HomeMy WebLinkAboutPermit Electrical 2007-11-1
- ~ .. U U I \ 11'',1) I I: ;1 c:
(FAX) 15417412572
'P.001/002
%l..'l ~"" STRF;ET.. SPRINGFIELD. OR 9747'7 . J>II:(541)'126-37S.1 . FAX: (S4l~
ELEL.1AICAL PERMIT APPLICAnON
City Job Number ~ 1 . ~'?rll Date
1.. _
!=)14q u.t \lilmm
LE. GAL D~. R.tPTION:O.. 0
\ ~O-W "00 5\0
10BDES~RTP110N: . '. . "[&1
~k ~M.L, 00 z., .
; ~CrmitsJ Don-t~~d expir~ irwork ;-
not startedWij:hin 180 days of .issuancc or if'work is
SUSpclnded for ]80 day$.
2.
Elecaical Contractor 1M fW ~~~
Address ~)c;~'t t1w,/:St..{
City
AI hUV\-1/
Phone 7s;1{-f.tlll
Supervisor Lice.nse Number
f.{ -< '7'-( S .
Expiration Date
In-i-/ow
Constr. CODJr. Number . (p 7.$ <R ~
Expiration Dale /.,...1 - 'J.w [(
Signature of SUpervising Electrician
IlL--- --/i _____
' ,.
OwnersNamc \~d.t,,_ ~~JJ.L ~
Addn:ss 'U.fL 1- fu) ~f . .
City ~~ PhODe~-
OWNER, INSTALLATION
'lbe installation is being tnade On property r own which
is not intended for sale, lease or rent. -
Owners Signature:
Inspcetion Request: 726-3769
3.
A.
Scnricc Included
1000 sq. n. or less
. Each additional SOD sq. tt. or
ponion. thereof
Each Manumct'd HOme or
ModUlar DweIlirig Service or
Feeder
\
1>. $21.00
$117.00 1\1 fP
lo3E'
$55.00
B.
200 Amps or less $ 70.00
201 Amps to A'R-~lQJAON: Oregnn ,~'^' rp.~~E99 YQ.u to
401 Amps tOfeR~~ges adopleci iW1n(;1 a~OO1 Utilitv
. 601 Amps tbJ~omAiii;1s Center. Those ruIS~~t9()'3et forth
Over 1000 ~~2-001-001U tnrough~~85c;-UU 1_
Rcr.onncct ~O. You may obtC:l1I1 LiVfJ1t;.:;sPs" n..;cO:'-,
calling the center. \1\jUll::. tlie e~prlu"c
"". , .... . ..... .
c.
InstaUation, Alteration or Relocation
200 Amps or Jess
201 Amps to 400 Amps
401 Amps tQ 600 Amps
Over 600 Amps or 1000 Volts see "a" above.
tI~"
D. ~
-. New A]~t~~ o~~~i~~lR'filPt~ PERMIT IS NOT
One cW"'JitrHUK Lt I ^ D ,\1\1 nnNt9.pg R
EachAddiliMfu1B~&5tl6rQ].JS tte-. . - '.. _ ,._
Servicecj~lliC(ed=\P'rlj:: PE'~'IOD. . . $ 4.00
$ 55.00
$ 76.00
$1/0.00
E.
Pump or irrigation 5: SS.OO
Sigtl/QutJine LiGhting $ 55.00
Limited EnergylR.esidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum tleetric: Permit Inspection Fee is $SO.OO + Surcharges
4. ~~.~ ~~ \ ~ pJ
~~~
a. I')f) .
& ~\ .4:0
8% State Surcharge
]0% Admin:";"..;';vc-Fcc
5% Technology Fee
TOTAL
Sbarctl Drivc(r;)J81U1ding FonnslEJcctrical Pc:rmit Application 7007.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
COM2007-0l372
COM2007-0l372
COM2007-0l372
COM2007-0l39l
COM2007-0l39l
COM2007-0 1391
COM2007-0l39l
COM2007-0l39l
COM2007-0l39l
COM2007-0l389
COM2007-0l389
COM2007-0l389
COM2007-0l389
COM2007-0l389
COM2007-0l389
COM2007-0l37l
COM2007-0l37l
COM2007-0l37l
COM2007-0l371
COM2007-0l37l
COM2007-0ll70
COM2007-0ll70
COM2007-0l170
COM2007-0ll70
COM2007-0ll70
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
3200700000000000725
Date: 11/01/2007
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,]23.83
11/1/2007
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01371
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 04/30/2008
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5749 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005100
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence -lot 185
SAME AS COM2007-003S4 5773 Mt Vernon
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-1081
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORA TE.D
PACIFIC AIR COMFORT INC
STEVEN DOUGLAS JACKSON
License
92208
67362
39237
1311 09
Expiration Date
07/2912009
06/19/2011
03/2512010
08/2412008
Phone
541-228-6935 Ti
541-754-6171
541-672-9510
541-683- 7535
BUILDING INFORMATION I
# of Units: 1 # of Stories: 2 Lot Size: 2,902
Primary Occupancy Group: R-3 Height of Structure: 26.00 Sq Ft 1st Floor: 729
Secondary Occupancy Group: V Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 999
Primary Construction Type VB Water Type: Gas Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport 409
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Subdivision Not Accepted
REQUIRED PARKING
Overlay Dist: f~(ENTlON: Oregon law reqqi&'tIiIYOU to 2
# Street Trees ~~d~~a~~oinesCadtOPteidlilbY the Oifah1i1dJ~'~Wt:
P d D. R 'd"u en er. ose rule~rlOl <:Qt orth
ave rIve ~ I DAR 952-00 1-00 ~ es h -co~~ae .
% of Lot Coverag,e: v b3 u1wro~g OAR 952-001-
...... v'. IOU may 0 l In copIes of the rules by
ca"~ng t.he c~nter. (Note: the telephone
I PUBLIC IMPROVEM'ENT~\..'u, lilt:. uregon UIIIfty Notification
. ,enter IS 1-800-332-2344).
Street Improvements: AC Mat Sidewalk Type:
Storm Sewer Available: Yes Downspouts/Drains:
Special Instruction: .. 1HE \NORK
N t F thO I' J NOM"'Cd~":.n:'T.c,t\;\li~ll E1-P~E'd~~t.M\1t \ShNB01'ldo D'o,' b h C' EO" h
o es: or IS parce m asper.l1ea\ ~~,S,\ltlISJ e r.eco?1wgn. a IOn 0 t e UI mg IVlSlon, y t e Ity ngmeer: t at
no connections shall be ka'd'~-,toISa1iitat1\~P~tb'~~H-2(:)rsys't~~~UiItiI the subdivision is accepted by City Council".
1\1.\ \ nUi\l....~- R \S f"'\\.JI-\\w\:: '
r", MMENCED 0
;~~W \ 80 D{\'{ PERIOD.
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
7.00
5.00
10.00
0.00
To Storm Sewer
Pa2e 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
Gara2:e
DweIlin2:s
Gara2:e
Fee Description
Plan Review Same As
~Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
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 Hourly
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 Addtll00'
Vent Fan
WiIlamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
409.00
Total Value of Project
~
Amount Paid
$220.00
$40.00
$147.59
$78.70
$109.52
$337.00
$35.00
$7.00
$945.04
$7.00
$10.00
$106.85
$14.00
$5.00
$205.00
$100.00
$571.31
$751.33
$10.00
$961.52
$91.61
$133.69
$71.39
$862.25
$195.48
$658.13
$16.00
$28.00
$2,303.00
$18.00
$9.00
$14.40
$117.00
$63.00
Date Paid
9/10/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
11/1/07
11/1/07
11/1/07
11/1/07
11/1/07
Pa2:e 2 of 4
CITY OF SPRINGFl~LD
Building/Combination Permit
PERMIT NO: COM2007-01371
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 04/30/2008
VALUE: $ 189,027.00
Value
Date Calculated
$177 ,984.00
$11,043.00
$189,027.00
09/10/2007
09/10/2007
Receipt Number
2200700000000001415
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
2200700000000001445
3200700000000000725
3200700000000000725
3200700000000000725
3200700000000000725
3200700000000000725
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01371
ISSUED: 09/13/2007
APPLIED: 09/10/2007
EXPIRES: 04/30/2008
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$9,242.81
Plan Reviews I
Plan Review Comments
10/26/2007
10/26/2007
10 LLH
Planninl! Review
09/10/2007
APP T AJ
09110/2007
Public Works Review
09/10/2007
APP MS
09/10/2007
Structural Review
09/10/2007
APP DLM
09/1112007
Tim with Hayden brought revised
plans in for Don regarding portal
frame. Robert signed off on site.
Left plans on don moores desk.
The house needs to have: 3'
walkway from porch to street,
window grids, and windows in the
garage door.
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council". - MS
9/10/2007
Interior ftg at garage is inadequate.
Waiting for new calculation for
footing 9/10/2007dlm Received
revised ftg. calc. 9/11/07dlm OK.
Plan review comments from same-as
project attached to const.
documents.
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.
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01371
ISSUED: 09113/2007
APPLIED: 09/10/2007
EXPIRES: 04/30/2008
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Undertloor 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.
Undertloor 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
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 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 ofthe 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