HomeMy WebLinkAboutPermit Electrical 2003-5-16
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELEL ...leAL PERMIT APPLICATION
City Job Number t:_,- ;,Yt W~..X .. 6(".:.01-6
3. CONWLETEFEESCHEDULEBELO\V
1. LOCA nON OF INSTALLA TIC N
'2~~7 3 /~AA.b I~ ~ :~L ) It.
A. New Residential-Single or
Multi-Family per dwelling unit.
Senrice Included:
LEGAL DESCRIPTION
. .~ 7J~ _2.J_ , :3.4. D 7)0(';
I tems Cost SUlp
JOB DESC~TION If' 1000 sq.ft. or less
L"I~ ,-k-JL ~v~ Eac~d1Il1i~nal 500
(j / 5.,\"e ~.
""i,\'\ed "~~~hJ\d:l'P}lVrt1on
. '. s su'O'" eel""
Permits are non-transferable and expIre \l{O\eC' a. e~ui{e s? tllereof
if work is not started within I ~Q.. 'da;\S'I~N. I~dg doeS ~O'\~l Eacl a Home or
of issuance or if work is suspended 'fo~~ odular 'ng
",0\1 1"\ F
180 days. ',\.... l.ofli~g -~.~:J" ""'v e or ee r
2. CONTRACTOR INST ALLA;rI0N.~~:'tU{t:; ~I-vices or Feeders
I r: . ,.IJ,jC' ;:......; Installation, Alterations or
Electrical Contractor D J d 'rYe/d.') Relocation:
$106.00
$ 19.00
$ 50.00
Address i{ ti5'
W,774
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1 oqQ ~nps
Over 19QQ "I11hps!vQI~
13.:~.cptti\'eCt Ol1Iy. .
. C.':r~lnp'ur'ary SCI-vices or Feeders
Ins"t;tlIatiou, Alteration or Relocation
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
City
b lJ(..(-,J E. Phone 'I'65~ &:f!:;C)Q
Supervisor License Number 3'1 {} I L6A
Expiration Date /0/01 ,ht"lDS
Constr ContT. Number 1;( 77 3 &
Expiration Date ~ / b 9' /0&
200 awps Q(Jess "
20i ampst(f400.amps
Signature ~f SUJlcnising Elcctrician .' :',', ,:. " ) . . . ,6v~r 401 tq600' ailips
//.. j/.//" ,,,,,'. '::..... ";..,....'.':,,9y.~.r6'crOampsor1000voltssee
~'VI ~t~?~ ,.,..' ;,::'< ,.' "~'B\I above
/ / I./' / / ( D. Branch Circuits
/OW1i's N ameUr e-pO '-- e'f;- ha- Jz..\ LL C New Alteration or Extension Per Panel
Address :-53/ g ~ f c.) ""'- One Circuit
$50.00
$69.00
$100.00
C i t Y E::::-vl..(,-(:;:r'tf e
Phone
,.. :::.~43.00
~:~:~.,'"
Each Additional Circuit OJ, \~fl\~~~U;~S{\
or Feeder Permit ([i'.'{~{\~%.,.,'Ct",,~~~\ ,~,/ $ 3.00
~ '\ \) \S;;>. !";~ cf),'b~ _
~~'\ ";_\ )~o ~'1> G~; )~J \\ -::., (<:t{~\'t) : ,.\~t-:>~)
E:~Ml~~~U..~~~~ \~~~\.ilt~~f'~~~fP\}tl in elu lied)
<,'~\;') .erlDl1 'I!}Stjt~~li~.. ~\Y'
Il ~ \ _';77,. F . .+'it ~t\: '\
'\\f\m!~1~~ti~$<1~~i':'. $50.00
. ~.\)~g~~~{lfH~~t\1~Ming $5~.00
\~ ~hl't-~'tf Enerov/Res r,/ $2).00
~ ,; b.'
. imited Energy/Comm $45 00
OWNER INSTALLATION
The installation is being made on
property I o,"vn which is not intended
for sale, lease or rent.
Owncrs SignatUl'e:
Minimum Electric Permit Inspection Fee is Se-5.00 + SlIr~rgcs
. L{)
. 4. SUBTOTAL OF ABOVE
7% State Surcharge sl' J'
8% Administrative Fee '_( ,) <::)
TOTAL
:f 52 ~~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00016
ISSUED: 03110/2003
APPLIED: 0110712003
EXPIRES: 11/13/2003
VALUE: $ 169,146.00
-~iti
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3373 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702193407500
Springfield TYPE OF WORK: Single Family Residence
I BUILD~INFORMATION I
c:, '\ ~~~' ~
# of Buildings: 1 o..~,~'i ~~~~.~'\. 2
Primary Occupancy Group: R-3 ~ ~0 O~~~P~~~tfOO're 23.50
Secondary Occupancy Group: U-l~\'l>,;;s.0 ~a~~tta~ 0 Forced Air Gas
Primary Construction Type ~-i 0. 'Q~ 0 ~'V" e~H~O~ \O~ Gas
Secondary Construction Type:<~9~ '\.~OCJ ~O-S. :gtg\~~~,v~ Gas
# of Bedrooms: ~\'O c:,'l>o.o ~?e.'\' ':\~~ vo~~,~iG: . Path 1
\'~'\~;\ ~.s.0 G0~'Y~r::.\.iY~ \,.;~p'\0~\~~((P~~
"~~,:v~~1:~'l>~ \ l~~V~~ftNT INFORMATION I
SETBACKS ~o~O~<<- ...t.O~ ~0<'" 0U V~-
. ~ . C>.. ~ :\ ~ \c:,
Front yard Setback: ~~~~ ~t8~O~\O ~,\0'\ Overlay Dist: Hillside Total:
Side 1 Setback: v ~O elj # Street Trees Rqd: 2 Handicapped:
Side 2 Setback: \'0'23.00 Paved Drive Rqd: Y Cmn,~~t:
es "\\'\~~;\
% of Lot Coverage: 2l\>~~ \t ~~\\ \~ ~Q
· ~\.. ~~ ~t.W~' {Q\\
-r'\\('.~. r. c.~~ - ~\A\~ ~\\~\)
I PUBLIC IMPR'~~~ ~~\)~~ ~'O~~\j
Fully Improved ~~\'ri ~t.~Ct.~ ~~Qh\k Type:
Yes C()~ \'O~ \)~ Downspouts/Drains:
~~,
TYPE OF USE:
PROJECT DESCRIPTION: SFR
Owner: OREGON ESTATES LLC
Address: 3318 TALON ST EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
OREGON ESTATES LLC
EASTSIDE ELECTRIC INC
DEAN M SCHULTZ
OREGON ESTATES LLC
HOME COMFORT HEATING & AIR
License
117770
133733
84164
Rearyard Setback:
Solar Setbacks:
67.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of 4
New
Residential
Phone Number: 541-338-4914
Expiration Date
Phone
541-338-4914
541-741-1499
541-767-0626
541-338-4914
541-345-2838
10/0412003
02/23/2005
06/25/2003
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
10,638
1,552
594
462
REQUIRED PARKING
2
Curbside 5'
To Storm Sewer
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellines
Garal.!:e
Tvpe of Construction
V Wood Frame
Gara2e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or 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
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - 1st 50 Feet
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
Storm Sewer - 1st 50 Feet
Temp Power 200 amps or less
Vent Fan
Water Line - 1st 50 Feet
I Valuation Description I
$ Per Sq Ft
$74.60
$19.60
Square Foota2e
2,146.00
462.00
Total Value of Project
~
Amount Paid
$515.55
$10.00
$150.42
$105.29
$254.00
$8.00
$8.00
$-21.40
$6.00
$793.15
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$59.00
$-30.00
$106.00
$76.00
$45.00
$386.17
$508.07
$10.00
$34.83
$332.86
$96.05
$49.60
$709.81
$160.87
$75.00
$791.86
$45.00
$50.00
$18.00
$45.00
Date Paid
119/03
3110/03
3/10/03
3/10/03
3/1 0/03
3/10/03
3/1 0/03
3/10/03
3/1 0/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/1 0/03
3/1 0/03
3/10/03
3/10/03
3/10/03
3/1 0/03
3/10/03
3/10/03
3/1 0/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
3/10/03
Pa2e 2 of4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00016
ISSUED: 03/10/2003
APPLIED: 01/0712003
EXPIRES: 11/1312003
VALUE: $ 169,146.00
Value
$160,091.60
$9,055.20
$169,146.80
Date Calculated
01/07/2003
01/07/2003
Receipt Number
1200200000000000521
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
1200200000000000797
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00016
ISSUED: 03/10/2003
APPLIED: 01107/2003
EXPIRES: 11/13/2003
VALUE: $ 169,146.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
MinimumlAdjustment Electrical
$1,000.00
$4.50
$3.15
$25.00
$20.00
3/10/03
5/13/03
5/13/03
5/13/03
5/13/03
1200200000000000797
1200200000000001174
1200200000000001174
1200200000000001174
1200200000000001174
Total Amount Paid
$6,583.78
I Plan Reviews I
Initial Review 01/10/2003 01/10/2003 APP LLH
Planninl! Review 01110/2003 01117/2003 APP AID Building envelope noted on plans
Public Works Review 01/10/2003 01/20/2003 APP VRJ Floor plan did not show second
floor.
Structural Review 01/10/2003
Structural Review 01123/2003 01/23/2003 OK 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 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
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00016
ISSUED: 03/10/2003
APPLIED: 01/07/2003
EXPIRES: 11/13/2003
VALUE: $ 169,146.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
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.
31 Temporary Electric: Approval required prior to Utility Company energizing pole.
32 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
COM2003-00016
COM2003-00016
COM2003-00016
COM2003-00016
Payments:
Type of Payment
CreditCard
5/13/2003
City of Springfield
Development Services Department.
Public Works Department
Official Receipt
.
Receipt #: 1200200000000001174
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Residential
Minimum! Adjustment Electrical
Paid By
MICHAEL GRIMMER
9:03:43AM
Received By
djb
Date: 05/13/2003
Amount Paid
Item Total:
3.15
4.50
25.00
20.00
$52.65
Check Number Confirm No
000066 013766
How Received
In Person
Payment Total:
Amount Paid
52.65
$52.65
Page 1 of 1
cReceipt.rpt