HomeMy WebLinkAboutPermit Electrical 2004-6-10
eject as sU~mitted has the fol/owing
s not require specific land Use
225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX:(541)726-i8~~g L..-1)t'Z-
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1. 3. c01l'rFiETEl,;]iEscHEDULEBELow<>"v>, , .'''--
Pump or irrigation $ 50.00
, !;:'. Sign/Ou !~i~'l\ $ 50.00
OWNER INSTALLATION l~ll,1.\\.;~: \'1\1 S\-\P<.ll EiRh~~ ~~~~~~~tial $ 25.00
The installation is being made onprop~{~~~~ijlUNDtR \~t6~r*-el{P~ercial $ 45.00
is not intended for sale, lease or rent. (-: ,^ ~-"\NCt.\) O~~u7~Electric Permit Inspection Fee is $45.00 + Surcharges
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Ovmers Signature: h\~"{ "\ bO 4. SlJBTOTAL O~~OVE' . 20 (
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LEGAL DESCRIPTION
(702 (9 Lf3
JOB DESCRIPTION
06500
SF(L
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor EA57jlfJ6 e[EC1/{/(
Address 3> <j) d. S' 3
BOSGA Gf GANt
City SP fLD
Phone 7Y/-/Yr1
Supervisor License Number
l.J7J7s
Expiration Date ) 0 - 0 J - 0 y
Constr. Contr. Number } I '7 7 7 ()
Expiration Date I 0 _. 0 / - 0 l{
Signature of Supervising Electrician
~~1 ~~
I ':bu"-~s
Ovmers Name ""'htA. \C.C-=--S
Address':;>O L1 (.) r'
/10 c; r
City
(;::(.A- &-
Phone
Inspection Request: 726-3769
",'.;",',: :';'d""'~':: 'v"'_"':
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I $106.00 loG
S- $ 19.00 9r
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN 0115
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, 48f..f:tbPe~~tiltiiu\res y~~
200. .tltJ~~~s ~dopted by the oregon~qln
201 Affi\~'f ~~ ~r. ,.hose ru\e! al~ :~-6l91.
~;e~~=~:;~;'~::~ret
D.?'B~~~~1~i11
New ARMQ;\8:~t;rie~~mQ~8344).
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
E.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00429
ISSUED: 08/01/2003
APPLIED: 05/30/2003
EXPIRES: 12/10/2004
VALUE: $ 279,849.80
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3582 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702194306800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: . DUKES & DUKES CONSTRUCTION CO
Address: PO BOX 71095 EUGENE OR 97401
Phone Number: 541-747-3130.
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DUKES AND DUKES CONST
EASTSIDE ELECTRIC INC
. COMFORT FLOW
DON CLEWIS
License
65060
117770
460
33076
Expiration Date
03/30/2005
10/04/2005
06/27/2005
06/10/2007
Phone
541-747-3130
541-741-1499
541-726-0100
541-688-1931
4
BUILDING INFORMATION' .
# of Stories:. on law re~ireS:w~'ge:
H~tS'~NuWeg tH~.(!1t'ego~~I1'lt Floor:
T~\~eS adoPt~~h~y~r~ areSi(Eltt<2RtP Floor:
Ifle~n Center. 0 u~SOAR&lPRtoo.\tlment:
n~lf9i2..001"()01? thro ~\)t th6g\Jft1l0\fage/Carport
E ro~~.~ may obtain COP~,~~rle te\~fJ~rQther:
sp 1~~fh~llR6i~ter. lNOm~\.tv No~!!l1~ Load:
ca . l\ a ~..",,{'nn Uti I..<E
I DEVELOP~_~"f2-234~J.
5,944
1,016
1,244
1,176
828
234
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
I;'rimary Construction Type
. Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
5.00
33.00
50.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: .
% of Lot Coverage:
2
Yes
44.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Curbside 5'
To Storm Sewer
Fullv Improved
Storm Sewer Availabt40TlCE: .' pm F THE WORK
Special Instruction: THIS PERMIT SHALL EX E I .MIT IS NOT
AUTHORIZED UNDER THIS PER
Notes: COMMENCED OR IS ABANDONED FOR
. ANY 180 DAY PERIOD.
DownspoutslDrains:
Pae:e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
V Wood Frame
Bmt Semi-Finished
Garal!e
Use Bid Amount
Dwellinl!s
Dwellinl!s
Dwellinl!s
Garal!e
PatiolPorch
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
3 Baths One & Two Family
Addressing Assignment
Annexed 1997
Appliance Vent
. Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Plan Review - Planning
Plan Review Residential
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Wood Stove
I Valuation Descriution ,
$ Per Sq Ft
or multiplier
$74.60
$74.60
$21.50
$19.60
$1.00
Square Footage
or Bid Amount
3,066.00
234.00
370.00
828.00
9,486.00
Total Value of Project
~
Amount Paid
$712.01
$10.00
$306.00
$8.00
$-18.94
$12.00
$1,150.65
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$1.00
$59.00
$35.91
$-30.00
$621.23
$817.33
$10.00
$34.83
$332.86
$132.92
$48.32
$709.81
$160.87
$75.00
$956.83
$50.00
$18.00
$1,000.00
$30.00
Date Paid
5/30/03
8/1/03
8/1/03
8/1/03 .
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03 .
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03.
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
8/1/03
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00429
ISSUED: 08/0112003
APPLIED: 05/30/2003
EXPIRES: 12/10/2004
VALUE: $ 279,849.80
Value
Date Calculated
$228,723.60
$17,456.40
$7,955.00
$16,228.80
$9,486.00
$279,849.80
05/30/2003
05/30/2003
06/2612003
05/30/2003
06/26/2003
Receipt Number
1200200000000001381
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874 .
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
1200200000000001874
~1ItIt~f~1;;~l~J' ~
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 7% State Surcharge
Plan ReviewlResidential Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
Plannine Review
06/02/2003
06/02/2003
Public Works Review
Structural Review
06/10/2003
06/02/2003
Structural Review
0711012003
Structural Review
07/30/2003
Structural Review
12/29/2003
$161.37
$112.96
$90.00
$20.10
$14.07
$106.00
$95.00
$7,964.13
I Plan Reviews I
06/02/2003
06/10/2003
06/1112003
06/26/2003
07/28/2003
07/30/2003
2/5/04
2/5/04
2/5/04
6/10/04
6/10/04
6/10/04
6/10/04
APP
APP
APP
WE
WE
APP
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00429
ISSUED: 08/01/2003
APPLIED: 05/30/2003
EXPIRES: 12/10/2004
VALUE: $ 279,849.80
1200400000000000167
1200400000000000167
1200400000000000167
1200400000000000877
1200400000000000877
1200400000000000877
1200400000000000877
LLH
AID
Buiolding Height calculation
determined based on Case 2 of
Appendix 1 in SDC Article 2
(Definitions)
DJW
DLM
Need additional engineering. See
"needinfo" letter in documents.
Received revised calculations for
vertical load bearing members and
post-tensioned slab information.
Also verbally advised by aplicant
that 11-7/8 L VL members are to
substitute for TJI's at elevated
garage floor. No response on
footings design yet. Requested
information again by phone.
7/28/2003 dim
Received engineering calcs. for piers
carrying heavy loads (over 9k). OK
Submitted revised plans for
building. Deleting third car garage
and building areas below and above.
Relocating upper bath into
remaining building area on upper
floor.
DLM
DLM
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Paee 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00429
ISSUED: 08/0112003
APPLIED: 05/30/2003
EXPIRES: 12/10/2004
VALUE: $ 279,849.80
225 Fifth Street,.springfield,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wood Stove: After Installation.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required 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 filling trench.
Final Plumbing: When all plumbing work is complete.
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
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 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.
I further certify that only contractors and employees who are in compliance with ORS 701.005 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 construction.
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
.'
SPt:ingfield, Oregon 97477
5"11-726-3759 Phone
"'~ty of Springfield Official Receipt
.:velopment Services Department
Public Works Department
RECEIPT #:
1200400000000000877
Date: 06/10/2004
9:50:45AM
Job/Journal Number
COM2003-00429
COM2003-00429
COM2003-00429
COM2003-00429
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard HOMESTYLES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000495 136228 In Person
Payment Total:
Amount Due
106.00
95.00
14.07
20.10
$235.17
Amount Paid
$235.17
$235.17
. '. ~. .
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" ,.
6/1 0/2004
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