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Home My WebLink AboutPermit Electrical 2005-5-3 ''?'If"Lh\~t,,;';'~;1:Gtt,Y:'6F'SPRrNGFiEED i:OREGON!;!;^;':\.~A~:!; ':' ;: ~,,,t;r'~~}S'..;'lj#""\'-:'\""""'Itl',:'I:.-.,#::,~,'"l",:,~,~,.J' ;...... .7 J .,.... ".:h/:' ,\,,1. Address .Po fA0x: 40f;l/f1 City r:Ufj Q14()t./ Phone l/8t./. Q078 .:SPRIJ\ICFlEL.D. OJ , ?,,,,,~.< ~ .\i.,~~~ 225~u"nSTREET 0 SPRINGFIELD,OR97477 0 PH:(541)726-3753 OFAX:(541)72~O~'t-~.~ ELECTRICAL PERMIT APPLICATION ~.< "'/....,:~ CityJobNumber COoM.'U>o.....OO/~c; Date' 5/110..- ~""b-:>~ ~<> %:%,,/', ' /v ~_ "') "'_ r'> 1. ~\tOCATIONOM.i.1VST~ON:'Ii"':~~ 3. ~(iMph;')J.;i!).iiEEfs' ~ w ,. :zillOw:t"$~~:~,~.i[i~~1 ?'''':/Ci ""'rK;'z..;;':;<'J'" I"" . ~,--~_v,._,,,..,-j~'~t' "v'~,%!,,!~'"W'~~"J ~ ..J-D, I r . ': _ IV . '_ -~, ..'. "'" I' '" '" A. ~rr~ll\ii~!t~a~'ltiiEi{~i~''''~~''''.?~''ltr' .,\~;;' . '~, ~~.. ;j""i~2t'~ti~.~~ LEGALDESCRlPTION '",~1Y>.<~!.~!!:..,,"O...',!gJ~;On:.. u,~" mt r.. ,_!\,g,!!B.!~'W.>:iJ J 70 7_ I tr 31.( C) b ~ 00 Service Included __ . \' . ~.,:'o~ JOB DESCR1PTION 1000 sq. It or i~-;;'" .00 ""'~ "'.i ./ A., Each additional 500 sq. It or V ~ ~ 'S. Y S T ~ vY\. portion thereof $ Permits are non-transferable and expire If work Is Bach~~ct#o~SWI . \ not started within 180 days of Issuance or If work Is jModu1"; ~~Uit1g 'Semce g.,w reqUires you to Suspended for 180 days. F';;'d~ ',lJ,t;" d upIeO oy the O,o:r" 1"",,~50.00 " NV"',l,;dlron Cenler TJ:lo.se rJ}J~~.;'Ir ,.=Uo..t.- ~coNme1fJR:;iNSf:;'~'i1i.f~.'iio:&'o~~J Jl1. qgfrfr~~~;-'~ris~"''''-'-' ~~'="~f~R:er;;arii~{f:l~'!'; 2. =dC~'~"~"~~""''''~'='_'~="_~_''''~ '''~, , ,ooOO~Ytrumii-~"gota;~Y~p;~~~~~"'<~'~~" ," < Electrical Contractor, D~ UfM'>W ~ 81e.dc0t'l~ ~-OOIA1jjp!h!r\esslter. (Note: the ''i''li'Fl!:10nt6r.00 ~jI1Nmpj!t6ljoo ~on Utility Nnlif;~~i~rl5.00 401 ~f60drAinplDo-332-2::l44) $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 SupervisorLicenseNumber 38q~1 t:A In/ t1()J:) C W"""'''-.oi'''''''S'"~~'''~''''''''.. :F""'!S'-'''~'~!.1,"",~-<';;ji;'I~'~'~ . ~."el!!P"o.~~~ne:'I!.!s..,~jc.>>_r:'~._~~~~~::'" J._ .,~\' <<Jtll".{;~~~~~,(W~ The installation is being made on property 1 own which is not intended for sale, lease or rent. lustallatlon, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps'to'400:Amps $ 69.00 401 ~p~~ 600':..\mps SHALL ~)(PIRE IF Sioo.oo'ORK. I r 11,,) r L.I \IV.. I _ Over 600',Afi!pID6r;IOOO v.bliS'Sa ;raii~b8fe~MIT IS NOT ' D. l)B~~~~i*j~1:"XJ'of;~~~' "'~~~J.,~~""'l<J~""lIa''''-'ll'::O... ,!{~i ~..,......~!s~,J~.p.'us.~'f<~l'rAJ::~~~~~_..",_\f.'L~,~\m~~~ New A1~t~tio1fJl. Eit~n~IGJii~VPanel One Circuit $ 43.00 Each Additional Circuit or with Owners Name I~ vA-- .V Mf~ 'jJ/!/l...S Service or Feeder Pennit , 1'{ v' C. 7 A' ( /) - .~- . "" (L E. ~;Mii~~IIi~gtfi{s:-fti~~f~:;;~t1i~I~~~a)i'~~itt~l~l'b(ti6ff~:~ Address :'-1, 0 / k . _ jt:;.-(, V~\-.. l) li,..~-......".,..",=.,-,....=,,",o:;,..... .t""""'/:.i.-'~':i_""""o:;';;::t'P-[j"r...",.~,_",,-,.._.,...~~>V>t.,t~..........,c,,,,,,,,,,,"-""'~~ City.$L..ft;'t-r r/-.JW'~ Phone Pwnp or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential I $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permlt Inspection Fee ~ Surcharges Constr. Contr. Number /iI t/ Co 9{ &, Expiration Date Expiration Date (, Si~~ ~supervJrr rCtriCit L ( JJj(PJij JV~ ' $ 3.00 OWNER INSTALLATION Z-~ Owners Signature: ~~r.r.;>::.~', W..-,~~..'t.'::o::;:.:.<-':';I: _1i,..;:;;-t.:;Tf.~.~~J",o.:~"'~:~;,y,:,;9..;.i@r'a':.")b'::.;-'..t 4.,,,~SbDJ.t:.11AE.O.F,"~VEi;;:r.;;;r!(.4',*.t~;j<~,r!S~~~.,;~1 :.Eill~~,;.,f:l.":l -l>ti.::''t~;.":~~,'''-,7""":,,,,,,''''''':-'='!'''~Si!;:;E~:.~c:t:El:!'-'d'; 7% State Surcharge 1 0% Administrative Fee 4) JO- y )'0 52b) Inspectiou Request: 726-3769 TOTAL Shared Drive(T:YBuilding FormslElecbical Pennit Application 1-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspcction Line . . CITY OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00I59 ISSUED: 04/26/2005 APPLIED: 02/09/2005 EXPIRES: 11103/2005 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 Residential Owner: RIVER VALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 Contractor Type General Electrical Mechanical Plumbing Phone Number: 541-367-1618 I CONTRACTOR INFORMATION , Contractor RIVER VALLEY 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 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 18.00 5.10 6.20 31.30 0.00 License 134566 54468 154166 4687 Expiration Date 04/15/2007 09/15/2007 01/30/2007 07/25/2008 BUILDING INFORMATION. 1 R-3 U VN # of Stories: 2 _Lot Size: 6,200 Height of Structure 28.00 Sq Ft 1st Floor: 1,364 Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 1,109 Water Type: Gas Sq Ft Ba~ement: . , yOU to Range Type: __G,as'ON'~r!J'~~ragel@!rijlblff Utility 426 Energy Path: AT Piilh1l '~~,Ii'&gtb,r:ne Oregon t forth Sprinkled Building: fO\\Cii/a'UlesCaocEr.t>l/",tl;oa:d~,es are sez 001- ., .J-:l:......':!.hnn anle. _"'- nAR 95 ~ I DEVELOPMENT INFORMATiQN\11 952.001-UU I ~ "~;~~s of the rules oy 009U."1'ou may obtaln~gIP~G Overlay Dist. calling the ~~:~~'elJij18bltility Notification 2 # Street Tree~ Rqd: number;~tter is 1-tIllln1~~~~). Pavcd Drive Rqd: yes Compact: % of Lot Coverage: 35.40 3 I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsillrains: Fully Improved Yes Curbside 5' To Storm Sewer NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Storm drainage to system rear of the lot 2/14/2005 CAS Paee I of4 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 Garal!e Dwcllinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fcc- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent 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 Pcrmit (Street) Sanitary Sewer - Improvcment 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 Drainagc Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residcnce Wiring 1000 Sq Ft . I Valuation Deseriotion I $ Pcr Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 2,472.00 426.00 Total Value of Project Fpp<. P"\W Amount Paid $657.09 $10:00 $149.47 $104.63 $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 2/9/05 312/05 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 3/2105 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 3/2105 3/2105 3/2105 3/2105 3/2105 3/2/05 3/2/05 4/26/05 4/26/05 4/26/05 Pal!e 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: 02/09/2005 EXPIRES: 11/03/2005 VALUE: $ 247,962.00 Value Date Calculated $237,312.00 $10,650.00 $247,962.00 03/01/2005 03/01/2005 Receipt Number 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 . . CITY OF SPRI1'\jljl'lJi.LU Building/Combination Permit PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: 02/09/2005 EXPIRES: 11/03/2005 VALUE: $ 247,962.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea Addtl 500 + 10% Administrative Fec + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $76.00 $4.50 $3.15 $25.00 $20.00 4/26/05 5/3/05 5/3/05 5/3/05 5/3/05 2200500000000000495 2200500000000000526 2200500000000000526 2200500000000000526 2200500000000000526 Total Amount Paid $7,959.61 I Plan Reviews I Initial Review 02110/2005 02/1 0/2005 APP SKG Plauninl! Review 02/10/2005 03/0212005 APP TAJ Public Works Review 02110/2005 02/14/2005 APP CAS Storm drainage to system at rear of thc lot 2/14/2005 CAS Structural Review 02/10/2005 02/26/2005 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 ]?p'\I,\,j,J;jr,t1ln<,nections I Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidcwalk - Curbside: After forms are erected but prior to placemcnt 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 placemcnt. 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 al1 required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is instal1ed but prior to backfil1. Vnderfloor Plumbing: Prior to insulation or decking. Pal!e 3 of 4 -1IIr&~~I~Ci!F'J~' , "',"" L ''" .... , '... ~,~- . . . CITY OF ~r1Ul'lld<U.LU Building/Combination Permit Status Issued PERMIT NO: COM2005-00159 ISSUED: 04/26/2005 APPLIED: . 02/09/2005 EXPIRES: 11/03/2005 VALUE: $ 247,962.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Undert100r Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water 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. Undert100r Mechanical. Prior to insulation or decking and including required testing. Undert100r 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 Mechanical: Prior to Cover Final Gas: Wheu all gas work is complete. 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 scrvice. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. By signature, I state and agrce, that 1 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 described herein, and that NO OCCUPANCY will be made of any structure without pcrmission of the Community Scrviccs Division, Building Safcty. I further certify that only contractors and employees who are in compliance with,ORS 701.005 will 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 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 Page 4 of 4 ..-- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ....~"...,~"!!,D...."'.'.. ~""-i . . . - ! ,. ) ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Numher COM2005.00159 COM2005-00159 COM2005-00 I 59 COM2005-00159 Payments: Type of Payment CreditCard " '( " 5/3/2005 RECEIPT #: 2200500000000000526 Date: 05/03/2005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Paid By ALLAN WOOSTER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 007223 In Person Payment Total: Page I of I 11:14:42AM Amount Due 3.15 4.50 25.00 20.00 $52.65 Amount Paid $52,65 $52.65