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Home My WebLink AboutPermit Electrical 2004-12-8 --. o CITY OF C .UNGFIELD, OREGON (~ . '" " ~'" 0., " ~ ~ o~ ~ '" 0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)72~689 o~; ",.,~.::; . ~ z ~p ELECTRICAL PERMIT APPLICATION "'~ "':\~. %:~ CityJobNumber~'lO()I{_Ol\OO Date {Z-3- ol.( o.,~ ~.;^ "'.,:co"", 0- \Y ?IS' . ~. 10 ~ '~~=::~,;~&~ ~....' '~..' "'-''''-'~~:!;'''.-. ~'...--~......, ... "-..' ,,"~,-.O'.~...:- Service Included I !()~9 "'"'b- 1000 sq. ft. or less 0 Each additional 500 sq. ft. or I / ~ /. -- portion thereof 7 (ro "".-'" "....-.--' _.~.,_.~., _,~'4,.,"".<__,_~..__...... _'~' ,-'-,!-"/:t' ',' I, LM?PA:rJ2.I1j/?'~Jf:I~T0T!:'\r!(JN~;ij'l"'Li:'j 3YC{3 ~Ol'(eOti\D(' ... q. LEGAL DESCRIPTION 170 Z. I ?Cf1 Ol( rOO JOB DESCRIPTION VlQ.).AJ h (;'-U4---€. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, . .__.~-- . ~^-~ '::coNTRA'&foil.,iNsi . 1>" iio&""oN'I;y,,' 2. Pill~.~..r,'.')""~w.:lI'"~'''';:i!tl:~:r'-I';'''M''1k.'~.l~ Electrical Contractor (~~ E E \ e Cr( \'C . Till ( Address PO 'box I i.P8 Co City A\\JJVlY Phone 5Y/'C((p7.8Gl7 Ch 32.. I Supervisor License Number :;):;( 0 0 s I 0 J { I () S , { tf Sl( Cf0fJ 4/11:)/05 Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician 'f~ >= mQ LQ Owners Name KI"~t'\.. v)A.lre-, 8/cifS Address +>0 /loy ~3 Z I city5WfeT ~ Phone 7lb-(>3JO OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B, ~:S~:;m7s'1fr~'Jtr~iii'S'Miiiti~gAit~1itio;5:if~eio'~ti~Q.:~ ~WDt<:;...~'tlAi:_~_, ...~~Nd..,J.!..".L'l. ~.,' ~'ll_'_"''''''""~"'.,_,--...,,,,...,~.. ,,\ 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 100~~Rm Oregon law requl~!!1J.P.OlJ~ Reconne'\b<ilall1 ruleS adopted bv the ore~1ij~hIY. C,[~~!~!_;i~~F..~.;".,.~ Installa tiO~'llle'C\!KlRlllo(blldft: .the telepho~e 200 Ampsl'lllmber for the Oregon Utility N$l~trdO\1on 201 Amps to 400 Aiiqlster is 1.80i.h:l,,"-d4~~9.00 40 I Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. ~"- '\,"P'~'--"'''''-:-'''''~-~-'T:';,~~-~~~'''''' -'- '-''1:;', ~_..' ,} D. ;~Branch;Gircui~'i.~!;,,,~~:h': -:~' ~;il' .t.' ": :.':''.H;'(~:': ~.'.:'~~:~:.;. ::;~ ;. '""'F' . .c- ._._._,,",~.,,",~~.~' ...-..r,."'..""- ' . " .' ,,C" . .'....,.."."'----1......---.,.-..,.'v., New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 ,"t"~"":.~..""9iZ.t:~..I:r"~';;,.:.~ ;, I", ';.\t$~.;_;tiyi-'~,:::/ ..;"~",, .'. "t>!'" r;;;';'~,.:f hV'I'~'lfY~ E. .'Miscel~!!1S~~;;.<~~~~~~~~i:~~~~!P~~d,~-~>.:~tc.!i{~~~st~~"t~~~.~ Pump or irrigation _ _ ~5~~~Rll SignlO~\j;h~ltifhting[ SI1!\LL EXPIKt Ir 1$~o.oQIOT ;\81S r'[1"\IV1. . VI' \~" . Limited EnergylResidenti!l!DEH 111\:) r'tl\1 ~ 5.00 IJ \ liiJl\I/.\.u ~. E 'ul'i LimiteiEnergy/.co'.'Jl!lsr~ial IS ABJ\NUUI~ 45.00 L;U\\Jl\vh-r,v n Minimum Electric 1>u:jnfiii~s~ml.Q,~ee is $45.00 + Surcharges t'\1't1~ ~. .~\l'~'V't1.~f~ilI."~~~'.:. -~~ 4, . SUlJ["<?~QVE., '. ..!k~ 7% State Surcharge 10% Administrative Fee IfJ;Z,()(J I~ .7Y If1.~1) IX / d'l CfV TOTAL Shared Drive(T:)/Building Fonns/ElcclriCDI Pennit Application I-OJ.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 04/15/2005 VALUE: $ 239,818.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3493 Falcon Dr ASSESSOR'S PARCEL NO.: 1702194304800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence Ambleside 1st lot 105 - SFR New Owner: RIVER VALLEY BUILDERS INC Address: PO BOX 832 SWEET HOME OR 97386 Residential Phone Number: 541-726-0330 REQUIRED PARKING Total: 2 2 Handicapped: Yes Compact: 27.50 \S'lO?-'" \~ I\\t. 'II _"O\?t. 1\1 Ie, ~u . I PUBLIC IMP.F.OVEl\1E~TS;I"'\..~~~\\\S \l\:.~~D ~O?- '{\-'II"::> ,- cl.) \i1'1.) 10 r>1\\1I0 Fullv Improved I '01\\O\'l\tl.. \) 0\'1 \sSlaewliIk Type: Yes ~()WlWlt.~\:,t: :i \It.\'I\~wnspoutsmrains: Storm drainage shall be directed to stub Ilto~~ed on property. - MS "'~, . Contractor Type General Electrical Mechanical Plumbing '. CONTRACTOR INFORMATION I Contractor . Lj&:Jl~U \0 Expiration Date . RIVER V ALLEY BUILDERS INC ol\ la'll let'i3~a~ D\ili\~\,\ 04/15/2005 G & E ELECTRIC~N 0,",..0Ie9 0 '0'1 \\,\e ~4~~~e set \0 t- 09/15/2007 MIDWAY MECHK l!.lOOOl'te 1'10S0 lUI%"~ 9'02-00 01/30/2005 MIDWAY PLUMtJI~ .M ce"\~l:..,, \\'\lou94'6~f,~e (\lIeS '0'1 07/25/2008 ~c..,.,..- . "\1''''= ~,.._." eie?\\v"- 1.~Rgrn~li 'M?aRMi\T.lol'lEt\e ,. ~'iol\ \n !ii'c,-i f( . \. 1/.- (,,, "t>Io\\lC~' 0090. ,\0 0,,\01. \ D\\II\'I C3\\ih~iOI090l\ 332-2344). 2 Lot Size: . fi~t,r li!lepiRO- 29.00 Sq Ft 1st Floor: (\U~~ t: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-1 V1hr 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 10.00 26.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of4 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 5,628 946 1,519 496 Curbside 5' To Storm Sewer . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee . CITY OF SnUl'i'-d'iJj,LJJ Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 04/15/2005 VALUE: $ 239,818.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,465.00 496.00 Value Date Calculated $227,766.00 $12,052.80 $239,818.80 09/02/2004 09/02/2004 Total Value of Project l..Fpp<. PiWLI Fee Description Amount Paid Date Paid . Receipt Number Plan Review Residential $663.42 9/2104 1200400000000001305 -Mechanical Issuance Fee- $10.00 9/24/04 1200400000000001388 + 10% Administrative Fee $145.87 9/24/04 1200400000000001388 + 7% State Surcharge $102.11 9/24/04 1200400000000001388 3 Baths One & Two Family $306.00 9/24/04 1200400000000001388 Addressing Assignment $31.00 9/24/04 1200400000000001388 Annexed 1997 $-22.05 9/24/04 1200400000000001388 Building Permit $1,020.65 9/24/04 1200400000000001388 Curbcut Permit $75.00 9/24/04 1200400000000001388 Dryer Vent $6.00 9/24/04 1200400000000001388 Exhaust Hoods $9.00 9/24/04 1200400000000001388 Furnace - up to 100,000 btu $12.00 9/24/04 1200400000000001388 Gas Fireplace $15.00 9/24/04 1200400000000001388 Gas Outlets 1-4 $4.00 9/24/04 1200400000000001388 Heat Pump $12.00 9/24/04 1200400000000001388 Plan Review Major - Planning $103.00 9/24/04 1200400000000001388 PW Mult Disc - 2nd Permit $-30.00 9/24/04 1200400000000001388 Sanitary Sewer - Improvement $530.12 9/24/04 1200400000000001388 Sanitary Sewer - Reimbursement $697.16 9/24/04 1200400000000001388 SDC MWMC Administration $10.00 9/24/04 1200400000000001388 SDC MWMC Improvement $865.31 9/24/04 1200400000000001388 SDC MWMC Reimbursement $82.03 9/24/04 1200400000000001388 SDC Sanitary/Storm Admin $135.65 9/24/04 1200400000000001388 SDC Transpo Admin $62.06 9/24/04 1200400000000001388 SDC Transpo Improvement $772.49 9/24/04 . 1200400000000001388 SDC Transpo Reimbursement $175.13 9/24/04 1200400000000001388 Sidewalk Permit $75.00 9/24/04 1200400000000001388 Storm Drainage Impervious Area $844.05 9/24/04 1200400000000001388 Temp Power 200 amps or less $50.00 9/24/04 1200400000000001388 Vent Fan $24.00 9/24/04 1200400000000001388 WilIamalane Single Family $1,000.00 9/24/04 1200400000000001388 + 10% Administrative Fee $18.20 12/7/04 2200400000000001484 + 7% State Surcharge $12.74 12/7/04 2200400000000001484 Residence Wiring 1000 Sq Ft $106.00 12/7/04 2200400000000001484 Residence Wiring Ea Addtl 500 $76.00 12/7/04 2200400000000001484 Paee 2 of 4 . . CITY OF ~rKlr"luFIELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 04/15/2005 VALUE: $ 239,818.00 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,998.94 I Plan Reviews I Initial Review 09/03/2004 09/03/2004 APP LLH Planninl! Review 09/03/2004 09/20/2004 APP TAJ Public Works Review 09/03/2004 09/24/2004 APP MS Structural Review 09/03/2004 09/22/2004 APP RJB 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. IRPnI~ Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut- Standard: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. Ufer 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 tloor 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. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. Undertloor Mechanical. Prior to insulation or decking and including required testing. Undertloor 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 Mechanical: When all mechanical work Is complete. Temporary Electric: Approval required prior to Utility Company energizing poie. Pal!e30f4 . . CITY V.. ~r1Ul~GFIELD Building/Combination Permit PERMIT NO: COM2004-01100 ISSUED: 09/24/2004 APPLIED: 09/02/2004 EXPIRES: 04/15/2005 VALUE: $ 239,818.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 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 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 Pa2e 4 of 4 225 Fifth Street Sprjngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01100 COM2004-01100 COM2004-01100 COM2004-01100 Payments: Type of Payment Check 12/7/2004 . RECEIPT #: ~ ~y of Springfield Official Receipt .elopment Services Department Public Works Department 2200400000000001484 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 + 7% State Surcharge + 10% Administrative Fee PaId By G&E ELECTRIC ReceIved By djb Page I of I Date: 12/07/2004 Item Total: Check Number Authorization Batch Number Number How Received 8998 In Person Payment Total: 9:01:23AM Amount Due 106.00 76.00 12.74 18.20 $212.94 Amount Paid $212.94 $212.94