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Home My WebLink AboutPermit Electrical 2007-3-27 ZON tAIL- 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( 1. '~.~o&L:;~~~:~oi;lNST~t:f:i11&~~t!t~~~t. . J. 'I', ~"...,;:,,,';:>':.~~.;:;...::d",~,~.:.~-:J,;N"~;~'" ~".. "r~-.::.:~:r';':l::....~~;':~'L.~~~~~H' . 0f'::f"i- c;~~ (.....1. U.!UJooJ LEGAL DESCRIPTION I BO z.. 0' C:>c> ck. 'i}OO 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. ':l,':""'~;:~:::.,~.(;sw.;.~""?:.r--.~~.>t;-:"":'::,::ill;,,.i\:""=l~'':;:;~i!':~-;:";~~~-'::~'~-~"\ ;':CON'I'RJlc:tOR1NsIA:L1i!ITION(jJ~.L~,fr 2. ,1..\'a'.~,:'~r;;'.;i.L"';:,l;ld..~~:'o!:'_',Li.:~;fi,'t;;.r,'J".'~~\;.\iil...~.;;:~;:~:,~;.~"::~fi{.i::!:;,;;~.~'\t~:l~ 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 .~ g~~~~~~1l![ti~!t~E~'~;1~~~ 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 ~"{\',~~::'~-:-~]';:~R:~""~:~";~:;;;l'.~~~!.~~j{';~r~~~~~~:~;'~~~r;;:'w;~1(~'f...~~~~~'(i't::~ B. '::S~.~~o,.pl~ea'en:,,,,:-r~!I#i!lD;;Al~ti6i!S,ror,Rettig;:'1il\ii::""'; ~~~~A!;,.~:.;r.!!:!:JI;~~::e.v~~~:1::!Il:lLt~;..;;t.,,~:;.t.ii.'il:t'.ti>.:.1~'ilb:1g;,::....~i!-?i::f.'~"'lill'~':;'!:~',I;:i!UllIr.;.";~.Q~ 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 .:;:.z;:t~::.~~~~s"I!':';r~"'~~""'."~,s.",,:=-~:<~~~- ".l~"n!l'!\'l'!~"'~~"lI~;j~"-_'=~ C ""."..,,-,...,. ..".~,."~,,..'.......Fc".'..CO'. ..~.,.."".,~'".~"'!l"~ -... " ~..-"emnnnm:~rv; ''1''lCe~.llr> ....eu. , . :..'~:''''' ,;"c ''''~~'''' - . ~'., .' .M',.. ,. -1':,.:" _j "~.J..,,"_'":':!!!}:..- ~.",~,,'_"_ "__.,,....;7. . " _ 1";...".-...' .~~ ,,05'.1~ ~ ~. ,", .......' .<.,.r.... _ ..'ii_...........__...'-.............,.,....;"'.,= .",u', n_. ,ll,....~ "'="0; _'." ;"'"~ ... 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 . ~ $100.00 . \ .saoomeJOI"'v ,,' . ~, .' i ~:~\?W ~il fO,v.er!(Oi~,~~~9rdoog,t"'oll!;e;'.B"a~ov~~ . . ,. ___ ,\ tlflcatl"f\'~ ...~:.~t;lj\~l.fol.-j:i;.!r-.wni!" '!.I-.:l;!,.,~Ii-!I~~:;~~~lf.:!'.:.,.~~ '''''illiJ~' ;~';}t:!r~",~~;r~e"'~ .~O D ~'"Br,ncp~" j ~- ..~~"ll~ ,~ii ,~\~l'~'~~~ii' .J'::-li~~'.,~~f~'\ QAI:) 95~a\fi$,,,H,1;"-oIl'~ ~ _....~.t.~).;.~.. ~~ :m~~~:A\~~ ~tf,;l~~~ti~ 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 . , .t:.ch~Addili6'DB1:€in:uitlor '''lb' ' numb<H ~s'" : E-~~""''''''''''; ',!,~4). Ie onnce 0'; .= ",emu! V~li"H 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 CQ~~lmiltF~.!r-Et ~~~1:1~~1~;'t . 5-(;> !'~~!;I,Lij;j"" "''' ' ' , ._ ,..'.""-..".~"'.,',,,. ,,,",-,-"1,0,,\1;,, ".", 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