The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-11-1 ........ L..UUI\II\J.j I(;IC' (FAX)15417412572 P. 001/002 3. ~INQPI~a.iij ZON Lt).J2... _ 1 '.11 ---- = .u~a1ALS (M . . DATE tl. (.0 J . .' SOURCE~. Date NoV \ G(f\)~ ) 2.2." ~nH STRih · SP~'.u.LD. OR 97477 . MI:(S41)726-3753 . FAx: (54i)"12fi..3(o/P..I ELE....l..KICAL PERMIT APPLICATION City Job Number 0 .\. 1. [j[Q~ 51'LQ kl..~ \~ ~r~ L~~3roOS~cO JOB DESCRIPTION: .'. . lD2.D . ~,,~ ~~;P ,~. fo~ . Permits are \on-transrenlble an~pj~e if work. is not ~rted. within 180 dsysofissusncc or if'work is SUSpended for 180 days. 2. Electrical Contractor 1M fw'it-w\u~ ~)<~'1 Hw-l ~{..I (;. Adclreu City A \ h"vv If' . Phone 7S1-lt I'll Supervisor .License Number q~'7'1 s El..t':' ..~:an Date !fJ -/-1010 Constr. Comr. Number (P 7.$ (p L Expiration Dale '/~ 1- ).00 f( Signature of Supervising Electrieian JIL-- r/ ~~ Owners Name J1l), &~ l _ ~ 0 1'\ 'Address 2Jo'[ll~ ~~6\~ ~ City ~ Phone~. OWNER. INSTALLATION 'the installation is being tnade On property r own which 1S flat intended for sale.le~e or rem. Owners Signature: InJo,....';;on Request: 726-3769 A. Service Joeluded 1000 sq. ft. or less . Each additional SOO sq. fl or ponion.1hcreof .Each Manufact'd Home or ModUlar Dwelling Service Of Feeder l . $117.00 111 (1J l $2J.00 ~LlIJ $55.00 B. 200 Amps or Jess $ 70.00 201 Anns to 400~S $ 83.00 401 '.' toE(f(}ifl 'sOregon I 1'1 1M rO~I~ . +9 ""f,,~w 'll"e.f!'2oPted by ;i '" ,:" "WIl t~~ity 601 Afw3~jffb~QIU'iIVS1Tter. Tho~~ .~,I:::::: ~r~ 19iq~rt!': Over mqg/~~~tI~1-001 0 thrr\ll/'1h nllF~~.o..9J1_ Rccor@e9CQnl~u may qbtain C(\~i';", f'\ft'l,~ ~aiQq /"1~! .C .. r: . t 01 c., Cen er IS - Installation, Alteration or Relocation 200 Amps or Jess 201 Amps to 400 Amps . 401Amps to 600 Amps $ 55.00 $ 76.00 $II 0,00 ~ver 600 Amps or J 000 V oll:; see "B" above. D. !ii'1 -.Be"-AJterat~~D lor ~,"~i,~D~~~:I~anCiXP IRE I F;H S NOT One Circuit I R _~ ZED UNnER THIS$')4"8~o~IT I Each Addilio~lqtR~~~r'rLthOR IS ABANDONED run Service or Fe&f2r~emut' L.; t _ _ $" 4.00 DAY PEKIUll. E. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EuefgylResidential $ 28.00. Limited Energy/Commercial $ SO.OO Minimum Il:lectric Permit Inspection Fee is $50.00 + Surcharges 4. ~". ''''''.0'' '."Y' . l ~ ~ (1) . 8% State SW'Ch"arge , , i>4 . JO%Admin:.....,.~vcFce t'b. 'Su . $% Tecbnology Fee f 0 q () TOTAL \ ~q.'1k Shared Ori~)laUl1ding FonnslEleetrieaJ Pc:mtil Application 7.07.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0l372 COM2007-01372 COM2007-01372 COM2007-0l372 COM2007 -013 72 COM2007-0l39l COM2007-0139I COM2007-0l39l COM2007-0l39l COM2007-0l39I COM2007-0 1391 COM2007-0l389 CO M2007 -0 I 389 COM2007-0l389 COM2007-0l389 COM2007-0l389 COM2007-0l389 COM2007-0l37l COM2007-0l37l COM2007-0l37l COM2007-0l37l COM2007-0 1371 COM2007-01l70 COM2007-0ll70 COM2007 -01170 COM2007-0 1170 COM2007-0ll70 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 3200700000000000725 Date: 11/0112007 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Reinspection Fee Electrical + 8% State Surcharge + 5% Technology Fee + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HA YDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 088800 In Person Payment Total: Page I of I 3:30:25PM Amount Due 117.00 63.00 9,00 14.40 18.00 55.00 117 .00 . 42.00 10.70 17.12 21.40 117.00 42.00 50.00 12.72 10.45 15.90 117.00 63.00 9.00 14.40 18.00 117.00 21.00 6.90 11.04 13.80 $1,123.83 Amount Paid $1,123.83 $1,123.83 11/1/2007 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01170 ISSUED: 08/08/2007 APPLIED: 08/08/2007 EXPIRES: 04/30/2008 VALUE: $ 89,940.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5729 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802030005800 SPRINGFIE TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Overlay Dist: # Street Trees Rqd: 1 Paved Dri.A RQll'tT!Q' Yes 0/ fL Ie';'!"'" -'1/' 0 327 /00 otv overage:. . (er" . 0 I otitic :. 'DB Eld ~ ':;:7 ''1' !n OAt:) ~~Ol) Cenl~~Jleo' b;; ;~ ~9?/lfre.<1I'~ I PUBLIC IMPRLO:VE~~TS'.)010':hose r;;,,~regon<D~/tOy , .-. .:, .. '.: !!!Ivt . I rOUgh - are Set ~ J Street Improvements: nUmb I:J [l)e Cent El/rJ Side:w.alIf-'Type"~ Otth Fully Improved er for th er. (Nor't}~ Ofth ~a2-001_ Storm Sewer Available: . Yes Center~ OregO/nOo~J~p:0,Qts7lff~ihS:'y ,<,~~f""" IS r t'/. v'tjPh "J Special Instructio.u:,' - f II-b: 1-800-33 Ilty NOtifi o~e , -f!S PERMIT SMALL EXPIRE IF THE WORK 2-<344). ICEman Notes: Stormwater.tolw.eep'hole\jm~urbHIS PERM'I- IS " 1..', LI_U Ul UL:ri I . I I I. NOT ':, i~:.:~:CED OR IS ABANDONED FOR ".: ; 30 \JAY PERiOD. Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMA nON I Contractor Type General Electrical Mechanical Plumbing Contractor HA YDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142776 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: Height of Structure: 15.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a VB 2 I DEVELOPMENT INFORM A nON, Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 10.70 0.00 Pa2e 1 of 4 Phone Number: 541-228-1081 Expiration Date 07/29/2009 06/19/2011 03/25/2010 05/05/2010 Phone 541-228-1081 541-754-6171 541-672-9510 541-459-0110 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 780 240 REQUIRED PARKING 2 Total: Handicapped: Compact: Curb and Gutter 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 V Wood Frame Garal!e A.C. - Residen Dwellinl!s Garal!e Fee Description ~Mech Iss 2+ Appliances~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 1 Bath One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential Plan Review Residential 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 Storm Sewer Each AddtllOO' Temp Power 200 amps or less Vent Fan WilIamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge I Valuation Description I $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 780.00 780.00 240.00 Total Value of Project ~ Amount Paid $40.00 $93.29 $54.35 $70.56 $160.00 $35.00 $7.00 $14.00 $579.94 $7.00 $10.00 $51.00 $14.00 $5.00 $205.00 $8.36 $368.60 $326.46 $429.33 $10.00 $961.52 $91.61 $97.01 $76.29 $862.25 $195.48 $589.27 $16.00 $55.00 $14.00 $2,303.00 $13.80 $6.90 $11.04 Date Paid 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 8/8/07 11/1/07 11/1/07 11/1/07 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01170 ISSUED: 08/08/2007 APPLIED: 08/08/2007 EXPIRES: 04/30/2008 VALUE: $ 89,940.00 Value Date Calculated $3,120.00 $80,340.00 $6,480.00 $89,940.00 08/0812007 08/08/2007 08/08/2007 Receipt Number 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001010 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 1200700000000001015 3200700000000000725 3200700000000000725 3200700000000000725 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01170 ISSUED: 08/08/2007 APPLIED: 08/0812007 EXPIRES: 04/3012008 VALUE: $ 89,940.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $117.00 $21.00 11/1/07 11/1/07 3200700000000000725 3200700000000000725 Total Amount Paid $7,920.06 Plan Reviews I Planninl!: Review 08/08/2007 08/08/2007 APP T AJ Survey required because of minimum side setbacks. This property is involved with a property line adjustment (SUB2007-00038) along its east side property line. House design must meet cluster design standards: 3' walkway from house to street, window grids and windows in garage door. These are occupancy conditions. Stormwater to weep hole in curb. Public Works Review Public Works Review Structural Review 08/08/2007 08/08/2007 08/08/2007 08/08/2007 APP BRC 08/08/2007 APP DLM Approved as submitted 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. ~e(]uiredJnsDections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. 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. 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. Rough Plumbing: Prior to cover and including required testing. Pal!:e 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01170 ISSUED: 08/08/2007 APPLIED: 08/08/2007 EXPIRES: 04/30/2008 VALUE: $ 89,940.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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 Pae:e 4 of 4