HomeMy WebLinkAboutPermit Electrical 2009-8-27
225 Fifth Streett Springfield, OR 97477 + PH(541)726-3753. FAX(S41)726-3689
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~:vj';c'DEPARTMEN;r,lUSEiON~Y.~
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I Date: ~-7 7- 0 9 I
Electrical Permit Application
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This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
1~I!Qb:A,:!"!i,[G(j)JEBNME~lT;lf~~R~ov~~l ~~~~~lit~fiEE~ JI;1!lE,Q19~g~~~
f~;~~i~~~~~~~(jF.[ciN~J~R~,Qm'Q~~1!~~j rt~ ~ITtli~~llIill~~tl
I ~ I I Residential, per unit, service includ~d: I
~~~~:"~~~~;;';~~~~M I ;;:~;:;:'~:o(~a m~."" . ;':::: I
I City: Sr-Fb I State: c.KL I ZIP: ~7c.r771 1 Limited energy(2) $ 32.00 $ 1
f~=~~;G~liJ~~(jF~WJ.~~~~~i II ~~~71~:"S~~~~~r~~ ~~~~r (~)lOdular. ,$ 63.00 $
I I eM rO P"l..Itrt. ONl.y 1 Services or feeders: installation, alteration, relocation
f~~:AWi$riiiN~j~BRO~EBil1Y,(OWNER~17,,~~~~~ij ~~~ ::;oo~:: ;~~ ~ ::::: ~
I Name: "'b1\v Il~ 'h" ~e-'S . I 401 to 600 amps (2) $158.00 $
1 Address:::PO ~6,K 710 9 S- 1601 to 1,000 amps (2) $205.00 $
I City: l:c.A.~t:::Ne:- 1 State: c:>(L 1 ZIP: r7CfOll lOver 1,0,02 amps or volts (2) $469.00 1 $ 1
I Phone: -Sz..O -ZZ' S-I Fax: . . ,el:\'ikKecbq\!,~!;gnlY (2) . , ,$ 63.00 1 $ 1
._,..1 10'""UI' . t_~r(\ 1
I E-mail: . O~e901\ ,.... \\le v' ~~,!!1P,2r:ar:t~e.rvices or feeders: installation, alteration, relocation
. . ... _.'P....,:."";',"N._ m_~...:r\ b\l \ \\el'200 amps\)rless (2) I b 'C"f
TIns mstallatIOn IS bemg made on res,li!enl1al,<;>refaml'Ptoperty)Se \\ ',....,. ~ ,~~ m $ 63.00 $. ~
owned by me or a member of my immjloiiite' famiIY?'fliiS', a \\\!Oll: \ slc2o'Nh '.laD amps (2) $ 87 00 $ I
rty. t't d d' I h' "r:!,H\!\' '''t')OAR ne ,....1'"",::.1. ..
prope IS no men e .Lor sa e, exc ayge" ease,J2,r~ren. , ,"JOy 'I n \".1'-' ,\\0\\ I
479.540(1) and 479.560(1). '.' O/'.?- go~ a'j o'Ow" '\'\0\',.... :~0,h!?3;00amps (2) $126.00 $
III 'lOll (l\ lite!" ')\1 ". ,
. Signature: 0090:,.,,,,, \\\e c,~~ o!e90~ ?' ,Q'i.e,r600 amps or 1,000 volts, see services or feeders section above I
,li:'imi,li;!irilil~AC:(')NmM.Cjll~B~If'l$m;.:xl!~~mION~'W:iI ' Branch circuits: new. alteration, extension per panel I
I Business name: E AS rs/ DE E'C(c. TYe'''( I I. a, fee for branch circuits with purchase ofa service or feeder fee: 1
I Address: 3 'i).2.S'j <g05CAG.rc (;^NC. 1 1 Each branch circuit 1 $ 6.001 $
1 City: 5fJ?LD 1 State: Oft... I ZIP: C,7Y7"61 I b.Feeforbranchcircuitswithoutpurchaseofaserviceorfeederfee:
I Phone: - 7 Y ( . I V 91 I Fax: - 7 36- V % 0 I I First branch circuit (2) $ 55.00 $
I E-mail: R/c K G ^.5 T S (0 E. ~ 'r ~ N 0 b ,C 6 Mil Each additional branch circuit $ 6.00 $
I CCB license no.: I / 7770 1 BCD license no.::; 0 ~ V 0 S'c I 1 Miscellaneous fees: service or feeder not included
I Signing supervisor's license no.: t.f 7). 7 s 1 1 Each pump or irrigation circle (2) . I $ 63.00
. I Print name of signing supervisor: f< 0 c; f I( I( 1 AJ G- 1 1 Each sign or outline lighting (2) $ 63.00
I Signature of signing supervisor' IlJ ,- , . }./ ~ I I Signal circuit or a Iimi!~d\ener~anel, $ 63.00 I $
., IYVV' v- 'f alteratIOn, or_e.-xtreSlPp,(2loj~,"1"
J ~'"''l'\''' \. .,. I" "k'. I
'Ql\Ct:. J'.i'f'1.aJl~itioni'.ljp~IiMtio:n: (.) $58:00 $
~'rIIS r't.\'I\<J\I"6 ~ r~~~'Fl,~~~ANff>lfl:iS~~.J,,'m~~:
p.,\)\'rIOr',11t. C '~~~ IEn~~fuh'i~~ of above fees I 67
CO\<J\\<J\t.\'\Ct.~ ~~!~lg.';lm Permit Fe. $S8.00) $ ~
p.,\'\'1 ,\\)0 D (B) Enter 12% surcharge (.12 x [A]) $ 7Sbl
1 (C) Technology Fee (5% of [A]) $ .s I.>]
1 TOTAL fees and surcharges (A through C): $ 73 Zi
$
$
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440-2584-J (9/08/COM)
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Iuspection Line
PERMIT NO: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
11/] 2/2009
$ 205,3]2.00
SITE ADDRESS: 748 28TH ST 750
ASSESSOR'S PARCEL NO.: 17033611 I 1300
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Duplex
Owner: DUKES DAVID E & LAURIE S
Address: PO BOX 71095
EUGENE OR 97401-0182
Phone Number: 541-988-0906
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor License
DUKES AND DUKES CONST 65060)
EASTSIDE ELECTRIC INC \eo.u\\es llrV:7o~
PACIFIC AIR COMFORT IN,C;;.o\\ I'O.~"B 0\e9_~~~f}70~~_
.,--,...., - . _" u. ."..... ~ .~...v-
/>-"e"I' BUlLDING;INEORMAif>lONl,es 'o~
'IO'/'llv- ce\\'v'-,O\~\VV,- o\"OV ....o\\e
\0' '1\0\\ . .(\(), ?\es lele?" r
t-.\ol\\\O'O. S'2.I()O~.~~g~iJ;~;~~\e" Ine \\\\0'0.\\0 2 /
R3\\\ O/>-"" ~ou ~el~~~\'?,tStructe~~,I~ \'>\~\. 24.00
U 0090.. "1\l:\YP.~gf<!;I..ap\\ .'.)'.)'2..'2.?l'WaIl Heat
VB 0'0.\\\\\'" W,iJterType:,OO Electric
((\be~ .' . tO~ ,':;.. . .
\\u Bange Type: Electric
Energy Path:
Sprinkled Building:
Expiration Date
03/16/2011
10/04/2009
03/25/20 I 0
Phone
541-747-3130
541-915-9828
541-672-9510
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction Type:
# of Bedrooms:
4
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
976
920
460
n/a
I DEVELOPMENT INFORMA nON I
. REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25.00
8.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
3
Yes
26.70
Total:
Handicapped:
Compact:
4
21.00
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk- TvPi';.\C \)IJOI'\\\
FuIl" Improved NOi\Ct'. , r~?\lit-\, ,;''" IS NO\
Storm Sewer Available: Yes IS ?EI'\MII S\-Ifl,\.DO"'~~Bo:-UtSlDrainO?'
Special Instruction: ,%\\-IOI'\I7.EDDU~~~; fl,Bfl,NDONEDf
Notes: Storm drains to private storm sewer as proposed. COMMEN~Efl,,< ?EI'\\OD.
fl,N'< i80
Curbside 5'
To Storm Sewer
Paee I of 4
Status Deferred Payment Agreement
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: COM2009.00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation Oescrintion ~
Description
$ Per Sq Ft
or multiplier
$1.00
$102.72
Tvpe of Construction
Bid Amount
SFIDuplex
Use Bid Amount
R-3 V A 1&2 Familv
Square Footage
or Bid Amount
10,556.00
1,896.00
Total Value, of Project
f~m~
Fee Description
SDC MWMC Administration
SDC MWMCImprovement
SDC MWMC Reimbursement
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
$10.00
$2,018.34
$195.80
$7.56
$3.15
$63.00
Total Amount Paid
$2,297.85
Date Paid
8/25/09
8/25/09
8/25/09
8/27/09
8/27/09
8/27/09
I Plan Reviews I
Initial Review
Public Works Review
03/23/2009
03/2412009
03/24/2009
03/24/2009
Public Works Review
03/25/2009
03/25/2009
Structural Review
03/24/2009
03/25/2009
Public Works Review
03/25/2009
03/27/2009
c
Planninl! Review
04/01/2009
03/24/2009
Structural Review
05/12/2009
05/12/2009
APP LLH
WI BJG
10 BJG
WE CJC
APP BJG
APP DDK
APP CJC
Pal!e 2 of 4
03/24/2009
11/12/2009
$ :205,312.00
Value
Date Calculated
$10,556.00
$194,757.12
$205,313.12
,
03/24/2009
03/24/2009
Receipt Number
1200900000000000984
1200900000000000984
1200900000000000984
1200900000000000994
1200900000000000994
1200900000000000994
Waiting 'on information from
planning.
"
In discussion on proposed 10 in.
storm li~'e and what will be required
to conne~t that to the 24 in storm
line on 28th st.
Need updated firewall details- called
David Dukes 03/26/09
Storm t~,proposed 10 in line.
Projectt" be constructed as shown
on final ;ite plans for
DRC2005-00072. OCCUPANCY
WILLNOT BE GIVEN UNTIL
THE SITE IMPROVEMENTS ARE
IN AND'INSPECTED BY
PLANNING. Call Deyette Kelly @
744-4156 for final site inspection.
Please give 48 hours notice.
'c
As noted on plans/review letter
CIT~. OF ~rKINGl'1ELD
Building/Combination Permit
PERMIT NO: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
11/ 12/2009
$205,312.00
Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
R PO 11""'-1 n~,\IP....tio~
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing aud/or
foundation inspection.
Footing: After trenches are excavated.
Fouudation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor 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.
Firewall: Located and constructed accordiug to plaus.
Drywall: Prior to taping:
Final Building: After all required inspections have been requested and approved and the building is complete.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor 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.
Undernoor Mechanical. Prior to insulation or decking and including required testing.
Undernoor Gas: After line is installed and required testing and capped if uot 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
testiug. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: Wh~n all gas work is complete.
Page 3 of 4
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~~,
eIT)': OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
PERMIT NO: CpM2009.00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/2412009
li/12/2009
$205,312.00
Final Mechanical: Wheu all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the completed application and do h~reby 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 w~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 reqnired 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 wiil remain on the site at all
times during construction. '
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth ,Street
. '
Springfield, Oregon 97477
541-726-3759 Phone
. Job/Ja'urna' Number
COM2009-00384
COM2009-00384
COM2009-00384
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or Jess
+ 5% Technology Fee
+ 12% State_Surcharge
Paid By
DAVID DUKES
.'
1200900000000000994
Received By
Check Number
Batch ~urnber
djb
Page I of I
"
City of Springfield Official Receipt
Developmel)t Services Departmel)t
Pu~lic Works Department
Date: 08/2,7/2009
8:36:34AM
Item Total:
Authorization
Number How Received
Amount Due
63.00
3.15
7,56
$73.71
Amount Paid
04074z In Person
Payment Total:
,
$73,71
$73.71
8/27/2009