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HomeMy WebLinkAboutPermit Electrical 2009-4-28 ~ 1-4-\ Aoo~CZ'I ~ 225 FWfH STREET. SPRINGFIELD, OR 97477 . Pl1:(541)726-3753 0 FAX: (541)726-3689' ELECTRICAL PERMIT APPLICATION City Job Number COvV'1z.cog-~OC '70 Date 1. ~i:.oGJ11wN7i5JliiNs.,w.T:AE.'r~.=., FEr.i' rI1"ON!!11lI 3. >Ji.'rJ~;m"4;-~aLa'0{\',"#~ijrtl!i.$t"1K'.Et};Wt~~1i~:' ^'~, ' g''tO $ 3/::' I'L Lj8'ZS06TENj 6 ?800 JOB DESCRIPTION: ;/O~::. (" WI tUF 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. Electrical Contractor ;3 () 5 n 7 It e-v- n L..:/!'2. J ~ Address / 'f, I) r.[ 11/ '1 t<'~i.M/ ? 70'l'C. City brx1 "'-:.. Phone b;;y 7~ 73 i-fiJ1C- b "61 {pD 'I!" Supervisor License Number ''7 9 /S 5 Expiration Date /O-i o~ (0 Constr. Contr. Number 9/, <2-7"). Expiration Date ) ()~ ) 0 - D '7 Signature of Supervising Electrician tAiLJ .JJ ~~.I tlA/ ~;h r C~ .J(Lv.c...-ho-. Address z.. 866 n/A t-r-INI ~'^C City f-:--U6-t!"H~ Phone' 517- 5S SO Owners Name OWNER INSTALLATION The installation is being made on propertY I own which is not intended for sale, lease or rent. oWners Signature: .~ g)~' ~~~ "rv Inspection Request: 726-3769 A. Service.lncluded 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof . Each Manufact'd Home or Modular Dwelling Service or Feeder Il~ ~OO ;tr $)1".00 !-.sf 5t> I 2- $55.00 B. 200 Amps or less . 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 1000 $ 55.00 $ 76.00 $110.00 D: New Alteration or Extension Per Panel One Circuit Each Additional Cir_cuit or with Service or Feeder Permit $ 48.00 $ 4.00 E. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 . Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges /Be( 2-Zo~ 4. 12% State Surcharge t6-/o Al~.~'inniSti'at1\reFee 5% Technology Fee ~.&o Z! 'S" z '8 r TOTAL Shared Drive(T:)fBuilding Fonns/Electrical Penn it Application I-OS.doc CITY OF SPRINGFIELD .Building/Combination Permit Status Issued PERMIT NO: COM2008-00970 ISSUED: 07/0712008 APPLIED: 07/0212008 EXPIRES: 10/13/2009 VALUE: $ 180,830.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 840 S 31ST PL ASSESSOR'S PARCEL NO.: 1802062109800 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: Address: KAST CONSTRUCTION INC 2860 MARTINIQUE AVE EUGENE OR 97408 "..........lirp!=; \rau to ",,1T\ON: ure!,Ju".'-.;~^ A,pnon unl\lY to~J.~ONmR>Pi~iI'OR 'INFORMAifI0Nt rt~ NotiticatiOn \.>ell'o,"' 6\h,ough OI\K ~o.~~vv1 .. Contractor in OAR 952-001-0g: 'n copies cLtcense's by EXPiratIOn Date DJS INVESTMW[!lS,Dta may Ot ~I (Note', thH311~'i4hone 10/09/2010 BOB FISHER ELEGliiRrC\lNC9n ~;egon Utilit\96i?/shcatlon 01/25/2010 MARSHALLS IN{J)Jmber tor ~~~iS 1_800-332-215790 12/23/2009 JAMMAL INC Gen 158262 01/\2i2010 Phone 541-485-2655 541-689-7973 541-747-7445 541-484-7440 Contractor Type General Electrical Mechanical Plumbing I. BUILDING INFORM.~,\IONJ # of Units: Primary Occupancy Group: Secondary Occupancy Croup: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 # of Stories: R-3 Height of Structure 22.00 U Type of Heat: Forced Air Gas VB Water Type: Gas NOTICE:,:~n~.~}J~eh:cXPIRE IF THE ,*~K 3TH1S PER~':i1\e.r,,~~~t '.=." co PERMIT IS, NOT ^ UTHORIL~JIB~!td_Bulllllng, (1\:.0 " . ,_ . n "lnnM~lI F iR " ,.. ~~ R' ".. L.... ........ '" ',OJ' ,..- '.'\I"DEVEtOP,MENiMNFORMATlON I ,".\~'j I 'v........... -. Lot Size: 5,073 Sq Ft 1st Floor: 1,523 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gai.age/Carport 475 Sq Ft Other: Occupant Load: REQUIRED PARKING Front yard Setback: Side 1 Setback: Side.2 Setback: Rea rya rd Setback: Solar Setbacks: 13.00 5.60 5.60 19.40 1.88 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: / 2 Yes 39.70 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Stormwater to weep hole in curb. Page 1 of 4 _S1'?RIl'Jil1!el!l-_tiI. f, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descrintion Tv De of Construction A.C. - Residen Dwellings Garage AC - Residential V Wood Frame Garage Fee Descriotion -Mech Iss 2+ Appliances- + ] 0% Adminislrative Fee + 12% State Surcharge. + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 htu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential Sanitary Sewer - Improvement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Are~ Vent Fan Water Line - Each AddtllOO' Willamalane Single Family + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee I Val~aH?n Desc~i~tio~, I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 1,523.00 1,523.00 475.00 Total Value of Project lip,,<, p~~ Amount Paid $40.00 $138.67 $154.42 $83.69 $280.00 $35.00 $7.00 $14.00 $912.82 $88.00 $7.00 $10.00 $99.90 $14.00 $5.00 $211.00 $593.33 $483.84 $10.00 $1,009.17 $97.90 $636.30 $144.85 $888.94 $201.54 $73.29 $88.00 $1,035.00 $21.00 .$16.00 $2,513.00 $5.20 $6.24 $2.60 Date Paid 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 . 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 7/7/08 8/26/08 8/26/08 8/26/08 Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00970 ISSUED: 07/07/2008 APPLIED: 07/02/2008 EXPIRES: 10/13/2009 VALUE: $ 180,830.00 Value Date Calculated $7,615.00 $159,915.00 $ 13,300.00 $180,830.00 07/07/2008 07/02/2008 07/02/2008 Receipt Number 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 2200800000000001032 3200800000000000605 3200800000000000605 3200800000000000605 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00970 ISSUED: 07/07/2008 APPLIED: 07/02/2008 EXPIRES: 10/13/2009 VALUE: $ 180,830.00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Low Voltage - Residential Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $29.00 $23.00 $22.08 $9.20 $134.00 $50.00 8/26/08 8/26/08 4/24/09 . 4/24/09 4/24/09 4/24/09 3200800000000000605 3200800000000000605 1200900000000000298 1200900000000000298 1200900000000000298 1200900000000000298 Total Amount Paid $10,193.98 Plan Reviews , Plannin2 Review 07/0212008 07/02/2008 APP TAJ Public Works Review 07/0212008 07/02/2008 APP LKW Storm water to weep hole in curb. Structural Review 07/0712008 07/0712008 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. ! Rp'\I~rti?HJ 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. Dfer 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 nODI' insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing.: Before covering sheathing with tinish 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 heen requested and approved and the building is complete. Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00970 ISSUED: 07/07/2008 APPLIED: 07/02/2008 EXPIRES: ] 0113/2009 VALUE: $ 180,830.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underlloor 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. Underlloor Mechanical. Prior to insulation or decking and including 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 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. Rough Electric: Prior to Cover Electric Service: Approval req~ired 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 ,\-'fjth the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCV 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 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 ofPlan~~re7 the site at all Von=:n. . 1P V dV( v v Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Serviccs Departmcnt Public Works Department Job/Journal Number COM2008-00970 COM2008-00970 COM2008-00970 COM2008-00970 Payments: Type of Payment Check cReceintl RECEIPT #: 1200900000000000298 Date: 04/24/2009 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge c Paid By DJS INV LLC Item Total: t:heck Number Authorization Received By Batch Number Number How Received 6207 In Person Payment Total: CJC Page 1 of I 11:19:07AM Amount Due 134.00 50.00 9.20 22.08 $215.28 Amount Paid $215.28 $215.28 4/24/2009