HomeMy WebLinkAboutPermit Electrical 1995-4-27
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, 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
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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.
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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.'.... ' ._
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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~>
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.
. 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