HomeMy WebLinkAboutPermit Electrical 2010-2-19
, Electrical Permit Application
--
225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
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Permit no.:
Date: "2 - f ., - I D
This permit is issued underOAR 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.' .
; ilticAt; ,GOVERNMENT ''A~PROVA.If::~f
Zoning approval verified? DYes 0 No
,.'CATEGORY:.()F, CONSTRUCTION: '
Reference:
. :l',:,:",';'fj'E PROPERTY "OWNER:::.";, '
Name: ~)'\.rl ~ ~,^~E:~
Address: 0 ~c))C 7/0 '7 ~
City: ~t,r State: OIL ZIP: 7"740
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my inuuediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
. .,' CONTRACTOR'INSTAlitATION.'"
Business name: E" 57 S JOE E<- f C-rl(; C
Address: 3'8').S"J 13oscA6f <-"Nt
City: 5 P r;: lD State: 0 ZIP: q 7 V 7
Phone: 5 1- 7 V / -I VQ9 Fax: -n?:, - '1(,0
E-mail: RIc/C (;1'575/0 f ra YfI Jf/lO, CO/YI
CCB license no.: ) I 'J 7 'I () BCD license no.:.;J. 0 -1;0 S c.
~7)7s
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Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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44O-2584-J (9/08/COM)
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Residential, per unit, service included:
1,000 sq. ft. or less (4) --z. $134.00 $Zb8
Each additional 500 sq. ft. or portion 2 $ 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 $
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) , $ 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 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 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 $
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(A) Enter subtotal of above fees
(Minimum Permit Fee SS8.00) $ 3Z1
(B) Enter 12% surcharge (.12 x [AD $1.{57Z
(C) Technology Fee (5% of [AD $/9 oS
TOTAL fees and surcbarges (A tbrougb C): $ tillS 77
Status Deferred Payment Agreement
225 Fifth Street, Springtield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 744 28TH ST 746
ASSESSOR'S PARCEL NO.: 170336] 111300
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,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00385
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 205,312.00
Springtield TYPE OF WORK: Duplex
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for
previous structure. - DO NOT FINAL UNTIL DPA has been paid
Owner:
Address:
DUKES DAVID E & LAURIE S
PO BOX 7]095
EUGENE OR 97401-0]82
Pbone Number: 54]-988-0906
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DUKES AND DUKES CONST
,,'
EASTSIDE ELECTRIC INC
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
65060
117770
39237
142776
Expiration Date
03/1612011
10/04/2011
03/25/20 I 0
05/05/2010
Phone
541-747-3130
54 I -915-9828
541-672-9510
541-459-0110
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
R3
U
VB
4
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
24.00
Wall Heat
Electric
Electric
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
406
976
920
n/a
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
24.20
25.00
14.00
21.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Notes: Storm drains to proposed 10 storm sewer.,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
I PUBLI€IMPROVEMENTS ~
Pa!!e 1 of 4
3
Yes
26.70
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Status
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00385
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Deferred Paym.ent Agreement
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
+ 12% State Surcbarge
+ 5% Technology Fee
Residence Widng 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Total Amonnt Paid
Initial Review
Public Works Review
Public Works Review
Structural Revic\\'
Public Works Review
Plan nine Review
Structural Review
'.,',
I Valuation DescriDtion ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
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
2/22/1 0
2/22/10
$2,669.91
I Plan Reviews ~
03/23/2009
03/24/2009
03/24/2009
03/24/2009
APP LLH
WI BJG
03/25/2009
03/25/2009
10 BJG
03/24/2009
03/25/2009
WE CJC
03/27/2009
03/27/2009
APP BJG
03/24/2009
04/01/2009
APP DDK
.,>
05/12/2009
05/12/2009
APP CJC
Page 2 of 4
03/24/2009
08/19/2010
$ 205,312.00
Value
Date Calculated
Receipt Number
1200900000000000985
1200900000000000985
1200900000000000985
1201000000000000160
1201000000000000160
1201000000000000160
1201000000000000160
1201000000000000160
Waiting on information from
planning.
In discussion on proposed 10 in.
storm line and what will be required
to connect that to the 24 in storm
line on 28th st.
Need updated firew,1I1 details- called
David Dukes 03/26/09
Storm sewer to proposed 10 in. line.
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.
as noted in review letter/plans
CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00385
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 205,312.00
Initial Review
06/10/2009
06/10/2009
10
LLH
RE: Credits... Willamalane will not
credit this project. Pnblic Works
adjnsted their SDC's for the
previous structure.
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 ,
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 Gronnd: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches arc excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa2e 3 of 4
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CITY OF SPRINGFIELD
~ ~,'
Building/Combination Permit
Status Deferred Payment Agreement
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00385
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/24/2009
08/19/2010
$ 205,312.00
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.
Rongh Mechnnicnl: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Rongh Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete, ,
By signatnre, I stnte nnd agree, that I hnve cnrefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 wiII 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 wiII be nsed on this project.
I further ngree to ensure that all reqnired inspections are requested at the proper time, that each address is rendnble from the
street, thnlthe permit cnrd is located at the front of the property, nnd the approved set of plnns wiII remnin on the site nt all
times during construction.
Owner or Contractors Signature
Date
, II,:
Pnge 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 #:
1201000000000000160
Date: 02/22/2010
2:34:46PM
Job/Journal Number
COM2009-00385
COM2009-00385
COM2009-00385
COM2009-00385
COM2009-00385
Payments:
Type of Payment
CredilCard
cReceiml
Description
Residence Wiring 1000 Sq Fl
Residence Wiring Ea Addll 500
Temp Power 200 amps or less
+ 12% Slale Surcharge
+ 5% Technology Fee
Paid By
ROGER KING
Received By
djb
Check Number
Batch Number
Page 1 of 1
Item Total:
Authorization
Number How Received
01586c In Person
Paymenl Total:
Amount Due
268.00
50.00
63.00
45.72
19.05
$445.77
Amount Paid
$445.77
$445.77
2/22/2010