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Home My WebLink AboutPermit Electrical 2004-7-30 Electrical Contracto~ r~ V\\A <) 200 Amps <a:J~ 'l~\~~'l (\~. \ 0 ~~\~61~~~p~ \Ot\n Address t4.~~ ~N:?J) ~f)~:Ote~'<M~~ij~~~~~2.QQ" " ~~~II"u\~ eO~~f.~~J :t\@~~1rll3\es 'o'l City E U'. ((h. / Phone (c-f:l ~~f\ ce~ i' ~0~ I1S~~s?'{\one '" ~O\\,\C 'O7.-'\)'\)\ l\.p I1~e \e e.~, c-o.\\On ~ ~ f~ tt\a'f 0 ~o\~' .' ~O\\\\ Supervisor License Number ~ () \0. ~<in;~ U\e ~ ____ Cia; \ 'et\ot\n \.?) Expiration Date \ U -{) \ - a~ t\u,tt\O cet\\~~aIlation, Alteration or Relocation I . \. n ^...... . 200 Amps or less Constr. Contr. Number : {}. ~ ~ 13 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. 1. .t>hGo \ ~~~\~\(le-. LEGAL DESCRIPTION I 7 () Z I 9l.{ '3 0 2 f{ 0-0 JOB DESCRIPTION. AlA4-(/..M S V S JEtv'\. Permits are non-transferable an&' expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Expiration Date \. 0- \~...:as Signature. 9f Supervising Elec~ ~//~ ~h'J/ Own",N,m, ~~ Address Z '7 ~ s-I (POfW II VV\ I.::ca. II': p l'l Q.. City t=-u.&c-Ne Phone 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 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 19.00 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. ~~ "~\ " :.u~~r irriga~,,\..\.. 't.~ \\\S ~'t.~ :\,.\\ \,Q~ $ 50.00 \\~<Z~\i.~~~~~g~"\ tr.~UQ~ - $ 50.00 \~U1i?it~~d.b1~~ ' ~ $ 25.00 E ~,o;:) ~~'d.~c~~~a1 $ 45.00 MininiiJ~ ~cr&ij~}mit Inspection Fee is $45.00 + Surcharges LIS I ()j .'3, 1/< ~I ' ~ D f{j. 1 h~ 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnslElectrical Permit Application I-D3.doc Status 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: COM2004-00277 ISSUED: 07/30/2004 APPLIED: 03/12/2004 EXPIRES: 01130/2005 VALUE: $ 207,447.00 SITE ADDRESS: 3561 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194308400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR, Lot 152 Ambleside 1st addition Owner: MARGOLIS FAMILY LTD PARTNERSHIP Address: 3045 WINTERCREEK DR EUGENE OR 97405 Phone Number: 541-686-2525 I CONTRACTOR INFORMATION I Contractor License LARRY KENT COOPER ~ \0 109780 DEANS ELECTRIC ~\~eS '10U\~\\'! 99579 . DEAN M SCH~ ~J;1l~" .e\ ,o~'{\.:\- 133733 . DENNIS .~~~J:^c:~e ~"''2:'()~';.'J 142776 ~~\Ol" 1/P9"tl1 1:>:8 - ~ A TION . ,,~~eS ~\et. O~ . eS 1\e~ . O{\ # of Units: \O\~ca\\ot\ ~~~ 'r.co~~~I~e~\c'3.\'\ 2 Primary Occupancy ~ ~ g':>'I; ~o~~ ~O ~ itructure 28.00 Se~ondary Occupa?cy ~a~~:~(o\) ;~\e' e9,O,'1XB,t eat: Forced Air Gas Primary Construction TYfJ6ga ~t\~ ~~ ~ \~~er Type:. Gas Secondary Construction Typ$~~.-h6t \0 ~0' \$ Range Type: Gas . # of Bedrooms: (\\)\\,,,,,. ~ Energy Path: Path 1 Sprinkled Building: nla Contractor Type, General Electrical Mechanical Plumbing Expiration Date 11/06/2005 06/20/2008 02/23/2005 05/05/2006 Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 Lot Size: 7,503 Sq Ft 1st Floor: 1,215 Sq Ft 2nd Floor: 866 Sq Ft Basement: Sq Ft Garage/Carport 624 Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I .' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 8.00 7.80 32.00 0.00 REQUIRED PARKING Overlay Dist: / ~otal: 2 # Street Trees Rqd: 2~~ ~~ ndicapped: Paved Drive Rqd: to ~~ K \~ ~ ompact: % of Lot Coverage: ~i.~\~'!~~\ l~~ _ ~<:', ~ c.~t>-\'~~ \\\\~}~~~~ I PUBLIC .~\S \>-\1" . F U I d \ ,.o:\$J G"\c,x,$ oG~~~~walk Type: u V mprove. t>-\.> \ ~\...\" ~ '{"- Yes C\J"J\ '\CO~ ~~ Downspouts/Drains: t>-~" Curbside 5'. Curb and Gutter Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 4 --~~,~J;~.~~I~>~,.r . d! It I" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!s Garal!e V Wood Frame Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee . + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Dryer Ven!. Exhaust Hoods Furnace - up to 100,000 btu . Gas Fireplace Gas Outlets 1-4 Plan Review - Planning Plan ReviewIResidential Hourly Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical I Valuation Description I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,081.00 624.00 Total Value of Project ~ Amount Paid $595.82 $10.00 $153.07 $107.15 $306.00 $31.00 $6.00 $916.65 $6.00 $9.00 $12.00 $15.00 $4.00 $71.00 $135.00 $106.00 $76.00 $413.04 $543.36 $10.00 $214.23 $314.63 $107.68 $53.57 $727.42 $164.89 $837.38 $50.00 $24.00 $1,000.00 $4.50 $3.15 $25.00 $20.00 Date Paid 3/12/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 . 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 4/22/04 7/30/04 7/30/04 7/30/04 7/30/04 Pal!e 2 of 4 CITY OF SPRINGFIELD. .Building/Combination Permit PERMIT NO: COM2004-00277 ISSUED: 07/30/2004 APPLIED: 03/12/2004 EXPIRES: 01130/2005 VALUE: $ 207,447.00 Value Date Calculated $192,284.40 $15,163.20 $207,447.60 03/12/2004 03/12/2004 Receipt Number 1200400000000000306 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000000521 1200400000000001158 1200400000000001158 1200400000000001158 1200400000000001158 _~~Q!L~I~~-3 "'~..., * f.: Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00277 ISSUED: 07/30/2004 APPLIED: 03/12/2004 EXPIRES: 01/30/2005 VALUE: $ 207,447.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,072.54 'I Plan Reviews I 03/15/2004 03/15/2004 APP LLH 03/15/2004 04/02/2004 APP TAJ 03/15/2004 03/31/2004 APP SB 03/15/2004 03/31/2004 WE DLM Need lateral engineering at front garage wall and front wall of second floor bedrooms #2 & # 3. Contractor was contacted by phone - left message on ans. machine. 3/30/2004 - dim Talked to engineer, stemwilll at ga,rage to be raised to provide 2.5:1 aspect ratio at front wall brace panels. Still need engineering for upper wall over garage. 3/31/2004 Initial Review Plannine: Review Public Works Review Structural Review Structural Review 04/12/2004 04/19/2004 APP DLM 32&3 Received add'l engineering and revised drawings on 4/11/04 dim 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. lJeouirerUnsnections I Site Inspection: To be made after excavation but prior to setting forms. . 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 floor insulation or decking. Floor Insulation: I 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 appro.ved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Pae:e 3 of 4 CITY OF SPRINljJ11ELU ' Building/Combination Permit Status Issued PERMIT NO: COM2004-00277 ISSUED: 07/30/2004 APPLIED: 03/12/2004 EXPIRES: 01130/2005 VALUE: $ 207,447.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax. 541-726-3769 Inspection Line 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. . 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: When 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 service. Final Electric: When all electrical work is complete. . Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. 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 remairi on the site at all times during construction. Owner or Contractors Signature Date Pae:e 4 of 4 225 Fiftl) Street SprIngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00277 COM2004-00277 COM2004-00277 COM2004-00277 Payments: Type of Payment CreditCard 7/30/2004 f"'{ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200400000000001158 Date: 07/30/2004 lO:14:07AM Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Amount Due 3.15 4.50 25.00 20.00 $52.65 Paid By TONI DOVERI Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000458 427300 In Person Payment Total: $52.65 $52.65 Amount Paid Page 1 of 1