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HomeMy WebLinkAboutPermit Electrical 2004-6-17 , il CITY OF ~' ":UNGFIELD, OREGON ' - : -" , . ... 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 '>Utho,[.' - 3. [tCdMPiiEtif'PEE,sc'i11'b" 'n- RI;o -''T;I,-' .'.' , E\.._.- ',",.. .,-""""> ," , fJ1IiJ!1i:I}"~,, -, > 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>( , L..~,,~~~~ij;':~t.ii~~:'I!!~~.~t ~;-i\1i~i,~t~l"1 -- "/;;; < 7V I (if ,d () C)(()/?v \, FfiJCATioNJiF.INSfA,i,tIi.TiO'jy,'!'J5l'j'j,j,j'j l':::.:1"...l'i:...;.:;"-'..~j..... ~"< ,', ',,-.'~ -~ ",,'.,' ,'l':r~tJ 3 '3>z5"" , 1=1\-1c.ort DiL -,' 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 . '. -. ... ,.... , 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::; ;; _.,~ 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 -lIIri]i~:',It!L, 0 :,;,:~7>.',' '.>! '" > .'. ~ . . . - . . 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 -ItkSf~?"~~",','tIL,' D ''''''''.i, . , .' , t) _,__,- .._ ,._.. J. . . 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