HomeMy WebLinkAboutPermit Electrical 2008-4-21
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225 Hl'lll STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPUCATION
City Job Number C. 7 - DO gt{ 7
Date
1. i/:i!O
;'_~<1'
g07
/0 L.{oo
A. ,~~~~iiisid~irti:r,; i1~iirgIei~;sM':itl!Fa;nily~per dwt!bj "
b@!im"o~~<<~~;;:<<< UA A1/+~~tt.~:<<<<<-,.<<< '~~~>" &&"~""~.<<~l<<..~,,~
LEGAL DESCRIPTION:
/BDZObZ \
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
JOB DESCRIPTION:
4-s~
Lv' /Lt}I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. ,cbN'Jil1r~o~lNiTll1JJ#.o~ o~f~ B.
~ =::::;:ili:;;~d@",^,~>U::H'~~/d> ?3@$j%~g~,-l\~~*,,~ v "'<.:
Electrical Contractor ~IJ f-: 'J h ~ (~~.o 200 Amps or less
20 I Amps to 400 Amps
Address (f!!) / <!. ( rr ) 7-;"~ .11 f )-( 401 Amps to 600 Amps
601 ~ps~~~Q>~ps
Phone t9 8 '? r 17 :::, \a9J~~~~&m~~~R~
_ \~ o~e90~ 'O~~e ~ei~P.J:S~2.-oc),\"
~ "-r::\\-', X\\? " ac\O?\e~os~. ~u 9 ~~'Wb I"
Supervisor License Number 9 -1cc-'C ~~\c:> {\\e~. '^X orli'eeders
/ I, -l. - r,e 0'\ \\t_" \t( _, c,~ , U_;,
, "\ :~\\w~()\\~\i_()o'\-O xa.\{\ CO fI.: '. \\,\13 ~\\\ca\\O
Expiration Date I D - j - ;::) 0 (~~;OP.'i\ ~~\_\ ((\a'J e~~e(.l\\~~~ii.bP:~~ration or Relocation
()Og~~~\\l9 \\,\13 ~\'\e o~l1iOB~8r less
,;?() - 7-> 2.. ~~ne~ \O~ :\.e~ \<3 "2&1 Amps to 400 Amps
{\UP v~{\
40 I Amps to 600 Amps
Each Manufact'd Home or
Modular Dwelling ServIce or
Feeder
,
Z
$117.00
I} 7
tjZ
$ 21.00
$55 00
CIty eJ,; 7 ...y.P-
$ 70 00
$ 83.00
$13 8 00
$180.00
$413.00
$ 55.00
Constr. Contr. Number
Expiration Date
!rJ- i--
2,;) J rr)
Over 600 Amps or 1000 Volts see "B" above.
;--V'%;<~0Th..~i%~:t"'7'" ,f:-:~ ,w N~
D. Branch '€ircUits '~4:f" '
_ "~_~ _ ~_~~5 _>r,-,,,,~,,'4....J'.~_,-"_J,,./'-..,- ^""~~~
SIgnature of Supervising ElectncIan
~j)+~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Owners Name brS ~ V' t;-'-'\M"-t...\. h
Address 2f:bO MAn. I.wJQ.LA.r
(*1.L ~ Phone
$ 55.00
$ 76.00
$110.00
$ 48.00
$ 4.00
E. :;Mikeilane~~~~8i;~/r~ed~;'~~i~~1:~~dIE:rtfZI:~6ll~Jon-.
idt..:<<<<..';::(,w.< <<....... "" AtdlifJ.diV:0UG ~< hA ?, '-:'&'<"~";':<'-' , ~' "' \ -.< ~ v< ~A A w.;
NOTICE1: $(!lQ1URE IF THE WORK $ 55 00
I HIS PER ~~tRLlgw$J,g'ERM\1 \S NOT $ 55.00
OWNER INSTALLATION AUTHOrl. ~~~~IdQIt\W FOR $28.00
!he in.stalIation is being made on l'>vl'erty I own WhiChC~~M80m~iWcommercial $ 50.00
IS not mtended for sale, lease or rent A Jinimum Electric Permit Inspection Fee is $50.00 + Surcharges
Owners Signature: 4. sU;;i-oPJfioFiiJoW:\~.@I$\"7,~,;:,;" / 5 7
;<.=;:,,~ ~:~, '~:''>>>>>:~ '.:0L ~v='~'~~h! 1:;~,'~",il~%;;t~"#l::"
12% State Surcharge I "0 ~
10% Administrative Fee /5~P
5% Technology Fee 7~.r
CIty
Inspection Request: 726-3769
TOTAL
Shared Dnve(T )/BuIldmg FonnsIElectncal Permit Apphcatlon 1-08 doc
ZD(~
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: COM2007-00847
ISSUED: 06/11/2007
APPLIED: 06/11/2007
EXPIRES: 09/11/2008
VALUE: $ 163,156.00
SITE ADDRESS: 809 S 31ST PL
ASSESSOR'S PARCEL NO.: 1802062110400
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Nittany Meadows lot 12
Owner: DJS INVESTMENTS LLC
Address: 2860 MARTINIQUE AVE
EUGENE OR 97408
Contractor Type
General
Electrical
Low V oItage Electrical
Mechanical
Plumbing
Residential
I CONTRACTOR INFORMATION I
Contractor
DJS INVESTMENTS LLC
BOB FISHER ELECTRIC INC
DIVERSIFIED ELECTRONICS
MARSHALLS INC
JAMMAL INC
Phone
541-485-2655
541-689- 7973
541-484-9078
541-747-7445
541-484-7440
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
6.00
5.00
10.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
131714
96275
144685
25790
158262
Expiration Date
10/09/2008
01/25/2010
06/23/2008
12/23/2009
01/12/2010
BUILDING INFORMATION I
1
R-3
U
VB
# of Stories: 1 Lot Size:
Height of Structure 21.00 S.<J.. Ft 1st Floor:
Type of Heat: Forced A~g~~ '1~'-;'~;~IFt 2nd Floor:
Water Type: n \'0.\1'1 {e ti~son U hBasement:
Range,T~ee: O~8:Z(\ '0'/ \n~lI~~(e se'S, {parage/Carport
Energy Pa,!!t:'O.d??- ,nose ~.yJ~ptr\ 95'S b~ther:
spri~I~~~~)~~~~i~ut1 0 \n:~~~J~' :~~~~o~~ant Load:
I DEVEi"OP,li~i:INF0~~A ~)Q~"4~~ ~o\\'\ca\\U"
\Jv.:J-\\\n9 \X\\:l v- Q{e9u1' t:l.~'2..'2.3l\l\). REQUIRED PARKING
ca ,o( \ne '\ 800'"
OVt'1\l;;ly\\>>l~Gen\e{ \S . Total: 2
# Street Trees Rqd: 1 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 27.50
7,025
1,459
477
3
I PUBLIC IMPROVEMENTS I
Sidewalk Type: C b'd 5'
,,\<. ur Sl e
Cr:- DOwE..S>>'~\\tt'W~~ 'NQ o-furb and Gutter
NO"'~' s\'\~\..\. \:)\\" ?,W\n \S ~
1\-\\S ?E~~~6 U~DE? 1\-\~~;~~ED fO?
fi,\J1\-\0?' O? \s p..\)t\
CO\\l\W\E~CE~ ?E?\OD.
f\N'< "\ 80 D
Fullv Improved
Yes
Notes: Stormwater to weep hole in curb and gutter.
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellinl!:s
Garal!:e
v Wood Frame
Garal!:e
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Admmistration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,459.00
477.00
Total Value of Project
~
Amount Paid
$10.00
$123.75
$73.43
$91.25
$254.00
$31.00
$6.00
$773.65
$80.00
$6.00
$9.00
$96.80
$12.00
$4.00
$198.00
$502.87
$-30.00
$395.81
$520.53
$10.00
$961.52
$91.61
$130.86
$69.78
$836.32
$189.58
$80.00
$1,007.52
$14.00
$50.00
$12.00
$2,303.00
$5.00
$2.50
$4.00
Date Paid
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
6/11/07
8/3/07
8/3/07
8/3/07
Pal!:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00847
ISSUED: 06/11/2007
APPLIED: 06/11/2007
EXPIRES: 09/11/2008
VALUE: $ 163,156.00
Value
Date Calculated
$150,277.00
$12,879.00
$163,156.00
06/11/2007
06/11/2007
Receipt Number
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
1200700000000000737
3200700000000000525
3200700000000000525
3200700000000000525
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00847
ISSUED: 06/11/2007
APPLIED: 06/1112007
EXPIRES: 09/11/2008
VALUE: $ 163,156.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$25.00
$25.00
$15.90
$19.08
$7.95
$117.00
$42.00
8/3/07
8/3/07
4/21/08
4/21/08
4/21/08
4/21/08
4/21/08
3200700000000000525
3200700000000000525
1200800000000000381
1200800000000000381
1200800000000000381
1200800000000000381
1200800000000000381
Total Amount Paid
$9,177.71
I Plan Reviews I
PlanniD1~ Review 06/11/2007 06/11/2007 APP TAJ
Public Works Review 06/11/2007 06/11/2007 APP BRC Stormwater to weep hole in curb
and gutter. BC
Structural Review 06/11/2007 06/11/2007 APP LDM Approved 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.
~eouiredJnsDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00847
ISSUED: 06/11/2007
APPLIED: 06/11/2007
EXPIRES: 09111/2008
VALUE: $ 163,156.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
e
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.
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
Pal!:e 4 of4
225 Fifth Street
Springfield", Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -0084 7
COM2007-00847
COM2007-00847
COM2007-00847
COM2007-00847
Payments:
Type of Payment
Check
cRecemll
RECEIPT #:
1200800000000000381
Date: 04/21/2008
Description
ResIdence Wlrmg 1000 Sq Ft
ResIdence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
DLS INVESTMENTS LLC
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
5796
In Person
Payment Total:
Page 1 of 1
9:30:39AM
Amount Due
1 17 00
4200
795
1908
1590
$201.93
Amount Paid
$201 93
$201.93
4/21/2008