HomeMy WebLinkAboutPermit Electrical 2004-6-11
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FtA.XdI~~~7~lm submitted has the fO~~i~jng
ELEt;l1<ICAL PERltlIT APPLICATION zoning. and does not require specific land0U$~
approval.
City Job Number CO/lUZ "I,'j ~ -GC-JLfZ (7 Date bll- 0 II Zoning, L\)~
, I ~ ~ f.p ~ 'L\---l>4-J
3. COMPLETE0F'k.b :::;C.t1.bLJULb l$.bLUW ~
.".Hnorized Signature I)' .
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
over~o ..
_ _--'llt_ \,)\\\\\'1
t.~~\t1\h8 aftSe\10~
~tu'8I ~~~~ti- Feeders
~ ~.QO\O\h~ oHl\8N\esbY
"'" oftJ' 9S2.(1J ob~1Jl~&~ t\\~~or Relocation
woQ090.lO\J "~.2&~~\~~\\catiOft
IZ'17 3~ ca\\\(\Q":\t\e()f~~~12~)Amps
rei ~ ~~\I~to600AmPS
EXPieate ( 7, 0 ~ Over 600 Amps or 1000 Volts see "B" above.
Sign ture 0 s~pet. ,./'0... El._____eCtriCian D. Branch Circuits
, New Alteration or Extension Per Panel
/./) One Circuit $ 43.00
t'.flt. I -' -~ Each Additional Circuit or with
~.J \ Service or Feeder Permit
Owner Nameh-,- kL.-<:::> ~ (:) v',- \~-C~ ( o...\. ~}(?l
Address ? 0 F3:.b {- I -71 () c;.) - E. Miscellaneous (Service/feeder not included) -Each Installation
1.
LOCATION OF INSTALLATION
Avv1 U-5:.-~ dc'-
" /r
}).
3>S-~ Z
LEGAL DESCRIPTION
170Z- \ '7Lf~
JOB DESCRIPTION
luL'/ v'D/fli C. e--
Ob?S"OO
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor OLd.r: e. ( dj I,..; L
Address
JY~J vJ.
?~
City
rv7-e~
I
t/lt.- Phone '1'2.5-- wch:1
97YdZ
Supervisor License Number
Expiration Date
Constr. Contr. Number
City (:.-, A-- G--r:::-,V ~ Phone
OWNER INSTALLATION
::;;y:"::,:_' k ~~'~:~;, :""=;~ c::;::...=:
A. New Residential- Single or Multi-Family per dwelling unit.
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
$106.00
$ 19.00
$50.00
B.Services or Feeders - Installation, Alterations or Relocation:
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 3.00
-----
Pump or irrigation $ 50.00
Sign/Outline Lighting . n\j$ 50.00
Limited EnergYlRes~dent~~ ~~~ as \;~G125.00
Limited Energylcom\l,~"~G G1J~5.00
Minimum Ele6~~>>~~I\~6n~ \. ~'fiI "Surcharges
~O~ ~,u..~~S\\-\l. ",,-"'lli\-\S l.\ .'1"\~O\\
4. S~~W)!tl; .g~VE' t;l'" V S"--
\0 '1\-\\. !\
'h~~te Surcharge
2\-
10% Administrative Fee
-----I )
~s
i y-o
--- 2- f) -
.~ --
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application l-03.doc
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003.00429
ISSUED: 08/01/2003
APPLIED: 05/30/2003
EXPIRES: 12/11/2004
VALUE: $ 279,849.80
-1tr~J'J7-<~~~~' . > ,<., 11
~j - -,.. -'" ,~~ i;
,~ r
"' ,~.~~f"'"_.. ~,~~-:::Il""'. _ . "R "
Status
Issued
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
REQUIRED PARKING
Total: 2
2 ~lticapped:
Yes ~COt:~Qt.t:
44.00" ~~ ~~~ \,~~
~~o ~~r:s ~'\j~ ~\.
.t\(\" .\(\ t1" . \ <;~ ~
I PUBLIC IMPROVEMENTS I ~~~ S~~~~ 'V~'Of:;\~\\\)"
~~~'R:~'t;~ .,
Fullv Improved ~~~ ~~~@KV'Y e:.
Yes 'O~'>:, \\~~\~RspoutS/Drains:
~ ~\ ~\.:s
\,\5 ~~ ~
"t-.~
TYPE OF USE:
PROJECT DESCRIPTION: SFR
Owner: DUKES & DUKES CONSTRUCTION CO
Address: PO BOX 71095 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DUKES AND DUKES CONST
EASTSIDE ELECTRIC INC
COMFORJ: FLOW
DON CLEWIS
License
65060
117770
460
33076
TION
, -"'" O~ ~'4 \l\9 ate s 00'-
# of Units: >~\)\':A.o~6 sfJ~~!Ji~g~{l.# 'O'i 2
. Primary Occupancy Gro~.'..:: tu\~t\\et. "{\'\O ~~'n~ f\1U\ftil.e 38.00
Secondary Occupancy Gt~c&\\O(\~ :\$\Q\~ ~tyS ~~'(\O~~orced Air Gas
Primary Construction T5iI\@~ gS~ O~(\ C\'f.:H. 9b\\\\Ca\\Ot\ Gas
Secondary Construction ~~ "(OU {(\e..'4 eflV!lt. ~a~\~ e~). Gas
# of Bedrooms: 0090. ~ 1\0 ~ C Ote9t\\!!~ . : Path 1
. ca~~""et\Ot~e \s,\#~mkled Building: n/a
~. ,n\W_I_...~at
.'. v-
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
5.00
33.00
50.00
-p.Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
. Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of5
New
Residential
Phone Number: 541-747-3130
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,944
1,016
1,244
1,176
828
234.
Curbside 5'
To Storm Sewer
._~~"ftJl!9fil,!,t,~ ,,,"'''-'" ..,
~
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.
Garaee
Use Bid Amount
Dwellines
Dwellines
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
SDCMWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm 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 Descriotion I
$ 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
Paee 2 of5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00429
ISSUED: 08/01/2003
APPLIED: 05/30/2003
EXPIRES: 12/11/2004
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 .
06/26/2003
05/30/2003
06/26/2003
Receipt Number
120020Q000000001381
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
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 ReviewIResidential Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage -Residential
Minimum/Adjustment Electrical
Total Amount Paid
Initial Review
Plan nine Review
06/02/2003
06/02/2003
Public Works Review
Structural Review
06/10/2003
06/02/2003
Structural Review
07/10/2003
Structural Review
07/30/2003
Structural Review
12129/2003
$8,016.78
$161.37
$112.96
$90.00
$20.10
$14.07
$106.00
$95.00
$4.50
$3.15 .
$25.00
$20.00
2/5/04
2/5/04
2/5/04
6/10/04
6/10/04
6/10/04
6/10/04
6/11/04
6/11/04
6/11/04
6/11/04
I Plan Reviews I
06/02/2003
06/10/2003
06/11/2003
06/i6/2003
07/28/2003
07/30/2003
APP LLH
APP AID
APP DJW
WE DLM
WE DLM
APP DLM
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00429
ISSUED: 08/0112003
APPLIED: 05/3012003
EXPIRES: 12/11/2004
VALUE: $ 279,849.80
1200400000000000167
1200400000000000167
1200400000000000167
1200400000000000877
1200400000000000877
1200400000000000877
1200400000000000877
1200400000000000890
1200400000000000890
1200400000000000890
1200400000000000890
Buiolding Height calculation
determined based on Case 2 of
Appendix 1 in SDC Article 2
(Definitions) .
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 cales. 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.
To Request an inspection call the 24 hour reco~ding 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.
. Paee 3 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00429
ISSUED: 08/0112003
APPLIED: 05/30/2003
EXPIRES: 12/1112004
VALUE: $ 279,849.80
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.
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.
Low Voltage: Prior to cover.
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 and/or
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
Pal!e 4 of 5
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: COM2003-00429
ISSUED: 08/0112003
APPLIED: 05/3012003
EXPIRES: 12/11/2004
VALUE: $ 279,849.80
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 orany 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 5 of 5
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.A~afti..... . ...
u... ..... .
~ .. . .
Job/Journal Number
COM2003-00429
COM2003-00429
COM2003-00429
COM2003-00429
Payments:
Type of Payment
CreditCard
6/11/2004
RECEIPT #:
,....ty of Springfield Official Receipt
.;velopment Services Department
Public Works Department
1200400000000000890
Date: 06/11/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
JOEL RIMMER
Received By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
000407
011720 In Person
Payment Total:
lO:39:35AM
Amount Due
3.15
4.50
25.00
20.00
$52.65
Amount Paid
$52.65
$52.65