HomeMy WebLinkAboutPermit Electrical 2003-7-18
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LOCATION OF INSTALLATION
"3S-&b~ .~\o~.{~
V+J<<:>>ruCfE' Multi-Family per dwelling unit.
THJs:-pr:{;~ Service Included:
/J,(,';;_\'?~Z,,)jIT SH 1\' I CV"",.,,. Ie , Items Cost
--:~Jf1it.F1 ,\.' , . i..Jr. ~JnpK
JO.B DESCRIPTION COMMc:\ ('b. ,'.'. . 1000 sq.f~. .of'lessj f'
v'w...1-c-c:9..- ~c., - ~ 1'0@ J.:::.r._~ ..' .., EaGh.afuhtl(DnalJ50~
.... J -Jf:(J). ....:t~ - 1 \Jr.
'IV...,. sfu\~~f1@ortion
Permits are non-transferable and expire c submitted \'\as t~~~~
if work is not started within 1 ~b\\8~l1S9 proie~~~~equire specI'IC Each Manufd Home or
of issuance or if work is sl~B~~ed1tf9rdoes (l.... Mod welling
180 days. appro\la\. . ,i e 0 eeder
zonIng
., ,,",' "--""-:'''',:''':::,-:-._,:t'-/-::__-:/':'_,..:",:,:,;
.n 20Q anlps'or less.,:+;! :
20 larngsto}OO amps,
Slb1utlll e of Supen Ismb ElectllcJ.Ul :: Over 401..,to\~Op:~mp~: ,
,~''&tt,;," ~ "~':b~~~ ampso~lQQO voltS '"
;;'{ow,'.':; ~'me~.Z;,',;;t-~y,I,' ,;);;;~~0'<,n\... Bra~~:vc~~;~~~on or Extension Per Panel
, . " :: . ", ~ 'n I"'''.... . On ut\11 '1.:;:.
Addresp..~A( " .:~~ set ~o.; One Circuit~' '. . $43.00
Cit),' ~~,1, \1, l.~, $~,. ,'" ,~;;:~', Each Addition',! Ciccuit m with Service
. O~ 2: '\o~$\~ COp~e::) ts\epnone or Feeder Pen1Ut ' $ 3.00
OWNmr~ti~"e\I!J'jl~lfI:8~~t;(\\\&otlS: ~~e ot\~'Ca.t\On, ",.
The in~Mr~,~<ffJri~,ll~~~i5~on U~~~\t~~'i~\ E. MisceIlaneo~s (Sen~i~e/feeder not included)
property IOtIfn~~tc1Ols\~.I?f~~~.d', J." ",' . -Each lnsta.HatIOn '_
fot sale, lPc1se or r~pt~.. . . Pump onmgatlOn $)0.00
Sign/Outline Lighting $50.00
Limited Energy/Res ~25,OO
Limited Energy/Comm $45.00
---.------.-----
Minimum Electric Pumit Inspection Fe~~o ~ Surcharge0
'4..E;"crO
3-(~
4- _~~
i225 FIFTH STREET
. SPRINGFIELD, OREGON 971Y7 i,'
INSPECTION REQUEST: 726;~~7p~
OFFICE:;J26~3759i>[i ,,,' c.
,- .', ''ft, )y..
""~'*iP'
LEGAL DESCRIPTION
/ 7/:)2. .1 '1 4'3
2. CONTRACTOR INSTALLATIO B.
:, Date
, ,L.' d;gnawre
Electrical Contractor<r') ( ~Ll~-re~ (!I s ( " L
7 '(1,..,.
w
, City
;--, F':-
~c., - .~ ~ .,,;:.;.
it>;.;;", ,',--:;_:":.
ExpiratioilDate I ::
et.4<1;"$'~EJ';?-' ,l?, ,1--:
'Constr Contr. Number'; (4e- 'i '
>~if-
" ",:'~.<" ;"',:.\/,
Expiration Date
'" ';::
,Owners Signature:
4. SUBTOTAL OF ABOVE
7;1 1f&:3
7% State Surcharge
18% Administrative Fee
TOTAL
S U1)1
$106.00
$ 19.00
$ 50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
" $50.00
$69.00
$100.00
~ S=-2 ~S
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE AODRESS: 3560 AMBLESIDE DR
ASSESSOR'S PARCEL NO.: 1702194306900
PROJECT DESCRIPTION: SFR
Owncr: DUKES & DUKES CONSTRUCTION CO
Addrcss: PO BOX 71095 EUGENE OR 97401
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2002-01414
ISSUED: 04/23/2003
APPLIED: 12/27/2002
EXPIRES: 01/17/2003
VALUE: $ 241,079.00
TYPE OF WORK: Single Family Residence
TYPE OF USE:
I CONTRACTOR INFORMATION'
Contractor Type
Gcncral
Elct:l rical
Mechanical
])llImbing
Contractor
DUKES AND DUKES CONST
BINNS ELECTRIC CO
HOME COMFORT HEATING & AIR
DON CLEWIS
License
65060
73762
84164
33076
BUILDING INFORMATION'
# of Stories: 1
Height of Structure 25.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
# ofBllildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Sccondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
3
SETBACKS
I DEVELOPMENT INFORMATION I
Frontvard Setback:
Side I Setback:
Side 2 ~jetback:
18.00
15.00
5.00
20.00
46.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Rear~'anJ Setback:
Solar Setbacks:
New
Residential
Phone Number: 541-747-3130
Expiration Date
03/30/2005
06/06/2003
06/25/2007
06/1012005
Phone
541-338-0614
541-687-1362
541-345-2838
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,858
2,571
524
520
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
34.00
I PUBLIC IMPROVEMENTS I
Sidewalk Type: .
....~w..~'e 5'
Arrb~Qt}tbJtWR.~~aw reqlf~~Jr~ 0 er
follow rules adopted by the Oregon mil v
Notification Center. Those rules are set fort
in OAR 952-001-0010 through OAR 952-00'
0090. You may obtain copies of the rules b
calling the center. (Note: the telephone
number for the Oregon Utility Notification
, Center is 1-800-332-2344).
Street Improvements:
Fully Improved
Storm Scwer Available: Yes
Special 'nstructW~TlCE~ ORK
. THIS PERMIT SHALL EXPIRE. IF THE W
Noll'S: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR'S ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
_ $PF!:I "lGi"i'I~L.D
q
\~
--"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-72!i-3769 Inspection Line
Descrintion
Tvpe of Construction
])"l'~'in!!s
V Wood Frame
Garal!e
Car.:'~e
Fcc Description
I'lal1 : cview Residential
-\ Ic-: "'nical Issuance Fee-
Ad:'r sing Assignment
Air :;'I\dling Unit Up to 10,000
Anl1C\cd 1997
App!;"'1ce Vent
Hllil::: 'g Permit
Cllrhnlt Permit
Dryer Vent
E:dl'l"st Hoods
F!Jr"" ',: - lip to 100,000 btu
Gas' "('place
Gas n "~lets 1-4
) ;c;!' ':np
Nol ~' "ered Plumbing
]'Iap . "view - Planning
.1'1;,,, ",iew/Residential Hourly
PW ! ;'I1t Disc - 2nd Permit
Resi::".ce Wiring 1000 Sq Ft
HCS;"!lCe Wiring Ea Addtl500
Sa 11" 'Y Sewer - Improvement
S:l!1; ar.v Sewer - Reimbursement
S ilC ." iVIC Administration
snc ~ Vi\1C Improvement
SD(' ~ Wi\1C Reimbursement
snc ' '''dtary/Storm Admin
SDC ~ 'al1Spo Admin
snc ""<lI1SPO Improvement
SDC ..' 'al1spo Reimbursement
Sidn" 'k Permit
Sflw" "rainage Impervious Area
'1'\'11''' ':lWer 200 amps or less
Vl'I:' ''1
\','i1:,1I . lane Single Family
+ lO'~', :\dministrative Fee
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01414
ISSUED: 04/23/2003
APPLIED: 12/27/2002
EXPIRES: 01/17/2003
VALUE: $ 241,079.00
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
3,095.00
520.00
Value
Date Calculated
$230,887.00
$10,192.00
$241,079.00
12/27/2002
12/27/2002
Total Value of Project
~
Amount Paid
$667.65
$10.00
$8.00
$8.00
$-18.74
$6.00
$1,027.15
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$45.00
$59.00
$45.00
$-30.00
$106.00
$114.00
$486.91
$640.61
$10.00
$34.83
$332.86
$107.08
$49.18
$709.81
$160.87
$75.00
$768.03
$50.00
$24.00
$1,000.00
$174.42
Date Paid
Receipt Number
1200200000000000467
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000000921
1200200000000001054
12/27/02
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1/03
4/1103
4/1/03
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1/03
4/1103
4/1/03
4/1103
4/1/03
4/1103
4/1103
4/1103
4/1103
4/1103
4/1103
4/1/03
4/1/03
4/1103
4/23/03
Pal!e 2 of 4
,_~~I!":~~!~I~X '~.'
'~. -..
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01414
ISSUED: 04/23/2003
APPLIED: 12/27/2002
EXPIRES: 01117/2003
VALUE: $ 241,079.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 7% State Surcharge
3 Baths One & Two Family
+10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
$122.09
$306.00
$4.50
$3.15
$25.00
$20.00
4/23/03
4/23/03
7/17/03
7/17/03
7/17/03
7/17/03
1200200000000001054
1200200000000001054
1200200000000001783
1200200000000001783
1200200000000001783
1200200000000001783
Total Amount Paid
, $7,284.40
I Plan Reviews ,
Initial Review 12130/2002 12/30/2002 APP LLH
Planninl! Review 12/30/2002 01102/2003 APP EMM
Public Works Review 12130/2002 01110/2003 APP DPE
Structural Review 12/30/2002
. Structural Review 01114/2003 01114/2003 POK TCM missing garage"and post tensioned
slab details
Structural Review 03/13/2003 03/12/2003 APP TCM Additional foundation details
checked for compliance.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
1 Curbcut - Standard: After forms are erected but prior to placement of concrete.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in
place but prior to concrete. '
8 Floor Insulation: Prior to decking. ,
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: 'Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Roof Sheathing/Nailing: Before covering sheathing with finish material.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Underground Plumbing: Prior to filling the trench and including required testing.
17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
Pal!e 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01414
ISSUED: 04/23/2003
APPLIED: 12/27/2002
EXPIRES: 01/17/2003
VALUE: $ 241,079.00
22 Final Plumbing: When all plumbing work is complete.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all electrical work is c'omplete.
31 Temporary Electric: Approval required prior to Utility Company energizing pole.
32 Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinanc~s 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.
I further certify that only contractors and employees who are in compliance with ORS 70.1.005 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 con uction.
v;J L -d~j4
,_,l/ ./ \./'" , ~~ /
OVer 7(:ontractors Signature
Page 4 of 4
!'J7 ;f7 ~,3
Date
225 Fifth Street
Springfield, Orcgon 97477
5-H-726-3/-) "L'1ne
Job/Journal I\umber
COM2002-01414
COM2002-01414
COM2002-01414
COM2002-01414
Payments:
Type of Payment
Check
Paid By
OLDFIELDS
h.l'(l'.pt 1+: j ..::tJU.LIJUIHJUOOOOUi llB
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Check Number
Batch Number Authorization Number
64077
City of Springfield Official Receipt
Development Services Departmcnt
Public 'Yorks Department
Date: (J if 1 7/2003
1 :2~:25PJ\l
Amount Paid
Item Total:
25.00
20.00
3.15
4.50
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65