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Home My WebLink AboutPermit Electrical 2007-11-1 .-..........\1 ,,!} IC.:I.( (FAX)IS417412572 P.001/002 ~~. - DATE \ r:"- J. 0 I . SOURCE ~ ~rz--::. Date N O'y 'I 2...-ITV/ %l..Il ~FI'H ~F:I' · SPRINGFIELD. OR 97477 . 1"II:(541)'7U-37!.l . FAX: (S4l~ . .ELE....J.KICALPERMrr APPLICATION CityJobNumber (' A\ .~~1S~ 1. ""'"~"';~Q . ''bi J " . ", .. . .' - I "".N.M.~ .1I~hNIIIIIGLt, O"\Jr eJ "'" t \l effioY\ Ll~D2D2IXJ; Wlci:J JOB DESCRIPTION: ~uiA Ctt ti,l .l It " . . Permits a~ ~~~expi~ ;fWO"';- Dot mtrted Within 180 days of issuance or if'work is SUSpmdccUor 180 daya. 2. Electrical Contractor 1M ~ w ~~~ Address ~)<<69 t1w-( ~{..I City . A\ hUVl-l/ Phone 7~-f.t1'7/' Supervisor l.icense Number f{~...,'-f s R..,.:''''~:onDate ID-/-lolO CanstI'. Contr. Number (p / 5,(PL /~ f -,)W 8'" Expiration Dale Signature of SUpervising ElectrleilUl . )/L-- -tV- City OWNER. INSTALLATION 'the installation is being tnade On PTOpcrty r own which . is not intended for sale, lease or rent. Owners Signature: . Insr ......:on Request: 726-3769 Service Jnt:luded 1000 sq. ft. or Jess . Each additional 500 sq. ft. or . ponton. thereof A $117.00 U1 (1J S 2J.00 . ...11e.o Each Manufuct'd Home or · Modular Dwelling Service or Feeder $55.00 B. 200A,_~~l~rV~N' Ore I $70.00 . " I · . gon,a,^, reqUIres "'/0'" A . 201 t::!:lQt~.QQtmP~Pte_d by th.c O'C~ iJ)or;~g 401.~ps_t'ot600~.~'::I, I nose "h- --~~1ctttli 6O~W~~1 ~ throuillriAR"q~hBa ~ Ov~~W?~~M'JlSbtam copies of t~r%1~.1 ,,-.Llve center. (Note: the tA/!irf$,J number-for the Oregon Utilit No" , C. InstaUation, Alteration or .Relocation 200 Amps or Jess $ 55.00 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $110.00 Overrtio]'WJ;'p~ or 1000 Vol~ s _ ~J~iWQYe.:- D. New ~i~ti~ ~I:'EhteDSjOD PCB7 P.lln~ NED.' FO R ..an~JlMtNli U un 10 nUnr.~ One uireuIt P 1= R lO 0 ' $ 48.00 Each .tUariiii&Jil &&'&if rJr wIth .. . Service or Feeder Permit $ 4.00 E. Pump or irrigation $ 55.00 . Sign/Outline LightiDg $ 55.00 Limited EnergylResidential 5) .28.00 Limited Energy/Commercial $50.00 Minimum Electric Permit Inspection Fee is $SO.OO + SUrcbargcs .~ ~.cJ) . S"O".ou i& .17'5P!v . U --: - UO.~ TOTAL A.1 ~.01 ShlImd 0ri~;)lam1ding FOrmslEJcctrical Pamit Application 7-07.doc 4. 8% State Sure e ](J% Administrative Fee 5% Technology Fee -\: Wf\~ fee. 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 COM2007-0l372 COM2007-0l372 COM2007-0l372 COM2007-0l372 COM2007-0l391 COM2007-0l39l COM2007-0l39l COM2007-0l39l COM2007-0l39l COM2007-0l39l COM2007-0l389 COM2007-0 1389 COM2007 -01389 COM2007-0l389 COM2007-01389 COM2007-01389 COM2007-0l371 COM2007-0l37l COM2007 -01371 COM2007-0 1371 COM2007-0l37l COM2007-0ll70 COM2007-0 1170 COM2007-0ll70 COM2007-0ll70 COM2007-0ll70 Payments: Type of Payment CreditCard cReceintl 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 3:30:2SPM 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 II II /2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5745 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802030005200 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01389 ISSUED: 11/0112007 APPLIED: 09/1212007 EXPIRES: 05/0112008 VALUE: $ 169,533.00 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence -lot 186 SAME AS :COM2007-00360 5783 Mt Vernon Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor HA YDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142776 O'Aerlay Dist: ~ / i-,- #':(jSfreet,\1)~ees/Rqd: 1 //01 'f . ...11\: 0- 11J0~r..etl Dp~~~ Rq.(J: e,gon / Yes . o/tlllf"'"~" C~ 8n,......, ,alAI r It) ~ !l }"otl,: ~,v~r,age:9d b SqUiJ36.20 009 J-I,<; 952"00~n('er. rhoY the Ore es You to O. Y"n".. I-Ont,..." Se rli!~,_ gOn 111".. . pUBi:i,C:jMP.~O:yi~~'T.s,'J~9h 611 ClR' e9Set f~~'t{ . '-' .~ .._nl'''''''''~, Ie. '1 5') '1 , 'ur th -'. I S Of th <-QoSF Street I~pro. vements: Cent ~ Oreg . Ote: the ~ltt~an5s1A .e: '\lnr~r'Ii=' er IS 1 on Uti/it ,elepho Storm ~~wer W~ailable: -800-33<_ Y A0.QJW8slY<Jths/Drains: Special I~~t~uQti~i\:1IT SH,E,'or tIiisnp"U'licelcin-J,asp.eIiOMeadows, it is the recomi6~JtionaNPtfte Building Division, by the City -- -;,fllIlL.. II I ~ II: vv MK. 1'. AUT. HORIZED UNIEingineerr:' 'l-thatfljnorco,nnec)tions shall be made to sanitary or storm H20 systems, until the .. UI..... .' '.1(0 r:CIi II 1;-: l\lI T. . Notes: C'CStOlilnl~~teli vou1llllbdiwuttunsNac,cep.te(J bY-C:lty CouncIl". m"V1<- 'vLU un I\,) I-Im-lI\!UU cD FOR IINY i 80 DAY PERIOD. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB Frontyard Setback: Side 1 Setback: Side 2 Setback:. Rearyard Setback: Solar Setbacks: 14.00 7.00 5.00 11.40 0.00 BUILDING INFORMATION I 3 # of Stories: 2 Height of Structure: 25.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a I DEVELOPMENT INFORMATION. Page 1 of 4 Residential 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: 641 898 408 REQUIRED PARKING 2 Total: Handicapped: Compact: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction V Wood Frame Garal!:e Dwellinl!:s Garal!: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 Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning 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 WilIamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Reinspection Fee Electrical Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 I Valuation Description I $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,539.00 408.00 Total Value of Project ~ Amount Paid $220.00 $40.00 $140.48 $75.62 $104.60 $337.00 $35.00 $7.00 $873.44 $7.00 $10.00 $97.35 $17.00 $14.00 $5.00 $205.00 $571.31 $751.33 $10.00 $961.52 $91.61 $131.32 $71.65 $862.25 $195.48 $615.92 $16.00 $21.00 $2,303.00 $15.90 $10.45 $12.72 $50.00 $117.00 $42.00 Date Paid 9/12/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 9/19/07 11/1/07 11/1/07 11/1/07 11/1/07 11/1/07 11/1/07 Pal!:e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01389 ISSUED: 1110112007 APPLIED: 09/12/2007 EXPIRES: 05/0112008 VALUE: $ 169,533.00 Value Date Calculated $158,517.00 $11,016.00 $169,533.00 09/1212007 09/1212007 Receipt Number 2200700000000001432 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 1200700000000001212 3200700000000000725 3200700000000000725 3200700000000000725 3200700000000000725 3200700000000000725 3200700000000000725 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01389 ISSUED: 1110112007 APPLIED: 09/12/2007 EXPIRES: 05/01/2008 VALUE: $ 169,533.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,038.95 I Plan Reviews I Plannin2: Review 09/12/2007 09/12/2007 APP TAJ House needs to have: 3' walkway from porch to street, windows in the garage door and grid windows. Public Works Review 09/12/2007 09/12/2007 APP TSS Storm water routed to gutter. Structural Review 09/18/2007 09/1812007 APP DLM Same-as review 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. ~eouiredJnsnections 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. 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. Pa2:e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01389 ISSUED: 11/01/2007 APPLIED: 09/12/2007 EXPIRES: 05/0112008 VALUE: $ 169,533.00 225 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. 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 4 of 4