HomeMy WebLinkAboutPermit Electrical 2008-8-4
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COMPLETE FiE"SCHEDuiE BELOW
225 FIFTH STREET. SPRINGFIELD, OR 97477 , PH ("1)726-3753 ' FAX (541)7263689
ELECTRICAL PERMIT APPLICATION
CIty Job Number COM ~D8-- oC 3. ., I
200 Amps or less
201 Amps to 400 Amps~-
Addless I./-lo8S L ~A13t::(...l.E. sr-R.E.€T 401 Amps to 600 Amps
r./1/1 601Amp'~~
Phone ~~.ih~i~1il(lDre~~~~lWtl\1ty $37500
iollOW rules adoP~R.fii1b~fU19~llIreaet~rth $ 50 00
N t f cation Center. 0 It OAR 952.001-
3 ~ I ~~1952-001-00~~j~~~oHI~~lt,~~idllt~~i,~~~~~,~~1I
fOIl may Ob....O \Nt<. -'tillepIlOll8 # "T"'~'" b'4XD4~'. 1\'1'",' . ~~,.t ._.~
) I 0090 center (Note: th~e
II I \0 ca\h~g tre the ~~\1\11l or elocatlOn
IIU...waf- 01 \ .~~ .;'n"-.'I92.iY.W4
Center a~1)rnSs-
Cousl1 ContI Number IOy..q ~Cj 201 Amps to 400 Amps
3(';;; /..., 0 \ 40 I Amps to 600 Amps
EApuatIOn Date lb- Over 600
New AlteratIOn 01 El.tenslOn Per Panel
One CrrcUlt _ 43 00
~!l.~~dltIOnal Clrcu:!.~~1\\t~ I'<<
-h rJ.s. NO'~oJI FC_~\"_~~ WI\"{ \S """ 3 00
Lve. ~ 'f~\~f:t~t>A!tlt.\~~.;{\\~S~~~t:t'I fO~''''"'''"'~'::;l'r'1J.;:'''W
.Af A a... -trtV' I Q.~ ~U~\\W.[6"!Q,,'\~:t\tJji@'~1!OJ.~:~!~,;tW~~e:~~!;J;JJ~'t1~~~
Phone q. K ~ -CbS") C~~~~'tJJ<<t~i.~\Oo. $ 50 00
~lIT1llle LIghtlllg $ 50 00
L,m,ted EnelgylResldentlal $ 25 00
LImIted Enelgy/CommelClal $ 45 00
Mmlmum ElectrIC PermIt InspectIOn Fee IS $;15""00 + Surcharges
<1"' f~' " "', ~"~ n "' ,""Ii "#.so,' r 8D
4 \i'SUBTOTAL>OF ABOVE 'Ti~,,1;';;l'<"~if,w' /
lZ S """M' ::tor; 0!1i:ld:"%/~'~ !t.~tfJ;7 ,tik.,.E.W'f; #ft~~ ;r -fl.z,p.c ':r \ . ~
!J?o State Surcharge Z' l>
10% I\dmlllIstratlve Fee I~
5% fechnology Fee ,
bO
ZZ.B -
, ~....y~ ~ ~ ~" ~ ~ r",,,-v,,~~, .......\ '" c>t
1 _LOCATION, OF INSTALLATION ~: -~.' ' :
5"~(;' - "5.' 'j,/s.f'" A iJ[
LEGAL DESCRIPTION
180 z.of,Z-(
o 1100
JOB DESCRIPTION
f/ov.. S e'
wliL~
Permits are non~transfel able and expire If WOl h. IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 davs
; ~~"Xm"'4'''4C!!,;,.... ~l;$: Tii~fY _'-~~0"N'~~:j';v;"'.J,~'"4tm^' r\,~yq"'" ~%Wf t 1
,CONTRAGTORINSTALE:ATION ONL%:',
2 "'JP<;t-;':)"f4P&;1ii;:.~t$-~\~,,+~rj _"''Wr''J-~';l& "'*lil1if'j~it.(*r~
ElectrIcal ContlactOl '5'13 I6LEc..'T~1 ( I"-I(
Clty EUbp..A)f;.
SuperVIsor LIcense Number
ExpnatlOll Date
lClan
/
Owners Name 'b r .s
Addless Z8f.o
CIty
~
OWNER INSTALLATION
The rnstallatlon IS belllg made on plOpel1y lawn whIch
IS not mtended for sale, lease Of rent
Owners SIgnature
InspectIOn Request 726-3769
Date
-'
" '
. "
~ J" ~
A
H "r ,,, ~'w '" ,.J .. ~ , ,
Nc" Resldentlal- Srngle or Mull1-Fanlll1 per d"ellmg UIllt
... " l' M"J ".::;,.... 1"
Senlce Included
1000 sq ft 01 less
Each addlt!onal 500 sq ft 01
portIOn thereof
Each Manufac['d Home 01
Modular Dwellrng SerVIce or
Feeder
I
:3
$'T'0'600
$~O
L/7
b3
$5000
B
?,:~,%\~lr4"'J?~ -;,;.~"'" Ji <<t;VIiiP ;p}~~ ;,:- '?f.:~I~~~lij'~~"',1}~~~~
lceS?of/Feeders:::! In"taILlLlOn~' Altel ahons or:fJ~,-elocatlOn W;',!
';.- ^'~/ -;it..."';(io", .}^' 'tJ0~ ,"-reit A,~ ~'t !f"il:{iJt~~...P 1~j-"It'~*'j~~g;,~~~'\,.q"l(\
$ 63 00
$ 75 00
$12500
$16300
$ 50 00
$ 69 00
$100 00
D
TOTAL
ShaJ ed Dnve(T )/BUlldmg Fonns/Electncal Penmt Application 8~06 doc
_...".."~ fii
~~-
.. I
ai
CITY OF SPRINu.l'1J<.,LD
Building/Combination Permit
Status Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO' COM2008-00391
ISSUED: 04/01/2008
APPLIED. 03/24/2008
EXPIRES: 12/10/2008
VALUE. $ 180,330.00
SITE ADDRESS 836 S 31ST PL
ASSESSOR'S PARCEL NO 1802062109900
SprlOgfield TYPE OF WORK SlIIgle FamIly ReSIdence
TYPE OF USE New ReSIdentIal
PROJECT DESCRIPTION Smgle famIly reSIdence - Nlltany Meadows lot 7 SAME AS COM2007-00870 802 S
31st
I DEVELOPMENT INFORMATION'
~~ ~01''t.
~~~~l Dlst , tfS"1't \t ~\i ,S "Oi
l\~II~~\. \\\s \,t.t\ ,,~0?-
'tJ(~~ ~t.? \~"UO~~VYes
~~"t~'t e~C\S r>: 40 50
~n\J\~t.~~~" \'t.?\O~'
IPUBL~~PUOVEMENTS'
Owner DJS INVESTMENTS LLC
Address 2860 MARTINIQUE AVE
EUGENE OR 97408
I. CONTRACTOR INFORMATION ~
Contractor License
DJS INVESTMENTS LLC eO.U\16S~OU \c:., 131714
JB ELECTRl <; ~egOI\ \ 0.'#. ~6 016g01\ ~~~ot\\\ 104929
M~'!ll Wted b~ ~ lu\es ale ~~Z,()O,\. 25790
E@.~Effi~ ~~;&,~~l}!'l'j.h\l!~138003
~Otl\~~~52'()O\-OJ;:.B~~Nti.l~~~Mf.r.ION ,
\1\ 0 Q '(AU !l\e.~ ~t61. \W.. I\~'i tlo"\\'-
# 01 V mts 009ai\\l\g 1t6 ce 6 o,e~'Sl~~A4). I
Pnmary Occupancy Group C !l\~fjOI tn, IS \~i!1il of Structure 1900
Secondary Occupancy Group {Ill Gel\te Type of Heat Forced Air Gas
Pnmary ConstructIOn Type VB Water Type Gas
Secondary ConstructIOn Type Range Type Gas
# of Bedrooms 3 Energy Path Path I
Spnnkled BUlldmg nla
Contractor Type
General
Electncal
Mechamcal
Plumbmg
Front yard Setback
S,de I Setback
S,de 2 Setback
Rearyard Setback
Sola, Setbacks
1800
600
630
1500
380
Street Improvements
Storm Sewer Ava,lable
SpecIal InstructIOn
ExpiratIOn Date
10/09/2008
03/14/2010
12123/2009
04127/2009
Phone
541-485-2655
541-687-5770
541-747-7445
541-988-0868
Lot SIze
Sq Ft 1st Floor 1,507
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gar agelCarport 520
Sq Ft Other
Occupant Load
REQVIRED PARKING
Total 2
Hand,capped
Compact
Fullv Improved
Yes
SIdewalk Type
Downspouts/Drams
CurbSIde 5'
Curb and Gutter
Notes Stormwater to weep hole m curb
Paee I of 4
_"~NO.~
war
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DeSCrIotlO1l
Tvpe of ConstructIOn
A C - Reslden
Dwelhnes
Garae:e
AC - ResIdential
V Wood Frame
Garaee
Fee DescnptlOn
-Mech lss 2+ Apphances-
+ 10% AdmmlstralIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family
AddresslDg A>Slgnment
Apphance Vent
BOIlerlComp Up To 100,000 btu
BUlldlDg PermIt
CopIes - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut PermIt
Dryer Vent
Exhaust Hoods
FIre SF Fee - ResIdential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan ReVIew MaJor - Planmng
Plan ReView Same As
Samtary Sewer - Improvement
Samtary Sewer - Reimbursement
SDC MWMC AdmlOlStratlOn
SDC MWMC Improvement
SDC MWMC RelmbUlsement
SDC Samtary/Storm AdmlD
SDC Tran,po Improvement
SDC Transpo ReImbursement
SDC TransportatIOn AdmlD
SIdewalk Permit
Storm Dramage ImpervIOUS Area
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
Vent Fan
Wlllamalane Smgle Family
I ValuatIOn J)e.~crlDtron I
$ Per Sq Ft
or mulllpher
$500
$10500
$28 00
Square Footage
or BId Amount
1,50700
1,507 00
520 00
Total Value of ProJect
Fpp< PlIWJ
Amount PaId
$40 00
$14145
$15758
$8441
$280 00
$35 00
$700
$1400
$884 18
$1250
$075
$85 00
$700
$1000
$101 35
$1400
$500
$205 00
$220 00
$469 29
$61717
$1000
$990 39
$95 35
$13943
$862 25
$195 48
$7145
$85 00
$977 65
$1600
$55 00
$2100
$2,513 00
Date Pa,d
4/1/08
411108
411108
411108
411108
411108
411108
411108
411108
411108
411108
411108
411108
411108
411108
4/1/08
411108
411108
411108
411108
411108
4/1108
411108
4/1108
4/1108
411108
411108
411108
411108
411108
4/1/08
4/1108
411108
411108
Paee 2 01 4
CITY OF ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00391
ISSUED: 04/01/2008
APPLIED' 03/24/2008
EXPIRES' 12/10/2008
VALUE' $ 180,33000
Value
Date Calculated
$7,53500
$158,23500
$14,56000
$180,330 00
03/24/2008
03/24/2008
03/24/2008
ReceIpt Number
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
1200800000000000297
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00391
ISSUED 04/01/2008
APPLIED. 03/24/2008
EXPIRES: 12/10/2008
VALUE: $ 180,330.00
225 FIlth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
ReSIdence Wiring 1000 Sq Ft
ReSIdence Wiring Ea Addtl 500
$1800
$2160
$900
$11700
$63 00
7/30/08
7130108
7130108
7130/08
7/30/08
1200800000000000824
1200800000000000824
1200800000000000824
1200800000000000824
1200800000000000824
Total Amount Paid
$9,651 28
I Plan RevIews I
Plannme: Review
Pubhc Works RevIew
Structural RevIew
03/24/2008
0312412008
0312412008
03124/2008
03/2412008
03/24/2008
APP
APP
WE
TAJ
LKW
DLM
Storrnwater to weep hole ID curb
Truss dr awmgs do not match
constl uctlOn dwgs Contractor to
resubmtI truss drawmgs 3/24/08dlm
Structural Review
03/25/2008
03/25/2008
APP
DLM
ReceIVed revised Truss drawmgs
3/25/08dlm Approved as noted on
the Plans
To Request an inspectIOn call the 24 hour recording at 726-3769. All mspectlOns requested before 7 00
a m will be made the same working day, mspectlOns requested after 7'00 a m WIll be made the following
work day
I Rpm~..n~~tJow
S,te InspectIon To be made after excavahon but pnor to setlmg forms
Ufer Electncal Ground Install ground rod at footIng and call for mspectIon m conJunctIOn wIth footmg andlor
foundatIOn IOspectlOD
Footmg After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Prior to floor msulatlOn or deckmg
Floor Insulation Prior to deckmg
Shear Wall Nallmg Before covermg sheathmg with fimsh matenals
FramlOg Inspechon Pnor to cover and after all rough m mspectlOns have been approved
WalllnsulatlOn Pnor to cover
CeIlmg InsulatIOn Pnor to cover
Fmal Bulldmg After all requIred mspectlOns have been requested and approved and the bUlldmg IS complete
Penmeter FoundatIon DralOs After gravel and filter cloth IS mstalled but pI lOr to backfill
Vndertloor PlumblOg Pnor to msulatlOn or deckmg
Underfloor Dram Pnor to cover or placement of concrete
Paee 3 ot 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00391
ISSUED' 04/01/2008
APPLIED. 03/24/2008
EXPIRES: 12/10/2008
VALUE. $ 180,33000
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Water Lme PrIor to filhng trench and mcludmg reqUIred testmg
Samtary Sewer Lllle PrIOr to filling trench and mcludmg reqUIred testmg
Storm Sewer Lme Pnor to filhng trench
FIOal Plumbmg When all plumbmg work IS complete
Undertloor Mechamcal Pnor to msulatlOn or deckmg and mcludmg leqUlred teshng
Rough Ga, After hne IS IOstalled and I eqUlred testmg and capped If not attached to an apphance
Gas ServIce Alter hne IS mstalled and hne has been connected to a mlmmum of one apphance mcludmg reqUIred
testmg Presure test done at thIs pomt
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to uhhty company energlZmg ServIce
Fmal Electnc When all electncal work IS complete
Hold Downs Installed Special InspectIOn performed pnor to placement nf concrete ProvIde report to CIty
BuIldmg Inspector
By sIgnature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and the La"s of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure w,thout permISSIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety
llurther cert,fy that only contractors and employees who are m comphance WIth ORS 701005 wIll be used on thIS proJect
I further agree to ensure that aliI eqUlred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the pel mlt card IS located at the front ot the property, and the approved set of plans wdl remam on the site at all
times durmg constructIOn
Owner or Contractors Signature
Date
Paee 4 of4
225 Fifth Street
Spn~gfield, Oregon 97477
541-726-3759 Phone
~::""''''G''~~
*1
.'
, -w "" -
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00391
COM2008-00391
COM2008-00391
COM2008-0039I
COM2008-0039I
Payments
Type of Payment
Check
cReLemtl
RECEIPT #
1200800000000000824
Date. 07/30/2008
DescnptIon
Residence WIring 1000 Sq Ft
Residence WIring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
DJS INVESTMENTS LLC
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How ReceIVed
dJb 5933 In Person
Payment Total
Page 1 of 1
92918AM
Amount Due
11700
6300
900
2] 60
1800
$228 60
Amount Paid
$228 60
$228 60
7/30/2008