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Home My WebLink AboutPermit Electrical 2003-7-22 the following bmitted h~~,c land. use dl WIn . e speclt 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 J~x\i'I~ ;Z~6$8~qu\r zonIng. h-vIl_ ELECTRICAL PERMIT APPLICATION app<oval. ~ Cily Job Numbe, com zoo"3 - OoZO G O",e 07 Z Z. 03. zoning 1~ vO ~ Date - ~ 1. LOCA110N OF INSTALLA110N 3. COMPLETE FEE ~~I1!"..EE lV AUtflOfi! ~ ,3:~Lf ~\o\(i' ~I'~ Or~Ue... s'fFO LEGAL DESCRIPTION 110U' 1702. \ '1Jl{ JOB DESCRIPTION 07/00 Low Voft~ E Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residential- Single or Multi-Family per dwelling unit. Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 Feeder 2. CONTRACTOR INST14LLATION ONLY B. Services or E~re~~~M:~erations or Relocation: E.f'\-nON:OfeO d bY the Of9;Te set to~ Electrical Contractor f); \I ru,," \ : (' rJ... hi erk l'fI 1'~\fII fB~~r~ose Tu\e~l\f\ gS?-oo $ 63.00 O. 'C9.~~~ ~q~~~J!tU9h the rn\eS b. $ 75.00 Address p.O. e)~ L{OSLI <r ~o~~f\~2\oQ9~t~~&1I!}p~\es ~\e'erho~e $125.00 \~090, ~w..%.~~ ~cnti~9~~: ~~t'J No\\t\ca\\on $163.00 City~. ~?'-I aLj Phone <-/~L( - Q078; Ca.W"v9r\~8~n~~~ \Jt\2' 2346.'. $375.00 'f\U~AQ!C\~1~1_800-33 - $ 50.00 ~, center \ Supervisor License Number 3 ~9 ~ L 64 Expiration Date Constr. Contr. Number Owners Name \\<<1 \0<0\ \3, " " ~+- Address If 2.3 s~F~ Phone City OWNER INST ALLA nON C. Temporary Services or "Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 :\mps or I 000 Volts see "B" above. D. Branch Circuits WOf\K tt01~C~:. ~ttltet~(H~\~\~~~,~l Panel \~.\S ?tt\~\M\q?l~~t)i[~i{t\\S PC rO~ F\\n\10t\\lE\EM:ii.A~i~~t)~'ft\6r with N\ME~CE$1~~e\ a)needer PeImit cO 80 0(\'1 ?E~\ . M~'{ ~ E. :Miscellaneous (Service/feeder not included) -Each 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 $ 43.00 $ 3.00 Pump or in'igation Sign/Outline Lighting Limited Energy/Residential Limited EnergylCommercial $ 50.00 $ 50.00. $ 25.00 $ 45.00 I Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE dol LIS ~ .:< 12- 'Lt:!9- tf 5;) t9. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonlls/Electrical Penllit Application I-03.doc CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 01122/2004 VALUE: $ 188,635.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3324 Ambleside Drive ASSESSOR'S PARCEL NO.: 1702193407100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRI~TION: SFR Owner: TIM WELLS Address: 1123 N ST SPRINGFIELD OR 97477 Phone Number: 541-746-0272 ICONTRACTORINFORMAT~~ Contractor ~ \t \~~~\ TIMMY RA Y WELL~ r..\..\.. ~~~\~ ~~\\~j~ KlDD ELEJ~C ~\ CO\\r- \\ \\\~ ~~~09 MARSHAL ~t."~ \) \J~\)rr; ~fQ~~\) 25790 A&P PLUMB1 ~rr\?~~~t.\\ ~~I~~f'\)' 136326 C~~INFORMATION I 1 ~ # of Stories: 2 R-3 Height of Structure 32.00 U-l Type of Heat: Forced Air Elect VN Water Type: Electric Range Type: Electric Energy Path: Path 1 Contractor Type General Electrical Mechanical Plumbing Expiration Date 04/17/2004 0112712005 12/23/2003 08/10/2003 Phone 541-746-0272 541-942-1352 541-747-7445 541-463-8007 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: 933 Sq Ft 2nd Floor: 1,459 Sq Ft Basement: Sq Ft GaragelCarport 520 Sq Ft Other: Impervious Surface Area: .."..... 4 I DEVELOPMENTINFORMATIO~U\tas 'i~\\\W . ""nO(\ \~. ~.... Qte90f\ _~\ \O{\REQUlRED PARKING N.ot""~ ~ \\..... Je"O'" 10' O~~~i'D~:~O\l\ed ~ose {u\eS ~~ gSZ,J) Total: 2 ~M~&ft~~~{.1''''~I{oUg\\'\ 0 ~ \~e tU\eS Handicapped: ~a'~~<R.~a:_()O'\O ~ An\fl'!p ~~\en~Of\ECompact: ...\o\\\\C 2..sjO'\ ~{\ CUt" .1~lB"~\'" ~\Ot\ \~%~~OV...eJ"dl<<((Sl'O\81 ."'0\0'. \S.~o\\\\ca; \f\ ,<ou "'....:..,,(\\61{. '\ U\~ ~'J A\. 0090....", \~e~:.nfego~ f1?-Z?,A rJ J;:";~" ? . ~l. 'n"':.. 8\Jv ~ I PUBLIC I?~~~t!j- F II I d Sidewalk Type: u y mprove Yes SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 21.00 5.00 5.00 17.00 30.00 Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' To Storm Sewer Downspouts/Drains: Notes: Pa2;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 DweIlin2s Garae:e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Air Handling Unit Up to 10,000 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 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 + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft I Valuation Description' $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 2,392.00 520.00 Total Value of Project ~ Amount Paid $555.68 $10.00 $128.89 $90.22 $306.00 $8.00 $8.00 $-18.73 $6.00 $854.90 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $59.00 $-30.00 $470.12 $618.52 $10.00 $34.83 $332.86 $96.53 $49.63 $709.81 $160.87 $75.00 $604.89 $50.00 $18.00 $1,000.00 $16.30 $11.41 $106.00 Date Paid 3/25/03 5/14/03 5/14/03 5/14103 5/14/03 5/14/03 5/14103 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14103 5/14/03 5/14/03 5/14/03 5/14/03 5/14103 5/14/03 5/14103 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14103 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/16103 5/16/03 5/16/03 Pae:e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/1612003 APPLIED: 03/25/2003 EXPIRES: 01/22/2004 VALUE: $ 188,635.00 Value Date Calculated $178,443.20 $10,192.00 $188,635.20 03/25/2003 03/25/2003 Receipt Number 1200200000000000885 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 1200200000000001184 2200200000000000870 2200200000000000870 2200200000000000870 Status Issued CITY OF SPRINGFIELD J Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 01/22/2004 VALUE: $ 188,635.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea Addtl 500 + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential MinimumlAdjustment Electrical $57.00 $4.50 $3.15 $25.00 $20.00 5/16/03 7/22/03 7/22/03 7/22/03 7/22/03 2200200000000000870 2200200000000001291 2200200000000001291 2200200000000001291 2200200000000001291 Total Amount Paid $6,573.38 I Plan Reviews I Initial Review 03/26/2003 03/27/2003 APP LLH Plannin2 Review 03/27/2003 04/03/2003 APP AID Building height per the planning definition is 26 feet above finished grade. Public Works Review 03/27/2003 04/07/2003 APP DJW Structural Review 03/27/2003 05/13/2003 APP RJB 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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Dry~all: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underfloor Plumbing: Prior to insulation or decking. 15 Rough Plumbing: Prior to cover and including required testing. 16 Water Line: Prior to filling trench and including required testing. 17 Sanitary Sewer Line: Prior to filling trench and including required testing. 18 Storm Sewer Line: Prior to filling trench. 19 Final Plumbing: When all plumbing work is complete. 20 Underfloor Mechanical. Prior to insulation or decking and including required testing. 21 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. 22 Rough Mechanical: Prior to Cover 23 Final Mechanical: When all mechanical work is complete. 24 Temporary Electric: Approval required prior to Utility Company energizing pole. Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/2512003 EXPIRES: 0112212004 VALUE: $ 188,635.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. 28 Low Voltage: 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 Pae:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00206 COM2003-00206 COM2003-00206 COM2003-00206 Payments: Type of Payment Check Receipt #: 2200200000000001291 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Paid By DIVERSIFIED ELECTRONICS Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department- Public Works Department Date: 07/22/2003 2:36:54PM . Amount Paid 3.15 4.50 25.00 20.00 $52.65 Item Total: How Received In Person Payment Total: Amount Paid $52.65 $52.65