HomeMy WebLinkAboutPermit Electrical 2010-2-19
Electrical Permit Application
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'CITYrOF SFRINGFIEED"OREGONc'~"
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225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(S41)726-3689
". DEPARTMENt (fSE:0NLV
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Penn it no.:
Date: Z-
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire ifwork is not started within 180
days of issuance or if work is suspended for 180 days. '
."LOCAL' GOVERNMENT API?ROVAL,'
Zoning approval verified? DYes D No
\;;;CAtEGORY.::OF,~CONStRUCTION'ic,. .
.erResidential 0 Government 0 Commercial
}}, "JOBfgSITE::INI70RM 1'ION\.ANDLOcATION,:",~:
Job site address: 7 S Z 7 S L-f 2 ;:+c... 'i
City: Sf' Pb State: 0"- ZIP: c; 7'177
Reference: 170~'S b ( I Taxlot: II saa
. DES.CRjHTIOi';f'o'F.1WORK",' ''F;':~, - '.," ~
- w r Il.t:: OlAv 'f LtrY-'
'cc ~ROPERTY .'QI,NNER :";c::~
Name: "Dth/l ~ ~ IA. \c.e""S
Address: l' C) is. 0 I 0 ? .r-
City: t--u..(-(::;7\/~ State: oL ZIP: 9' 7c{()(
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
, .,:', .\CONfR'ACT'OR:'INSl' ALLATION'\"
Business name: E" STS/{) E EL.tG-r((; (
Address: "3> ~ ). S" J IS OS cAe f U.. U.J f
City: 5 P rr CD State: 0 ZIP: q 7 V 7
Phone: 5 t.( 1- 7 Y / -I VCf9 Fax: - 7 J(" - 1(,0
E-mail: 1U:.!CC,j4..S7510( ra Y(lJfuD,CO/J1
CCB license no.: J /77'2 D BCD license no.:.;2.0 -VO Jc.
l/7) 75
O(j.(f(
Signing supervisor's license no.':
Print name of signing supervisor:
Signature of signing supervisor:
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44O-2584-J (9/08/COM)
I)" ;", .. ~ F,EESC8EDULE -.."
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Residential, per unit, service included:
1,000 sq. ft. or less (4) 2 $134.00 $ z6/!,
Each additional 500 sq. ft. or portion Z $ 25.00 $50
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
Services or feeders: installation, alteration. relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) .. $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
,-
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuil (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
. ',' , ,'\,C~ . ',/Ai>pLlCANt. ,USE',J,: '. '-, ' '-'
(A) Enter subtotal of above fees 3115
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (,12 x [A]) $ . ~I&
3 .
(C) Technology Fee (5% of [A]) $ 15'9 C
TOTAL fees and surebarges (A through C): $;?>nfL~
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00381
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/23/2009
08/19/2010
$ 212,346.00
SITE ADDRESS: 752 28TH ST 754
ASSESSOR'S PARCEL NO.: 1703361111300
Springlield TVPE OF WORK: Duplex
TVPE OF USE: New
PROJECT DESCRIPTION: Duplex - DO NOT FINAL UNTIL DPA has been paid
Residential
Owner: DUKES DAVID E & LAURIE S
Address: PO BOX 71095
EUGENE OR 97401-0182
I CONTRACTOR INFORMA TlON ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
DUKES AND DUKES CONST 65060
EASTSIDE ELECTRIC INC 117770
PACIFIC AIR COMFORT INC 39237
DENNIS SCOTT EGGERS 142776
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
R3
U
VB
# of Stories: 2
Height of Structure 25.00
Type of Heat: orced Air Electric
W ~ter Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
4
I DEVELOPMENT INFORMATION .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
8.00
28.00
21.00
[ PUBLIC IMPROVEMENTS .
Expiration Date
03/16/2011
10/04/2011
03/25/2010
05/05/2010
Phone
541-747-3130
541-915-9828
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
790
1,126
392
REQUIRED PARKING
3
Ves
26.70
Total:
Handicapped:
Compact:
4
Street Improvements: .
Storm Sewer Available:
Special Instruction:
Fully Improved
Ves
Sidewalk Type:
Downspouts/Drains:
Cu rbside 5'
To Storm Sewer
Notes: Roof drains will be piped to proposed private IO-inch storm system. Surface runoff will be directed to proposed
private bio-liltration swale via valley gutters.
I j'
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Paee I of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00381
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$39:63
$1,02.72
Square Footage
or Bid Amount
, 392.00
1,916.00
Garaee/Misc
SF/Duplex
U V A Utilitv
R-3 VA 1&2 Familv
Total Value of Project
~
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Amount Paid
Date Paid
$10.00
$2,018.34
$195.80
$38.16
$15.90
$268.00
$50.00
8/25/09
, 8/25/09
8/25/09
2/22/10
2/22/10
2/22/10
2/22/10
Total Amount Paid
$2,596.20
I Plan Reviews I
Initial Review 03/23/2009 03/23/2009 API' LLH
I'"J',
Public Works Review 03/23/2009 0:\:;2'7/2009; APP TSS
Structural Review
API' CJC
03/23/2009
03/31/2009
PlanniU1! Review
04/01/2009
API' DDK
03/23/2009
. ~",
Paee 2 of 4
03/23/2009
08/1912010
$ 212,346.00
Value
Date Calculated
$15,534.96
$196,811.52
$212,346.48
03/23/2009
03/23/2009
Receipt Number
1200900000000000982
1200900000000000982
1200900000000000982
1201000000000000158
1201000000000000158
1201000000000000158
1201000000000000158
Roof drains will be piped to
proposed private lO-inch storm
system. Surface runoff will be
directed to proposed private
bio-filtration swale via valley
gutters.
As noted on plans and conditoins
letter
Project to be constructed as shown
on final site 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.
CITY OF SPRINGFIELD
.,
Building/Combination Permit
Status
Deferred Payment Agreement
PERMIT NO: COM2009-00381
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/23/2009
08/19/2010
$ 212,346.00
225 Fifth Street, Spriugfield, OR
541-726-3753 Phoue
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.
l....ReouiredJnsnections ~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufcr Electrical Ground: Inslall ground rod at footing and call for in spec lion in conjunction with footing aud/or
foundation inspection.
Footing: After trenches are excavated.
Fouudatiou: After forms are erected but prior"lo concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prinr 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.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeler Fouudalion Drains: After gravel and tiller clolh is installed bul prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including requiredtesling.
Water Line: Prior to filling trench and including required testing.
'. :
Sanitary Sewer Line: Prior to filling treuch and including required testing.
Storm Sewer Liue: Prior to filling t~ench.
Final Plumbing: When all plumbiug work is complete.
Underl100r Mechanical. Prior to insulation or decking aud including required testiug.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Eleclric Service: Approval required prior to utility company euergiziug service.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00381
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03123/2009
08/1912010
$ 212,346.00
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correet, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 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 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 of plans will 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
:~a",;~
WiL
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000158
Date: 02/22/2010
2:28:57PM
Job/Journal Number
COM2009-00381
COM2009-00381
COM2009-00381
COM2009-003 8 J
Payments:
Type of Payment
CreditCard
cReceintJ
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ROGER KING
Received By
Check Number
~atch Number
djb
't ".,
"
Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
268,00
50,00
38,16
15,90
$372,06
Amount Paid
o 1586c In Person
Payment Total:
$312,06
$372,06
2/22/2010