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Home My WebLink AboutPermit Electrical 2004-9-22 .\ 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · F~~ll:t6;.J689 ELECTRIC.AT. PERMIT APPLICATION 6t7/. c9.-: "O'OO~....%^ IT:. ') ,"",""" J e ~ <5' ~i" City Job Numb~ \ f'v1 t-UuU - OrL,3?5 Date 'f)'d- a.... .)..O&~ o">/,? ">o,...c9oS'oS' , ~ ....CSl "6 " ,~~."'t._'.~~~%.'V.1 cO~';0,;.~_~~~~~j*1B /~.oS'~ C' CSl~ ~:~,~'>77:'..' ~'>, :-,:~ ~'>~;-:)7'~: 1. ccc.oc.. c.iP1J.l$SfJ'~ ~". ;-C"";"" ..-;."" _, ",,"'~..... . :~6~ ~VV) \O\e <;')dev LEGAL DESCRIPTION ~ 7 O:t l q Lf 3 og 3 OZ) JOB DESCRIPTION ~\ C\\<VV\ ~~~\O/) Permits are non-transferable and expire if work is not started witbin 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor :) f-.:'(\-1,)., Il \ ~ Address 8.d-'-(> S~d) Dr. City EG\ ...,:~;vx. /' Phone Or e)J'.J J ~~'-b~l~ Supervisor License Number <10 l'~ i- E {.:\ Expiration Date I (J- 0 1-- IJS Constr. Contr. Number \ 'd ~ ~( '). Expiration Date \ n - \--s- ()<., OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. Serv~e Inc~df8N: Oregon law . Y to I OO~tslW or1~~~;!dORted by t cnn 00 Ea~~~~f~~iHter. Ofhose rules ~ orth po ~OAR 952-001-0010 throllgh 0. ~-tltPP- Eac u~H~main copies of the rules by Mo ar 1tif\W986iRtef.r(Note: the telep~~o FeedeP in r the Ore on Utllll}' i~oir.icati'on B. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to ~Qo.4mR~. . $125.00 '~~II'~I/" 601 Amps to rF() 'X $163.00 Over 1000 A~I?~ ;9U HMIT SHALL tXtJlflfi-;lf.O&/E WORK Reconnect onry; rHU IlED UNUtH I HIS $'~~lT JSJWT COMMENCED R I c'r Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 '-';':"''}.-~:-:~;P --__7-~:.~c- ':~Ff-,X~~:,;./.,::,,;,':--F'-~;,_~,}I? o~~n~ludecUi!:~c:b~~ , . . _~.._'-"".... _' - . - -,' - "-'.~. ,'.;i., :..;... -~, _ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 . d ~.<5'-' LImite EnergylResidential I $ 25.00 -'''''" Limited Energy/Commercial $ 45.00 Minimum Electric: Permit Inspection Fee is $45.00 + Surcbargtt#.,;) O. 0-0 LIS ~ 00 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FormslElectrical Permit Application 1-03.doc 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00635 COM2004-00635 COM2004-00635 COM2004-00635 Payments: Type of Payment Check 9/22/2004 RECEIPT #: ~j:i;~~;:_itii -:..."_.'.. wr ...: ^"'. .,.;" " .....~" .-.".....'..--.,..-. ,...~(y of Springfield Official Receipt ..:velopment Services Department Public Works Department 1200400000000001377 Date: 09/22/2004 Description Low Voltage - Residential Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By SECURITY PLUS ALARM Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 3552 In Person Payment Total: Page 1 of 1 9:49:19AM Amount Due 25.00 20.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 09/22/2004 APPLIED: OS/2812004 EXPIRES: . 03/2212005 VALUE: $ 263,193.00 Springfield TYPE OF WORK: Si~Ittfamily Residence reQu\res \} .\it\} -~lI-1a\l\l nn UtI rnON'. U\ :Ha<.: uF ~~re9~1'ljeWt 'ortn PROJECT DESCRIPTION: Ambleside 1st 10t151- SFR p--;~~u\es adoPte~~~se ru\es~; ~~'2.-00~- '0\ ,.;; ~ r.enter. _ d_ .'" ,on 0 .'n~ b'-J Not\1\vo."- -OU I v .... , l\ Ie> . - Owner: MARGOLIS FAMILY LTD PARTNERSHIP p--R 95'2.-00~ ain cO?lel>>i?o~E\\~~: 541-302-5852 Address: 3045 WINTERCREEK DR EUGENE OR 974'tf50 0 '\'0\.1 f(\a\} O'ot'Note'. tne..., +.lhcatiOO 009. _ +v.P center. ,_ ~ \ ItHiW \"'10\ Call1l'''''_ rtbeUlti'd- _'3'32.-2.3~'t1' I CONTRACTO~1!IN1l.(1-i~r';i~vo License . Expiration Date 109780 - ,-. . 11/06/2005 99579 06/20/2008 133733 02/2312005 142776 05/0512006 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3533 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194308300 Contractor Type General Electrical Mechanical Plumbing Contractor LARRY KENT COOPER DEANS ELECTRIC DEAN M SCHULTZ DENNIS SCOTT EGGERS # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I # ofStories:r.t:. "e.2~t \fLQt\Sii~OR\\ Heigl\iQifSirltclurer S\-\P\LL ~~.5h nC,~..~1?t i~tF~br: ~ 01=\-\\\11\\ ~ ,IllS nJ'\i'J1'l Type q-~a,t:- It~orcedtAir\Ga's oS~tgtr2Jlil Floor: Water~p~':OR\ uO~ \S ~~"sND ~q Ft Basement: Range ~rn~.I::"'tNCtD ?t~~f.1:ric Sq Ft GaragelCarport Energy at l:~ 80 DP\'{ Path 1 Sq Ft Other: Sprinkl i\ uilding: nla Occupant Load: 1 R-3 U-l VN 3 I DEVELOPMENT INFORMATION. Residential Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 7,504 1,976 697 667 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 9.00 10.00 37.00 24.00 2 Yes 26.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Fully Improved Curbside 5' Yes DownspoutslDrains: To Storm Sewer All roof storm drainage shall be directed to the storm sewer stub provided on the property. - MAS Notes: Paee 1 of 4 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 Garaee Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- 3 Baths One & Two Family Addressing Assignment Annexed 1997 Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult Disc - 2nd Permit 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 Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family + 10% Administrative Fee + 7% State Surcharge + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less , I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,673.00 667.00 Total Value of Project .~ Amount Paid Date Paid $714.12 $10.00 $306.00 $31.00 $-22.32 $6.00 $1,098.65 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $71.00 $-30.00 $106.00 $95.00 $567.93 $747.12 $10.00 $214.23 $314.63 $125.14 $52.22 $727.42 $164.89 $75.00 $823.31 $18.00 $1,000.00 $167.57 $117.30 $5.00 $3.50 $50.00 5/28/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/8/04 7/19/04 7/19/04 8/2/04 8/2/04 8/2/04 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 09/22/2004 APPLIED: OS/28/2004 EXPIRES: 03/22/2005 VALUE: $ 263,193.00 Value Date Calculated $246,985.20 $16,208.10 $263,193.30 05/28/2004 OS/28/2004 Receipt Number 1200400000000000822 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 1200400000000001059 3200400000000000173 3200400000000000173 1200400000000001170 1200400000000001170 1200400000000001170 ._~~~~p'~I~~' ", .~ " ~ \' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 09/22/2004 APPLIED: OS/28/2004 EXPIRES: 03/22/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $4.50 $3.15 $25.00 $20.00 9/22/04 9/22/04 9/22/04 9/22/04 1200400000000001377 1200400000000001377 1200400000000001377 1200400000000001377 Total Amount Paid $7,742.36 I Plan Reviews I Initial Review 06/01/2004 06/02/2004 APP LLH Planninl! Review 06/02/2004 WE EMM not seeing any LDAP submittal under this parcel or address. Called applicant on 6/21/04. Planninl! Review 07/01/2004 07/01/2004 APP EMM LDAP still in review Public Works Review 06/02/2004 06/07/2004 APP MS 6/7/2004 - Storm drainage shall be directed to the onsite stub provided to the subject property. - MAS Structural Review 06/02/2004 07/07/2004 APP DLM See documents for plan reviwe 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. 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: Prior to decking. 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. 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. Pal!e 3 of 4 ._~~1J!!;~,~~1~2! ,it " , l I 1 .'; - Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 09/22/2004 APPLIED: OS/28/2004 EXPIRES: 03/22/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Underfloor 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 Mecha~ical: 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. ~/} ,/2;:/Y'J/ q'J-~} OLf ~ner or ContraC~ignature Date Pa2e 4 of 4