HomeMy WebLinkAboutPermit Electrical 2006-8-21
Date
ZON L/)t;'_
INITIALS .~ ,'\/1
DATE Kli- J , c ~',
SOURCE/V\:Lr'~'-'. ,',i"; \
~;i(~6 . -~/
/
. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM z..006 - 00 K' ']8
1. LOCATION OF INSTALLATION:
/l(( ( s stytk sf-
LEGAL DESCRIPTION:
Tfrtl ~ ~ .fL L(
/bt I S- (
JOB DESCRIPTION:
- I eMf ~V'~ 6Al",
Permits are non-transferable and expire if work'
not started within 180 days of issuance or if work is
Suspended for 180 days.
2;
CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
'". .-. (; --~ \ '
City ,~\\:-' '~'l~re>:~'~';: ','.'
"." ,c~".:. .-- \ ; "'j"''-' -,
~ " .." \ ,........ 1 ' \
.. " lt~'~.~ ~ '" '"
SUP~fVlsor LIcense Num.ber~ '~J\\ '. ',':,,: \:: ~_'
ExpIratIon Date Q" \.. ,:/,,\.,
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name l-k;'~J1 !:J?m..pc.....
Address /)lffotj I 5 (A) b /a/' ;(?r rJ
City R..Jwzo JIll Phone :t:JB -(-If 35--
oR 1'77!::>~
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
"-
o~n2!L26
Inspection Request: 726-3769
3. C,OJUPLETE FEE SCHEDULE BELOlV
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. Services or Feeders - Installation, Alterations or Relocation:
'n
.;~()O Amps or less
2Q,1':Amps to 400 Amps
40 t Amps to 600 Amps
601 'Amps to 1000 Amps
Over 1000 Amps/VoIts
Re60nrtect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
'.
C:' Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less I
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
S-o
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit -r.::f'J" $ 3.00
.\~ ~\l .:..\
f"\\"\vr.\:'~-'\) b
E. MiscelIaneo~s ~~~~,~J~~~{~~::~\~\O;~~~~IUded) -Each Installation
" RU;mp Qr tl'Ttgation,...'\\ \ $ 50.00
\: \. . ~ ,-, \', I ,\ \ . ; ~\', i, i-.... \
\\\~jgrii~,~N~; 'D\~e~~~ ~ . $ 50.00
'\\~W1~~~J~t~Y~~i~e~Hal $ 25.00
. ;41~'d"En~n~y/Commercial $ 45.00
~, ,"-' ' ,','
Minini\um'E}e~'tric Permit Inspection Fee is $45.00 + Surcharges
l. .
4. SUBTOT;AL OF ABOVE S"O
l{
~
25'0
b I 'So
$ 43.00
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building Fonns/ElectJical Pennit Application 8-06.doc
CITY OF SPRINGFIJ!.LU
Building/Combination Permit
PERMIT NO: cOM2006-00838
ISSUED: 08/16/2006
APPLIED: 07/06/2006
EXPIRES: 02/21/2007
VALUE: $ 166,721.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1411 S 58th St
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH
Springfield TYPE OF WORK: Single Family Residence
Residential
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4 lot 151
-not-Same As COM2006-00837 1499 S 58th St
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupa.l!t,~ad:
.r ,!\l\)t\
I DEWELOPMENT INFORMA T10N@t?\~t. W ~~ \S ~\) \
"f\CVC:. c.X\~\..\.' Li~S l't.?-: r\ tlJ~EQUIRED PARKING
. "~ \'1\\\;:> t.~ \ {\ 1J~t.v
Overl~y' 'S\1t.~ \) \j~'0 \)~~'0 Total: 2
# Stre~\\\~~1ft.'0 a~ \<2> ~ 1 Ha,ndicapped:
Paved 1Jffi'V~M~C ~ 1't.~\1J . Yes Compact:
% of Loa?~Jer~~~ 21.20
~~, \
Owner:
Address:
HA YDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
. S\/o\.1 to
requIre , . .
'. ':)nC'pn \aW 0 e90n Utl\lt\f
.' , ._,. .thp. r . L_..th
'_, .r.,_;"''-'~'J \ sareo""'-
, - - - , -. - ~^ q \ e - ~f',,\ ~
. CONr.r.~CTOR'P'!Eo~m-\A WreN"
.:, .::.;. C,"-UVIV"". ~t e '''' .!.J\}
. .., ,~<;:'1_ V \ pIes 0\
contractor'I.: C~,-:., ~~.J"-mo.Y obta\n co . the tL)i:c:e\itS~e
~r." ':(,\..1 (Note. .,' atlon
HA YDEN EN~E:RPRISES> center. \ Ut'I\'\t\/ \9.212'O8~
~n\lIpO l\ I'" ~"n"
M & W ELECTI~'~'C,\~~R9~:J,W)lVA't'En _332~Z36~(}2
PACIFIC AIR e6M:F05~f~OS ,,\-BOO 39237
DENNIS SCOTT EGGERS 142776
Contractor Type
General
Electrical
Mechanical
Plumbing
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure 20.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U
VN
3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
5.40
16.60
24.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS.
Phone Number: 541-228-1081
Expiration Date
07/29/2007
06/19/2007
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
9,295
1,579
400
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hookup to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to curb
face (weep hole) 07/12/06 CJS
Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellinl!s
Gara2e
V Wood Frame
Garal!e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
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
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,579.00
400.00
Total Value of Project
~
Amount Paid
$200.00
$10.00
$132.34
$97.95
$254.00
$31.00
$12.00
$783.40
$80.00
$9.00
$98.95
$4.00
$198.00
$509.21
$-30.00
$106.00
$38.00
$474.97
$624.64
$10.00
$865.31
$82.03
$137.89
$66.94
$836.32
$189.60
$80.00
$1,013.74
$18.00
$1,000.00
$5.00
$2.50
$4.00
$50.00
Date Paid
7/6/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/16/06
8/21/06
8/21/06
8/21/06
8/21/06
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00838
ISSUED: 08/16/2006
APPLIED: 07/06/2006
EXPIRES: 02/21/2007
VALUE: $ 166,721.00
Value
Date Calculated
$156,321.00
$10,400.00
$166,721.00
07/06/2006
07/06/2006
Receipt Number
1200600000000001026
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001266
1200600000000001314
1200600000000001314
1200600000000001314
1200600000000001314
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00838
ISSUED: 08/16/2006
APPLIED: 07/06/2006
EXPIRES: 02/21/2007
VALUE: $ 166,721.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$7,994.79
I Plan Reviews I
Initial Review
Planninl! Review
Public Works Review
07/10/2006
07/10/2006
07/10/2006
07/10/2006
08/02/2006
07/12/2006
APP
APP
APP
SKG
TAJ
CJS
Structural Review
07/10/2006
08/07/2006
OK
RJB
No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to curb face (weep
hole) 07/12/06 CJS
same as 1499 S. 58th
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~e(]uiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
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.
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.
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.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00838
ISSUED: 08/16/2006
APPLIED: 07/06/2006
EXPIRES: 02/21/2007
VALUE: $ 166,721.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Mechanical: Prior to Cover
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
Pal!e 4 of 4
225 Fifth Street
Springf.-.em, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00838
COM2006-00838
COM2006-00838
COM2006-00838
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
+ 5% Technoiogy Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Temp Power 200 amps or less
Paid By
HA YDEN HOMES
c:' of Springfield Official Receipt
L Aopment Services Department
Public Works Department
1200600000000001314
Date: 08/21/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 033854 In Person
Payment Total:
Page] of 1
3:06:02PM
Amount Due
2.50
4.00
5.00
50.00
$61.50
Amount Paid
$61.50
$61.50
8/2] /2006