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Home My WebLink AboutPermit Electrical 2004-4-14 225 FIFTH STREET. SPRINGFIELD OR 97477 . PH:(541)726-3753 0 FAX: (~~~6o~~roject as submitted h,a,s the following , g, oes not reqUire specIfIc land use ELECTRICAL PERMIT APPLICATION , approval. City Job Number C-OWlZOD4-00/S'6 Date Lj -ICj- 0 V Zoning L.:D12-. 1. ~'Y3J~~!P'E~~liV~~ 3, ~S[~~~"~:;7]2~r21.... h f.J!foLf OS p r-e$ ~) r Supervisor License Number :;)C( 0 0 .s;: I 0) ( I ~ () S Installation, ~~~~~;6"&location ~ . ( l 200 ~~~~~\\ ~$\\ $ 50.00 It(< 5 I fj ~.fl..C"t:. ~\\ S~~~~~ 8~f . $ 69,00 I Va:\~t~\1t.\) ~~ Wll\~~ 0 Amps $100,00 Expiration Date 9 (5' t<('fWfI.~\'\WL- n f\~ M"\. . I '- I ~\)\ p. ~~Ct'v(Yv ~mps or 1000 V olls see "B" above. S~gnature of Supervising Electrician C()~~'O\} ~ X . . , () ~~ 0 ~~i New Alteration or Extension Per Panel 'r-- _~)) ~ Z ~ _ ~\ -. One Circuit Each Additional Circuit or with Service or Feeder Permit o ~ ~G-' L-~ A/' rpO /Soy 2-04 ( ~\'( . ~l{ ~ ~'(e6'(e~0 se\ 0 City Coa, V I S Phone ,p(\ \~ \":1.0 eS '3-~~?ation ~o'(0 eO 'Q~ 0 '(U" O~i1/~U~~ Lighting OWNER INST ALLA TION G~~\O ~00'Q~'( ~'(\O~'(OU~'(\ - o~~e~~~~,(JYlResidential , ,.,. ~v ~0S ~\e' Q~, <\\0S \e~,. .r;,~"\ , The mstallatlOn IS bemg m.fu~omb,"~Q\.{""rl~ a.~Qv..t* COY' .. \'(\~I!Q~~nergY/Commerclal . , ~ ~\r~\o'(\''''t"\O' ~~\ ....\0\0 ..\..,,~~ ~. IS not mtended for sale, leas r~\~}~~ t::..."/..'v 0'0 ~"'!'@!wn IW~I~ctric Permit Inspection Fee is $45.00 + Surcharges ~O\\ ~ g..., ~~'l ~0'(' 0(\ (V.....> O~ --{ou c0'" O'(0~ (\ '?-1zr' JiA.q'},': \(\ 9'" Q,\'(\e ~0 . 0.0 4. ;,,~Ul!T '." ' r"r<.' .. ,,' f'" ,\.) . ^' It., ~ ...' ",;C,,' \ ~><,"" ",}:S~,~~:t4 '(:l1~MV..,'t < < t<.~,i1>.t 't ~u O\J ~\\\' 0'( \. ~ '.r ..,.. , -,~,' -- '."C. ,..".". c~ e'(' .,.r .<<\'0 ,.. . LEGAL DESCRIPTION 170Z-I~'f3 09800 JOB DESCRIPTION SF(L 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. ;;t~~1i9i~{iJtii~fiifj~Jfg~1q~t;~ B. Electrical Contractor {~ ~ E E \ -c: L i'( \'C I YV\ ( 'box /l98eo Address po City A\b.JIilV _Phone 5Y;-Cfro7-8Gl7 C!'7 3 L ( Expiration Date Constr, Contr, Number Owners Name Address Owners Signature: ,\V' Inspection Request: 726-3769 A. >!_<ry:-~:'::'7:'.7'.,- :,:-,', .. -', '_:'" ~.mVY: per.g,:vellwg unit. '.. <~4...~:::t:><'",::',;"q: "''''...v:: "".". ~~i:.:"_ .... d,_ <..,',....;,,~...;;<i>...,-.". '".," '. -','... 0 Service Included 1000 sq, ft, or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder /. $106,00 IOfo{OO tJ $19,00 qS.O() $50,00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 c. $ 43,00 $ 3,00 $ 50,00 $ 50.00 $ 25.00 $ 45,00 7% State Surcharge 10% Administrative Fee C)O;' 00 /Y.07 2.0!2. .A+f,07 123512 Shared Drive(T: )/Building Fonns/Electrical Pennit Applicalion 1-03 ,doc TOTAL Status Issued i i f r f, ,._l CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2004-00158 ISSUED: 03/0112004 APPLIED: 02110/2004 EXPIRES: 10/19/2004 VALUE: $ 202,791.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3664 Osprey Dr ASSESSOR'S PARCEL NO.: 1702194309800 Springfield TYPE OF WORK:' Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR, Lot 166 Ambleside, 1st Add Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS. OR 97339 # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: U-l Type of Heat:feS 'JOU.\~ Primary Construction Type VN Wa~~tj-.J1t~':\\ On \J\\\\\'J Secondary Construction Type: N'OfegR9n~i.~~pe.fe9 e set \o~ # of Bedrooms: -rt'E.N'\O 'oO?\EJtn~Vlfljle~ a~ 952-00 pl.' ' u\eS a: ,nO \'\ o~ xes \ 4t'\\\0\fJ f "'\ r.er.\ef. f} t\'\fou9 7~ \\ie fU ? ~0\\\\C;~5~.q)EcV~~irM~ffNf~ ~ ,n 09~ ~ou {t\c.~ef\\ef. \..''l~'U\\\\\'1~ 00 ~'f1fh(\ \ne ~~Q:_ffil(t9-?_3.' "Vll~ f \ne o.~~~u, &~e{ ~o . _.#-Sheet Trees Rqd: ns.OO Paved Drive Rqd: Contractor Type General Electrical Mechanical Plumbing SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-726-0330 I CONTRACTOR INFORMATION I Contractor OWNER G & E ELECTRIC INC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC License Expiration Date Phone 54468 154166 4687 09/15/2007 01130/2005 07/25/2004 541-967-7045 541-928-2423 541-928-7927 I BUILDING INFORMATION I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING 1 Total: Handicapped: Compact: 2 27.00 42.50 Yes , 28.30 % of Lot Coverage: I PUBLIC IMPROVEMENTS I Fully Improved Yes M01ICE: XP\RE \f lHE WORK 1HIS PERM\1 s~t~~ ~HIS PERM\' \5 NO, AU1HORIZED UOR \5 ABANDONED FOR COMMENCED ANY 160 DAY PER\OD. . -- Sidewalk Type: Downspoutsillrains: Curbside 5' Curb and Gutter Pal!: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 Garal!e DwelIinl!:s Garal!:e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW MuIt Disc - 2nd Permit 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee I Valuation Descrivtion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,079.00 440.00 Total V,alue of Project ~ Amount Paid Date Paid $585.26 $10.00 $5.00 $128.84 $3.50 $90.19 $306.00 $31.00 $-154.38 $6.00 $900.40 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $71.00 $-30.00 $516.30 $679.20 $10.00 $214.23 $314.63 $106.73 $50.81 $727.42 $164.89 $75.00 $678.60 $50.00 $30.00 $1,000.00 $20.10 2/10/04 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1/04 3/1104 3/1/04 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 3/1104 4/23/04 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00158 ISSUED: 03/01/2004 APPLIED: 02/10/2004 EXPIRES: 10/19/2004 VALUE: $ 202,791.00 Value Date Calculated $192,099.60 $10,692.00 $202,791.60 02/10/2004 02/10/2004 Receipt Number 1200400000000000186 1200400000000000252 1200400000000000253 1200400000000000252 1200400000000000253 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000252 1200400000000000253 1200400000000000252 1200400000000000252 1200400000000000532 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00158 ISSUED: 03/01/2004 APPLIED: 02/10/2004 EXPIRES: 10/19/2004 VALUE: $ 202,791.00 ",i>"'"~"'''~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $14.07 $106.00 $95.00 4/23/04 4/23/04 4/23/04 Total Amount Paid $6,961.79 I Plan Reviews' Initial Review Planninl!: Review Public Works Review 02/1112004 02/11/2004 02/1112004 02/1112004 02/27/2004 02/12/2004 APP RJB APP TAJ VRJ Public Works Review 02/1112004 02/17/2004 APP VRJ Structural Review 02/11/2004 02/28/2004 APP DLM 1200400000000000532 1200400000000000532 1200400000000000532 Spoke with Greg Larkin 3:06pm 2/12/2004 regarding driveway and RV paving. He plans to apply for overwidth driveway permit. I will place fee and blank application in building file for Mr. Larkin to complete prior to any curbcut work in ROW. Driveway throat approved for 24' max. Mr. Larkin plans to apply for overwidth driveway at building permit pick up. PW will change Building Permit if overwidth application if approved. ' . See documents for plan review comments. 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. 6 Curbcut - Standard: After forms are erected but prior to placement of concrete. 21 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 17 Rough Mechanical: Prior to Cover 2 Final Gas: When all gas work is complete. 3 Final Mechanical: When all mechanical work is complete. 24 Temporary Electric: Approval required prior to Utility Company energizing pole. 31 Rough Electric: Prior to Cover 32 EleCtric Service: Approval required prior to utility company energizing service. 33 Final Electric: When all electrical work is complete. 22 Site Inspection: To be made after excavation but prior to setting forms. 25 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 9 Footing: After trenches are excavated. 10 Foundation: After forms are erected but prior to concrete placement. 15 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 20 Shear Wall Nailing: Before covering sheathing with finish materials. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00158 ISSUED: 03/01/2004 APPLIED: 02/10/2004 EXPIRES: 10/19/2004 VALUE: $ 202,791.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 11 Framing Inspection: Prior to cover and 'after all rough in inspections have been approved. 29 Wall Insulation: Prior to cover. 5 Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Perimeter Foundation Drains: After gnivel and filter cloth is installed but prior to backfill. 28 Underfloor Plumbing: Prior to insulation or decking. 26 Underfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 30 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 23 Storm Sewer Line: Prior to filling trench. 4 Final Plumbing: When all plumbing work is complete. 27 Underfloor Mechanical. Prior to insulation or decking and in~luding required testing. 16 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 12 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. 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 Pal!:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 1".541-726-3759 Phone Job/Jourmil Number COM2004-00158 COM2004-00158 COM2004-00158 COM2004-00158 Payments: Type of Payment Check Check Job/Journal Number " COM2004-00158 . COM2004-00158 COM2004-00 158 COM2004-00158 RECEIPT #: 1200400000000000532 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Check Number Batch Number Paid By G&E ELECTRIC G&E ELECTRIC Received By djb djb Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee r;ty of Springfield Official Receipt velopment Services Department Public Works Department Date: 04/23/2004 9:36:32AM Item Total: Authorization Number How Received Amount Due 106.00 95.00 14.07 20.1 0 $235.17 Amount Paid 8008 8031 In Person In Person Payment Total: $215.07 $20.10 $235.17 Amount Due 106.00 95.00 14.07 20.10 $235.17 Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Check Check 4/23/2004 G&E ELECTRIC G&E ELECTRIC djb djb Page 1 of 1 Amount Paid 8008 8031 In Person In Person Payment Total: $215.07 $20.10 $235.17