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Home My WebLink AboutPermit Electrical 2003-1-28 rojec! as sub,mitted has the following zon. oes not require specific land use 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (54J.*r:0~a1689 'CD(Z- ELECTRICAL PERMIT APPLICATION Zoning City Job Number ('QIM'Z.tYal..-O fzb"[ Date 1- 2[J-O 3> Date "'2-~ t<(; /~j . ~ . . .. ",.' '""." ,. ..", --." ,., " 1')A.,\,...;......'...,.:...~....~.,:.:..._t.;.:_..~i.,.,.:.;~...-~..:.':.:.:~~Y:7,~..,.:::-~.....~.'~...'.'j..'. ',..":..:_...,. ......,.i.........,;,..... 1 . ?(P?Ajl9,I!l:\q)~{~$~Zfi:I;(1~T((!~ 3. " . .....' ,j.T.~. ..' 33"Z.. L f.3-VlI\.blesl'vte Or 200 Amps or less $ 63.00 20 I Amps to 400 Amps ,'to $ 75.00 ~- 40 I Amps to 600 Amps & ~o ..\'\{\.~ Lv-. $125 00 ~~'6 \J~' o\V' 601 Amps to 1000 Amp~0o.~ ~o~ e'~ ~,\$163.00 Over ]000 Amps/~C\~ 00(,0 ~0~~~ r:,~75 00 Reconnect o.r~~!IJ~~p A'V:;~~ (,~0?0ry..<?'- (..s.~ t 50.00 ~9 ~0\j ro0 ~ <<,'<I 0". ~ "Q. ;"'ae ~q ".9i.; . ~ . '" C. V.Q~y ra<r.;vi}V ~~. ~f() '6 \~,~ 'CO -'.~ ~ ~~. ~O t\'~ iY~ ~,0'. .~~ t>.,. ~~~a1~9<)Jll,\,~~r~~ILo~el~~~liYrAl>I , . K\V C?J"J'" 0-'1 ~0\' 0'(\ fJj73f-"" ~~480~~v0~ 0(,0~~~'~ $ 50.00 ~1~)3S.~ ~~. C":; '\'~ $ 69 00 40~'A~~'b~~~~~~'\ $100.00 Over 6~~Amps or 1000 Volts see "8" above. D. LEGAL DESCRlPTION 1702 \.93Lf 07300 JOB DESCRIPTION VH2.WhOu 5...Q 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 I) ~ E E \ -e Cf( \'c ) L"\ C Address eO box I (PSG City A\ \~J Vly Phone 5Y/'C(rv7,8GZ7 , Cj7 3 L i Supei'visor License Number ,. :;)q 9) () ,Si"-."" I 0 / ('/D '3 ~ I , Iff .Sl/L;0fJ :/15/03 Expiration Date - CanstI'. ContI'. Number Expiration Date Signature of Supervising Electrician XCcJQr Q ~ ....- <-> Owners Name GC2-t::<':r '~/~ Address PO 1] d r 2-0L(( City ~z..v;4-l(7~ Phone 726 - 0330 OWNER INSTALLATION The installation is being made on property Town which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included 1000 sq ft. or less Each additional 500 sq. ft. or portion thereof ) $106.00 /Oh.. O() '-I $ 19.00 7h.OO Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. New Alteration or Extension Per Panel ___ One Circuit ~~43.00 . Each Additional Circuit or with ~~~ e... ~~ Service or Feeder Penmt &.~ ~~..\~~$ 3.00 E. irfm~~Ht~1~~~~~lJ~~f:,q~~,~~~~~.~~J1,:~g,;!i;li;1~:~1~a~~t~~~~.; ,t:i'.''''''',"f'''''0Z'';O''_''.''''~''f.~'\~L~~~ '...~V~;.,' ";0"."" .",...". .,', ~ ..'.""'0_,' .,>,., . ",<",.. ,,," . Go- CO~ ff,~ ~~,. Pum.l(~~~'\n~~<V W ~ $ 50.00 ~~S~~~~~~~ ~'>~. $ 50.00 . Lll~~~~~l~~~ .$ 25.00 Limit~~:~~~)~nercial $ 45.00 ~~~ . Minimum Ele~ Permit Inspection Fee is $45.00 + Surcharges 4. /82,O() 12..7 Lf- lffi.~8 ~- 7% State Surcharge 10% Administrative Fee TOTAL ShHl.ed Drive(T:)/Building Fonns/Elcctric,d Permit Application I-03.doc 6i 1 ()o ~Lf CITY OF SPRING~l~LD . Building/Combination Permit PERMIT NO: COM2002-01264 ISSUED: 12110/2002 APPLIED: 11106/2002 EXPIRES: 06/23/2003 VALUE: $ 175,268.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3327 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702193407300 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: SFR - same as 02-00795-01 3452 Ambleside Dr Residential Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 Phone Number: 541-726-0330 Phone Number: 541-726-0330 I CONTRALl UK INFORMATION I Contractor Type General Electrical Mechanical Owner Plumbing Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY PLUMBING INC GREG LARKIN MIDWAY PLUMBING INC License 134566 54468 4687 Expiration Date 04/15/2003 09/1512003 07/2512003 4687 07/25/2004 Phone 541-367-1618 541-967-7045 541-928-2423 541-726-0330 541-928-7927 # of Buildings: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U-l VN VN 3 BUILDING INFORMATION I -. . Z,", 'UI\I'U~ follr.HAI... i . 8g00 law re . N T1l))"MfJF &BadOPtedb qU1TeSYem~e: i ~~ ii@fJCenter.Th ytheiSIfBgon ~;ff~Jst Floor: n W)BOO~-0010 ose rules are Si'm~d Floor: 00 a~U'MP&y b . through OAR 9 asement: ~g1hWffe~t tam Copies of the r' arage/Carport nLIfiUgW18PHJ: sr. (Note: tlfe~ lJl!~ ther: Cente ~ Oregon Utility Nor:hqijipervious Surface Area: r IS 1-RI)r J:U -t: ICBt,nn. 'DEVELOPMENT INFORMATIONf4). 7,015 1,118 1,118 428 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.00 5.00 15.00 REQUIRED PARKING Total: 2 Handicapped: '~act: Yes ,\\'t.~' % of Lot Coverage: -l\,,~T ~"\ \CO ~ _.C'(.', . ('~~\.\. 't.~\..\\S ~~~~t) TO~ n _~.tU.~~- .,. - :\)t..t\"\ ~\JJ.~ !pUBLIC lMlmV~_ ~~ \CO ~~~ \ \ "'C\\\) c.\) O~ Sir:lO.'alk T e' Fully Improved ~\J \ ~'t.~C\. ~t.,,\~ yp . Yes COWl '\'C~ '\)~ Downspouts/Drains ~~'{ Overlay Dist: # Street Trees Paved Drive Rqd: 2 45.00 35.00 Street Storm Sewer Available: Special Instruction: Curbside 5' To Storm Sewer Notes: 1 of 4 CITY OF SPRINGfilELD . Building/Combination Permit PERMIT NO: COM2002-01264 ISSUED: 12/10/2002 APPLIED: 11/06/2002 EXPIRES: 06/23/2003 VALUE: $ 175,268.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Dwellin2s Gara2e Type of Construction V Wood Frame Gara2e $ Per Sq Ft $74.60 $19.60 Square Footage 2,237.00 428.00 Value $166,880.20 $8,388.80 $175,269.00 Date Calculated 11/06/2002 11106/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number Plan Review Same As $100.00 1116/02 1200200000000000198 -Mechanical Issuance Fee- $10.00 12/10/02 1200200000000000365 + 5% San & Storm Admin Fee $144.56 12/10/02 1200200000000000365 + 7% State Surcharge $86.71 12/10/02 1200200000000000365 + 8% Administrative Fee $99.09 12/10/02 1200200000000000365 3 Baths One & Two Family $306.00 12/10/02 1200200000000000365 Addressing Assignment $8.00 12/10/02 1200200000000000365 Building Permit $812.65 12/10/02 1200200000000000365 Curbcut Permit $75.00 12/10/02 1200200000000000365 Dryer Vent $6.00 12/10/02 1200200000000000365 Exhaust Hoods $9.00 12/10/02 1200200000000000365 Furnace - up to 100,000 btu $12.00 12/10/02 1200200000000000365 Gas Fireplace $15.00 12/10/02 1200200000000000365 Gas Outlets 1-4 $4.00 12110/02 1200200000000000365 Plan Review - Planning $55.00 12/10/02 1200200000000000365 PW Mult Disc - 2nd Permit $-30.00 12/10/02 1200200000000000365 Sanitary Sewer - Improvement $436.54 12/10/02 1200200000000000365 Sanitary Sewer - Reimbursement $574.34 12/10/02 1200200000000000365 SDC MWMC Administration $10.00 12/10/02 1200200000000000365 SDC MWMC Improvement $34.83 12/10/02 1200200000000000365 SDC MWMC Reimbursement $332.86 12/10/02 1200200000000000365 SDC Sanitary Reimbursement $-19.81 12/10/02 1200200000000000365 SDC Transpo Admin $49.69 12/10/02 1200200000000000365 SDC Transpo Improvement $709.81 12/10/02 1200200000000000365 SDC Transpo Reimbursement $160.87 12/10/02 1200200000000000365 Sidewalk Permit $75.00 12/10/02 1200200000000000365 Storm Drainage Impervious Area $651.70 12/10/02 1200200000000000365 Temp Power 200 amps or less $50.00 12/10/02 1200200000000000365 Vent Fan $24.00 12/10/02 1200200000000000365 Willamalane Single Family $1,000.00 12110/02 1200200000000000365 + 10% Administrative Fee $18.20 1/31/03 1200200000000000634 + 7% State Surcharge $12.74 1131103 1200200000000000634 Residence Wiring 1000 Sq Ft $106.00 1131103 1200200000000000634 Residence Wiring Ea Addtl 500 $76.00 1131103 1200200000000000634 Total Amount $6,015.78 2 of 4 CITY OF SPRINGJ11ELD . Building/Combination Permit PERMIT NO: COM2002-01264 ISSUED: 12/10/2002 APPLIED: 11/06/2002 EXPIRES: 06/23/2003 VALUE: $ 175,268.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannin2 Review 11/14/2002 I Plan Reviews, 11/1912002 APP AJD Called applicant 11/14/02 for revised plans drawn to scale. Public Works Review Structural Review 11/20/2002 1112512002 11120/2002 11125/2002 APP APP DPE TCM See attached 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. l.Reauired Insnections . 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 Site Inspection: To be made after excavation but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor 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 Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 Final Electric: When all electrical work is complete. 3 of 4 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: COM2002-01264 ISSUED: 12/10/2002 APPLIED: 11/06/2002 EXPIRES: 06/23/2003 VALUE: $ 175,268.00 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01264 COM2002-0 1264 COM2002-01264 COM2002-0 1264 Payments: Type of Payment Check Check Paid By Description Receipt #: 1200200000000000634 Date: 0113112003 Residence Wiring 1000 Sq Ft + 7% State Surcharge Residence Wiring Ea Addtl 500 + 10% Administrative Fee G&E ELECTRIC INC G&E ELECTRIC INC Received By Check Number Confirm No djb djb Page 1 of2 1/31/2003 1 :49:56PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 106.00 76.00 12.74 18.20 Line Item Total: $212.94 How Received Amount Paid In Person 209.30 3.64 $212.94 In Person Payment Total: , cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Lme Items: Job/Journal Number COM2002-0 1264 COM2002-0 1264 COM2002-01264 COM2002-01264 Payments: Type oCPayment Check Check Paid By Receipt #: 1200200000000000634 Date: 01/31/2003 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No G&E ELECTRIC INC G&E ELECTRIC INC djb djb Page 2 of2 1/31/2003 1 :49:56PM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 106.00 76.00 12.74 18.20 Line Item Total: $212.94 How Received Amount Paid In Person 209.30 3.64 $212.94 In Person Payment Total: cReceipt.rpt