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Home My WebLink AboutPermit Electrical 2005-3-1 - 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~=tJ~2(l,~~9 ELECTRICAL PERMIT APPLICATION )0: ~/ 0'0'0;"-'% CityJobNumber COt'1llZOof.{- D144\ Date 3-(-05 ''-;1; 6> .:0/)1-'- \S'/)o;~.s'.s' .~ "-'6> </6 V/~<9 90,;, ""lit. 3. COMPLETE FEE "gCSfl.E EL~&O'-?... '?~." @C'I,i>. \S' ,,< '</.1': 1(> '/& 6'''''' ~ -oh ":.-.... . I/O' ~o A. New Residential- Single or l~ti- . ~ er dwe~~'ltnit. Service Included "'. ~D 1000 sq. ft. or less ~ .00 /00 Each additional 500 sq. ft. or I ~"'" /'/ u --- portion thereof If/ $ 19.00 ( Electrical Contractor .0 ~ t E \ -c: L If \'c ) TV\ ( 200 Amps or less ~res~\to JQ. dtf. ~m~ ~equ If\\t'I 'PO 'bo X I G9 La ATTE.\~d e$=t_~hlJ~?:~~s~t\ortn fO\~~W ~~kt~N~SW.l ~~ fU e OAR 952.001- City A \ b0 ~'1 Y Phone 5Y/'C(ro 7. 8~t?r~~~~.aQi~~6P~~~OHheru\eSDY () . ,I \0 0 i. ~lSMa.~ di.\\~\n COp . he te\epnone vI 7.3 L I 0090,\. the center. (Not~~~t\~~Notiticauon tJ/J 0 0 (' C!:1'.I\ng,.em.",~,-......t:\tc!"l'\nc V\.\ f ABrlt\r~ Supervisor License Number c:x!'--1.':::> e blat IV" ~~l'VlS~..Q{ ~ num canter la ,\-ao~~ . I 0) { I () S Installation, Alteration or Relocation l { tf 5l/fJ08 9//5/0$ I 1. LOCATION OF INSTALLATION ,~ Lf 7 q A It\b I e sid.. -e D~" . LEGAL DESCRIPTION I 70 Z j 9 L{ s.. OgjOD JOB DESCRIPTION ll\ e LU H"cJU s ~ 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 Address Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician (E~-~X!C5 rL W_ I Owners Name 6r~ LMlc,"'--. Address ?o G 0/ "'2041 City Ces>!t-v ft.l { ("S- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 - Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services ()rFeeders-:"'InstaUation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Ampsor 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel p~~'Rittu,(t -- ";-1.01': \\!~f'OO tiW~1~:~:!:E~t~F~\~t300 E. CMl~~eH!'h,~~~s;&si~y:i~d~~derllot-included) -Each Installation ?\l'ty"\ 8tJ'bh~!'dhUj.J, .- - .' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyIResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4, SUBTOT~OF ABOVE :J:20 / ) :;-. Vi) ~ d. ( U() /l57. Yi) 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application J -03.doc '~SPRI!~G.F..ISLJD. iIi.. '".'..-... '-:,... WiL~ : . ~.. .~ ~. . l . -+.. ."-.""- _.~,'-'. ....- '. 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: COM2004-01445 ISSUED: 12/17/2004 APPLIED: 11/241/2004 EXPIRES: 06/28/2005 VALUE: $ 257,528.00 SITE ADDRESS: 3479 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194308100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Ambleside 1st lot 149 I CONTRACTOR INFORMATION! Contractor ~ (eo.U'L~S);~~\\'J Expiration Date RIVER VALLEY BUILDE~~~on \0: \ne Ot~ ~e\ \ot\~.. 04/15/2005 G & E ELECTRI~\O . OO?WO 'o~ se t\l\eSlroz.oo 09/15/2007 MIDWAY MEC~~mPA~~Jn\et. ,n~tO\lg~~, ~(\l\es 'o'i 01/30/2007 MIDWAY PLU~~U~ "IY\ _00'\ ~ ~ ,.no\e546~."'\~'Qno~e 07/25/2008 \~:I ~...~ ~ r~r"I!' . ...I'...,! '$'C'd-"'';; \nO' ~~'fNf.o~O\\\\ 009 '. nQ \ne Ctil"Otego 1'.l2._2~l\l\). C'3-\\\\1R>f~,: ,\_eOO!~.;.J 1 (\\l{t\ml~~i'ucture 33.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339' Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22.00 10.00 17.10 46.70 32.00 Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-726-0330 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 1 R-3 U VN 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 951 7,711 940 1,660 I DEVELOPMENT INFORMATION I ~WRED PARKING Overlay Dist: ~t. W \\-\t.~'N ,,11\\ 2 # Street Tre.lls.~q,~: \-\~\..\.. t.'i-.?\~~t.~,:!\\\ udicapped: Paved Di4~\~'il~~\\~~\\ S ~Dt.~ \\-V~~DC)~t.D mpact: % of LO~Q\\<e~~\lt.D \j C)~ \S r~gIOO' ~~;\~~~~~~~D;~~~\C)D, I PUBLIC IMPROr~N1ENTS"'f Sidewalk Type: Downspouts/Drains: Fully Improved Yes Curbside 5' Curb and Gutter Notes: Overwidth curbcut to Bob Wilson for approval 11/30/2004 CAS Pal!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 Gara2e Dwellin2s Gara2e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - 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 Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIlamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01445 ISSUED: 12/17/2004 APPLIED: 11/24/2004 EXPIRES: 06/28/2005 VALUE: $ 257,528.00 I Valuation Description I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,537.00 951.00 Value Date Calculated $234,418.80 $23,109.30 $257,528.10 11/24/2004 11/24/2004 Total Value of Project ~ Amount Paid $701.45 $10.00 $151.72 $106.20 $306.00 $31.00 $1,079.15 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $548.40 $721.20 $10.00 $865.31 $82.03 $132.96 $62.72 $772.49 $175.13 $75.00 $739.04 $50.00 $24.00 $1,000.00 $22.00 $15.40 $106.00 $114.00 Date Paid Receipt Number 1200400000000001655 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200400000000001528 2200500000000000282 2200500000000000282 2200500000000000282 2200500000000000282 11/24/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 12/17/04 3/11/05 3/11/05 3/11/05 3/11/05 Pa2e 2 of 4 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01445 ISSUED: 12/17/2004 APPLIED: 11/2412004 EXPIRES: 06/28/2005 VALUE: $ 257,528.00 -~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,142.20 I Plan Reviews' Initial Review 11/29/2004 11/29/2004 APP LLH Plan nine: Review 11/29/2004 12/08/2004 APP EMM Public Works Review 11/30/2004 10 VRJ Public Works Review 11/29/2004 11/30/2004 APP CAS Structural Review 11/29/2004 12/14/2004 APP DLM We do not have any signed electrical forms in for G&E Electric so the electrical permit cannot be included in the permit. Building height 29' based on calculation method in Article 2. I contacted Greg Larkin 9:50 11/30/04 and let him know that we needed engineered signed and stamped details for the retaining walls, concrete shear wall, and back drainage details for any cuts over four feet. He thought he had submitted them, so he is going to check his information and get back to me. I told him he could stop by to look at what was submitted, so if he does he may ask to review the building plans in the red folder in Don's area. VJ. Overwidth d/w request to Bob Wilson - Transportation reviewing 11/30/2004 CAS See documents for plan review comments. 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. ~eouiredJnsnections , Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. 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. Post and Beam: Prior to floor insulation or decking. 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. Pae:e 3 of 4 -~~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01445 ISSUED: 12/17/2004 APPLIED: 11/24/2004 EXPIRES: 06/28/2005 VALUE: $ 257,528.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 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 Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 ate 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 Pae:e 4 of 4 - 225 Fifth Street . Sprb;lgfield, Oregon 97477 541-726-3759 Phone r<:ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200500000000000282 Date: 03/11/2005 1:59:33PM Job/Journal Number COM2004-01445 COM2004-01445 COM2004-01445 COM2004-01445 Description Residence Wiring. 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Item Total: Amount Due '106.00 114.00 15.40 22,00 $257.40 Payments: Type of Payment. Paid By Check Number Authorization Received By Batch Number Number How Received Amount Paid Check 'G&EELECTRIC INC djb 9368 In Person Payment Total: $257.40 $257.40 3/11/2005 Page 1 of 1