HomeMy WebLinkAboutPermit Electrical 2010-2-19
'Electrical Permit Application
I
225 Fiftb Street+Springfield, OR 97477+PH(S41)726-3753tFAX(S41)726-3689
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Permit no.:
Date; - ( cr - I 0
This permit is issued under OAR 918-309-0000, Permits are nontransferahle. Permits expire ifwork is not started within 180
days of issuance or ifwork is suspended for 180 days. '
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Zoning approval verified? DYes D No
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esidential 0 Government 0 Commercial
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Job site address; 7 '-18 7 -S;O "2 g-tL. ':>
City; SPF1) State; 0 ZIP; 7C{77
170 J 3 Taxlot.; 1\ so-a
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Address;
City;
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;
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Business name; E" 575 J IJ E EL t (..,((; (
Address; 3 'S ). S' J 505 C A 6 f (, M.d:,
City; 5 P rr tJ) State; 0 ZIP; q 7 V 7
Phone; 5 I.( 1 ~ 7 V / -I YCf9 Fax; -nro, - '1(,0
E-mail;R/C/Cf}.-.S75l0(;raYt1J1&O.COm
CCBlicenseno.; J 17770 BCDlicenseno.;;2.0-VOSc.
~7)75
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Signing supervisor's license no.:
Print name of signing supervisor;
Signature of signing supervisor;
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440-2584-1 (9/08/COM)
1,000 sq. ft. or less (4) 2 $134.00
Each additional 500 sq. ft. or portion Z $ 25.00
thereof
Limited energy (2) $ 32.00
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2) Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 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)
201 to 400 amps (2)
401 to 600 amps (2)
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1,000 volts, se,e 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
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First hranch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 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 $
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD
(C) Technology Fee (5% of [AD
TOTAL rees and surcharges (A through C):
$ 3/3
$ 3Z ,/,
$/590
$ 37Z 0
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: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/1912010
$ 205,312.00
SITE ADDRESS: 748 28TH ST 750
ASSESSOR'S PARCEL NO.: J 703361]11300
Springfield TYPE OF WORK: Dnplex
TYPE OF USE: New
PROJECT DESCRIPTION: Dnplex - DO NOT FINAL UNTIL DPA has been paid
Residential
Owner:
Address:
DUKES DAVID E & LAURIE S
PO BOX 71095
EUGENE OR 97401-0182
Phone Nnmber: 541-988-0906
Contractor Type
General
Electrical
Mechanical
Plnmbing
I CONTRACTOR INFORMATION .
Contractor License
DUKES AND DUKES CONST 65060
EASTSIDE ELECTRIC INC 117770
PACIFIC AIR COMFORT INC 39237
DENNIS SCOTT EGGERS 142776
BUILDING INFORMATION I
Expiration Date
03/l6/20 11
10/04/2011
03/25/2010
05/05/2010
Phone
541-747-3130
541-915-9828
541-672-9510
541-459-0110
# of Units: 2 # of Stories: 2 Lot Size:
Primary Occnpaocy Gronp: R3 Height of Strnctnre 24.00 Sq Ft 1st Floor: 976
Secondary Occnpancy Gronp: U TYl,e of Heat: Wall Heat Sq Ft 2nd Floor: 920
Primary Construction Type VB Water Type: Electric S'I Ft Basement:
Secondary Construction Type: R:inge'Type: Electric Sq Ft GaragelCarport 460
# of Bedrooms: 4 ~llergy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25.00
8.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
3
Yes
26.70
Total:
Handicapped:
Compact:
4
21.00
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Ves
Sidewalk Type:
DownspoutsfDrains:
Curbside 5'
To Storm Sewer
Notes: Storm drains to private storm sewer as proposed.
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Page 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: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation Descriotion ~
Dcscr!ption
Bid Amonnt
SFlDnplex
Tvpe of Constrnction
Use Bid Amonnt
R-3 V A 1&2 Familv
$ Per Sq Ft
or mnltiplier
$1.00
$102.72
Sqnare Footage
or Bid Amonnt
10,556.00
1,896.00
Total Valne of Project
~
03/24/2009
08/19/2010
$ 205,312.00
Valne
Date Calcnlated
$10,556.00
$194,757.12
$205,313.12
03/24/2009
03/24/2009
Fee Description Amonnt Paid Date Paid Receipt Nnmber
SDC MWMC Administration $10.00 8/25/09 1200900000000000984
SDC MWMC Improvement $2,018.34 8/25/09 1200900000000000984
SDC MWMC Reimbnrsement $195.80 8/25/09 1200900000000000984
+ 12% State Snrcharge $7.56 8/27/09 1200900000000000994
+ 5% Technology Fee $3.15 8/27/09 1200900000000000994
Temp Power 200 amps or less $63.00 8/27/09 1200900000000000994
+ 12% State Surcharge $38.16 2/22/1 0 1201000000000000159
+ 5% Technolugy Fee $15.90 2/22/10 1201000000000000159
Residence Wiring 1000 Sq Ft $268.00 2/22/1 0 1201000000000000159
Residence Wiring Ea Addtr500 $50.00 2/22/10 1201000000000000159
Total Amount Paid $2,669.91
I Plan Reviews I
Initial Review 03/23/2009 03/24/2009 APP LLH
Pnblic Works Review 03/24/2009 03/24/2009 WI BJG
"
Public Works Review 03/25/2009 03h5/2009 10 BJG
Structural Review
03/24/2009
03/25/2009
WE CJC
Public Works Review
APP BJG
03/25/2009
03/27/2009
Paee 2 of 4
Waiting on information from
planning.
In discussion on proposed lOin.
storm line and what will be required
to connect that to the 24 in storm
line on 28th st.
Need updated tirewall details- called
David Dukes 03/26/09
Storm to proposed lOin line.
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: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 205,312.00
Plannin2 Review
03/24/2009
04/01/2009
APP DDK
Project to be constructed as shown
ou fiual site plaus 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 iuspection.
Please give 48 hours notice.
Structural Review
05112/2009
0511212009
APP CJC
As noted on plans/review letter
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...f.eollirecUnsnections ~
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 and/or
foundation inspection.
Footing: After trenches are excavated.
Fonndation: After forms are erected but prior to concrete placement.
Post ~,"d Beam: Prior to nODI' 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 according to plans.
Drywall: Prior to laping.
..', ,
Final Building:. After all required inspections:have'been requested and approved and the building is complete.
Undernoor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including requil'ed 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 tilling trench.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Deferred Payment Agreement
PERMIT NO: COM2009-00384
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 205,312.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plnmbing: When all plumbing work is complete.
Underfinnr Mechanical. Prior to insulation or decking and inclnding required testing.
. Undertloor 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 required prior to ntility company energizing service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and [ 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 work described herein, and
that NO OCCUP ANCY will be made of anv strncture 'without permission of the Community Services Division, Building Safety.
. ..
I further certify that only contractors and employees .)vho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc 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
I V \
".I.
:1.
Pa2e 4 of 4
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000159
Date: 02/22/2010
2:32:20PM
Paid By
ROGER KING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount f)ut'
268.00
50.00
38.16
15.90
$372.06
Job/Journal Number
COM2009-00384
COM2009-00384
COM2009-00384
COM2009-00384
Description
Rcsidence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
CreditCard
Amount Paid
djb
OI586c In Person
Payment Total:
$372.06
$372.06
cReccintl
Page 1 of 1
2/22/2010