HomeMy WebLinkAboutPermit Electrical 2007-11-1
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(FAX) 154171112572
%2.0; FlFI1J STIu;E'f · ~u.LD. OR 97477 . PII:(541)726-37S3 . FAx: (54i~
ELE....l.t<ICALP~ ~J?;LfCATION
City Job Number ' ('; \. rr.,<.1 ! ., .
1. 1~~Q;,'!"
, 014'[- '\^:.
LEG.A)-, ~CRIPTION; A.
\ (5 (JIb Service Joeluded
JOB DESCRIPTION: 'n: 7 \,,~ 1000 sq. ft. or less
~/J; ~ ~ d Of') t-r. ~-\9'-\:::'~:iSOOsq.ftor
, J1'crmits arc Do~:trimsrerab~ ~p~~ if work is . Each ~anuract'd H~mc or
not sblrted. ~ithin.180 days of issuance or if. work is Modular Dwelling Service or
SUSPended for ]80 day$. . Feeder
Electrical. Con1rnctor 1M f W ~Mu~
Address ()t1'f.,~'1 t1w-( ~{.I
City. A\hu,^,L/, Phone 7~-Vr71
Supervisor License Number
f{~...,'f 5
E...,.:" ..cian Date
In-i-lOW
Constr. Contr. Number
(p '7 3><R L
/71- JW[(
Elcpiration Dale:
Signature of Supervising EleClrici~
, )A--- ' -1L-- ~
OwnmN_ \\lw,dro~ .
~c1{gM 5(.) qtq.. ~~ . ~
City ~O~ Phone~ . 05
OWNER. INSTALLATION
The installation is being made On property r own which
is not intended for sale, Ieme or rem.
'.. .~ Signature:
1001,. ....,;,:on Request: 726-3769
Date
3.
\
A
\.\ 1 {1J
~ JvptJ
Sl17.00
$ 21.00
$55.00
B.
. qUIres you 0 '
200 Amps ~CjIW r~,"es adopted by the. ~/1f)JlQl Utilitv
201 Amps ~~~I~[I. Center. '. nose ru'~rooset forth
401 Amps ~ ;?-001-001 ?,iilf[lI~g,ll ~18!tfO?2-001-
. may obta., I "Vt-"v,J of the rul~::; oy
601 Amps to ~ft~~ center. (t-./I"\to' t,,~~tqt90h .::;-;.:
Over 1000 AlnP~Jltor the Oreonn lltilit}$1JetR9c?t;,:,,,,
Rc<<mncct Only Cen~er is 1-l3nn-:i~2~~~'~~J
"(,
Installation, Alteration or Relocation \
200 Amps or less . l
201 Amps to 400 Amps
401 Amps to 600 Amps ,
, Over 600 Amps or 1000 Volts see "an above.
D.
i!~Jlmttl' r- ' kicfo'<P'J~PaiFe1 TH E WO R K
[)CWtll't'Z: UNDER THIS PERMIT 1$48.!D(f
'ehl14.~~UhJJl€. iQBn. I&AiihlNDONED FOR
9tAA6e1dfI1~~1QD. '$ '4.00
~~~
$ 55.00
$ 76.00
$110.00_"
Pump or irrigation $ 55.00
Sign/Outline LiGhting $ 55.00
Limited EnergylResidentiaI $ 28.00 .
Limited Energy/Commercial $ 50.00
MI.;..".. - J>enok Iao)lOdinn F.. .. $SO.O' + ~"W"'1"
. 4. I j~ t-.l ~ ,eO
. 8% Statc Surcharge ll. \ '2-
J 0% Administrative Fee . . ..J-,. . ~O
S% Teclmology Fee ...1.0 ....,. D .
fl.l9~.1.. 1-
TOTAL
Shared Orive('r;)lauilding FormslElcmical Pc:rm.it Application 7.fJ7.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
COM2007-0l372
COM2007-0l372
COM2007-0l372
COM2007-0l372
COM2007-0l39l
COM2007-0 1391
COM2007-0l39l
COM2007-0l39l
COM2007-0l39l
COM2007-0l39l
COM2007-0l389
COM2007-0l389
COM2007-01389
COM2007-0l389
CO M2007 -01389
COM2007-0l389
COM2007-0l37l
COM2007-0l37l
COM2007-0137l
COM2007 -01371
COM2007-0l37l
COM2007-0ll70
COM2007-0ll70
COM2007-0ll70
COM2007 -0 Ll70
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 Addtl500
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
11/1/2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09119/2007
APPLIED: 09/12/2007
EXPIRES: 04/2512008
VALUE: $ 169,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5741 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005400
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence -lot 188
SAME AS :COM2007-00360 5783 Mt Vernon
TYPE OF USE: New
Residential
Owner:
Address:
HA YDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
142776
BUILDING INFORMATION I
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure: 25.00
Secondary Occupancy Group: U Type of Heat: Forced Air Gas
Primary Construction Type VB Water Type: Gas
Secondary Construction Type: Range Type: Gas
# f B d ,..' /i 'I~. 3 E P h PhI
o e rooms: _ I, li,y" "-.I~I: 0 ' . ~, nergy at : at
1/...... ...:, .(9.':].:'[' S' kldB 'Id' . /
:.v,/l/,~.,;.. ',,20;)..,,' ;'/.,q-:;;;r,. prm e Ul mg. na
'. ,', :.t'!l..'l I,.... ." G. ';'.. ,. <iE!,(l"',. ~._
~" ~'I. l, ':',.' '...... J."F~.'" "7--, '," ','" ~ ......;, !/'i'~"')" "
c~~~:;. ;7;;:~Vl.'-f:~;C~';~rI)EVEL0PMENT:INFORMA TION .
(..',~." ''';,~ ,'1' J,)I..,7J:I,//rJ<....J. .. -',...'(fl,,,qor,/.... / - '4JfiS'~:~,~ ,.'''J
" . ','.' J,,'r;~ -' ....'IiiE!.[.""7tr. ..... ~}J I'"oo,"~""" -..;;1. :fV.:rlh
'I, r,- I,., ~ ~.I:,", t:".::....- <[f(('Y'".., "'''''-.'-''-1-.. '.,
~~'~.J, '~T'<'p' ....... I' ,-.,. . r~,1.t.'.s. ~ J '\J~':) ~n~
F~ontyard Setback: '- ,-Oi{J:..-fl:k~J~~._OO:~'.'c:'~q>:::'~ .;JQ.'::"e,~L~r.~~t:
Side 1 Setback: c..d,~.::8... .. ~Si~_O':.:,i: . .,;;::;fe J#/~treet;SfJli~s Rqd:
.,!jJ; Z . '. ""',-,. 'I "J <~,Ja:.^
Side 2 Setback: 7~00D.:."'::2<~",:;'._ J,'-p.~yS9~""'ive Rqd:
Rearyard Setback: 11.50 <4..~Jl.o of"H~OCoverage:
Solar Setbacks: 0.00
I PUBLIC IMPROVEMENTS'
Street Improvements:
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: 641
Sq Ft 2nd Floor: 898
Sq Ft Basement:
Sq Ft Garage/Carport 408
Sq Ft Other:
Occupant Load:
1
Yes
37.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction:,~ ,',"; :ltor this parcel in Jasper Meadows, it is the recommendation to the Building Division, by the City
~' ;I~ . ""Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
Notes: Storm wa{ercnPu~di1ii~~~~Lfe~ted~rr-CityEcouncil'"
AUTHORIZED UNO /~ In t" I f11 WORK
COMMENCED OR I~~~~~;ERMIT IS NOT
ANY 180 DAY PERIOD. ONED FOR
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 04/25/2008
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin!!s
Gara!!e
v Wood Frame
Gara!!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,539.00
408.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$158,517.00
$11,016.00
$169,533.00
09/12/2007
09/12/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $220.00 9/12/07 2200700000000001431
-Mech Iss 2+ Appliances- $40.00 9/19/07 1200700000000001211
+ 10% Administrative Fee $140.48 9/19/07 1200700000000001211
+ 5% Technology Fee $75.62 9/19/07 1200700000000001211
+ 8% State Surcharge $104.60 9/19/07 1200700000000001211
3 Baths One & Two Family $337.00 9/19/07 1200700000000001211
Addressing Assignment $35.00 9/19/07 1200700000000001211
Appliance Vent $7.00 9/19/07 1200700000000001211
Building Permit $873.44 9/19/07 1200700000000001211
Dryer Vent $7.00 9/19/07 1200700000000001211
Exhaust Hoods $10.00 9/19/07 1200700000000001211
Fire SF Fee - Residential $97.35 9/19/07 1200700000000001211
Fireplace (Listed) $17.00 9/19/07 1200700000000001211
Furnace - up to 100,000 btu $14.00 9/19/07 1200700000000001211
Gas Outlets 1-4 $5.00 9/19/07 1200700000000001211
Plan Review Major - Planning $205.00 9/19/07 1200700000000001211
Sanitary Sewer - Improvement $612.12 9/19/07 1200700000000001211
Sanitary Sewer - Reimbursement $805.00 9/19/07 1200700000000001211
SDC MWMC Administration $10.00 9/19/07 1200700000000001211
SDC MWMC Improvement $961.52 9/19/07 1200700000000001211
SDC MWMC Reimbursement $91.61 9/19/07 1200700000000001211
SDC Sanitary/Storm Admin $136.62 9/19/07 1200700000000001211
SDC Transpo Admin $71.08 9/19/07 1200700000000001211
SDC Transpo Improvement $862.25 9/19/07 1200700000000001211
SDC Transpo Reimbursement $195.48 9/19/07 1200700000000001211
Storm Drainage Impervious Area $615.92 9/19/07 1200700000000001211
Storm Sewer Each Addtll00' $16.00 9/19/07 1200700000000001211
Vent Fan $21.00 9/19/07 1200700000000001211
Willamalane Single Family $2,303.00 9/19/07 1200700000000001211
+ 10% Administrative Fee $21.40 11/1/07 3200700000000000725
+ 5% Technology Fee $10.70 11/1/07 3200700000000000725
+ 8% State Surcharge $17.12 11/1/07 3200700000000000725
Residence Wiring 1000 Sq Ft $117.00 11/1/07 3200700000000000725
Residence Wiring Ea AddtI 500 $42.00 11/1/07 3200700000000000725
Temp Power 200 amps or less $55.00 11/1/07 3200700000000000725
Pa!!e 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 04/25/2008
VALUE: $ 169,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$9,153.31
I Plan Reviews I
Initial Review
APP
LLH
09/24/2007
09/24/2007
Planninl!: Review
09/25/2007
APP
TAJ
09/24/2007
Planninl!: Review
APP
TAJ
09/12/2007
09/12/2007
Public Works Review
Structural Review
09/12/2007
09/18/2007
09/12/2007
09/18/2007
APP
APP
TSS
DLM
CITY OF SPRINGFIELD'
Revised plot plan submitted as
required by Robert Castile.
Forwarded to Planning for their
review.
Need 3' walkway from porch to
street; windows in the garage door;
grid window
House needs to have: 3' walkway
from porch to street, windows in the
garage door and grid windows.
Tim at Hayden asked to flip this
house so that the garage would be 011
the east side. I checked with Gary
Mckenney and Les Benoy who
indicated that it would be OK with
them. Therefore, I have approved it
allowing a 18' average garage
setback as would be done on a
cul-de- sac.
Storm water routed to gutter.
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.
~eouiredJnSDections 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.
Pal!:e 3 of 4
CITY OF SPRINGFIELD'
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 04/25/2008
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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
Pa2e 4 of 4