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HomeMy WebLinkAboutPermit Electrical 2010-2-19 Electrical Permit Application .Jt-~ ""'~",; ~,"'~., '~$..' <", r,r,:'-,:;;,...,*"'" .~'~. ~1" ~':;"':":4t.~ .,'a~~~~,7f"1I 'CITYrOF SFRINGFIEED"OREGONc'~" '''"",. .,,_ ~~-,:,,_. },. "t":" _-*<-'""",.{~';' -c:...:.,...;:-' ... ~.' "".;;;,;;.,./{ ~~- 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(S41)726-3689 ". DEPARTMENt (fSE:0NLV ',.~,"""""~-;', "" .-"""",,,"> . ',..__ ::'C:"<~ CC"",zoo 1- 0 0"3. lr 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: '~'V :b'\\) "of(; ~ ~~ ~~.PJr~\W ,0 A.\\ 44O-2584-J (9/08/COM) I)" ;", .. ~ F,EESC8EDULE -.." ,,- -- ~- , ~-- "'~", -" ':", " -"'- " , "';-:. - ,;;,~~"cl['c_~~~~~,: '~~~~:~~'~:r?'iji~~~~t~~~+:H~~nl,te!"~t~:]f"" 8,~ 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' " 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