HomeMy WebLinkAboutPermit Electrical 2010-2-19
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Penmt no.:
Electrical Permit Application
-
225 Fmh Stn"+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
Date: Z - , 7 - I 0
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. '
" . C'LOCAUGO'ifERNMENT ABPRQVAIC' '"
Zoning approval verified? 0 Yes 0 No
'.:'f;C;a.TEGORY.;'OF4C:ONSTRUCTIQN' "
IDesidential 0 Government 0 Commercial
.r.i!..JQB~SrrE<INFQRIIiIA:tIONiANb .:LOCAtioN,
Job site address: 7 S b 75<6 2g-f(... 'So
City: S l> F:b State: o.L. ZIP: '77477
Reference: 1"703.3 b( I Taxlot.: 1/1.00
"DESCRIPtl()N:'()F;~WORK,~;iF'c..
r!c)v\.'" t W I U' b "" rPt.ey Fe J,H
'"<it"':" \".d'?RO~ERtv::..OWNER ,,".i,~;5';
Name: "DAVl ~ ~c,\"-c::;
Address: c) 150 710 ? ~
City: f::rv... (,-1::"'" 6~ State: oiL ZIP: '1/<{o
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:
. cONtRAcTOR jlliIST ALI.?ATIONl.,.;;
Business name: E" 51 <; J () E EC, t G-rft..! (
Address: 3 'Z ). S' J 13 05 C A 6" f U. Nt
City: 5 P rr I..D State: 0 ZIP: q 7 Y 7
Phone: 5 1- 7lj / -I Vc;9 Fax: -nr::, - '1(,0
E-mail: 1U:./c (. "57510 ( ra YfI /IuD, LO/YI
CCB license no.: J /77 "7 (j BCD license no.:.;J. 0 -'10 s (.
1./7) 75
0(,.(/2
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-1 (9108/COM)
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;l"!,!l"Il,!~,er:;.?r;lDSp,~c:t.IO_I!~,.pe~,Jte~:C}"<,,,,__ Qty. '~ea:": t. fP' cost ."k.
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Residential, per unit, service included:
1,000 sq. ft. or less (4) Z $134.00 $ 2 f:E,
Each additional 500 sq. ft. or portion Z $ 25.00 $ .:sO
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 $
40 I 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) I $ 63.00 $ bJ.
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 of a 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 circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or fteder 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)
Eaeh additional inspection: (1) $58.00 $
\~:: :i.,.,,,:i.:-' ';::"'"APPUCANT' uSl::",;7' " <., .,
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $ :s 'l? I
(B) Enter 12% surcharge (.12 x [AD $ 1/S 7t.
(C) Technology Fee (5% of [AD $ Ie; f>S
TOTAL rees and surcharges (A through C): $lf'lS f1
,
,
,
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: COM2009-00387
ISSUED:
APPLIED:
EXPIRES:
VALUE:
~'.l
03/24/2009
08/19/2010
$ 272,851.00
Springfield TYPE OF WORK: Duplex
SITE ADDRESS: 756 28TH ST 758
ASSESSOR'S PARCEL NO.: 1703361111300
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex - DO NOT FINAL UNTIL DPA has been paid
Owner: DUKES DAVID E & LAURIE S
Address: PO BOX 71095
EUGENE OR 97401-0182
I CONTRACTOR INFORMATION ~
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 ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#~smri= 2
I:!~ighi.of,~tructure 24.50
Type Of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
2
R3
U
VB
6
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.20
12.75
31.80
19.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-988-0906
Expiration Date
03/16/2011
10/04/20 II
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:
990
1,490
480
REQUIRED PARKING
3
Yes
26.70
Total:
Handicapped:
Compact:
4
Sidewalk Type:
Downspouts/Drains:
Notes: Roof drains connect to private 10" storm. Impervious to private bio ,wale via valley gutters.
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Pa2e 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
. 541-726-37691nspection Line
PERMIT NO: COM2009-00387
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation Descrivtion ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$37.72 .
;Ii "
$102;72 .,
Square Footage
or Bid Amount
480.00
2,480.00
Garaee/Misc
SF/Duplex
U VB Utilitv
R-3 VA 1&2 Familv
;i
.' 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
Temp Power 200 amps or less
Amount Paid
Date Paid
$10.00
$2,018.34
$195.80
$45.72
$19.05
$268.00
$50.00
$63.00
8/25/09
8/25/09
8/25/09
2/22/10
2/22/10
2/22/10
2/22/10
2/22/10
Total Amount Paid
$2,669.91
I Plan Reviews ~
Ipitial Review
03/23/2009
APP LLH
03/24/2009
0~/77/2009' .
Structural Review
03/24/2009
WE CJC
Public Works Review
03/24/2009
03130/2009
APP TSS
Plannine: Review
03/24/2009
0313112009
APP DDK
Paee 2 of 4
03/24/2009
08/19/2010
$ 272,851.00
Value
Date Calculated
$18,105.60
$254,745.60
$272,851.20
03/24/2009
03/24/2009
Receipt Number
1200900000000000983
1200900000000000983
1200900000000000983
1201000000000000157
1201000000000000157
1201000000000000157
1201000000000000157
1201000000000000157
Need new shearwall engineering-
Called David Dukes lOAM 3127109.
(Engineering Recieved 4/2/09. needs
wet stamp and correct address(s)-
contacted engiueer 4/3/09- will
approve permit upon reciept.)
Roof drains connect to private 10"
storm. Impervious to private bio
swale via valley gutters.
. 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
,
"r;:j~
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: COM2009-00387
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 272,851.00
Structural Review
0412412009
0412412009
APP CJC
As noted on plans I conditions 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.
~e(JnirerUnsnections ~
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 andlor
foundation inspection. .. :. -:>" .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
,~
Post and Beam: Prior to Iloor 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.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placemeJ.lf~f con<;rete. .
Rough Plumbing: Prior to cover and including required testing."
Water Line: Prior to filliog trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to Iilling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or deckiog and including required testing.
Underlloor 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.
Paee 3 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: COM2009-00387
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 272,851.00
"
:",
"
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing se,'vice.
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 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 pro,iec!.
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, aud the approved set of plans will remain on the site at all
times during construction. ; ~.
10
Owner or Contractors Signature
Date
:.p
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Pa2e 4 of 4
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li:.. ..... ·
225 F.ifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000157
2:23:58PM
Date: 02/22/2010
Job/Journal Number
COM2009-00387
COM2009-00387
COM2009.00387
COM2009-00387
COM2009-00387
Payments:
Type of Payment
CreditCard
cReceintl
Description
Residence Wiring 1000 Sq Ft
Rcsidence Wiring Ea AddU 500
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
268.00
50.00
63.00
45.72
19.05
$445.77
Paid By
ROGER KING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
o 1586c In Person
Payment Total:
$445.77
$445.77
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