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HomeMy WebLinkAboutPermit Electrical 2004-1-20 ....;..>-. "i"i:i'i:..,,: ,::,,<,.-.---"-. -- .........- ~ -.- r -......~ - -- - ~~. - ~ - -." , , f CITY OF S~~ .JNGFIELD, OREGON i ", . 225 FIFTH STREET . SPRINGFIELD OR 97477 . PH:(54I)726-3753 . FAX: '~41~*,I~,"il;~lI'jeCI as submitted has the toll owing , ,-'BOIng~~'fiO"~'6€s not require specific land use ELECTRICAL PERMIT APPLICATION a 0 l( approval. + City Job Number COI'VI zo03 -olobl Date /0: -{ -. . Zoning ~rr ~O. . t'7"'":"'..\~~~~,:".. ....-....-.....-..- ,... -:.'" ""="""'" ,', ,-"~-'. ..- ..-..~J.4._~,.---.......~....~~.t.,:....;.,_.,..-:~.,..j..--::r'1><.. \':... ,- '\ 1. l2tJ!.ff1I9N.;."Q!,:'[NS.T~TI<i>!i,.'~ji$iij 3. k.gQ.Jlf~Yfl,~E[~~~JLll~<?J:\,:;:;~:J;I1W.:;r:- ~4";2 33 q I FtJ..,Le.oh w,; LEGAL DESCRIPTION 1702..1 ?3l..{ Db l{OO JOB DESCRIPTION I\..VA/ A ~ Permits are non-transferable and expire if work is not started wilbin 180 days of issuance or if work is Suspended for 180 days. ~toNTRA€td;':;1.J~';~ .' . \ ',' rt6FloNt}'i';.!J, 2. t::...--,:!:~',.ijf..J::""'''''' '.. _.; '.' <t'. ~,...-,,~-..- ~-" <....;.'-<.........,.~ Electrical Contractor () ~ E c \ e (. T( \'c , TV\ c . . f:~. ,;7.::'fti'9;;....~E.':~..'.:7:151~'V.~.__.;v-.'~~.'~~'f.;1ty;;i~.. ~~i77.~CFT.'?-~l "':;~~~._ ~":..;;i.~ "-.' A. .~Nel"~R,~s,!ge~~,:;;,l?ii1gl~.~!;M1#otj:.f~i.Jy~pe.i'li~vel~.'\I\it.:..;:~-,J Service Included 1000 sq. ft, or less Each additional 500 sq, ft. or portion thereof Eacb Manufact'd Home or Modular Dwelling Serviceor Feeder I 3 /0& ,00 57,00 $106.00 $ 19.00 $50.00 B. f~~~!~C~@r~_t~3il1:S~~~;!~n~!!~It~~~~:t~9~~~l~t~io~~~.6.h;1~;;~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00. $ 50.00 Address PO \)OX I GB ~ City A \ b.J ill V Phone 5'fI. Cffo 7.8(,2. 7 " ) Qi32..1 Supervisor License Number :;):10 () 5. loll/()S I { tI Sl(Cf0fJ 0//5/0$ Expiration Date Conslr. Conlr. Number Expiration Date Signature of Supervising Electrician X~-G?~O Ly. Owners Name 12.:"e'-fL vp..l~ gjd"s, Address ::PO ~ ~ 20 l.( ( City ,L0tl.-v11-11:-" Pbone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726~3769 c. J.i~Tenip'''o~jrY;Setvic~~or~F.'' ~edet~~~~f~1i~1t~::~:.;":,, !:~''::.:.\;!;:l;. ~.:<. :~~ './:-i l'i-_.. ., ,-> .M;e~o~:la;~eq-U;resybO:-'." . ."~,~~, InA1iIJii~~~~~0~El'lI BvIM@.l@regon UtIlity 2o!il\.l.W61.~r ?:e:nt:r Those rules are ~&~~' 2lHtiti\i~t~~.._ '~0'hrq4!1hO~H.l1~~fll6' 40~~ to IWlai'n copies Of me ~'Mob 0090. 'YOU CfOll@ JMg!?:. e lele-phone O~f&!!~~18.a> Ii>. ~ t ... ...~. AA~U;9~-;;7,"'-:-""'~<'" D. ~..!H'\!l~~,.,"..:;.-;;.~;~;~M', - ~e~l:t"c.;f;;:.oI"i'.... \'.~;'':!"'Xcl New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 ~~~~ffli~~~ff~~~)'~~~Cl~,rn.s.fu,~~h~~) A\.l1\-1l'1lWE@.!}~t.RANDONED ~OR $ 50,00 COMffle\ll'9I!\!itGIi~rgrg $ 50,00 AN'i \~tef'lin~~.Rldential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges r-' ',--~ ~~-.r~ ',. "fr.~~t;VJ.-.';;;I~f"""'-': :_,;.~c....~,., .t-~<.'.f>:...v'-':;" l;.' j 4. I SUBTOTAL~OFABOVE;'~,?v~.<,1'/ ~~t;'.l~~~ittJ.t::~'€t~',".~;.\.;~l" -." :'''''~~~-Y''tj_ 7% State Sureharge 10% Administrative Fee /(03, {)Q Iliff / (9, ~O -L9(),7./ TOTAL Shared Drive(T:)IBuilding FonnslElectrical Permit Application 1-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/13/2004 VALUE: $ 194,004.60 SITE ADDRESS: 3391 Falcon Dr ASSESSOR'S PARCEL NO.: 1702193406400 PROJECT DESCRIPTION: SFR Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: RIVER VALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 Contractor Type General Electrical Mechanical Plumbing Phone Number: 541-760-7881 I CONTRACTOR INFORMATION I 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 ,_... _^,,,lIres VOU to 'PUBLIC IMPRQVEMENTi:u",yvd' by-the Oregon Utility , U /.J. adopte e set tori lOIlUW ,- ~8lliI?rw.~~s ar Fully Improved \!otitication Ceol 10 throiua'fiOAR 952..()() Curbside 5' Yes n OAR 9S2-001-<'I9ownsR~ .... relnt:e rulf)sTo Storm Sewer Storm sewer to private l2-inch Iined~~.I'j!Woll)il'l\pe"'11~~8 ...~ t'!Tb~f.ltap location. calling the cents. on Utility Notification number tor the.O~~~(\n_332_2344). f"'.......~l"'lr Ie::: . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Seeondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Impr.ovements: Storm Sewer Available: Special Instruction: Notes: License 134566 54468 154166 4687 Expiration Date 04/15/2005 09/15/2007 01/30/2005 07/25/2004 BUILDING INFORMATION I I R-3 U-1 VN # of Stories: 2 Lot Size: Height of Structure 28.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Typei l\CE' Gas Sq Ft Basm'RK Range TyptlO . tiM-'\! EX!WillFllG1..QlOrl Energy Patlftl\S PERMIi ~fID~~ 1H~~~t\llr S \II A.U1HORIZEO If' ^B~fSlRfaceArea: ",rll"cn np. <;1" , DEVELOPMENT iNF0RMAA1lilN'T100. REQUIRED PARKING Total: 2 Handicapped: Compact: 1,071 960 420 3 19.00 10.00 6.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 2 Yes 26.30 31.60 0.00 % of Lot Coverage: Pa2e I of 4 Status Issued 225 Fifth Street. Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line Description DweUinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e Fee Deseription + 10% Administrative Fee + 7% State Surcharge Plan Review Residential Temp Power 200 amps or less -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods . Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit 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 Vent Fan WillamaIaue Single Family + 10% Administrative Fee + 7% State Sureharge Residence Wiring 1000 Sq Ft . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/1712003 EXPIRES: 05/13/2004 VALUE: $ 194,004.60 I Valuation Descrintion I $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,031.00 420.00 Value Date Calculated Total Value ofProjeet $184,008.60 $9,996.00 $194,004.60 10/17/2003 10/17/2003 Fpp< PiWIJ Amount Paid Date Paid Receipt Number $5.00 $3.50 $568.36 $50.00 $10.00 $126.24 $88.37 $306.00 $-19.30 $874.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $464.67 $611.28 $10.00 $214.23 $314.63 $103.65 $53.45 $727.42 $164.89 $75.00 $654.24 $24.00 $1,000.00 $16.30 $11.41 $106.00 10117/03 10/17/03 10117/03 10/17/03 11/12103 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12103 11/12/03 11/12103 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12103 11/12/03 . 11/12/03 11/12/03 1/16/04 1/16/04 1/16/04 1200200000000002336 1200200000000002336 1200200000000002336 1200200000000002336 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 1200400000000000066 1200400000000000066 1200400000000000066 Pal!e 2 of 4 . . CITY OF SPRIj'~lJt<U,LJJ Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/13/2004 VALUE: $ 194,004.60 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line Residence Wiring Ea Addtl 500 $57.00 1/16/04 1200400000000000066 Total Amount Paid $6,782.74 Plan Reviews , Initial Review 10/1712003 10120/2003 APP LLH Plan nine Review 10/20/2003 10/30/2003 APP TAJ Public Works Review 10/20/2003 10/2212003 APP VRJ Storm drainage to private \2-inch line in the rear of property, see attaehed as-built for tap location. Struetural Review 10/20/2003 '11/05/2003 APP RJB No plan review comments. 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. Reollired Tnsnectinns I I Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of eonerete. 3 Erosion/Grading Inspection: After all erosion measures are in plaee. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete plaeement. 7 Post and Beam: Prior to Ooor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspeetion: Prior to cover and after all rough in inspections have been approved. II Wall Insulation: Prior to cover. \2 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of conerete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 17 UnderOoor Plumbing: Prior to insulation or decking. 18 Rough Plumbing: Prior to cover and including required testing. 19 Water Line: Prior to filling trench and including required testing. 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 UnderOoor Mechanieal. Prior to insulation or decking and including required testing. 24 UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance. 25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 26 Gas Service: After line is installed and line has heen connected to a minimum of one applianee including required testing. Presure test done at this point. 27 Rough Mechanical: Prior to Cover 28 Final Gas: When all gas work is complete. Paee30f4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/13/2004 VALUE: $ 194,004.60 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line 29 Final Meehanical: When all mechanical work Is complete. 30 Temporary Electric: Approval required prior to Utility Company energizing pole. 31 Rough Electric: Prior to Cover 32 Electric Service: Approval required prior to utility eompany energizing service. 33 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed applieation and do hereby certify tbat all information bereon is true and correct, and I further certify that any and all work performed sball 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 permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in complianee 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 eaeh 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 Pa2e40f4 225 Fifth Sireet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1061 COM2003-0 1 061 C0M2003-0 1061 COM2003-0 1061 Payments: Type of Payment Cheek : ~1ti\\I...._.=, 1E..:....................".~i f: "; "":;',c-'-'" "!i_ -! ._<~, _ _ _ ^."h.,,~! '. ._J Receipt #: 1200400000000000066 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By G & E ELECTRIC Received By djb (;heck Number Batch Number Authorization Number .' City of Springfield Official Ro;ceipt Development Services Department Public Works Department Date: 01116/2004 9:35:03AM Amount Paid' Item Total: 106.00 57.00 11.41 16.30 $190.71 How Received In Person Payment Total: Amount Paid $190.71 $190.71 . . .