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Home My WebLink AboutPermit Electrical 2007-9-17 ZON INITIALS l, J \1'--- DATE C1 -', Y: ~ ('rf SOURCE '1i\ Y $(; {' ~ Date q -- \ .., -- 0 r 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CoM Z,.o 07- OO<-t ~-O Electrical Contractor ---rP.Jf(','; \kDU""~ l ?/d-~\<-=- 200 Amps or less <.. c"/" I ce- 20 I Amps to 400 Amps Address 9,<-/ C::4-~ ~tC U \I )~ 401 Amps to 600 Amps .-J 601 Amps to 1000 Amps Phone ~ S-7_~/-L- Over 1000 AmpsN olts a Reconnect Only l'5-bC"[7 I o,,~ '-It '1"7~\r_~~ ~~6:. ~ ' - ERW\\"~ S 0. \\1\S . to?' Expiration Date 10/ I / 2.0 16\1\~ ~?~7..tQ u~ot:~w\\~~~\teration or Relocation I I f\U ITi, -:'~CEt) OR \ Amps or less Constr. Contr. Number / t c;7B ~CON\\~\~O t>~'{ PER\ "Amps to 400 Amps / c- - ~~" \ 401 Amps to 600 Amps Expiration Date I?- J-./ () n Over 600 or 1000 Volts see "B" above. ( D. 1. ZkJf& tI~..f&e vt L~~P / M.-cd... LEGAL DESCKl~1 ION: /70J24.o.o CCCO( JOB DESCRIPTION: <-bite> H,,:'!fe.~, ~/d.te___ ." /:. r '<' \~J-S .a3l~ o ~'-~ \ J-,~_ \I\.c<2- 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. City ~c~"'\...e _ Supervisor License Number Signature of Supervising Electrician _J~1LL ~ Owne" Name ~:L c:l~ Address Z (" 0 ~"-11ei.t ~ fl ~ City 5-=?~ p~one 72~ r o~ 7 ~ 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 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 $117.00 jlt ILl "7 7 $ 21.00 $55.00 B. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48,00 $ 4.00 E. $ 55.00 ...., / ~ ( c-h"1- Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/11/2007 APPLIED: 03/27/2007 EXPIRES: 01/2012008 VALUE: $ 510,780.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2660 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1703240000101 Springfield ' TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence replacing existing MH. TYPE OF USE: New Residential # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height of Structure: 33.00 Secondary Occupancy Group: U iie of Heat: Forced Air Gas Primary Construction Type VB ~ er Type: Gas Secondary Construction Type: ~ ~~<(. ~ ~ e Type: Gas # of Bedrooms: -tQ~ ~ ~~ ~:&ergy Path: Path 1 . , ~ "(."', ~ Vf(,~ <'..S) ~~rinkled Building: n/a ... ~~\.. 04'~\~ J;J~'f;,. ,,~"\\v~~~~ -;~t)~~ ~~~~ I DEVELOPMENT INFORMATION. ~~\~ V ~~t~t) ~ O~ ~ ~Ot). REQUIRED PARKING Frontyard se~1~~f(,\\\J~ ~ V<(.~10.00 Overlay Dist: Floodplain Total: 2 Side 1 Setback.~()~ \tQ~ t)~ 45.00 # Street Trees Rqd: 11 Handicapped: \0 Side 2 Setback: t>..\\"{ 205.00 Paved Drive Rqd: . No compai\es~\\i Rearyard Setback": 1,325.00 % of Lot Coverage: 4.00 ,.if ttA" e9of\ \O~ Solar Setbacks: 1,325.00 . Ote~oft ~~ \"e 0' ate !~.o(),\. _",",. .ot\" -'\\-~., ~ -' ~\~, f - J)ui ~ODa ~ vl"'" tv'"'' ~-" I PUBLIC IMPROVEMENTS I ~ ';' tU\eS ~e~\et. U\'O\\~ 0\ U\e ~ot\e \O"? M\\\9.n1 "'l..a~'\() eo9\e~e \e\~~.-.a.\\ot\ ~O\\~~9S'l-1O ~80\~ ~o\e" ~ ~Q\\\\V~ \~~~~~6~O~~). Oe.\'\t\~ I tot \"e \$ '\ ~ t\\\"'~ cet\\et Owner: JOHN & REBECCA COBB Address: 2660 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Plumbing Contractor HIGH PASS CONSTRUCTION INC RICHARD STANLEY GROSHONG PACIFIC AIR COMFORT INC JOHN THE PLUMBER INC License 55779 39237 107810 BUILDING INFORMATION I Street Improvements: Storm Sewer Available: Special Instruction: Notes: SF site built home replacing Manufactured home.JLP Pace 1 of5 Phone Number: 541-726-0495 Expiration Date 02/24/2008 Phone 541-501-2854 541-485-7311 541-672-9510 541-686-4888 03/25/2010 07/24/2009 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,838 1,626 560 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential Deck V Wood Frame Garal!e A.C. - Residen Deck/Balconv Dwellinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Appliance Vent Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Major - Planning Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer Each Addtll 00' Vent Fan + 10% Administrative Fee + 5% ~echnology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 $19.00 $103.00 $27.00 Square Footage or Bid Amount 4,464.00 948.00 4,464.00 560.00 Total Value of Project ~ Amount Paid $1,197.89 $10.00 $253.21 $123.95 $182.47 $306.00 $6.00 $1,842.90 $6.00 $9.00 $251.20 $15.00 $4.00 $2.00 $12.00 $198.00 $38.02 $40.21 $804.14 $42.00 $36.00 $26.40 $13.20 $21.12 $117.00 $147.00 $5,704.71 Date Paid 3/27/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 5/11/07 9/17/07 9/17/07 9/17/07 9/17/07 9/17/07 I Plan Reviews I Pal!e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/11/2007 APPLIED: 03/2712007 EXPIRES: 01/20/2008 VALUE: $ 510,780.00 Value Date Calculated $17,856.00 $18,012.00 $459,792.00 $15,120.00 $510,780.00 03/27/2007 05/03/2007 03/27/2007 03/27/2007 Receipt Number 1200700000000000332 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000000559 1200700000000001202 1200700000000001202 1200700000000001202 1200700000000001202 1200700000000001202 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-00450 225 Fifth Street, Springfield, OR ISSUED: 05/11/2007 541-726-3753 Phone APPLIED: 03/27/2007 541-726-3676 Fax EXPIRES: 01/20/2008 541-726-3769 Inspection Line VALUE: $ 510,780.00 Initial Review 03/28/2007 03/29/2007 APP LLH Replace existing manufactured home with site built residence. Addressing fee and willamalane fees do not apply Planninl!: Review 04/25/2007 04/25/2007 APP EMM Floodplain Development Review completed and approved with conditions. Gave copies of conditions to building. Planninl!: Review 03/29/2007 WI expecting floodplain development review to be completed on 4/20/07. Public Works Review 03/29/2007 04/05/2007 WI JLP PW Rcvd 3/29/07.JLP 3/29/07 **** File transferred to Liz in Planning, possible planning issues. Waiting to get back from planning to review.JLP 4/5/07 Public Works Review 04/26/2007 04/26/2007 10 JLP Rcvd sanitation authorization form from applicant. Hand delivered to Don Moore for filing w/building perm. file.JLP 10 4/26/07 Public Works Review 04/10/2007 04/10/2007 10 JLP Spoke w/Liz. She is still working on planning issue. Liz will return file to me when resolved for PW review.JLP 10/W14/10/07 Public Works Review 04/18/2007 04/18/2007 WI JLP File transferred back to PW for Rvw. Liz asked for us to Route back to her rather than Tara when PW is done with Review. JLP 4/18/07 WI Public Works Review 04/23/2007 04/23/2007 WE JLP Lft msg for owners on machine @726-0495, 4:00pm. Need info on previous conditions, and to notify owner @ some point they need to have a L.C. Sanitarian approval for septic tank....to be provided to Building Department prior to completion of project. Waiting for info from owner. JLP WE 4/23/07 Public Works Review 04/24/2007 04/24/2007 10 JLP Rcvd call from owner. They are mailing L.c. Sanitarian form. Previous conditions are: 26X66 Mob w/8X16 porch, 2,2,1,1,1,1,1 for DFU's. Will complete rvw ltr. JLP 10 4/24/07 Public Works Review 04/24/2007 04/24/2007 APP JLP Site built replacing manufactured. Applied SDC's for storm H20 only. DFU info on previous note for record only. Storm tied to ditchline storm system. JLP APP 4/24/07 Structural Review 03/29/2007 05/07/2007 APP DLM See documents for Plan review comments Pal!:e 3 of5 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/1112007 APPLIED: 03/27/2007 EXPIRES: 01120/2008 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. 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. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor 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. 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. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and 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. Paf!e 4 of 5 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/11/2007 APPLIED: 03/27/2007 EXPIRES: 01/20/2008 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 ofany 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 5 of5 225 Fifth Street Spriqgfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007 -00450 COM2007-00450 COM2007-00450 COM2007-00450 COM2007-00450 Payments: Type of Payment CreditCard cReceint I RECEIPT #: Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD GROSHONG City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001202 Date: 09/17/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 047960 In Person Payment Total: Page 1 of 1 2:24:23PM Amount Due 117.00 147.00 13.20 21.12 26.40 $324.72 Amount Paid $324.72 $324.72 9/17/2007