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Home My WebLink AboutPermit Electrical 2004-2-24 I ~ eo ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 " PH:(541)726-3753 . FAX: (541)726-3689 ~0 'b-e;, b~ .~,v .~q; t:l,v ~ 'O~ e;,JJ .~\0 '" ~ ELECTRICAL PERMIT APPLICATION 'City Job Number [om ZJ:.:.O)'~ 0 I ) '37 Date 1. 3. ]'-13_5 A-1J1/1 ()'(-ES('('j{) - LEGAL DESCRIPTION 170L I 9 L-/3 07900 JOB DESCRIPTION I I f / A () ~J' /(j vv~ 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 1..) ~ t E \ -e LTf \'c I YV\ C Address PO '{)o X I (p 8 Co City A\ b~ VlV Phone 5Y/-C(ro7-8GZ7 C{7 3 i ( :;)q00~ (ojr 105 l ( t! 5l( fj Co f) 9/15/0$ I { ~RTI.<!_tlire of Supervising Electrician X- C;;' 0" \JL LQ r-- Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date (7 fleb- Address yo [3()J< City COiZ--\tA--II..~ tJ-rLlLI/,j Owners Name zu II I Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726~3769 ;)dLf -0 Lf !O' .~~ 0" 1000 sq. ft. or less ~,'b,e,~.;y'bO I Each additional 500 sq. ft: or0.s:) 5 portion thereof . Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 106 rOO 95". OJ $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 ft;50.00 00 . c. ._ ,\~,,\',O~eQ'O\j \\'IQ eS a1e 2-00 In~t~~~on~)~Jf)l(~~~~~~dc~~~p.~ 9:\.\\es \. 2~'M1P~)~Nres~tl-\e1- , 'n \~~o0~ ~ 0\ \\le I~~OO 2?1 ~\l~(~~~)~rrt~~,;..~~.f\ t/)?::':~)\e ,e\e?~&S\~1' 4tH~ApWS~ldoW,~p~ 't \~.\O'<:'~,\\\\\J ~O\~$100.00 :\.-' "1(\\1 ,,>\\\e \\\..1'" rf'/l..ih o ~Oo Am ~p i-OM, 'O!tSl~e ~"atSo~e. D. \'\~ - New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. t~Q~~~~~tf~\1p..LL E'i-P\RE ~~i \S Wloo 51~tPt~it~~ER 1\1\S P _ cO~ 50.00 LlMJiliB\~ ~~e(H3\~~aA\BM~OuH(D. $ 25.00 Li~Q~~gtf!\j~~\QQj. $ 45.00 Minimu&ti:lectric Permit Inspection Fee is $45.00 + Surcharges 4. C;;O /(0 () /4.07 ;:)(),I() ).35'(7 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)fBuilding Fonns/Electrical Pennit Application I-03,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3433 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194307900 PROJECT DESCRIPTION: SFR CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED:, 12/19/2003 APPLIED: 11/13/2003 . EXPIRES: 09/01/2004 VALUE: $ 234,202.00 Spr!ngfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 Contractor Type General Electrical Engineer Mechanical Plumbing Phone Number: 541-726-0330 I CONTRACTOR INFORMATION I , Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC K* A ENGINEERING MIDWAY MECHANICAL INC MIDWAY PLUMBING INC Phone 541-367-1618 541-967-7045 541-684-9399 541-928-2423 541-928-7927 # of Units:. Primary Occupancy Group: Secondary Occupancy G.roup: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 ' R-3 U-l VN 3 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 21.00 15.00 58.00 0.00 ' License 134566 54468 Expiration Date 04/15/2005 09/15/2007 154166 4687 01/30/2005 07/25/2004 'I BUILDING INFORMATION I # of Stories: 2 Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type:, Gas Sq "t~f~e~wn~15 you to Range Type: ATfEN~~t!r.fc)regrgij .11 ar~~tYlPWti\ity Energy Path: II W rule%~JdtlPtescPVt !her:. are set ton, fo 0 , . lb"~. U1e~1 fA__kr6V>\ ,'otification Cenler.1 n":~~~~gW O'J{Fr'S'OL~. I DEVELOPMENT INFORMAr1oq~.;:t~in"ioPle'~Of tn~'e I u~~~ ~ UU;:IV. . - ,". nter '(NoteImf}m PARKING calling'the ce . Utility NotllCallon- Overlay Dist: number for the. oreg~n_ ~~~~~44). 2 , # Street Trees Rqd: ,('....."'+0.. ,,~j -fl () " HandIcapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 16.10 9,720 810 1,578 750 I PUBLIC IMPROVEMENTS I' F U I d NOTICE' Sidewalk Type: (L b'd 5' u y mpro~:s THIS PERMID~~I&~JI.1~ ~F THE WQaK~~ ~e:er AUTHORIZED UNDER THIS P~RMIT Is~di COMMENCED OR IS ABANDONED FOR ANY 180 DAYPERlOD. ' '.,,' ,',' Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 09/0112004 VALUE: $ 234,202.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I DwelIin!!s Gara!!e Tvpe of Construction V Wood Frame Gara!!e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,388.00 750.00 Value Date Calculated Description Total Value of Project $216,352.80 $17,850.00 $234,202.80 11/13/2003 11/13/2003 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.00 11/13/03 1200200000000002461 + 7% State Surcharge $3.50 11113/03 1200200000000002461 Plan Review Residential $652.86 11/13/03 1200200000000002461 Temp Power 200 amps or less $50.00 11113/03 1200200000000002461 -Mechanical Issuance Fee- $10.00 12119/03 1200200000000002635 3 Baths One & Two Family $306.00 12/19/03 1200200000000002635 Addressing Assignment $8.00 12119/03 1200200000000002635 Annexed 1997 $-23.30 12119/03 1200200000000002635 Appliance Vent $6.00 12/19/03 1200200000000002635 Building Permit $1,004.40 12/19/03 1200200000000002635 Curbcut Permit $75.00 12/19/03 1200200000000002635 Dryer Vent $6.00 12/19/03 1200200000000002635 Exhaust Hoods $9.00 12/19/03 1200200000000002635 Furnace - up to 100,000 btu $12.00 12/19/03 1200200000000002635 Gas Fireplace $15.00 12/19/03 1200200000000002635 Gas Outlets 1-4 $4.00 12/19/03 1200200000000002635 Plan Review - Planning $59.00 12/19/03 1200200000000002635 Plan ReviewIResidential Hourly $90.00 12/19/03 1200200000000002635 Plan ReviewIResidential Hourly $225.00 12/19/03 1200200000000002635 PW MuIt Disc - 2nd Permit $-30.00 12/19/03 1200200000000002635 Sanitary Sewer - Improvement $499.09 12/19/03 1200200000000002635 Sanitary Sewer - Reimbursement $656.56 12/19/03 1200200000000002635 SDC MWMC Administration $10.00 12/19/03 1200200000000002635 SDC MWMC Improvement $214.23 12/19/03 1200200000000002635 SDC MWMC Reimbursement $314.63 12/19/03 1200200000000002635 SDC Sanitary/Storm Admin $109.89 12/19/03 1200200000000002635 SDC Transpo Admin $53.00 12/19/03 1200200000000002635 SDC Transpo Improvement $727.42 12/19/03 1200200000000002635 SDC Transpo Reimbursement $164.89 12/19/03 1200200000000002635 Sidewalk Permit $75.00 12/19/03 1200200000000002635 Storm Drainage Impervious Area $694.26 12/19/03 1200200000000002635 Vent Fan $30.00 12/19/03 1200200000000002635 WiIlamalane Single Family $1,000.00 12119/03 1200200000000002635 + 10% Administrative Fee $20.10 3/1104 1200400000000000256 + 7% State Surcharge $14.07 3/1/04 1200400000000000256 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 09/01/2004 VALUE: $ 234,202.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $106.00 $95.00 3/1/04 3/1104 1200400000000000256 1200400000000000256 Total Amount Paid $7,271.60 Plan Reviews I Initial Review 11/14/2003 11/14/2003 APP RJB Planninl! Review 11/14/2003 11126/2003 APP TAJ Public Works Review 11/14/2003 11/17/2003 APP VRJ Structural Review 11/14/2003 12103/2004 WE DLM Structural Review 1211112003 12/18/2003 APP DLM 24 ft max. for driveway throat. Need additional information to complete structural review. Contacted engineer for clarifications 12104/2003. Met w/ engineer re: needed revisions. Also met w/ applicant 1215/2003 to review request for info letter. 12/8/2003 dim Applicant submitted revised plans & engineering on 12/11/2003 dim For plan review comments, see documents. 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. 24 Temporary Electric: Approval required prior to Utility Company energizing pole. 21 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 6 Curbcut - Standard: After forms are erected but prior to placement of concrete. 22 Site Inspection: To be made after excavation but prior to setting forms. 25 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 9 Footing: After trenches are excavated. 10 Foundation: After forms are erected but prior to concrete placement. 15 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 20 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 29 Wall Insulation: Prior to cover. S Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 28 Underfloor Plumbing: Prior to insulation or decking. 26 Underfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01139 ISSUED: 12/19/2003 APPLIED: 11/13/2003 EXPIRES: 09/01/2004 VALUE: $ 234,202.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 30 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 23 Storm Sewer Line: Prior to filling trench. 4 Final Plumbing: When all plumbing work is complete. 27 UnderfIoor Mechanical. Prior to insulation or decking and including required testing. 16 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 12 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. 17 Rough Mechanical: Prior to Cover 2 Final Gas: When all gas work is complete. 3 Final Mechanical: When all mechanical work is complete. 31 Rough Electric: Prior to Cover 32 Final Electric: When all electrical work is complete. 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 Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01139 COM2003-01139 COM2003-01139 COM2003-01139 Payments: Type of Payment Check Receipt #: 1200400000000000256 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By G&E ELECTRIC INC Received By djb Check Number Batch Number Authorization Number 7791 City of Spriagfield Official Receipt, Development Services Department Public Works Department. Date: 03/0112004 1:03:40PM Amount Paid Item Total: 106.00 95.00 14.07 20.10 $235.17 How Received In Person Payment Total: Amount Paid $235.17 $235.17