/07 1200700000000000636 SDC Transpo Reimbursement $189.58 5/25/07 1200700000000000636 Sidewalk Permit $80.00 5/25/07 1200700000000000636 Storm Sewer Each Addtll00' $14.00 5/25/07 1200700000000000636 Temp Power 200 amps or less $50.00 5/25/07 1200700000000000636 Vent Fan $24.00 5/25/07 1200700000000000636 Willamalane Single Family $2,303.00 5/25/07 1200700000000000636 + 10% Administrative Fee $4.50 8/24/07 1200700000000001087 Pae:e 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00752 ISSUED: OS/25/2007 APPLIED: OS/25/2007 EXPIRES: 02/2412008 VALUE: $ 262,736.00 Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 5% Technology Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $2.25 $3.60 $25.00 $20.00 8/24/07 8/24/07 8/24/07 8/24/07 Total Amount Paid $9,589.03 I Plan Reviews I Initial Review Plannine: Review OS/25/2007 OS/25/2007 OS/25/2007 OS/25/2007 APP APP LLH TAJ Public Works Review OS/25/2007 OS/25/2007 APP JLP Structural Review OS/25/2007 OS/25/2007 APP DLM 1200700000000001087 1200700000000001087 1200700000000001087 1200700000000001087 "Express Permit" 4 street trees are required: 2 on each street. Plant street trees as required by the street tree plan attached to permit. Keep name tags on until approved. Overwidth approval is pending Traffic Departments Review. Storm H20 to curb & gutter.For this parcel in Filbert Meadows, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Storm H20 SDC fees have been omitted per agreement between Weichert Homes and City of Springfield. A copy of the SDC spreadsheet with the fees included has been supplied with the permit for information only. JLP APP5/25/07 Approved as submitted 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. L...ieolJire~nSDections . Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Pae:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00752 ISSUED: OS/25/2007 APPLIED: OS/25/2007 EXPIRES: 02/24/2008 VALUE: $ 262,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. 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 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. 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. Temporary Electric: Approval required prior to Utility 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. Low Voltage: Prior to cover. Pae:e 4 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00752 ISSUED: OS/25/2007 APPLIED: OS/25/2007 EXPIRES: 02/24/2008 VALUE: $ 262,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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. 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 Pae:e 5 of 5 Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: (If) . OD1 81 _ , - ;t- Address: J!Jr1) '5. 4- \ S Issued by: ~ Date: ~. 2.... L\ -0, Statement: Information Notice. to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer-applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit, Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~. 1. I own, reside in, or will reside in the completed structure. [V1. 2. ,. I understand that I must become licensed as a construction contractor if the structure is sold or I offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) , I.will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. . ? OR LoWVD\*Ct-~E:..;clE:GmULL- 3B. I will be my own geftel'al contractor. . In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In change my mind and hire a general contractor, I will contract with a contractor who is . licensed with,the CCB and will immediately notify, the office issuing this building permit ofthe name of the contractor. , I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. y f ~ Yl/Ltt~ - ;- \' JI (Signature of permit applicant) CO-;)L/-o7 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 . . . \' .' ~:, . ' ( ~ ('. ' ~, "'.. Actipg'~~s:YOll.:t Qwn General "Contractor?' u . Ij.~ '; \-'l ~ \ ! . ~' . I. '. /~!~ ' ':".:; . . . iN~~~~:,~g,~~~~~~I~~' ~~~~~~~TB~~7:;s, ',,'; '. r NO TE: This Information Notice to ~roperty Owners~bout Constn 'ction Resp~nsibilities ~a~ 'deve/~;ed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. , , " ",: - "1' If you are acting as your own contractor to construct a new home or maLe a substantial iUIJ,novement to an existing , . ' structure, you can prevent many problems bYbeing aware of the following responsibilities and concerns. Employer ResponsibHities .' ..,. You will, in most ins~nces, be ruled to be an "employer" and the contn .ctorsyou contractwith will be "employees" if you use contractors not licensed with the Construction Contractors Board todo lahqrin constructing or to assist in the construction or iU11,1loyement of a residqntial structure. As the .employe r, y,ou must comply with the.following: '" Oregon's Withholding TaX Law: As an employer, you must withhold ncome taxes from employe'e wages at the time . employees are paid. You will be liable for the tax payments even if you don't a,ctually withhold the tax from 'your employees. For more information; call the Department" of Revenue at 5W~378'4988: . Unemployment Insurance Tax: As an employer; you are'requifed to p iy-a th~for unemploymenHnsurance purposes' on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. '. .;' ~',- '~y , ", ... ... , . j. , ~ :. "-:~ ./0'_ !., " The Oregon Business Identification Number (BIN) is a combined number for both Or~gon Withholding am~ Unemployment Insurance Tax. To file for a BIN, call 503-945:-8091 cr ww"w.dor.state.oLus/formsnav.htmll for the appropriate forms, .-:- ': ..' ", , ' . , Workers' Compensation ]nsurance: As an employer; you' are subjec' to the Oregon Workers' Compensation Law, and must Qbtait).workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, y~u~c6uld be sllbjec't'to penalti"es'and'bellable fdf aUc'laim c )~ts ifone ofYbur crriployees is injured on the job. For more information, call the Workers' Compensation Division :it the Department of Consumer arid Business Services at 503-947-7815, . I - I. I If' \ ~. , - '- .... \ ... . -""".JII' ' , I I . " / J ' , ';/ - -, ,F ' ,< t '/. : ' . I ......__~..'. I. -"_ ./-..,._,- ..j . , U.S. Internal Revenue Service: As an employer, you must \vithhok federal income.:t.lx froni employees' Wages....,'. You will be liable for the tax payment even if you didn't actually withhc ld the tax. For a Federal EIN number, call the' · IRS at 1-800-829-4933 or:v1sifth.eir web site at www.irs.Qov,' Otlhler Resp({)nsi1i>>nitne~.~im~' ',A~e:ts of :CqJ>lOlcerns Code Compliance: As the permit holder for this project, you are respmsible for resolving any failure to' meet code requirements that may be brought to your attention through inspections. ., - . '-' ...... -. , '.' .' '. - ".' .... Liability and Prop~rty Damage ][nsurance: 'Contact yo~r Insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe. punctures, fire or work that mti~t be, redone, _' " '., _ '~ ~ . . \ .... ... ~.. :";-"... , , , , Time: Make sure YOli:have sufficient time to supervise your employees~ Expertise: Make sure you have the skills to act as you;'~\.~~Cgener~l contract~r, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections, If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner. doc 06-01-04 225 Fif*h. Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00752 COM2007-00752 COM2007-00752 COM2007-00752 COM2007-00752 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001087 Date: 08/24/2007 Description Low Voltage - Residential Minimum! Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RYAN MCLA WS Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 100388 In Person Payment Total: Page 1 of I 10:08:00AM Amount Due 25.00 20.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 8/24/2007