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Home My WebLink AboutPermit Building 2003-5-21 ~ "'):~~r " A"'" , 225 FIFTH !STREET . "'SPRINGFIELE>, OREGON 97{7:7 '., ,ij' '. ... . '.. ... ......... . INSP"9CTIONREQlJEST: 729:37 OFFICE:'726-3759' ..... .LA,. ET;.f::C_..aCAL PERMIT APPLICATION. t 1. LO.'. CA. ...TIO.....N O. FI.N;~STAL. .J;J~T.I..ON 3 :3.P..'o/!:; A7711iJR.<:itl?>. .. ,~--~ ~:; '-,,: LEGAL y"'E~~TION rv"'\ t rw~,- Y\ 'M- ni , LA./ Items Cost SUI)1 JOB DESCRJfTION / _ ill P.t.J (!tJ:;: h.J c; /;.- I' ~r1, hCr-r" 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder " -,~' / $106.00 I~'~ -- Permits are non-transferable and expire if work is not' started within 180 days of issuance i:Jrifwork is suspended for 180 days.: 3 $ 19.00 .2!L.- $ 50.00 \Mdj)(.p' ~ ~\ ',~--, ~\'~"l:'-:;~~,:' -, . - t '-'. .. -. , '.'.Llr.:\V\II:::lOUHt;;,"l'.1UI,.. 2. CONTRACTOR INSTALLATION ONLY' y,,, B:' Se"I'f.ibe.' SOl' 'Fecth:rs. g....>"'.111'. . .. I - ~'''llvr.....-i Ibu ~lhP .rs(lClflv,J ... .\.j~ .. / 'foIlOW. lU emnst'a. . 'a-tren, l\. tenl lOlls'or . Electrical C'~ntractoriYh -;/ d EletT/7Y ct~~i:ion CRelocatidd1?Se r " . ., 'flflO:.\~i ~.jfi~-O(')'1-001 ~i tnm' Address,-'R~it5 i{f~"5A . You r.~2,q, CU-n.nS'!:lli 1.es. n ~ "'2.."O-1,_<lmps. t(Wt.....@.'. .;.il' {., ",,1;":-1": 1:,....1. '" < ",~', .o10hw~lFM .... 01,r~1lpst r. 1000am nn . $'63.00 "$75.00 $125.00 . $163.00 $375.00 51}00 ;. ,'~Signatllre ~?fSupervising Electrici an '?> L~ ,00'a1\, .. . )0.1 anlpsio 400.an;r.ps:: <.: Oyer" 401 to600.aillps ';- .' , __' _' . f;o.- :",. 0 _ _ '^ _'h _ ' Over600'anips or~160b volts see "E" above f, "'''Yc OWNER INSTALLATION The installationisbeingmade on · properly Io\vn which is not intendecl for sale, .lease or rent D. Branch Circuits Newi\lte;atioIl orExte.ffi~VJ~el ~01\C~:. ~~~~*?\R;~~W\\\ \S~Ql " ,\-\\5 ?t.RW\\U~Ot.~.,\-\\5 OQ~t.O rO~ ~\}\\-\G\\\l~ti. .~.. ... ... c\$.. ...t~. .~. . ~Hcuit o. r with Service CGW\~~~~i,,~~nit .... ~~. Miscellaneous'(Service/feeder not included) -Each installation .' Punip 'odrrigation Sign/Outline Lighting LimitedEnergy/Res Limited Energy/Comm $43.00 $ 3.00 $50.00 $50.00 $25.00 $45.00 Minimum Electric Permit Inspection Fee is S45.00 + Surcharges TOTAL &'?1w \ \ .~ 1 lLQ.?1J 110 .'JJ--- 4. SUBTOTAL OF ABOVE 7% State Surcharge \t)/o Administrative Fee. 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 5/16/2003 City of Spring~eld Development Services Department Public Works Department Official Receipt' Receipt #: 2200200000000000870 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By KIDD ELECTRIC 3:11:43PM Received By ddk Date: 05/16/2003 Item Total: Amount Paid 106.00 57.00 11.41 16.30 $190.71 Check Number Confirm No 1941 Amount Paid How Received In Person Payment Total: 190.71 $190.71 Page 1 of I cRcccipt.rpt Phone Number: ATTENTION:Oregon law reqUires you tu . ,. <<.. _ _ _ ..J_...4-...rl h" tho rtrAnnn lltilitv 1\.111,,",\1\1''''''"'-- . --.I - . d. .. ..... - ._~ - oJ ......... M!) rules are set fort CONTRlX01l0RhfNF6RM1\:TION.... .- - < - . hOAR 952-001 II v n vv&'-vv I vV' ~ .... DUg 0090 You may t)lnt~in r:opis'E" of .'hetxuleD~ bt) . .I:ilcense xP.I~a IOn sa e calling the C€i2+86~8Note: the W4nf:t?2<6B4 number for th 'i540691 on Utility l'o~J2t'Wi~td~n CenteI2i51790<300-332-23i~/b/2003 " Status Issued 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 PROJECT DESCRIPTION: SFR Owner: TIM WELLS Address: 1123 N ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Owner Plumbing Contractor TIMMY RAY WELLS KIDD ELECTRIC MARSHALLS INC TIM WELLS A&P PLUMBING CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 11/16/2003 VALUE: $ 188,635.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential 541-746-0272 136326 BUILDING INFORMATION. 08/10/2003 Phone 541-746-0272 541-942-1352 541-747-7445 541-746-0272 541-463-8007 I DEVELOpNi;~FORMATlON. LIRE IF THE W~ ! HI~ r~nrm' JI i"'L~ UlRED PARKING ~J~mtIZED UNDER THIS PERMIT IS Ove fli~~l=n OR IS ABANDONED FORTotal:. 2 # St MMrs'I<<Jfl.':': 1 Handicapped: Pave.~Yi\W3tiqQAY PERIOD. Compact: Yes % of Lot Coverage: 25.00 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 4 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 21.00 5.00 5.00 17.00 30.00 #~S~ri~: 2 Height of Structure 32.00 Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Path 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 933 1,459 520 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellin!!:s Gara2e Tvpe of Construction V Wood Frame Gara2e 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 Residence Wiring Ea Addtl 500 I Valuation Description ~ $ Per Sq Ft $74.60 $19.60 SQuare Foota2e 2,392.00 520.00 Total Value of Project ~ Amount Paid Date 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 $57.00 3/25/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 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 5/14103 5/14/03 5/14/03 5/16/03 5/16/03 5/16/03 5/16/03 Pa2e 2 of4 CITY OF SPRINli~lELD . Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 11/16/2003 VALUE: $ 188,635.00 Value $178,443.20 $10,192.00 $188,635.20 Date Calculated 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 2200200000000000870 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 11/16/2003 VALUE: $ 188,635.00 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Total Amount Paid $6,520.73 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 05/1312003 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 Drywall: 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. 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. Pa2e 3 of 4 ~~ Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2003-00206 ISSUED: 05/16/2003 APPLIED: 03/25/2003 EXPIRES: 11/16/2003 VALUE: $ 188,635.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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