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HomeMy WebLinkAboutPermit Electrical 1995-4-27 i .-- ' , 0 CITY OFi ,RINGFIELD, OREGON \ -'-, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726.3753 . FAX: (541)~26-3689 " " ELECTRICAL PERMIT APPLICATION '?o o"",-'o.z City Job Number ~....\~ Date .. ^,., :O~o~~.o/;;:,o~. LLoCXfioNoIEINsi;4l'i''4.TiiSN'r;f'r~r 3. ~'1:oMkThti~"cifril;~o"~,"'Ttow; . . 3_;. q'~"'~'~~'" ,'. ., D~"~"~'" .,'~.. "~,'.' ~""~....~l!/"t,~:"",,.~, 'J/P 10l C.O V\ r ...............T$O'& . .......~$s>"~6~,, LEGAL DESCRIPTION A. ;,N~wR~;i<!~;D@rd~~ei ~;~ .;.tlf~'~l~~rdwel1\ng unit. ~()tD~ ;e:::;;C:d:""~~~'\'~ --",,. '~~;~~~~.< _. , JOB DESCRIPTION '2.~ 1000 sq, ft. or less '> , ;m.t~.;. /0 (0 . 00 (' eel' J ,() III C.p Each additional 500 sq. ft, or '\..~~ . '" () Vl-eW ~ (j\..t:: Vl .~ portion thereof ~~~9,~0 7f.o,O '" Installation, Alteration or Relocation 200 Amps or less $ 50,00 20 I Amps to 400 Amps $ 69,00 0/ /5 ~lrI$..~ 401 AmP: to. 6~0 :mps . . H H $100,00 I (' HU , ~"MIT sH,q~~r9Be~IJ"~(!,oQ,lS'llR~~,}3.,, above: Signature of Supervising Electrician AUTHORIZED UD..'J~!~g~9:j!;flil~j.s:.NOT;[~;'." ,~() COMMENCED OR I~ AO~illnmlEn rno . ( ~]J~ ,~ ANY 180 DAY PE~~;~t~::: :r::;te::~:er Panel $ 4300 :::~, J~\~ ,\11 Ji vt.6 L '~~;;~(~.!;(~]~,.:;';i","";~~ri City Phoue 'lid Pump or irrigation $ 50,00 ~l. Old) '110(8 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25,00 The installation is being mad.A,1i1:IDSPe~f1Iom,;,.,.j,id" ,Limited Energy/Commercial $ 45,00 , , ' v''''B'''11'1aW requ res you to " nOlllltended for sale. lease full:!lw,rules adopled by thE '~'!!!.' . ic .p. erm i. t. Insp.ection. F e.e .is ,.$,4...5.00..+,. Surcharges ' NOllflcatlon Cenler. Those rule~~' ,~~~~';)'ij'B< .....~', c,.',., \- . Owners Signature: in OAR 952 00 ~.>>g." V'1-}1!L OEABOVE~~:l tt ,,~':}-'~:.. / t') /} 00 ' 1-0010 Ihrough OA '952i()f):f :~j;O..~t'1!'pI~L:it: ~t~>!(~,,~,.' DO< r 0090.You may oblain copiesofl~e r,,'''-~.... / '7 7U ~~II'rl9 IRe ee I (N % "tare ~11rcharge q, r -. R /!I. ole: Ihe le1e,I?)1!;lne 1 rl number for Ihe Oregon Ulility N6NficalFoiJinistrative Fee .n '!;,Q Inspection Request: 726-3769 Center is 1~800'332'2344tOTAL Q I~.~~- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,';, . ,'-"--;-~r ~-Y;"~'J:,^."T,'.'",,:,""'~:"T":-r-:-~;7:r:".,~"'.- CONTRACTOR....INSTALI::ATION ONLY.. 2. ..*'_" .~:--t.. :.....:n <:;. ,'~ 'i..; ,.. ~i.::Z:.;:i:,..;.\,. ._.);~'. .i~')i~J..iL Electrical Contractor (~~ E CleLH\'c. TV\c City po 'box /128 Co A \ b.J vI V Q'732-1 Address Phone 5YI'C((p7,8G2.7 Expiration Date ;)'100:; I OJr loS l I tI Sl/fJ0!f Supervisor License Number Canst" Contr, Number Expiration Date Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. ;' -~~r~~e:~;g~;F~~~~~;:~S~~Jl~ti~,~}~i~r~.ti~nSl0r:~RelOC~tion:' ..._;a;;"".-"--L.~.....i;.,,.o,_.., ."","~....-,.':'H_~""~-"";'".j.)>""_ -... . 200 Amps or less 20 I Amps to 400 Amps 40 I 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 [ffl :'::ti't'Jt''';~~~~~-:',~~~~",l'l1'J:';:':'r~l1'''t:;''":~ " C..~Temnorarv~SerYICeS :or :Feei:lers,i."',:;;.~-sh~~ - -.'". ~-.i-"".'-'--- -,Lu..'-.....Ul.~-.1t""'.......,.:"c':~J.Q'........._;1...-.tl.'.... ' ._ ,- ", ~, Shared Drive(T:)/Building Fonns/EJectrical Pennit Application I -OJ.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00I59 ISSUED: 04/26/2005 APPLIED: 02/09/2005 EXPIRES: 10/26/2005 VALUE: $ 247,962.00 SITE ADDRESS: 3369 Falcou Dr ASSESSOR'S PARCEL NO.: 1702193406300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence, Ambleside 1st lot 97 Owner: RIVER V ALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 Contractor Type General Electrical Mechanical Plumbing , CONTRACTOR INFORMATION I Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC License 134566 54468 154166 4687 # 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 Sethack: Solar Setbacks: Street Improvements: Storm Sewer A vallahle: Special Instruction: , BUILDING INFORMATION I 1 R-3 U VN # of Stories: 2 Hcight of Structure 28.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla 3 I DEVELOPI\-,,,,,, J ",~ORMATlON I 18.00 5.10 6.20 31.30 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541-367-1618 Expiration Date 04/15/2007 09/15/2007 01/30/2007 0712512008 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garagc/Carport Sq Ft Othcr: Occupant Load: 6,200 1,364 1,109 426 2 Yes 35.40 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Fullv Improved ATTSM'lffi)IQ;OJRl.!lon law requires Y lU ~d 5' Yes follo~.ill1.9mw1~y:the Oreq,grs ~~~ :er Notification Center~'l'fiose rules are s nIB In OAR 952-o01-()010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: ~,!Stor,~;~rainage to system rear of the lot 2/14/2005 CAS I J.... ~ I ".... THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpc of Construction V Wood Frame Garace Dwellincs Garace Fee Description Plan Review Residential -Mechanical1ssuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance V cnt Boiler/Comp 3-15 HP Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential 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 . I Valuation Descriotion I $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 2,472.00 426.00 Total Value of Project Fppo. ~ Amount Paid $657.09 $10.00 $149.47 5104.63 $306.00 $31.00 $6.00 $22.00 $1,046.65 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 $103.00 $23.23 5-30.00 $493.56 $649.08 $10.00 $865.31 $82.03 $126.72 $63.33 $772.49 $175.13 $80.00 $753.30 $50.00 $18.00 $1,000.00 $18.20 $12.74 $106.00 Date Paid 219/05 3/2105 3/2/05 3/2105 3/2105 3/2/05 3/2105 . 3/2/05 3/2105 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2105 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2/05 3/2105 3/2105 3/2105 4/26/05 4/26/05 4/26/05 Pace 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: 02109/2005 EXPIRES: 10/26/2005 VALUE: $ 247,962.00 Value Date Calculatcd $237,312.00 $10,650.00 $247,962.00 03/01/2005 03/0112005 Receipt Numbcr 2200500000000000151 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000248 2200500000000000495 2200500000000000495 2200500000000000495 -:-Wl:81~1~@!lI~> .~ . . ; =- ii:ir tl'" --.----- - . . CITY OF ~rKlf'<jhH~LD Building/Combination Permit . Status Issued PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: 02/09/2005 EXPIRES: 10/26/2005 VALUE: $ 247,962.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rcsidence Wiring Ea AddU 500 $76.00 4/26/05 2200500000000000495 Total Amount Paid $7,906.96 I Plan Reviews I Initial Review 02110/2005 02110/2005 APP SKG Planninl! Review 02/10/2005 03/0212005 APP TAJ Public Works Review 02110/2005 02114/2005 APP CAS Storm draiuage to system at rear of the lot 2/14/2005 CAS Structural Review 02110/2005 02126/2005 APP DLM Reviewed by Jason Bush 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. I Rpo1l1rp,J Tn~nection~ I Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. Vfer 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 floor 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 filter cloth is installed but prior to backfill. Vnderfloor Plumbing: Prior to insulation or decking. Vnderfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Pal!e 3 of 4 . . CITY OF ~rKll'\jul'IELn Building/Combination Permit PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: 02/0912005 EXPIRES: 10/2612005 VALUE: $ 247,962.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Watcr Line: Prior to filling trench and including required testing. 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. UndcrOoor Mcchanical. Prior to insulation or decking and including required testing. UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliancc. 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 heen connected to a minimum of one appliance including required testing. Prcsure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Statc of Oregon pertaining to the work dcscribcd 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 projcct. 1 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 Signaturc Date Pa2e40f4 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005,OO I 59 COM2005,OO I 59 COM2005,OO I 59 COM2005,OO I 59 Payments: Type of Payment , Check . " 0:'" ( 4/26/2005 . RECEIPT #: Description Residencc Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By G & E ELECTRIC ar~,~",_."":, ~I ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000495 Date: 04/26/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 09625 By Mail Payment Total: Page I of I 3:14:05PM Amount Due 106.00 76,00 12,74 18.20 $212.94 Amount PaId $212.94 $212.94