HomeMy WebLinkAboutPermit Electrical 2004-6-17
, il CITY OF ~' ":UNGFIELD, OREGON ' - :
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ~.fIr;~z.~i~~t":SUbrnilte
. ELErvrT> TC' A T AP C 0 eqUire a has Ih
'-' uu, r1.L PERMIT 'PLI ~Tl N f. ' Zonin J... '" sPecific I e foltoWin
City Job Number [DMZtx;t...(-OO3 S-), Date W - 17.0 Cj Dale ll_..-:t r.J~ ana uSe 11
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Electrical Contractor () ~ E E \ e (:t( \'C . Till ( 200 Amps or less $ 63,00
P I 8 I ;\.QI Amps to 400 Amps $ 75,00
Address 0 'box (p ~ NOT'C~h ItfgURee~'r!'mE IF THE wnRK $125,00
, THIS PI~~IIW~fflBPFERMIT IS NOT $163,00
City AI b.J lilY Phone 5Y/-Qfp7"BCMCOlllMMO 'jQ3~~DONEDFOR $375,00,
q $ moo
'7 3 2- { ANY 180 DAY D. ,
ry-., 9; () .s c. j..~Tern~p'>ior.a>i!'Y'4Jsery"~ice~7o't}F~~a~rs:~:/.f,?;~~i~:~":c.,t:~:,i<!.,'~':~:}.;~:,"~:','~ ~~'~
Supervisor License Number D<^1. t1....,,:o-.... .,,~.. ..-".. .~"h.,n"'I"l,.;~.......l-o:"'" _.'OtW,"",_'&.~_.,.. ~,,,",,
loll/oS
~ { fJ 200 Amps or less,
(t(( S l/l( (0 20 I Amps to 400 Amps
91(5/oS 401 Amps to 600 Amps
I Over 600 Amps or 1000 Volts see "B" above,
X.gnature of Supervising Electrician D. tt~!:aP~ti:~~J~:~HT~~~;+~;;t~~'I~~~~<';:'i:~if;;"jf~~b~~1/)~~:\:~~~',~,' ;~~ ~~~.t%;'J
. ~ n K () Q ~ ~:: ~:::tion or Extension Per Panel $ 43.00
, '- - " ..:::::, Each Additional Circuit or with
OW!1~'" Name i6 1Ie-<L J /L{IG.. '"LS.....(I~. Service or Feeder Permit $ 3,00
;-.... ~ _'\ I E. rrl#,M.!'enlm~QtiMteil#eil "~/ii( 1-;'f~1'trcl;I[st)ill,ti~Jt1
Address -1-'0 ~~ ;ZG'i l~l'tl~tt65~Ytlfe~~-'('" "...~
City (C.:llWA-~l(~ Phone ~UCO\l~~Bler. ThoserulesllNHl'lt~O
BM-Rl~Ml~10 through OAR 952-&0'.00
L' O'd gu f:"a)R~lI1igopl8S or the rules b"oO
"&%na'Wlr~nt9l: INnte: the t8len"""""
4lUi\<ia61"fOllWlmlf&WUtillt '.;v'; -:Y'4 5 ,00
Minimum ElecGllnBuiuiql3~~S~ Surcharges
m'""",""w""'~fi""~""'" """~~~~it~!'~, '.' ',I'!',!f:J, / B)"l O()
4, .SUBTOTAL,QF:tABOVENliL it;,), .~ r,ill ~ "~ C>( ,
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LEGAL DESCRIPTION
1702-\ 93lf
JOB DESCRIPTION
SFrL
Obr 00
Permits are non-transferable and expire if work is
not started within \80 days of issuance or if work is
Suspended for \80 days,
l'coNriaCioR'iNST. ,',,, 'iroN'om:}:;!
2. r~~~~i!i+~~"..~r~~s;~.~:,1-~~d ~"~_.~.~
Expiration Date
Constr, Contr, Number
Expiration Date
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature,
Inspection Request: 726-3769
. '. -.
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A. r~-~'~~fu~:i4~~~~t{"$~~';;Mill~~Fr~1i[~v~li~~ ~~ ~;7~. ..:;
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
/
if
$106,00 /!}Gr(X)
$ 19,00 r# 70<0 ()
$50,00
B. ~Ser:;ic~~:5r}FMa~tsf~\;.:in~sit~llaho~~kt~~a:tionsjiiirR;ei~~~'ti'c)b.:"""}"
TC"..;I;' ". ": "',', ' ' .~.,.., ';,..:'" ,">'.,'. "',~,-' .'1.."'" "",.",. .>...::,~ I '..' .,. '. ., " '.
Installation, Alteration or Relocation
$ 50,00
$ 69,00
$100,00
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:YBuilding Forms/Electrical Permit Application 1-03.doc
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-003SS
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 12/28/2004
VALUE: $ 247,962.00
-~
.
Status
Isslled
225 Fifth Street, Springli"ld, OR
541-726-3753 Phon"
541-726-3676 Fa,
541-726-3769 Insp"elion Lille
SITE ADDRESS: 3325 Falcon Dr
ASSESSOR'S PARCEL ;\0,: 1702193406100
Springfield TYPE OF WORK: Single Family Residence
I H,OO theria)' Dist:
5.00 # Slr"el Trees Rqd:
5.00 _1',Ii''$'you'tJORqd:
AT'fENT\ON: ~on ~~:or~bb'\!ltilit{crage:
fo\'oW nJ\e~~~~~".. nt'es are ~~
Notlf\C8tlgonS2-001'()()10 U)1IQYsi~~ P~~~ENTS I
!nOAR I t:U\ll'~.'.';,~_n
Street Impro\'emenlb'o90. YOU ma~<f:t=r~~ltIetel~phon8 Sidewalk Type:
Storm Sewer A\'ai1ahl<ce,lIing the or~on I:I\iUty Notiflca1lon DownspoutslDrains:
Speciallostruelioll: numbera~m~d ai~~llA4)ftnilary and Slorm Sewer connections.
center IS 1 ,
Notes:
TYPE OF USE:
PROJECT DESCRI PTlO,'\': SFR - ambleside lot 95
Owner: RIVER V ALLEV BUILDERS INC
Address: PO BOX 21141 CORVALLIS OR 97339
I COi':~RACTOR INFORMATION I
Contractor Type Contractor License
General RIVER VALLEY BUILDERS Ii':C 134566
Electrical C -" E ELECTRIC INC 54468
Mechanical ~III)WA V MECHAi':ICAL Ii':C 154166
Plumbing ~IIDWAY-",I,Y~'I~ING Ii':C 4687
. t.'1.I'\\\t. W \ ~1 \S ~\J \ I BUlLDli':G Ii':FORMATION I
~ ~~~?S~\\ ~:;~\\ \\\\~~~~~Qr9\\
'gf' ~I/';\Glfl,~~ R-3
~ ~~H, '\!\\\Q'\)~)IIP: U-I
~~~ll 'tiOI1 TYIJ(' VN
S d~ry Constrlll~li()1l T~'IH':
# of Bedrooms: 3
# of Stories: 2
Heightnf Structure 29,00
T)''Jle of Ileal: Forced Air Gas
WaleI' Type: Gas
Hauge T~'pc: Gas
Energy Path: Path 1
Sprinkled Building: nla
I DEVELt)P~IEi':T INFORMATION I
Front yard Sethark:
Side 1 Selbaek:
Side 2 Setback:
Rearyard Selha"k:
Solar Setbacks:
Page 1 of 4
New
Residential
Expiration Date
04/15/2005
09/15/2007
01/30/2005
07125/2004
Phone
541-367-1618
541-967-7045
541-928-2423
541-928-7927
Lot Size:
Sq Ft 1st Floor: 1,740
Sq Ft 2nd Floor: 780
Sq Ft Basement:
Sq Ft Garage/Carport 622
Sq Ft Other:
Occupant Load:
2
Yes
45.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
To Storm Sewer
-L-lt::; ;;
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Status
ISSlIcd
225 Fifth Street, Springfield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-3769Inspeetion 1.ine
Description
T\'JH.' nf Construction
Dwellin2s
Gara2e
V \Y(lnd Frame
Gara!.!l'
Fee Description
Plan Review Residential
-MechanicallsslI:tlll'C Fcl'-
+ 100/0 Administrative Ft'l,
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignmenl
Annexed 1979 or Ill-forl'
Building Permit
Curheut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to I(J{I,IIIIII hlo
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
P\V l\1ult Disc - 2nd Permit
Sanitary Sewer - Illlpro\'('Illl'llt
Sanitary Sewer - H.l'imhursCllll'nt
SDC l\1\VMC Administration
SDC l\1\VIV1C Imprfl\'ClIIl'1l1
SDC MWMC Rcimhllrsellll'lIt
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Impron'l1ll'llt
SDC Transpo RcimhurSl'll1cnt
Sidewalk Permit
Storm Drainage Impervious An'a
Temp Power 100 :Imps nr less
Vent Fan
\Villamalanc Singll' F.lInil~
+ 100/0 Adminislr:llin' Fee
+ 7%) State Surcharge
Residence "'iring 1000 Sq Ft
Residence "'iring Ea Addll sun
.
. CITY OF .srK11~uJ<IELD
Building/Combination Permit
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 12/28/2004
VALUE: $ 247,962.00
I Valllation Dcscrintion I
S Per S" Ft
or multiplier
S92.40
S24.30
Square Footage
or Bid Amount
2,520.00
622.00
Value
Date Calculated
$232,848.00
$15,114.60
$247,962.60
03/31/2004
03/31/2004
Total Va10e of Project
,1~Pf~~ PiWJ
AmOllnf Paid
S6XO,32
$10,110
S 14S.47
$1113.93
S3116,OO
$31.00
S-20.52
$1,046.65
S75.011
%.00
S9,Oll
$12.110
$15.110
$4,110
$12,00
$71.110
$-311,1111
5447.46
55XX,64
$10,011
5214,23
S314,63
S1211.37
S52.49
S727.42
S 164,S9
$75,00
$1,0](1,36
S511,OO
S2~.1I1I
$1.111111.011
SIX,20
512.74
5106,110
S76.00
Date Paid
Receipt Number
3/31/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
6/28/04
6/28/04
6/28/04
6/28/04
2200400000000000304
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
2200400000000000408
22110400000000000408
22110400000000000408
1200400000000000988
1200400000000000988
1200400000000000988
1200400000000000988
l'a2e 2 of 4
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 12/28/2004
VALUE: $ 247,962.00
225 Fifth SIrecl, Sprin~lil'1d, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inxpeeliol1 l.il1e
Tol:!1 Amnllnl Paid
$7,492,28
Plan Reviews I
Initial Review ll4/0 112004 04/ll1/2ll04 API' LLH
Plannint! Review ll4/0 112004 04117121104 API' TAJ Minimum side setbacks require
survey.
Public '''orks n.CVil'\\' ll410 1/2004 04/09/21104 API' VRJ
Structural n.c\'ic\\' ll4/0 1/21104 04113/21104 API' RJB
To Request an inspection call the 24 honr 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.
W~l'ollir('c1lnsnections I
Curhl't1t - Slanclanl: ,\ ftCI' fnrms arc erccted hut p.-inl" to placement of concrete.
Sidewalk - Cllrhsidl': ,\fle!" forms arc erected hur prior to placement of concrete.
Erosiol1/Gr:Hling Im.fll'clinn: After all erosion measures are in place.
Ufcr Elcclril':lI Ground: Install ground rod a1 fnoting und call for inspection in conjunction with footing and/or
fOllncl:ilioll illspl'rlioll,
Footing: 1\l"Il'l' tn'lll'hcs :lre excavated.
Foundation: I\ftt'r forms :Irc erected hilt prior to l'OIllTetc placement.
Post :lIul Bl';lIll: p,'ior 10 floor insulalion or dl'l'king,
Floor Insublioll: Prior to decking.
Shear '''all Nailin:,!,: Before l'overing: shcathin~ with finish materials.
Framing Inspedion: Prior to cover and after all rough in inspections have been approved.
'''alllnsulalion: Prior to coyer,
Ceiling Insulation: Prior to royer.
Dryw:11I: PrillI' 10 t:lping.
Hold Downs IlIstnlled: Special I nspectinll performed prior to placement of concrete. Provide report to City
Building InsJll'(.'lol".
Final Bllildil1~: ,\fll'r:lll rel1nil'ed inspeclions h:ln heen requested and approved and the building is complete.
Undcrllool" Pllll11hillg: Prior' to insulntion or {kcking,
Undcrlloor nr:lin: "rior In ....on~r or placement of l"Oncrl'tc.
Rough Plumhing: Prior to cm'er and induding rC{Jllircd testing,
'''ateI' Line: I'rinr In filling trench and induding required testing.
Sanitary SC\\'l'r Line: Prior tn filling trench and including required testing.
Storm Scwl'r Line: Priur to filling trenfh.
Final Plumhing: \\'hcll all plumbing work is cumpletl'.
Underl100r .\Iel'hanical. Prior to insulntiun or decking and including required testing.
Undcrllllnr Gas: ..\ nl'r line is installed :lIul rcqllin'lIlcsting and cappcd if not attached to an appliance.
Rough Gas: Anl'!" lint' is installcd and rt'quirC'c1 lesting and capped if not attached to an appliance.
Gas Sen'kc: Affl'r Iillc is installed nnd line has hCt'lI l'(lnflccted to a minimum of one appliance including required
tcsting, Pn:slln' h'\1 clone :It this point.
Rough Ml'l'hanil'al: Prior tn Co\'cr
Final i\'lcchankal: \\'l1t'l1 allmcchanical work is l'lllllplclc.
Tcmpnr:II"~' Elcl'lril': AppnJ\'alrcquircd prior to Utility Company cnergizing pole.
Rough Ekrlric: Prillr In Con'r
Pace 3 of 4
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.
. CITY (nl ~rRINGFIELD
Building/Combination Permit
Status Issued
.
225 Fifth Street, Sprillgtit'id, Oil
541-726-3753 !'twlle
541-726-3676 Fax
541-726-3769 IlIsp<'l'tioll !.illl'
PERMIT NO: COM2004-00355
ISSUED: 04/26/2004
APPLIED: 03/31/2004
EXPIRES: 12/28/2004
VALUE: $ 247,962.00
Electric Sl'n'il'l': f\pprfl\'al rt'quircd prior to utilit~. company energizing service.
Fil131 Elcctrk: \Vht'll alll'lcctrical work is complete.
By sigllalllre, I state alld au'",e, Ihat I have cardolly examilled the completed application and do hereby certify that all
informatioll hercull is trllt' ;lilt! l'oflTct, and I further certify that any and all work performed shall be done in accordance with
the Ordillalll'es III' the Cil\ of Sprillgticld alld the La\\'s of the State of Oregon pertaining to the work described herein, and
that NO OCCUI',\;\,CY \\ ill he made of allY strllrl,"'e \\'itholll permission of the Community Services Division, Building Safety.
I further ccrlir~' thaI only l'fllllr:ll:tors and clllpln~'ccs who arc in compliance with ORS 701.005 will be used on this project.
I further agrcl' to ensure Ih:ll :III required inspCl'tions :Ire requested at the proper time, that each address is readable from the
street, that Ihe p('rlllit ('''I'd is III('ated at the front Ill' the prllperty, and the approved set of plans will remain on tbe site at all
times during COlIstnu.'tiol1.
Owner or Contr.aclors Signatlln.'
Date
Paue 4 of4
225 Fifth Street
Sprinkfield, Oregon 97477
541-'726-3759 Phone
JoblJournal Number
COM2004-00355
COM2004-00355
COM2004-00355
COM2004-00355
Payments:
Type of Payment
Check
6128/2004
.
RECEIPT #:
a~
~,
&ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200400000000000988
Date: 06/28/2004
Description
Residcnce Wiring 1000 Sq Ft
Residcnce Wiring Ea AddU 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
G&E ELECTRIC INC
Item Total:
Check Number Authorization
Rl'l'l'ind By Batch Number Number How Received
dJ b 8265 In Person
Payment Total:
Pa,~c 1 of 1
lO:51:22AM
Amount Due
106,00
76,00
12,74
18,20
$212.94
Amount Paid
$212,94
$212.94