HomeMy WebLinkAboutPermit Electrical 2007-3-27
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INITIALS ~l\I\'
DATE ~- 2" ""C5I
SOURCE .m~
:US PIITH STREET. SPRINGFIELD. OR 97477 . PH:(S41)726-J753 . FAX: (541)7llN689
--- - -ELECTRICAL PERMIT APPliCATION
, . City'Job Number I'ow...?'c en - (;) 0 J z... L(
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LEGAL DESCRIPTION
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JOB DESCRIPTION
I ewe y:> ONL..;/'
Permi!5 are non-transferable a~d exph-e1.f work Is ,
not started within 180 days ol issuance or if work is
Suspended for 180 days.
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Electrical Contractor
MftJ fiJ~c ~e-.
Address
~'1g,&"I H<-tJ<{ 1L{ Sw
City Alk"i
Phone .54/- 7S'(-(i17(
. Sup~isor License Number Lf ~ 7'-1 S.
Expirati~n Date /0 /01
Constr. Contr. Number
10 f3(P '2..
{P!Jc,/~
Expiration Dale
Signature of Supervising Electrician
I. ---- "-
//~ '
Date
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
Each ManufBct'd Home or
Modular Dwelling Service or .
Feeder ." ,"
$106.00,
$ 19.00
$50.00
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B. '::S~.~~o,.pl~ea'en:,,,,:-r~!I#i!lD;;Al~ti6i!S,ror,Rettig;:'1il\ii::""';
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200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV oils
, Reconnect Only
$ 63.00
$ 75.00
$125,00
$163.00
$375.00
$ 50.00
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Installation, Alteration or Relocation
200 Amps or lesS / $ SO.OO
201 Amps~}??c~~'llllldti:" $69.00
An Ei\lt'401 'Anii"!.'tQ 6oo,Amps'feC"on . ~ $100.00
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in n l..6......., cnr:ip" at Ui9 l".l\C'O:>>.
0090. yOU~~.w.'Mterati~~loort.~~lrle 9~i~ffi~3':'!e! .
"'-'-C........"lf ,I' 1;,01. ~ r. $4300
ca\ll,lg 1"= tmD. _ I It"'IV "lo"I",,,"nn .
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Ownen Name Iht-"'D~ E N1 ;
Address 7Yu'/ $(..1 r;.,t ACIElL ~L SI(f. 1I0
City ~M o...>!> 1.) Uhone !III- nil? -Icel
,
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
,7'7r"
Inspection Request: 726-3769
J
IOOIi'1
so
$ 3.00
E: i~ilj[~t~~~l;~~~i!~~[~!;~~~;&lj!
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
NOTHtl!'!led EnergylResidential $ 25.00
~. 'f 1F~Jl'18~tlt.o@il~IF THE WORr $45.00
THIS ffi Ii .. r_!:L"a..l~";r.nAIU.T \r. '10' '
tl'tYNrollIl~~Qji,I:; leomnm1w."eeno 'l'ee IS $45.00 + Surcharges
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ANY'.t8thJ'A:Y' r--r -"","'"".,.'...,..',""...'""..'."',...,..',<,.".,+,
8% Slate Surcharge t.(
~::'dminis~tive F) 61 ~ z ~o
Shared DriY<(T:)lBuilding FonnsIEIoclrical P<rmi. Application I-%.doo
O'l!lId~NIlIdS dO ill:>
699&9.LltS IVd 60:01!1n1 90/II/LO
-iiir~
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726.3769Inspection Line
.
. Lll f OF ~rKlJ'It.FIELD
Building/Combination Permit
PERMIT NO: COM2007-00324
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/05/2007
09/20/2007
$ 188,784.00
SITE ADDRESS: 5777 MT VERNON RD .
ASSESSOR'S PARCEL NO.: 1802030006300
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence . lot 197
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contraetor License Expiration Date
HA YDEN ENTERPRISES 92208.. ,07/29/2007
M & W ELECTRIC INCORPORATED, 67362.<;,on v ' ,06/19/2007
PACIFIC AIR COMFORT INC.,.", .i '0" \\'-39'237. ale s~~'~c93/25/2010
MASTER PLUMBIN.G. 1.1 " ....~ ."..io~\a -<,...~se \1.l~e~C>..~ 9'0<-:_" \
;1~\Bt:JJLDii~9\INroRM\\:rioNi 0\ \t\e ~;~{\e
,-\O\i'II,,~'o"''2..\)IJ' - \e.\n I"Jr . \"e '.e\~\\Ca\\O(\
. Op..'ii,of Stories': 0'0 _< I~\OW";\'I"J ':'!Cz'.1 J Lot Size:
In .,-,,,'1"" "\'J'" \.l.I" ",\
"QnOHeiglit,of,Sti'uctu~;'on ",2SHlu'l" Sq Ft 1st Floor;
'-J '" ,,'''~ UI J'~ ",g. ->-
C;lIy~i'e;of Hell.t~ ,,,nt:-" - Gas Sq Ft 2nd Floor:
"'" .\",tl\" 's \"{1
\'\I(~trr:ryp.~i,,~\ Gas Sq Ft Basement:
{\ iiange Type: 'Gas Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-228-1081
I CONTRACTOR INFORMATION I
Phone
541-228-1081
541-754-6171
541-672-9510
I
R-3
U
VB
729
999
400
3
I DEVELOPMENT INFORMATION I ~\\\\v..
\\\t. \r \\'It. . \\~~UIRED PARKING
ove~'b\Mf"l'/I\' S\'l1\'-'- t.'Y-.I'\S I't.\\t-/I\\ \Scrotal:
# Str"1\'\\B'eeiW!ldb \\t-l~t.\\ ,\'I ~~m~t.D \,O'Handicapped:
paved.Qr~~\Wt'd:\:. ()\\ \S r>.\Jt>. Compact:
% of L~'t' ~~fI!:\1'lfe\:~ t.\\\()D.
Ci~\" ,\~I.)~r>.'I(1'
I PUBLIC IMP'ROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Paee I of3
-iiiF~
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
.
. CITY OF SPRINGFIELD-
Building/Combination Permit
PERMIT NO: COM2007-00324
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/05/2007
09/20/2007
$ 188,784.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
400.00
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
Description
Fee Deseription
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Temp Power 200 amps or less
Total Amount Paid
Initial Review
Plannine Review
Public Works Review.
Structural Review
Structural Review
Value
Date Calculated
Total Value of Projeet
$177,984.00
$10,800.00
$188,784.00
03/05/2007
03/05/2007
L.Fpp< P~ilU
Amount Paid Date Paid Receipt Number
$555.68 3/5/07 1200700000000000234
$5.00 3/27/07 1200700000000000334
$2.50 3/27/07 1200700000000000334
$4.00 3/27/07 1100700000000000334
$50.00 3/27/07 1200700000000000334
$6t7.18
I Plan Reviews I
03/05/2007 03/05/2007 APP NJM
03/05/2007
03/05/2007
03/05/2007 03/1 5/2007 10 LLH
03/15/2007 03/2012007 APP LLH
Plans forwarded to The Building
Department for Str'uctural Review.
Plans reviewed and approved by
Shawn Eaton with The Building
Department under contract with the
City of Springfield
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.
, Rpnllirprlln(',npctions I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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.
Paee 2 of3
-ijF
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
Status
In Review
PERMIT NO: COM2007-00324
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/05/2007
09/20/2007
$ 188,784.00
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.
Walllnsnlation: Prior to cover.
Ceiling Insnlation: Prior to eover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undernoor Plumbing: Prior to insulation or decking.
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 reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Undernoor Mechanical. Prior to insulation or decking and including required testing.
Undernoor Gas: After Ii!,e is installed and required testing and capped if not attaehed 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.
Final Mechanieal: When all mechanieal work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Eleetric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have earefully examined the completed application and do hereby certify that all
information hereon is true and correet, and I further eertify 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 ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in eomplianee 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 eard is loeated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contraetors Signature
Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007.00324
COM2007-00324
COM2007-00324
COM2007-00324
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
.
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% Slale Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENT
1j7~~
wr,
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
1200700000000000334
Date: 03/27/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
091193 In Person
Payment Total:
Page I of I
1I:19:IOAM
Amount Due
50.00
2.50
4.00
5.00
$61.5U
Amount Paid
$61.50
$61.5U
3127/2007