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HomeMy WebLinkAboutPermit Electrical 2010-2-19 'Electrical Permit Application I 225 Fiftb Street+Springfield, OR 97477+PH(S41)726-3753tFAX(S41)726-3689 C6W'1 'Zoo "-O~ 3.K'"l{ 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. ' iiJ!ffirJL4L'1:j:J;III(jc~lli'#.!l3(j.\[ERNMEN;r;!ARFlR(j\[AIlil'#.!!..j:k~ Zoning approval verified? DYes D No ~';'~jllt;:&J[CA:j;EGOR'l;"0FillC0N' "S~"7'i~R~'~UeT~I' ON#w1'~~;;'~:?',1l ,~".,~E"",.&,;,/'lli=;. .. '.' .. .. . '....""~. " ".."...... .... jl!.. .. .,....:.d.. .$!:i\,.I;4u<".L%=.^,3'..J esidential 0 Government 0 Commercial '#.!!i'lt1i1l0S&'sTTEIlINF0RMATI0N,iANb;;lfocAmioN1G;;i4ki'3!l... j j1 ';""''''~'''''''' ,,,,",. ....... ..m........4:............... .'....>.............:v.. ., "'" ,.., """..,:,Ciir,.:fi'Pi 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 " 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; !Ej..jls~\lC\!~,CoNmR);cfoR"INS'rAI!!.I!A;rloNfi'ljii'jE'"41,.r(r.i"" r3Jk_d!Ndh%hL",I'P~,,_ ","",'" ,s",__"0--,, ''''' ",', " 1 ',,' ",:K,.,. 'S.10,f'f(",&r2:t1'0TIfj 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 O(J-(dC Signing supervisor's license no.: Print name of signing supervisor; Signature of signing supervisor; ~.,Q d- %- ~~ 't~ .~ ,A..- Jf'~ W&; ~~ \\J' 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. {,l ,i' 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 "rR.;~~I~ELD......:...., ~i....... ! .....,.,.. "',,," .. . . ^" " ;:- " . ...... ".'"J" '''.J -_,,_,',_',"',",.CC. .,....,~ 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