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Home My WebLink AboutPermit Electrical 2003-9-18 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~$ (611bl1ryl~(jJ.~ as submiti~d hfIs'the following . zoning and does not require specific land use ~~:o:~:~~~~~~~'~~~~~-~~~~ Q-It9-{).2PP~O~~I"ZOning','._::,":.';~".. "~'; ..,.,....~ ..' " . -, ., ....;.S1:'J\.~:-D 3 Electrical Contractor () ~ t E \ -e (. T'( \'C ) TV\. ( Address 'PO box I C98 Co CIty A'\ ~ J Vl ,i. Pho~e "S'9 (C(:r;7.'8G2-7 , :.' - Q'7''3'L I . ,..,~- - . . . . , Supervisor License Number ':;)Q'9J erg; ... I 0 (( . I ()3 l . { 200 A 1 $ 50.00 Constr. Contr. Number 11 5l( C( (0 8 20 1 ~:: ~: 4~~ Amps $ 69.00 . ATTENTI0I'{9~9pnt~ ~qUlres YOUl-OOI Amps to 600 Amps . . '$100.00 Expiration Date follo\"-' rules ad.qP(p~. t, mfiOregon ut8...........~.,.t...~ 600 Amps or 1000 Volts see "B" above. . Nntifig~~on .Cemer. Th se rules are ~t~. SIgnature ofSup~~8~~L~~ 2 I 10,th. u hOAR95'2,'.; , y.L- ~ _ 0 ay tah ipl s of the ru~~"\i\Alt~ration or Extension Per Panel I \ ~.~ "",' . t oR - I . lephOO~ Circuit n~mbe;. for the Oregon Utility Notifical1m1t Additional Circuit or with ~. -..L......o'r/U;: r-=800-332-2344). ServIce or Feeder Pemllt Owners Name t7'(Lt:-c.1 ue~~j '"'"' f . Address ::PO '"'iS~,c City C~\fA--\ (~"\ l,i~g~,. 3. 4.-:5"'.-':~2'~ ,.:n:-I;1),"h" \ ie:$':;te~D~I1.; '~. ~:, . f. Tr v LU '(A:-:. \ \ "J" ..... LECjf\.l: DESCRIP.TIO~ . ')70Z/'~Lf~ JOB DESCRIPTION. fl1NU ~ '6'1.s-CYD Permits are non-transferable and expire if work is notstarted within 180 days of issuance or if workls Suspended for 180 days. . 2. Expiration Date 201.-( I Phone 726 - OBO 3. 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 Y' $106.00 IOft;,.OQ 7& rC/i) $ 19.00 $50.00 B. 200 Amps or less 20 I Amps to 400 Amps 401 Amps_to 600.Am~s ,_ 601 Amps to 1000 Amps" Over 1000 AmpsNolts :"Recomiect;Onl:Y'. .".. '.- "" . ...> .'. ... ~ ,,", . " . .' $ 63.00 $ 75.00 $125.00 ..'1'" '. ,$163.00 $375.00 :.~~-so.do . \' c. Installation, Alteration or Relocation $ 43.00 $ 3.00 E. Pump or iITigation $ 50.00 Sign/Outline Lighting $50.00 . OW'NER INSTALLATION Limited EnergyIResidential $ 25.00 The installation is being made o~Ornitf:I own wru'in Limited Energy/Commercial . .$ 45.00 '. . .n~lc P'ERMIT SHALL E~RE IF T ~ WD K .. . IS not l11tended for sale, lease 011[en~ . n < e r rillIt InspectIOn Fee IS $45 00 + Surcharues , AUTHORIZED UNDER T I . b Owners Signature: COMMENCED OR IS ABAfJ t & 2 ~O 0 ANY 180 DAY PERIOD. ' I-Z., . 7,/ L1 7% State Surcharge v to' 7 @ ~~ TI O~o/tTOA ALdl11inistrative Fee ..::).t/f3~ 2-,.;; U7 Inspection Request: 726-3769 V' C/( ~ - (,.' 7 ~ ~~ ~ Sh,red Dri,~T,)IB"i1,"'g Foo""/EI~"i",1 p~"i1 A"h,"'", I-OJ.i1m Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00584 ISSUED: 07/28/2003 APPLIED: 07/03/2003 EXPIRES: 02/08/2004 VALUE: $ 198,353.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726..3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3452 AMBLESIDE DR ASSESSOR'S PARCEL NO.: 1702194307500 TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential - PROJECT DESCRIPTION: SFR Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 Phone Number: 541~726-0330 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor RIVER VALLEY BUILDERS INC .G & E ELECTRIC INC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC License 134566 54468 154166 4687 Expiration Date 04/15/2005 09/15/2003 01130/2005 07/2512004 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 I BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: 2 Lot Size: Height of Structure 28.00 \r~I!Ji.IAA Floor: Type of Heat: F&9~ ~ m9U ~1ij'Q\\WFloor: Wa!~1b1{~ON:O{ ted '0,/ ttMltpre s.iellwnnent: RJh 'e rr~es adoP "h9~~\es is~ge/Carport EdQ~~~t8n ceoter. d~n 0 lf~~b: Not~\ca 1't.c:.2.-00'\-OO'\. cop\es 0\ IP~ff6'lt9 Surface Area: , C" ~ ~ '::Tv . nr,t'-\.\O llr'tI"...1D\e\J -- I DEVELipBN~~g~;l~')\Ut~"\'Y No\\1\C~liv.., ca\l"'~ottne U'O'd"~_332.-2.344). REQUIRED PARKING overiiIY'BPs~f ce\'\tef \S '\ -80.-. . Total: 2 # Street Trees Rqd: 2 Handicapped: Paved Drive Rqd: Compact: Yes 27.00- 1,050 . 1,029 1 R-3 U-l VN 420 SETBACKS "Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.00 10.00 7.00 23.00 40.00 % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPRQ.v}';M~E.NTS I .--..- . Fullv Improved THIS PERMIT SHAL~~>~la"Ur}ittlHE WORK Curbside 5' Yes AUTHORIZED UNDtWo*W~~oflfsffii1I.Tn\:? NOT To Storm Sewer Storm drainage approved to privl{!{)~fP.rn!MltW. fi~~pwAfilljtW~~t0ae attached as-built of Ambleside. ANY 180 DAY PERIOD. Notes: Pa!!: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 Garal!e Dwellinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 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 Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewaik Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 I Valuation Descriution I $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,079.00 420.00 Total Value of Project ~ Amount Paid $576.81 $10.00 $131.94 $92.36 $306.00 $8.00 $-18.46 $6.00 $887.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $59.00 $-30.00 $464.67 $611.28 $10.00 $34.83 $332.86 $94.77 $50.89 $727.42 $164.89 $75.00 $585.80 $50.00 $24.00 $1,000.00 $18.20 $12.74 $106.00 $76.00 Date Paid 7/3/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 7/28/03 9/23/03 9/23/03 9/23/03 9/23/03 Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00584 ISSUED: 07/28/2003 APPLIED: 07/03/2003 EXPIRES: 02/08/2004 VALUE: $ 198,353.00 Value Date Calculated $188,357.40 $9,996.00 $198,353.40 07/03/2003 07/03/2003 Receipt Number 1200200000000001710 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 120020000000000i830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 .1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000001830 1200200000000002195 1200200000000002195 1200200000000002195 1200200000000002195 ........"i!P~~J:~4q~I.~~ "....< ~<',.,_ ~ \ 'J.. Status Iss~ed CITY OF SPRINGFIELD ' Building/Combination Permit PERMIT NO: COM2003-00584 ISSUED: 07/28/2003 APPLIED: 07/03/2003 EXPIRES: 02/08/2004 VALUE: $ 198,353.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,589.40 I Plan Reviews I Initial Review Planninl! Review Public Works Review 07/07/2003 07/07/2003 07/09/2003 07/07/2003 07/17/2003 07/10/2003 APP APP APP LLH TAJ 'VRJ Storm drain.age approved to private storm line in back of property, please see'attached as-built of AmbJeside. ' .,. . .No elevation information, called contr. an~ left lilessage to submit detailed elevations. Structural Review 07/07/2003 07/24/2003 10 'TCM Structural Review 07/25/2003 07/25/2003 APP TCM 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 callfor 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 Post and Beam: Prior to floor insulation or decking. 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 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. Pal!e 3 of 4 Status Issued CITY OF SPKiNGFIELD Building/Combination Permit PERMIT NO: COM2003-00584 ISSUED: 07/28/2003 APPLIED: 07/03/2003 EXPIRES: 02/08/2004 VALUE: $ 198,353.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When a.1l electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herel>Y 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 Pa2;e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00584 COM2003-00584 COM2003-00584 COM2003-00584 Payments: Type of Payment Check Reccipt#: 1200200000000002195 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By G & E ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department. Public Works Department. Date: 09/23/2003 3:22:10PM Amount Paid Item Total: 106.00 76,00 12.74 18.20 $212.94 How Received In Person Payment Total: Amount Paid $212.94 $212.94 CCB - Find A Licensee - Resu l' SEARCH BY: - LICENSE NUMBER - TELEPHONE NUMBER -NAME SEARCH BUILDING CODES DIVISION FOR PLUMBING & ELECTRICAL CONTRACTORS Page 1 of2 Find A Licensee Other About Contact Us Links the CCB What's Canst Programs Consumers Contractors Laws New Find A Licensee - Results Click HERE for a printer friendly version LICENSE 54468 NUMBER: NAME: G & E ELECTRIC INC ADDRESS: PO BOX 1686 ALBANY OR 97321-0529 WORK PHONE 5419678627 ENTITY TYPE: Corporation NUMBER: LICENSE STATUS: Active EXPIRATION 9/15/2007 DATE: DATE FIRST 9/15/1987 LICENSED: CONTRACTORS BOND COMPANY: BONDING & INS CO BOND AMOUNT: $ 15000 BOND EFFECTIVE 9/15/2007 TO: VIEW BOND VIEW CLAIMS HISTORY HISTORY VIEW VIEW ASSOCIATED SPECIALIZED NAMES TRAINING ASSOCIATED LICENSES VIEW BUILDING CODES DIVISION LICENSE DETAILS STATUS CHANGED DATE: LICENSE General CATEGORY: Contractor/All Non-Exempt (Has EMPLOYER Employees - Must STATUS: Have Workers' Comp Coverage) FEDERATED INSURANCE SERVICE COMPANY: INSURANCE COMPANY INSURANCE $ 1000000 AMOUNT: INSURANCE EFFECTIVE TO: 8/31/2004 VIEW INSURANCE HISTORY VIEW SIC CODES OTHER CCB LICENSES [ Home] [ Up] Send mail to Web Administrator with questions or comments about this web-site State of Oregon Liability Statement http://ccbed.ccb.state.or.uslNew_ Web/asp/new _search_resuIts.asp 9/24/2003