The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-4-1 t..,.~. ...L, ""'<c,'" ') ," ""',-,,, ~,"~,",'.t ,l," .,"'~' "'; t..1C..~":' ',,";" \ f~~ ...< ::- ("~ ,^.",.",: ,'CI'Fy'-,OF.s: INGEIELD;.oREGON" "';',,( t,,: ': '.; .'" '- '( .' ........,/ .. \ 'fl" .J.'.f.! ," ''',' '''.. .J' \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COjtl\ roO:;' -()co S~ Date If -(-03 ..." - '~',"~~~" ---.-.-""".. '-'--' '._-T"~. - ....-r.----;r----..--.: 1. >LOCATIO.N;qlUNSF4LL1lTjQN.'!~:,;,:,: j '_ ;!._,.4..._....___.:..4"'---_,~,.___...;.~_~ _'____.. 3'-177 Ftyl(()~ br ":~'::'-,.;.c."..;w'''''''"''''''Fi'''''.:~='''.~ ,.""'.."'~.."'-'-."I"""-'i"c=..-~.""""..'i"p"'."..:';..;;.;.:~"'" "':-'-, ~. -;_') j.. LEGAL DESCRIPTION ,'bmittehh~~~Il~~litia.f7;1?in,gl~llrMuiti!Faiili)fi>~'r~ivciling:ui;it. '~', , () '2 \ ~Wlng prOlect as sUuire specifi'c-fa'nd usa-':!.,"'" _._...,_l. ,...1_.__. _,oJ_,.f. ~--."..'- .,> ....,,,.11., - ... - 17. ., .~ Lf, ~ ~ 0i~,,,,,,, anO Ooes not req Service Included , JOB DESCRIPTI~ awoo.al. tIJ'Z.-- 100Q B~, ft, u' loSS I $106,00 /0&.00 Zonmg - , J ..{) Each ad " 500 sq, ft. or Ht> '^-~C:!' W, /'l..{t)"te 2fJ\\ portion thereof L( $ 19,00 7& ,00 ,>..,'" Slanatvre - , Permits are non-transferable am>!-exjl'b-,,-n WorK IS Each Manufact'd Home or not started within 180 days or issuance or ir work is Modular Dwelling Service or Suspended ror 180 days. Feeder i" ~.' c; ':-:. '.- ,~~'1"'':~;';1;::''r---~-'''''~'~~'''T-;---:r:T;"ZT-'-'''''':"', r-~~:-;-;::7 ._-;_wj::t-".-r; -~, ","'--;~,-:. rT';T::;:'~' -:--:- ;.-: .. "-' Z' ~- 7,', 2. :ERP'~J:rq~'::l}Y'n:~f4rrg^,,()JX~ill B. I;Sp'r~e,~&<!r;Fi'e,iI~ts;:;,1ns~,allaii?&~~~~igri.s,o{~~l~ati~~:~' , Electrical Contractor (~E E \ -e Cr( \'c , YV\ c 200 Amps or less $ 63,00 201 Amps to 400 Amps $ 75,00 40] Amps to 600 Amps $125,00 60 I Amps to 1000 Amps $163,00 Phone 5Y I, q(p 7, 8c,2. 7 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 C. I?T;inf;~?;;;'y S~'k~;:o-rF;e~~r"- "ji'>\)~~ -..,--:.:. ';-', i--' ';, ~..'- ~--~--" ,--,.." , ~~ "'p,u&9!i. 'O\\\\\i:..~" ... '-. , -- -- ." , ", ',- Itl \~n.l P;ll,o~'" :I. ~O" Installation, AJter~~Qji\~',WU":~~IO~e ~e rz.J$J\ 200 AmR\~~~~9\eo 'O~se \u\0~Il-~ 9:J~"ild 2~Vi~~s ~re!Wl1~0~ :<Ou~. -,,\ \"... . :<\~~ 4~b~~~o\~~~\~C09\~~'Pf> \~~~~\fJ~<()0 ~l~~!~l~\'~'\'0'---'- ,__-- D. I , "-ate~~di.;./\.Vl: n"""t:P '..." -'," , ~; \r\e"'u;t'!!!~~ ----.-~ Ne'\> AJ~ ~6,fl'Etb"iW~n~er Panel One Cir~ Cef\ $ 43,00 Each Additional Circuit or with Service or Feeder Pemlit Address PO '\)Ox I log Co City A \ b.J Ii! V J q7 32.1 Supervisor License Number . Jcr0 0 s i 0 / r' )() 3 ., II S'll f..;Co!i 91ft:) /03 Expiration Date Constr, Contr. Number Expiration Date f:;r(j-'Q( Owners Name 12\1tr<L V;<l-t~ Address \>0 ao ~ '20'1/ City &'''l,-(/\r, Phone c l,. '4s OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 r"~'--"'~-:--'- .._-.....--:-~.~It"'....- .~--~~._-"'l:'fl"'-._._- ,. -.-- --_..~. ..- 3. ...cOMPiETEFEES(;HJ::'D.uLEijELo'W~. .'. _ '"" -: i :.......:......;,,;.....:..~_.,<;,:,-.:t,j;..;..,~ .... ~....~...:. u..;~.~,~~L.A_~_u...._.2;\:.:-i.. '_ ~,;" $50,00 -. $ 3,00 r~-~'~~--:1T':" '-, ..-. -"-'---~~-~.~~'-:""->~--."r '~'c::r n I E. ,~Mi~~~i.~~~:e9 ~~~(S;~Xi~it.f~~~er;~~o.t~Ii_sij1d~.~f;'~~~C!1:Ii\st~a4~ ~i~ p: I ..........~__ ,,"_~._..........o..;;.........~.._~_.......~,..._~...~..' .. ._~.__ Pump or irrigation r. ~~ Sign/Outline Lighting ,,~\~~ W \~_ \~~!ll~ L~",~y~~t\J~ t"\,\\c.. ?t.W'j\\ \ f~'OO L~~cgQ'tlt~~~,,~U~ ~'O~~t)O~t.U- $ 45,00 Mini,m,um /iIfi'~;t \}~ 1&:,,\9, Gt,~~,~,' . Fee is $45,.0.0 +, Surcharges r-~-..~ 'l$mJ..DC .B.\~~-.._~~-_._..,~ .. . ,..' .i C' '. ".," .""'~'. <<1:'.;. _ ..;... ., '.. ... , . . "- 4 "SUB, .~ OTTC'" " ".. ".,A.,'.1 1.G>t~ 00 . . ."'. ,I'lL' '. ", '~.. - r .,t,"',;' ~ '\\.J\,l . -;, q.;-~ ~/,; '.;. '.,: 1- ,: .'.1;>.,' ."' .' .' h, '>-:~ ~ \';' ;'l., . ~'i ' F:' ''''~,"""""----__,"--,'~~,,",,,--, 1;2,7'1 Iff .;),,(L 6U:2 , 9Lf 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)JBuilding Fonns/Elcctrical Pennit Application] .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: COM2003-00056 ISSUED: 03/06/2003 APPLIED: 02/03/2003 EXPIRES: 09/14/2003 VALUE: $ 201,165.00 SITE ADDRESS: 3477 Falcon Dr ASSESSOR'S PARCEL NO.: 1702194304600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR w/ finished bonus room Owner: RIVER VALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 Contractor License RIVER VALLEY BUILDERS INC 134566 G & E ELECTRIC INC 54468 RIVER V ALLEY BUILDERS INC ~ \0 MIDWAY PLUMBING INC "teS"~\\"~, I BUILDINQINfiO~IbN>\~'\' ~~e~- 'Oi tt, ~'va\:! ~ '9J.)'t & '\:N 1 \\O~. 8~~~~et >t\O~ etU~ e2 R,,:~ \ -(:.~ ~\6" ~gJit ~llfti-~ 0' ~'19~~~~~ ~~\O~ t . Ot' Gil1~. ,\~ts09 . \f;o.N(l~~lP~as ~~'\C&\~~~tffi<J\5'P~o\~\\\\'Ci~.!''\' Gas ~ O~~ ~~~~Ot\ ~'t.::r<- Gas \1' 91\).....0 ~ ~:-Q~.~?; Path 1 I\)rJ _....\\'((\9. ,ot~ \S '\-~ ..... _""et ('\et I ntVELl)jl~ENTINFORMATION , Contractor Type General Electrical Owner Plumhing # or Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION' Expiration Date 04/15/2003 09/15/2003 Phone 541-367-1618 541-967-7045 07/25/2004 541-928-7927 Lot Size: 5,414 Sq Ft 1st Floor: 1,132 Sq Ft 2nd Floor: 914 Sq Ft Basement: Sq Ft Garage/Carport 479 Sq Ft Other: 334 Impervious Surrace Area: 20.00 5.00 15.00 REQUIRED PARKING 2 Overlay Dist: Total: # Street Trees Rqd: 1 Handi~ Paved Drive Rqd: Yes ~t. \~~:~C, % orLot Coverage: ~ J>.'ttlt'j..~\ ~t.\\.~\ ~(')\\. ,\Q"\\~t:?~\' ~i\nt.\\. 'P.~~\)(')~t.\) I PUBLIC IMPROVEM'eNi\~t,,\"I.\;.~\) (')\\. \~(')~ p- .~~t.~~:>K~~\ e' Fully Improved c,Q\., '\ 'O~ \11"'" yp . Yes "'~'{ DownspoutslDrains: 25.00 0.00 Curbside 5' To Storm Sewer Paee 1 or4 . . CITY VI< ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00056 ISSUED: 03/06/2003 APPLIED: 02/03/2003 EXPIRES: 09/14/2003 VALUE: $ 201,165.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Description Dwellines Dwellines Garaee Tvpe or Construction V Wood Frame V Wood Frame Garaee $ Per Sq Ft $74.60 $74.60 $19.60 Sauare Footaee 2,237.00 334.00 478.00 Value $166,880.20 $24,916.40 $9,368.80 $201,165.40 Date Calculated 02/0312003 02/27/2003 02/28/2003 Total Value of Project IFpp~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Residential $528.22 2/3/03 1200200000000000640 -Mechanical Issuance Fee- $10.00 3/6/03 1200200000000000786 + 10% Administrative Fee S132.92 3/6/03 1200200000000000786 + 7% State Surcharge S93.04 3/6/03 1200200000000000786 3 Baths One & Two Family $306.00 3/6/03 1200200000000000786 Annexed 1997 S-18.94 3/6/03 1200200000000000786 Appliance Vent S6.00 3/6/03 1200200000000000786 Building Permit $897.15 3/6/03 1200200000000000786 Curbcut Permit S75.00 3/6/03 1200200000000000786 Dryer Vent S6.00 3/6/03 1200200000000000786 Exhaust Hoods S9.00 3/6/03 1200200000000000786 Furnace - up to 100,000 btu $12.00 3/6/03 1200200000000000786 Gas Fireplace S15.00 3/6/03 1200200000000000786 Gas Outlets 1-4 S4.00 3/6/03 1200200000000000786 Plan Review - Planning $59.00 3/6/03 1200200000000000786 Plan Review Residential $52.82 3/6/03 1200200000000000786 Plan ReviewlResidential Hourly S90.00 3/6/03 1200200000000000786 PW Mult Disc - 2nd Permit $-30.00 3/6/03 1200200000000000786 Sanitary Sewer - Improvement $386.17 3/6/03 1200200000000000786 Sanitary Sewer - Reimburscment S508.07 3/6/03 1200200000000000786 SDC MWMC Administration S10.00 3/6/03 1200200000000000786 SDC MWMC Improvement $34.83 3/6/03 1200200000000000786 SDC MWMC Reimbursement S332.86 3/6/03 1200200000000000786 SDC Sanitary/Storm Admin $84.77 3/6/03 1200200000000000786 SDC Transpo Admin $50.21 3/6/03 1200200000000000786 SDC Transpo Improvement $709.81 3/6/03 1200200000000000786 SDC Transpo Reimbursement S160.87 3/6/03 1200200000000000786 Sidewalk Permit S75.00 3/6/03 1200200000000000786 Storm Drainage Impervious Area $575.84 3/6/03 1200200000000000786 Temp Power 200 amps or less S50.00 3/6/03 1200200000000000786 Vent Fan S24.00 3/6/03 1200200000000000786 WiIlamalane Single Family $1,000.00 3/6/03 1200200000000000786 + 10% Administrative Fee $18.20 4/7103 1200200000000000956 + 7% State Surcharge $12.74 4/7103 1200200000000000956 Residence Wiring 1000 Sq Ft S106.00 4/7/03 1200200000000000956 Paee 2 of 4 . . \.-111: OF SPRL1~ld<IJ'.,LU Building/Combination Permit PERMIT NO: COM2003-00056 ISSUED: 03/0612003 APPLIED: 02/0312003 EXPIRES: 09/14/2003 VALUE: $ 201,165.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea AddU 500 $76.00 4/7/03 1200200000000000956 Total Amount Paid $6,462.58 Initial Review Plannine Review Public Works Review Structural Review I Plan Reviews I 02104/2003 02104/2003 APP RJB 02104/2003 0211112003 APP AJD 02/04/2003 02119/2003 APP DJW 02/04/2003 03/06/2003 APP DLM Approved after two resubmittals - drawings did not have consistent information. 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, , ]?pnnirprl Tn\"',nprUaui.l I Sidewalk - Curbside: After rorms are erected but prior to placement or concrete. 2 Curb cut - Standard: After rorms are erected but prior to placement or concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Urer Electrical Ground: Install ground rod at rooting and call ror inspection in conjunction with rooting and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After rorms are erected but prior to concrete placement. 7 Post and Beam: Prior to 1I00r insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection perrormed prior to placement of concrete. Provide report to City Building Inspector. IS 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 Underlloor Plumbing: Prior to insulation or decking. 18 Underlloor Drain: Prior to cover or placement or concrete. 19 Rough Plumbing: Prior to cover and including required tcsting. 20 Water Line: Prior to filling trench and including required testing. 21 Sanitary Sewer Line: Prior to filling trench and including required testing. 22 Storm Sewer Line: Prior to filling trench. 23 Final Plumbing: When all plumbing work is complete. 24 Underlloor Mechanical. Prior to insulation or decking and including required testing. 25 Rough Gas: After line is installed and required testing and capped ir not attached to an appliance. 26 Gas Service: After line is installed and line has been connected to a minimum or one appliance including required testing. Presure test done at this point. 27 Rough Mechanical: Prior to Cover 28 Final Gas: When all gas work is complete. Paee30r4 -'fr'''' . ~-.'t . . CITY 01< ~rKlNunELU Building/Combination Permit PERMIT NO: COM2003-00056 ISSUED: 03/06/2003 APPLIED: 02/03/2003 EXPIRES: 09/14/2003 VALUE: $ 201,165.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 29 Final Mechanical: 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 company energizing service. 33 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carerully examined the completed application and do hereby certiry that all inrormation hereon is true and correct, and I rurther certiry that any and all work performed shall be done in accordance with the Ordinances or the City or Springfield and the Laws or the State of Oregon pertaining to the work describcd herein, and that NO OCCUPANCY will be made orany structure without permission of the Community Services Division, Building Sarety, I rurthcr certiry that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I rurther agree to ensure that all required inspections are requested at the proper time, that each address is readable rrom the street, that the permit card is located at the front orthe property, and the approved set or plans will remain on the site at all times during construction. Owner or Contractors Signature Dale Paee 4 or 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line I terns: Job/Journal Number COM2003-00056 COM2003-00056 COM2003-00056 COM2003-00056 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000956 Date: 04/07/2003 Descriotion Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No G&E ELECTRIC djb Page I ofl 4/7/2003 : 9:01:06AM , City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 106.00 76,00 12,74 18,20 Line Item Total: $212.94 How Received Amount Paid In Person 212.94 $212.94 . Payment Total: cReceipt.rpl