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Home My WebLink AboutPermit Electrical 2004-8-2 B. . '. ~ \~Oi c.o..o{\ ~o~" . o{\ \~ ~(Q)\'mps0o;~~ 0\- O~. Ote~00 'O'i \~~6\6~~~cg{&~~ ~~~ 'AOo9 ,,'(\os~oi:.'A\,or&.j:"'~'l1Ik\~rnPs ~'~ tUW~ ~\et. \"tO~-=Q\"~o"'" ~III . ~ce ~O\O b~\~ps{e\~~~1's Pho ~~ca\~~OO'\ O'O\~{\ ~O~.~ ~1U)l>\'W~lts $\ o~~ "'CO$ ",'O'f e{\\et.. (\~~~ ~Z~~. C9J~. \"e COte" Supervisor License Number 0 ~\\{\~# \ot ~ ..,,6, / ~~. ~\et Expiration Date t\\J ce Installation, Alteration or Relocation I 200 Amps or less Constr. Contr. Number 201 Amps to 400 Amps / 401 Amps to 600 Amps Expiration Date . S. /fS .. El .. Igna"e 0 upervlsmg ectnc1an Date 1. LEGAL DESCRIPTION /70 Z , 9Lf3 JOB DESCRIPTION o o-So-C:> tEMP (;)oWDlL Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City OwnersName 1/I/I{L.~DIe:; ~lIl^(/~ 1.-7'0 Address 'S6t.{ ",' l;J.~kc..r~(c... 'D (2... City ~G-Gt~ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~ Inspection Request: 726-3769 3. A. 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 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 / $ 50.00 $ 69.00 $100.00 ..::::::,~ Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $~~~ \'Y \~~\9j)~~\ ...t?\\"'t < ~\\ ~~ . _ . .~ch~Jn;ial}~tion I E. ~~ ~\ \ ~ '~ Pump Jt\b\~tW~ ~t~\) \} ~ \S ~ $ 50.00 Sign/outf.ih~,~~~c,~\) ~\>~~\~V' $ 50.00 Limited E~r~~~nn~ $ 25.00 Limited En~~~6{v~Si..ercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SO 7% State Surcharge 10% Administrative Fee s-c:. '5 s-oo ::;8 yO TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-G3.doc 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 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 02/02/2005 VALUE: $ 263,193.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Ambleside ht 10t151- SFR Owner: MARGOLIS FAMILY LTD PARTNERSHIP Address: 3045 WINTERCREEK DR EUG~NE OR 97405 Phone Number: 541-302-5852 MTe \ CONTRA R8 - t ~. - \\\\V . 1\.' ted bY' . af@ ~ 1@f\" Contractor . l\O'IItUtes ad:,. thOse NY!\~"~~:~OOipiration Date LARRY KENT IliBOR ee 0'\0 thfOUg,( q7M9 fY'~9 ~ 11/06/2005 . DEANS ELECT' A\\ 9S2.o()1~b\a\n co,,\e~~~~~,\~~~@ry@ 06/20/2008 DEAN'M SCHue . 'IOU mav,O ~". \Note~ t~~t\1!9~~@fl 02/23/2005 DENNIS SCOTT ~ tne ~n nl'AQOn \J'~~~A}. 05/05/2006 : -Zlj' ..\~~ ...3.r-:n...."\~;.'.! .'ftBlJ,'IL', ~RMATION I I DEVELOPMENT INFORMATION. REQUIRED P ARKlNG Overlay Dist: .i~P~~ 2 # Street Trees Rqd: ~\~t. \f " I\Wtf}.~ped: Paved Drive Rqd:. t>-\..\.. ~'S ~ ?t.~ ofa"t: % of Lot C\\61~t. ~\\ CO~ r>t.~:Q"'~ ~'V~t.Q . . "'(.~~~ ?~~1t.\) U~9 \CO ~'O~ . I PUBLIC IMPROV~E,~~~Ct.~ ?t.~\~V' \IV ~ \)~, . Fully Improved ~~'l "\ Sidewalk Type: Curbside 5' Yes Downspouts/Drains: To Storm Sewer All roof storm drainage shall be directed to the storm sewer stub provided on the property. - MAS Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 9.00 10.00 37.00 24.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 1 R-3 U-l VN # of Stories: 2 Height of Structure 29.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: nla 697 667 3 Lot Size: Sq Ft ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,504 1,976 Pae:e 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 Gara2e DwelIin2s Gara2e 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 DescriDtion 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 $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 Date Paid 5/28/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 718/04 7/8/04 7/8/04 7/8/04 718/04 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 7/8/04 718/04 7/8/04 7/8/04 7/8/04 7/8/04 7/19/04 7/19/04 8/2104 8/2/04 8/2/04 Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 02102/2005 VALUE: $ 263,1~3.00 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 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 02/02/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,689.71 I Plan Reviews I 06/0112004 06/02/2004 APP LLH 06/02/2004 WE EMM 07/0112004 07/0112004 APP EMM 06/02/2004 06/07/2004 APP MS 06/02/2004 07/07/2004 APP DLM not seeing any LDAP submittal under this parcel or address. Called applicant on 6/21104. LDAP still in review 6/7/2004 - Storm drainage shall be directed to the onsite stub provided to the subject property. - MAS See documents for plan reviwe comments. Initial Review Plan nine: Review Plan nine: Review Public Works Review Structural Review 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. 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. . 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 Mechanical: Prior to Cover Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00635 ISSUED: 07/08/2004 APPLIED: OS/28/2004 EXPIRES: 02/02/2005 VALUE: $ 263,193.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 th~ 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 Springfield, Oregon 97477 541.,.. 726-3759 Phone Job/Journal Number COM2004-00635 COM2004-00635 COM2004-00635 Payments: Type of Payment Check 8/2/2004 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less I Paid By LARRY COOPER CONSTR -'+y of Springfield Official Receipt _ .:velopment Services Department Public Works Department 1209400000000001170 I Date: 08/02/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2275 In Person Payment Total: . Page 1 of 1 1:10:09PM Amount Due 3.50 5.00 50.00 $58.50 Amount Paid $58.50 $58.50