HomeMy WebLinkAboutPermit Electrical 2008-8-12
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-36S9
ELECTRICAL PERJ,WIT APPLICATION
CIty Job Number fin, ,.;l.,,,p. Ol..?o"l
Date ;r/O'''/eJ .v
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LEGAL DESCRIPTION
I soz.. 0332
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ServIce Included
t ..It f2...c?
1000 sq ft or less
Each adillTIonal 500 sq ft or
portIon thereof
$11-too E~-
$ll11l0 h ?
JOB DESCRIPTION
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Permits are non-transferable and expire If work IS Each Manufact'd Home or
not staIied Wlthm 180 days of Issuance or If work IS Modular Dw{Olmg ServIce or $i/1
"___,""",,.<UoW''''''~__~____ "-- "" ""'iiif"- 00
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-r 1~\eS \el "'{nO ~^o 1\lleS tI'/
ElectrIcal Contractor LiL,fl)/b \O~~ C~~ t\~~ 0 \nlO ?,itftJ ~~ ~n~ $ 70 00
, ~OO~p. 952"U~,/ ~'o\a.\l\ ~~\eO~~~~4a6>9vnps $ 83 00
Address ;;20871 ~ ...,. \~M~ '/O~~ c,el\\el. ~Ol\ llli\\\W,.),~~)1D 600 Amps $13800
~'(J Ill'\! ", Ole", ,,",,-'2.:Z5'"
ca: \'o~JS ~_aOO'6OTAmpsto 1000 Amps $18000
roone:!!JJ- if Over roOo-Arrij)sfVOlts .)>qJj uu
Reconnect Only $ 55 00
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Llty
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()~r
ExprratJon Date
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Supemsor Llcense Number
-
Constr Contr Number
IostallatIOn, AlteratJOo or RelocatlOD
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
$ ?JOO
$ 76 00
$110 00
51
ExpiraTIon Date
Over 600 Amps or 1000 Volts see "B" above
____ ~ D '",~~~;f<'V%"lIT;;'~"'Z'!1~~ 'CP"""~~'''''''li!t-I\'~S''~~B;rn.;~~lF"~jjjl''''''''i!n~-'''-'C~!;!l~'1'li'''''I~'/'l~
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(SIgnal re :~~e~CI ~::~;:~;:::~~'~r ;:t~:s:::';:;;;~;lI."~ '~~~"""" ,M\, "~,~"
- ' --""" One CirCUIt ~()~ $ 48 00
~ Each AddITIonal C~~ ~ ~\J",
_ / a..,n Servlce or Fe...!,;\' Ii'-~'''' $ 4 00
Oi'",~l~e - ~~ 0. 1fX...tr.AL/lul'<b, x:~ ~\."t:l"" .\~~ ~C\,.
J I ~ ~ I ~\c. .~, "ai'!. i~~"'~'<:l>'""..'':.'!l''~'l1r'''''''~,,'''''''''''llo\:''l!!
Address 17f>..tCG./ ~ "Z-t..f6u StJ ~it"*' ", " .s2l\~~~![@1_~~~lJ,%l~M~'~ lacl!tll1%JlJJ,\WJ!l
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CIty U-AMO'^-tJ Phone z7...tf-,b,} ~\\C\~~~. $5500
C.C\\S;~~lllle LIghtmg $ 55 00
I>-~'{ ~llll1ted EnergyfResldenlIal - $ 28 00
Lumted energy/CommercIal $ 50 00
MIOlmum Electnc PermIt Inspection Fee IS $50 00 + Sureharges
4 ~~m7i1~~Ql~~@;""~~1~~~~iT~~!!~1 ?-f.{U
~~~;:;~-....., ",''',~,l!!i1lWl L ~<+
10% AdrrumstraTIve Fee -Zl{" v
5% Technology Fee 12 z 0
30 '7 ~
OWNER INSTALLATION
-The mstallatlOn IS bemg made onproperfY 1 own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIOn Request 726-3769
TOTAL
Shared DnveCT )/BUlldmg FormslElectncaJ Penmt Apphcatlon 1-0& doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01204
ISSUED. 08120/2008
APPLIED 08/12/2008
EXPIRES: 02/20/2009
VALUE. $ 222,565.00
-~.
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 5751 PUMICE PL
ASSESSOR'S PARCEL NO 1802033210400
SPRINGFIETYPE OF WORK Smgle Famdy ReSIdence
PROJECT DESCRIPTION Smgle famdy reSldellce
TYPE OF USE New
ReSIdential
'U^U~
I PUBLIC IM~'WVEMENTS~\?~ \f1~~ \~ "01
t.lO\ Iv'" 'S\'\I\(." S~&~~:;;':a.
Fullv Improvell' S ?'C?\JI\i ~~t? i"\.\~O~t.\TfV'pe
Ye,;t"\\,\o?\lt~ UO?' \S f>.~f>.\""ownsponts/Drams
Storm water to curb f>.U \'J\'C~Ct~ cP,\Ot).
CO\J\ 00 t)f>.'{ ?'-
f>.~'{ "\0
Owner HAYDEN HOMES LLC
Address 2464 SW GLACIER PL
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor License
HAYDEN ENTERPRISES 92208
TOP NOTCH ELECTRIC INC 172366
PACIFIC AIR COMFORT INC 39237
PLUMBING PLUS INC 90482
I Buu.mNRlIdllF('1Rm:MQ~
ATTENTION ~ -fed by the V/JJ.vs~tIOrt."
# of U IlIts lollow rules ad~~l lIr~tpMl~ ale 95:<-001- 2
Pnmary Occupancy Group No\llllbllon cen_o01'6~RMt~lQtes bY 2700
Secondary Occupancy Group. In OARe5Z-001 btaiYPCl!l.film#: 'ep~aed AI< Gas
Pnmary ConstructIOn Type 0090V)jJU m~e~te~ii~r ~O\ll\catlOI\ Gas
Secondary COllstruchon Type calling the the ~ ~Y~~). _
# of Bedrooms num\lj:llctO~ter 1I1\,p" .
e Spnnkled BUlldmg No \
Contractor Type
General
Electncal
MechaIllcal
Plumblllg
I DEVELOPMENT INFORMATION I
Frolltyard Setback.
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
1800
2530
800
2540
000
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
SlI eet Improvements
Storm Sewer Available
Special InstructIOn
Notes'
Page I of 4
ExpIratIon Date
07/29/2009
09/2812008
03/25/2010
05/1 0/2009
Phone
541-228-1081
541-317-1998
541-672-9510
541-926-3190
Lot SIZe 6,313
Sq Ft 1st Floor 1,008
Sq Ft 2nd Floor 1,005
Sq Ft Basement
Sq Ft Garage/Carport 400
Sq Ft Other
Occupant Load
REQUIRED PARKING
3
Yes
3820
Total
HandIcapped
Compact
2
CurbSide 7'
Curb and Gutter
Status
Issued
CITY OF SPRINu.lflELD
Building/Combination Permit
PERMIT NO: COM2008-01204
ISSUED: 08/20/2008
APPLIED' 08/12/2008
EXPIRES' 02120/2009
VALUE' $ 222,565.00
225 F,lth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
I V oluotion DescrlO~~on I
DwelllIlgs
Garage
V Wood Frame
Garage
$ Per Sq Ft
or mulllpher
$10500
$28 00
Square Footage
or BId Amount
2,013 00
400 00
Value
Date Calculated
DescrIotlon
TVDe of ConstructIOn
Total Value of ProJect
$211,36500
$11,20000
$222,565 00
08/1212008
08/12/2008
!..Fe,.< P~111
Fee DescllPtlOn Amount Paid Date PaId ReceIpt Number
-Mech Is; 2+ Apphances- $42 00 8120/08 1200800000000000891
+ 10% AdmlIllStrallve Fee $24 40 8/20/08 1200800000000000893
+ 10% AdmlIllStrallve Fee $16458 8/20/08 1200800000000000891
+ 12% State Surcharge $29 28 8/20/08 1200800000000000893
+ 12% State Surcharge $18302 8/20/08 1200800000000000891
+ 5% Technology Fee $12 20 8120/08 1200800000000000893
+ 5% Technology Fee $9561 8/20/08 1200800000000000891
3 Baths One & Two Family $348 00 8/20/08 1200800000000000891
AddresslIlg ASSIgnment $3700 8/20/08 1200800000000000891
Apphance Vellt $1600 8/20/08 1200800000000000891
BUlldlIlg PermIt $1,06318 8/20/08 1200800000000000891
Curbcut PermIt $88 00 8/20108 1200800000000000891
Dryer Vent $800 8/20/08 1200800000000000891
Exhaust Hoods $11 00 8120/08 1200800000000000891
Fire SF Fee - ReSldentJaI $12065 8/20/08 1200800000000000891
Fireplace (LISted) $1800 8/20/08 1200800000000000891
Furnace - up to 100,000 btu $1500 8/20/08 1200800000000000891
Gas Outlets 1-4 $600 8/20/08 1200800000000000891
Plan ReView Major - PlannlIlg $211 00 8120/08 1200800000000000891
Plan ReVIew ReSIdentIal $691 07 8/20108 1200800000000000891
ReSIdence Wiring 1000 Sq Ft $12100 8/20/08 1200800000000000893
ReSIdence Wiring Ea Addtl 500 $66 00 8120/08 1200800000000000893
Samtary Sewer - Improvement $589 02 8/20/08 1200800000000000891
Sanitary Sewer - Reimbursement $77462 8/20/08 1200800000000000891
SDC MWMC AdmlIllStratlOn $10 00 8/20/08 1200800000000000891
SDC MWMC Improvement $1,00917 8/20/08 1200800000000000891
SDC MWMC ReImbursement $97 90 8/20/08 1200800000000000891
SDC SamtarylStorm AdmlIl $15599 8120/08 1200800000000000891
SDC Transpo Reimbursement $201 54 8120/08 1200800000000000891
SDC TrallsportatlOn AdmlIl $1497 8/20/08 1200800000000000891
SIdewalk PermIt $88 00 8120/08 1200800000000000891
StOI m DralIlage ImpervIOus Area $73704 8/20/08 1200800000000000891
Temp Power 200 amps or less $57 00 8/20/08 1200800000000000893
Vellt Fan $40 00 8/20/08 1200800000000000891
Wlllamalalle SlIlgle Family $2,513 00 8/20/08 1200800000000000891
Paee 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES.
VALUE
COM2008-01204
08/20/2008
08/1212008
02/20/2009
$ 222,565 00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Amount PaId
$9,659 24
Plan ReVIews ,I
Pubhc Works ReVIew
08/12/2008
08/1212008
APP LKW
Storm water to curb
PlannlU2 ReView
08/14/2008
08/14/2008
APP TAJ
To Request an IDspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00
a.m. wtll be made the same working day, inspections requested after 7:00 a.m. wtll be made the following
work day
II?"n~
EroslOn/Gradmg InspectIOn Pnor to ground dISturbance and after el OSlOn measures are mstalled
SIdewalk - CurbSide After forms are erected bnt pnor to placement of concrete
Curbcut - Standard After forms are erected but pnor to placement of concrete
Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn m conJunctIon WIth footmg and/or
foundation InspectIOn
Footmg After trenches are excavated
FoundatIOn Alter forms are erected but pnor to concrete placement
Post and Beam Pnor to floor msulatlOn or deckmg
Floor InsulatIon Pnor to deckmg
Shear Wall Nallmg Before covenng sheathmg WIth fimsh matenals
Frammg InspectIOn Prior to cover and after all rough m InspectIons have been approved
Wall InsulatIOn Pnor to cover
CeIlmg InsulatIOn Prior to cover
Drywall Pnor to tapmg
Hold Downs Installed SpecIal InspectIon performed pnor to placement of concrete ProvIde report to City
Blllldmg Inspector
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buddmg IS complete
Penmeter Foundahon Drams After gravel and filter cloth IS mstalled but pnor to backfill
Underfloor Plumbmg Pnor to msulatlOn or deckmg
Ulldertloor Dram Pnor to cover or placement of concrete
Rough Plumbmg Pnol to cover and mcludmg reqUIred testmg
Water Lme Pnor to filhng trencb and mcludmg reqUIred testmg
Samtary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg
Page 3 of4
-~=.iii
CITY VI< I'lt'Kll'l\.JI<IELD
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-01204
ISSUED: 08/20/2008
APPLIED: 08/12/2008
EXPIRES: 02/20/2009
VALUE. $ 222,56500
225 Filth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Storm Sewer Lme Pnor to filhng trench
FlI1al Plumbmg When all plumbmg work IS complete
Gas ServIce Alter lIne IS mstalled and hne has been connected to a mmlmum of one apphance lIIc1udlllg reqlllred
testmg Presure test done at thIS pomt
Undertloor Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance
Rough Gas After hne IS mstalled and required testmg and capped If not attached to dn apphance
Rough Mechamcal Pnor to Cover
Fmal Gas When all gas work IS complete
Fmal Mechamcal When all mechalllcal work IS complete
By Slgllature, I state and agree, that I have carefully exammed the lompleted applIcatIOn and do hereby certIfy that all
mformatlOlI hereon IS true and correct, and I further certlly that any and all work performed shall be done m accordance wIth
the Ordll1ances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure wIthout permISsIOn of the Commulllty ServIces DIVISIOn, Blllldmg Safety
I further certIfy that only contractors and employees who are m comphdnce wIth ORS 701 005 will be used on thIS proJect
I further agree to ensllre that all reqUIred mspectlOns are requested at the proper time, that each address IS readable from the
street, that the permIt card IS located at the frollt of the property, and the approved set of plans will remam on the SIte at all
tImes dUrIng constructIOn
~ /a .-1
~
~J~
$-020-0'6 <
Own:;: or Contract~rs Slgna~
Date
Page 4 of 4
225 Fifth Strcet
Spnqgfield, Oregon 97477
541-726-3759 Phonc
~
CIty of Sprmgfield Official ReceIpt
Developmcnt SCrvlCCS Department
PublIc Works Department
Job/Journal Number
COM2008-0 1204
COM2008-01204
COM2008-0 1204
COM2008-0 1204
COM2008-0 1204
COM2008-0 1 204
Payments
Type of Payment
CredltCard
cRecemll
RECEIPT #.
1200800000000000893
Date' 08/20/2008
Description
Residence Wiring 1000 Sq Ft
Residence Wifing Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
PaId By
HAYDEN HOMES
Item Totat
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
064892 In Person
Payment Total
Page I of I
22131PM
Amount Due
12100
6600
5700
1220
2928
2440
$309 88
Amount Paid
$309 88
$309 88
8/2012008