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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