HomeMy WebLinkAboutBuilding Electrical 2008-9-17
ZON 1.ll1'2..-
fNITIA~' _
~. DATE ~()~
~ SOURCE ~ )
rr~
,~. .. . ,~,,~~ III .
3. .~(f(jfMREE;jiETEEE!S€ifE5DfJbEiBEjj()Wjfi''f:~~ .....'~~.,. ,i/ti!!~
~~''''-''''~:~~':''''iv''''m:,..;;t''*''iCf~~-'-''''''''''<'''-'''''~"'--"''-,{:S1€H'~ -+~--,,- - .-~~
.2,5 FIHH STREET. SPRINGFIELD, OR 97417 . PII:(54I)726-3753 . FAX: (541)726.3689
ELECTRICAL PERMIT APPLICATI~~
City Job Number. CO "" Z-OOJ?~ () D . 7
1. . rJ2@€Aij;j()N?OFJINSTM!EA.F''''i.iioN)~~
~~t;j1'~,~.:;ji.~-.-.r""'"""'''"''~c~=;lf~\$;'f~~
cgqg S. 51!+- (YL..
LEGAL DESCRIPTION:
180ZDbZl
o 9700
JOB DESCRIPTION: , ( .
L Dl~ Uol'tv't) c
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~~1acToR'tfNsTAE12riToN70Nr;y~
2. !!j""'''''''o'''~'~'~''~'_'-''~_'=''"''',~$'''t,,,,d,'',
tff'=~""':;"'%;M~~S~'" = ~~___""~- ~ .--.....,_\!
Electrical Contractor 5e,,,cfi'f'.Ter' h .:.u-< (_
Address
(:;;J.fY,- JernhOlI / N,n
i
City O..,.,t;'..\
Phone . S.? I ..J p, 7, '?
Supervisor License Number .329.5 LEA
Expiration Date
/(') - Q~
Constr, Contr. Number
020 - '-1/(, CLF.
Expiration Date
7-09,
Stgnature of Supervising Electnctan
~
~~ "". ;:
Owners Name b T.s. .:J:v... ~f::"'! f-vIAe-O'\.1s
Address 2860 vl4 A a.."tu('1 p"" e:,- f1; t!"
City hAGrt:IVe Phone S/7-SSS0
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or ~e:~~ . ~
O.wners Signature: ~\ G:JO\9~
'\
''''''''00 R".", ,,.,,,, ~rorS\
Date
~~"""";;:p~t.j+!YEI'>t''''''~'7tA70:isril:1tV-'}'''~''P'''''-'W~~~t:"'l.,,.W~/lI''~'''
A. ~~~2:~~~Et;Q~J~1~,S!.~~~~mJ15J\It~a~~~H!ti'gflliU1\t~
Service Included
1000 sq. ft. or less .'
Each additional 500' sq.
portion thereof
$117.00
ft. or
$ 21.00
Each Manufact'd Home or
MOdular,pWe1)i;n.gl~~&YiOCe or $55 00 '
F d .. t, ;".." . r. .
ee er '-'1'1"'-'" 1.'..9$ ~ egan' .
. "'~'~d ,~
B. rs~~i~~~~~~~~~s?pg\i!{W,.~~qV{~~i",."'~. tr1Rl;11';.~1itii;'fir.~;';'.~
W);""lllil;Z..."mt:jt'der;"''''ljIl:;;~''ir'''' ''O~'''rrJ~ef!Jo'lJ>?l.!jrO~H~'''"''--''''
cfii!ino '/, !l)fiy Ob %ro es fir n Ul/II~
200 Wm~s flr less Cent tain cO'PlIg!) 04, >1 e s~17Br .
v,r fOl- er les' 90~
201 Amps te~uO'IA1l1!3r' (Note. I' Oft!)". "li'lPOtl
401 Amps to llJ&wrtrf1.~gaon Util!;;.e. te/edQIJlfiJI. byoo
0-33 ,Val.,,. on;
601 Amps to 1000 Amps <'2~A' IICBI/$ 80.00 .
. 'l 0:
Over 1000 Amps/Volts' .' $ 13.00
Reconnect Only $ 55.00
......,
~~''''~''I>'''''i;5:,iRlk',.:::1!I~_:,...~'':l1kU'''?:r.~~''''~;;~_-''::tav:,"'P~,M,,'~''S1!2;~--'~'..'~i' ~m~Ij"
C. '4Temp'otar,y,ISerJicesLor;!Feeders~~~"." "'~~,;, ."~" ,g:~;~iT.~~~~~!;,.;/
,t,SKi'l:'" ";"~_:.;l;:'e.:tMTc'''''''':~T~''''W'~iti~,:,:.r'''"''- ,,,,.,i,1'{ , 'fr~~-",1.~
Installation, Alteration or Relocation
200 Amps or less $ 55.00
20 I Amps to 400 Amps. $ 76.00
4No..~~600Amps . $110.00
ilt!:f,~l!Iivnt.or 1000 Volts see "B" above.
D lli1fi{jffl."},;""y~>!1I,~~~"f~71~~'.i.!l~.:f!-~~~1li;&\F
f::{{fN~~~l;r;l:;;;w;~~ "_~.t,~~
One rgpc().(J,y PF. ABAN[)O ~MIT IS lJJil! 00
Each AdditJOnar'~ or with NEIJ FOR to.
Service or Feeder PermIt. $ 4.00
, -
q~~?il-~Rf~YL"~~jfft_~~~'J?!~~~J'3'~fJ;~~;~~
E. ~Jl~l~~~~~~~)-S.~!~;2~~;W~u~~~~~~~l;-Y,,?J1:~rJ.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential / . $ 2(00. Z 'j
Limited Energy/Commercial ,$ 50.00
Min~:~:~~~~~~~~~~,~~.~~,~,~:;;urchargseS l
4. rf~JZ!J.~QI!~1~!~U~:~;jQ~~,;~i&".'~ -.i:~}k~~I~~~~~1'
,h"''''''''''''"''''''''''''''''''~'''~'"''''_'''''''.';;~'~''''~'~.~~,~m .,~":~."~', ' :,,,'co
8% State Surcbarge b lL(
10% Administrative Fee 570
5% Technology Fee Z ""'"
bb elf
TOTAL
. Shared Drive(T:)/Building Fonns/Electrical Permit Application '7-07.doc
CITY ,OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00969
ISSUED: 07/08/2008
APPLIED: 07/02/2008
EXPIRES: 03/17/2009
VALUE: $ 234,465.00
Status
Issued,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676.Fax
541-726-3769 Inspection Line
SITE ADDRESS: 848 S 31ST PL
ASSESSOR'S PARCEL NO.: 1802062109700
SPRINGFIETYPE OF WORK: Single Family Residence
Residential
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence Lot 5 Nittany Meadows
Owner: DJS INVESTMENTSLLC
Address: 2860 MARTINIQUE AVE
EUGENE OR 97408
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
I es"uu ..,
w lequ I 1 'lij
, Contractor -r ~;ilOl't oregon ~a. the OlegO~~hfIC
DJS INVE~~113'il:~b.ll:OPte~hJse {\lIes ale l1i fl.
BOB FISHII9\l1It((j)~'OthloughOAR. eibY
SECURE~ ~2_001-0 'nCOpiesol\M It
MARSHA' lr.'~ou ll\a~ o~t~ {Note: the \el: a=c&lon .
JAMMAL ~a1iif\~.tr:. ~~~ ~:'e~,~~_~~~~V.'s8262 ..
nLl(l\l,ll~(;~FORMATIONI' .
# of Units:
Primary Occupancy'Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of_Stories: _n'<1' .,;~~L:\," 1 ~ - 2
'Height,ofStructUre " . 28,00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building: No
I
R-3
U
VB
3
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
13.40
16.90
9.00
20.00
15.80
I DEVELOPMENT INFORMAT; ~~
~01\C~~' v 'I~ ~'12.~:~lJ\\i" \\tl1
1\'1\'5 PE'jJ.~ ~U!~:oO~~O fO" I
~1J1\'10 \l;1X'\~~~~ Yes
COWlWlt'i-\\lEDo't't{l.'O'I'~e: . 24.40
f>.1'1'l1~Q Ot<.'l P
I PUBLIC IM~~OVEMENTS I
. Street Improvements:
Storm Sewer Available:
Special Instruction:
/",>-
Expiration Date
10/09/2008
01/25/2010
08/08/2009
12123/2009
01112/2010
Phone
541-485-2655
541-689-7973
541-521-2837
541-747-7445
54 I -484-7440
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,021
858
793
630
414
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
. Yes
Sidewalk Type:
Downspouts/Drains:
. Curbside 5'
Curb and Gntter
Notcs: Stormwater to weep hole in curb.
'Pa2e I of4
Status
Issued'
225 Fifth Strect, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
DwelIines
Gara!!e
Fee Descriptiori
-Mecb Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcbarge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
. Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exbaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Overwidth Application Fee
Plan Review Major - Planning
Plan Review Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sen'er - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit '
Storm Drainage Impervions Area
Storm Sewer Each AddtlIOO'
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00969
ISSUED: 07/08/2008
APPLIED: 07/02/2008
EXPIRES: 03/17/2009
VALUE: $ 234,465.00
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
2,065.00
630.00
Value
Date Calculated
$216,825.00
$17,640.00
$234,465.00
07/02/2008
07/02/2008
Total Value of Project
I 0, F~p~ P1W
Amount Paid
Date Paid
Receipt Number
$40.00
$193.49
$216.02
$111.36
$337.00
$35.00
$7:00
$14.00
$1,106,14
$88,00
$7.00
$10.00
$134;75
$14,00
$5.00
$40.00
$211.00
$718.99
$117.00
$84:00
$610.06
$802.29
$10.00
$1,009.17
$97,90
$149,85
$888.98
$201.54
$72. 79
$88,00 .
$832.76
$16.00
$55.00
$28;00
$2,513.00
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
2200800000000001034
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08 .
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08.
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00969
ISSUED: 07/08/2008
. APPLIED: 07/0212008
EXPIRES: 03/17/2009
VALUE: $ 234,465.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
$5.20
$6.24
$2.60
$29.00
$23.00
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
1200800000000000982
1200800000000000982
1200800000000000982
1200800000000000982
1200800000000000982
Total Amount Paid
$10,931.13
I Plan Reviews ,
Plannin2 Review 07/0212008 07/02/2008 APP TAJ
Pnblic Works Review '07/0212008 07/02/2008 APP LKW Stormwater to weep hole in curb.
Structnral Review 07/07/2008 07/07/2008 APP DLM See documents for Plan review
comments.
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.
~eouire-Unsnections _
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected bnt prior'to placement of concrete.
Cnrbcnt - Standard: After forms are erected bnt prior to placement of concrete.
Ufer Electrical Ground: Install gronnd rod at footing and call for inspection in conjunction..witb.footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but pr~or to concrete placement.
Post and Beam: Prior to tloor insnlation or decking.
Floor'Insu~ation: Prior to decking.
She~r Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and -after all rough in inspections have been approved.
Wall Insnlation: 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 Bnilding: After all reqnired inspections have becn requested and approved and the building is complete.
Undertloor Plnmbing: Prior to insulation or decking.
Pa~e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00969
ISSUED: 07/08/2008
APPLIED: 07/02/2008
EXPIRES: 03/17/2009
VALUE: $ 234,465.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Irispection Line
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing. ,
Water Line: Prior to' filling trencb and including required testing.
Sanitary Scwer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and inclnding required testing.
Underlloor 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 attacbed 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 tbis point.
Rougb Mecbanical: 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: Approva! 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 tbe completed application and do bereby certify that all
infol'mation hereon is true and correct, and 1 further certify that any and all work performed shall be dOlle 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 furtber certify that only contractors and employees wbo 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 tbe front of the property, and tbe approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of4
225 Fifth Street
Spring~eld, Oregon 97477
541~ 726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00969
COM2008-00969
COM2008-00969
COM2008-00969
COM2008-00969
Payments:
Type of Payment
CreditCard
.J
cReceiotl
RECEIPT #:
Date: 09/19/2008
1200800000000000982
Description
+ 5% Technology Fee
+ 12% State Surcharge
+ lO% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
CINDY GERMAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
21913A In Person
Payment Total:
\
Page 1 of 1
10:01:02AM
Amount Due
2.60
6.24
5.20
29.00
23.00
$66,04
Amount Paid
$66.04
$66.U4
9119/2008