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