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Home My WebLink AboutPermit Electrical 2005-6-2 ,. . CITY OFl 7RINGFIELD, OREGON / ~. --" '. - ,i.~Q, 0'~~~ 1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)726-368~,>~\",('<~ ELECTRICAL PERMIT APPLICATIOf (I , 2 0 5 ,:,'O~~0~:(,~'C City Job Number Lorvt'lOOS - 0036ate Le - ",,>'> 0.<'\< c" \0 '?~""~-''W'~__~' """W~_7~9\~",(\O\_~'~"",.",,~_. ,''$i'' 3. ~,q?M~~'ffl;~ ~!lIiIl,...r::._() .'---'.'~'''-~''.-"-fu~~ '.,,,,W"'^.'~" -"~,,,,.,., '-''''~~ , _ ~o\~ fb.0 . .(....~ ':(\~':-.,. .:(\~ I -g:1;fi~:\i'::-i;?~;i~~6'f~~'i:t.o~~;;Y-!'A;t~~-_~~~$'f:;';(::{~1i'~"_~; ~ ,-''f_~ ," .-_k~:_"'" A. ~~,~~i!~~~ip..,J~~~~I!~ll!&"1?~r;?we!!"iI1gunit.. Service Includ~'l.~'" 'l.~o <?\.(:{; 1000 sq. ft. or less yY Each additional 506 sq. ft. or portion thereof Over 600 Amps or 1000 Volts see "B" above. S""'1"7r\"T>"~~~~r~?_~-;_,~'/'-/'__:f"::P~--~"~~T:Y:;~~~_J: 7,--~0('~;-' ,J." ~ A'~~.P~~S~Ciany \J- D'Ji~;~~~::::~::~~t;~~~.~;!~'. ~ \l C :--!IT).\;atlon Center. Those rules a,,, se' f$ 4~ 00 I '5A1JcI\A~_()o1C()01i't' '!:1.~ili~h (," r' y~ (. '. I) " OJ tll ftr ifN,~_y~HlOnal Ir....ul. or WI. \ ~ ~-. 1- ~\Ol.ce ()\!'Feeder(P,,1fuit ~";' c $ 3(00 ~~~~~Jd}1~1 ',~~~r;:~,~i""';'''\' - . . Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 - . ~"".,._'-::::1'7;> ~ "'\'"7~;T--- ,"'^ "':" ,~-')-"(_:. "'/~'''~"'T~~;:'!i1P';:;:T;-,,/.'::n.?1 I. 'LOCA:rION.OF4:NSTALEATION' 'f~~Jj ;;. ;:-' -,-.". ~ .";'uxd...,-: ::""-"",;..' ~~.~.\,;--,;::J;~- ._~,':~~..::tQl',\~'!1t:i, '3313 rOllC.uVl Dr jW:{Cf~IO~I~ JOB DESCRJPTION )f) 0 \J S-Q View Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,. .. --, -,..,~'" ~-;.-T"..'''it_''l:'':'i':'it.,.,";,;,;.i'_,-:-, '~"':.:::".'~-'-<'T:;.VtJ,.;i,,:r~~;;:;;'<' .CONTRACTORINSTAELATIONONLY;.iS 2. ";1:": .:1"\,':'~::'-""~'i\J;~:-';~~ {,'-..:.f..:;s:!e:,:.L::ih;;/",i,.,{'i: i.'HBi"-\$::;iAl., Electrical Contractor (~~ E c\ ect( \'c , Tv\( City po 'box I 1.P8 ~ A\DJVIY Cf'732-( Address Phone 5'11' C([p 7. BGZ 7 Expiration Date ;):10 6 <; I 0 J I I () S , ( tl5'l(li (0 fJ 9/15' /0$ Supervisor License Number 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 I $106.00 tj $ 19.00 IOfo ,.-- 7(12 ,/ Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 /~'.": ':"^;;7":-~'~~';:::::V}';~,'Z~]L:,:~:~;."'::r~c":~;1:~.":}W;1.'f:~::'::'. ~ -.,~, " . B. ;t,,-~~JNg~,~~,~tjFt;eil,e~s~TJfi~'~~1!ati~Jj~~A.!~~r~,ti9n"s-,~[(Relo~fI tioI1:' ...jJi...ad:~;W,~~~I~~t,Jg;,~_, ,,,,!ll_,,~~A,i....tt;.,.t2:;;_.l..-i&._ ,,' .w_'-' 200 Amp~or!ess,;:T 8HALL EXpID~ Ie T~~ ~~3~K 201 Amiis,t6~4qQ.AE'PJ,~OER THlcc D~[)'.~~T$I~lM8T 401 All)ps,t9.&9.ov~'EP~R IS ABA,,!:.'C'~~::C' V0t{.00 601 Amps toS(OO_O'A'nf~RIOD. $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 P'lr17~"",.".___m -.~~""=wjrro~~~.JF-"~""~"""""',-,,,,',vl\'i,i,",,,,,,,,~,,-,~ C "'T ".,-,;";i",r~*,,,-::,,:S' ~':;? ~ <bE..-; ':;', 'F' .16;+Yd,':0~';:;''''4i:~;i';\~'>t'\\:!~h, --.../,; . if eml'ora!'Yi. ervlces or.' ee ers"",~JA?;i:",,,' . -'.", tn-~~~_"",f)__~{~""'!.~"~:>>;".$_.~~,~Ji;ml.Ji.0'~,'" ~_. Installation, AJteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~1;'~';t:r~r-r:~~:~tW,\'f .,. 4. v:'SUBTOTXIYOEiABO, rg:{f~+#~~-Lt~\~;(~W: /PJJ /' I :Jv7<( /Q.20 d(/'";2,cIV 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonns/Electrical Pennit Application] -03.doc f' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGJ<lJ<.;LD . Building/Combination Permit PERMIT NO: COM2005-00378 ISSUED: 04/21/2005. APPLIED: 04/01/2005 EXPIRES: 11/03/2005 VALUE: $ 244,198.00 SITE ADDRESS: 3313 Falcon Dr ASSESSOR'S PARCEL NO.: 1702193406000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence, Lot 94 Owner: Address: , ,I U:: Phone Number: 541-760-7881 1 HIS PERI\\IT SHALL EXPIRE IF THE WORK ullH,iifll7HlIINnFR THIS PERMIT IS NOT rr. . uc,'r.m rJR IS ABANDONED FOR , CONTRACTOR INFORMATION '-ERIOD. RIVER V ALLEY BUILDERS INC PO BOX 832 SWEET HOME OR 97386 Contractor Type General Electrical Mechanical Plumbing Contractor RIVER V ALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction,Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 20.30 6.20 8.00 26.10 0.00 License 134566 54468 154166 4687 Expiration Date 04115/2007 09/15/2007 01130/2007 07/25/2008 BUILDING INFORMATION I I R-3 U VN 3 # of Stories: 2 Lot Size: Height of Structure 29.75 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: , Range Type: . N,.~ on\~qfIttJ~a'rageZC-il~p'6rt Energy Path: ATTENTIONpltiii P d b~q\m Qth~:n Ut.lity, Sprinkled BuihliJljpW rules aD'lilpte ho~iC~P,I!..!ti{,;oad: \ \.c.r'~ _. .'J'~_.&........n r:pnter. 1 ._ . r. "'I.' I -~ , DEVELOPMENT INR@iWAJEIONJ ,00~?~~r.(J~'~." (~. c:.. ,'/ 0090. 'Iou ""'y :Jb\. : '. ,,, RE.QUlRED PARKING II' the r.ui11" r. ',' "- . Overlay Dist: calng ",. ,"".,Total:"""" 2 mber jor tt"" , .'. . # Street Trees Rqd: .,' s i "L~ j,,:" ,Handicapped: Paved Drive Rqd: Gem"" Yes Compact: % of Lot Coverage: 29.10 5,360 1,086 1,331 478 I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutsIDrains: FuUy Improved Yes Cnrbside 5' . To Storm Sewer Notes: Storm drainage to stub provided 4/5/2005 CAS Pal!e I of4 r 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 Garaee Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curhcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Disc. 2nd Permit (Street) 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 + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . I Valuation Descriotion I $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 2,413.00 502.00 Total Value of Project Fpp< PiWIJ Amount Paid $673.99 $10.00 $147.49 $103.24 $306.00 $31.00 $1,036.90 $40.00 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $548.40 $721.20 $10.00 $865.3 I $82.03 $131.61 $62.85 $772.49 $175.13 $80.00 $71 4.69 $50.00 $24.00 $ I ,000.00 $18.20 $12.74 $ I 06.00 $76.00 Date Paid 4/1105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 4/21105 6/6/05 6/6/05 6/6/05 6/6/05 Paee 2 of4 . CITY OF ~rKlNGFIELD . Building/Combination Permit PERMIT NO: COM2005-00378 ISSUED: 04/21/2005 APPLIED: 04/01/2005 EXPIRES: 11/0312005 VALUE: $ 244,198.00 Value Date Calculated $23 I ,648.00 $12,550.00 $244,198.00 04/0112005 04/0112005 Receipt Number 1200500000000000407 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000483 1200500000000000782 1200500000000000782 1200500000000000782 1200500000000000782 . . CITY 01' ~rKll"<I\.J1'IELD. Building/Combination Permit PERMIT NO: COM2005-00378 ISSUED: 04/21/2005 APPLIED: 04/01/2005 EXPIRES: 11/03/2005 VALUE: $ 244,198.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,010.27 I Plan Reviews I Initial Review 04/04/2005 04/04/2005 APP SKG Planninl! Review 04/04/2005 04/20/2005 APP TAJ Public Works Review 04/04/2005 04/05/2005 APP CAS Storm drainage piped to stub provided 4/5/2005 CAS Structural Review 04/04/2005 04/20/2005 APP RJB 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. IRpnlli~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcnt - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Door insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and nIter cloth is installed but prior to backfill. UnderDoor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Pal!e 3 of 4 . . . CITY OF SPK11'1uFIELD Building/Combination Permit PERMIT NO: COM2005-00378 ISSUED: 04/21/2005 APPLIED: 04/01/2005 EXPIRES: 11/03/2005 VALUE: $ 244,198.00 - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl100r Gas: After line is installed and required testing and capped if not attached to an appliance. , Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Rough Mecbanical: Prior to Cover Final Mechanical: When all mechanical work Is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. . Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wllI 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 I _ 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 Paee40f4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00378 COM2005-00378 COM2005-00378 COM2005-00378 Payments: Type of Payment Check '.\ " '\ . " 6/6/2005 , , . RECEIPT #: "",~''''.IC''''JI!U>' '. lit'. _._-~._- "-.---..' . ~ , . , i: 1 -... '.. /. .~~ -j , )f ~ ....................."....... ..,....;':>-.- ,.' City of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000000782 Date: 06/06/2005 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By G & E ELECTRJC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 9803 In Person Payment Total: Page I ofl I:I7:32PM Amount Due 106.00 76.00 12.74 18.20 $212.94 Amount Paid $212.94 $212.94