HomeMy WebLinkAboutPermit Electrical 2006-8-18
Date
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DATE' . O+?
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.' 22:5 FlIiTH STREET. SPRfNGFIEW, OR 91477 . PH:(541)726-3753 . FAX: (541)'726.3689
ELECTRICAL PERMIT APPLICATIo.N
City Job Number c..o~ Zl'Ob - 00 f'tI 0
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LEGAL DESCRIPTlON
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Permits are nOI1~transferable and expire if work is Each Manufact'd Home or
not: started wnthin ISO days; of issuance ,o~ if work ~\:. .J, ?'oo~F~~:ar Dw~lIing Service or $50.00
Suspended for 180 days. . -:", \"':~:':' ~_' "~' le:ooerreqLores you to
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., :'COlVTRACTOR .JNSl'4LLAtib:r;,x}~YF n ter. Ebl).Sgr~i~:es, ":~~'c:!.lriSfu;Wn,A1tel;atf~Ji;;;9r:Rei;'tition":-;;:?
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Electrical Contractor jlY1 f.0 fliqVlG-. 'l";,'AC may obtam QC!<bAmpS{OFJess I - $ 63.00
[...,r..y' , .~~ '-' lilt: (U es b
VLUIII18 (lie center. (NZOiJeAmns tQj400 Anips y $ 75.00
. number f th . .. it, lG elJnone
~~'6~cl Hw'( ~1 5~ '"' or e Orego40QJ~ps,!~600,Amp_s $125.00
vel ller is 1 80 -.' lll/\...all(.i11
.. C6@pRn(ps4tQ)~OOO Amps $163.00
Phone 9-({-7SL(-(e{7{ Over 1000 AmpsfVolts $375.00
Reconnect Only $ 50.00
Installation, AIb~ration or Relocation I
200 Amps or less $ 50.00
Constr. ContI. Number ,Lv i"!::'{.p"2- 201 Amps to 400 Amps $ 69.00
. /~TlCE: '401 Amps to 600 Amps $100.00
Exniration Date /,- / Jl . l Nor>v'f'il-o,,' .
.'t' . . lJZ Am-~' .i\~:; ~I ;;"LL EXPIR~}~;:f~ff:;~R{;Q~~~k 1000Volts see "B" above.
Sillll8.ture of Supervising Electric~~ORIZED UNDER THI(nln!t,'Ji.,ll}t!~8=':!t\;fb. :~.,
~ LUIVIMENCE J r"-"i'l'h"fl''''", r!6<r-
i A ~8fJ-B-A~ ~R IS A8ANOOtNt~~'?f~iolllorExteDSiODPerpanel _
1/ .... . ERIDO. One ClIcwt $ 43.00
u. 1 . . / Each Additional Circuit or with
Owners Name /..f.A-.tJO'V ffD"""i::-:f" Service or Feeder Permit,_" $ 3.00 .
Address 'Z62 L 6-L#'1:1L E. t-~~~t~}1~~~~i~I~~e~i~~;,~r~~f:~Sl~~~t~i~~~-~i*i;R1i~!"!~
City \2e--~ i Phone Zzr-b77r
Address
City
Albc.lA,,\
Expiration Date
i./ ~ 74 S
/0/0'7 .
Supervisor License Number
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
../
100~
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A~ .';;~~~~~W!~~j~J~ir~~~lfJ~5~~i,~gi~Mr':~~f1~~~~~~~~~~1i{
Service llncludecl
. 1000 sq. ft. or less
EelCh additional 500 sq. ft. or
portion thereof
$106.00.
$ 19.00
c. :~~&i?~~~&fi~1~1~~~~EJ~~~~
:~~
~
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric F'ei'mit Inspection Fee is $45.00 + Surcharges
4.
50
L{
~
zs-o
8% State Surcharge
10% Administrative Fee
-6'Yo -eU+-- ~
TOTAL I
I -0
Shared Drive(T:)/Building FonnslElectricalPerrnitApplication l-06,doc 01 ~--
a1~Id~NIHdS dO XLI~
6Rg~9ZLltg XVd 60:01 aGL 90/IT/LO
Status
Issued
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: cOM2006-00840
ISSUED: 08/09/2006
APPLIED: 07/06/2006
EXPIRES: 02/18/2007
VALUE: $ 134,745.00
SITE ADDRESS: 1477 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 167
-not-Same As COM2006-00694 5782 Montclaire
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION'
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
License
92208
67362
39237
142776
BUILDING INFORMATION'
3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
16.00
, Cablel:leat
Electric
Electric
Path 1
n/a
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd: 2
Paved Drive Rqd: Yes
'Ylol,.J):t;!:Lot Coverage: 27.20
: HIS lim S I l_ I C if: Hif wm-:l\
I vdBP:I'I.C)~~jt6hM,\,~.k~..T~r~~n',c::~,~~T,. 'S Wl r
T.L.~ 1.'lJ 1", ...' . , ' 'J' :'1 f- !, en p
Fully Impr()t~ii -I I;' ;':' q i:::: Sidewalk Type:
Yes Downspouts/Drains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
21.00
12.70
6.00
30.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,300
1,235
480
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
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) 07/14/06 CJS
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-00840
ISSUED: 08/09/2006
APPLIED: 07/06/2006
EXPIRES: 02/18/2007
VALUE: $ 134,745.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellines
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,235.00
480.00
Value
Date Calculated
Description
Total Value of Project
$122,265.00
$12,480.00
$134,745.00
07/0612006
07/06/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 7/6/06 1200600000000001025
-Mechanical Issuance Fee- $10.00 8/9/06 1200600000000001227
+ 10% Administrative Fee $122.12 8/9/06 1200600000000001227
+ 8% State Surcharge $90.83 8/9/06 1200600000000001227
2 Baths One or Two Family $254.00 8/9/06 1200600000000001227
Addressing Assignment $31.00 8/9/06 1200600000000001227
Appliance Vent $6.00 8/9/06 1200600000000001227
Boiler/Comp Up To 100,000 btu $12.00 8/9/06 1200600000000001227
Building Permit $679.40 8/9/06 1200600000000001227
Curbcut Permit $80.00 8/9/06 1200600000000001227
Dryer Vent $6.00 8/9/06 1200600000000001227
Fire SF Fee - Residential $85.75 8/9/06 1200600000000001227
Furnace - up to 100,000 btu $12.00 8/9/06 1200600000000001227
Gas Outlets 1-4 $4.00 8/9/06 1200600000000001227
Plan Review Major - Planning $198.00 8/9/06 1200600000000001227
Plan Review Residential $441.61 8/9/06 1200600000000001227
PW Disc - 2nd Permit (Street) $-30.00 8/9/06 1200600000000001227
Residence Wiring 1000 Sq Ft $106.00 8/9/06 1200600000000001227
Residence Wiring Ea Addtl 500 $38.00 8/9/06 1200600000000001227
Sanitary Sewer - Improvement $474.97 8/9/06 1200600000000001227
Sanitary Sewer - Reimbursement $624.64 8/9/06 1200600000000001227
SDC MWMC Administration $10.00 8/9/06 1200600000000001227
SDC MWMC Improvement $865.31 8/9/06 1200600000000001227
SDC MWMC Reimbursement $82.03 8/9/06 1200600000000001227
SDC Sanitary/Storm Admin $125.85 8/9/06 1200600000000001227
SDC Transpo Admin $68.10 8/9/06 1200600000000001227
SDC Transpo Improvement $836.32 8/9/06 1200600000000001227
SDC Transpo Reimbursement $189.60 8/9/06 1200600000000001227
Sidewalk Permit $80.00 8/9/06 1200600000000001227
Storm Drainage Impervious Area $796.15 8/9/06 1200600000000001227
Vent Fan $18.00 8/9/06 1200600000000001227
Willamalane Single Family $1,000.00 8/9/06 1200600000000001227
+ 10% Administrative Fee $5.00 8/18/06 1200600000000001304
+ 5% Technology Fee $2.50 8/18/06 1200600000000001304
+ 8% State Surcharge $4.00 8/18/06 1200600000000001304
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-00840
ISSUED: 08/09/2006
APPLIED: 07/06/2006
EXPIRES: 02/18/2007
VALUE: $ 134,745.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temp Power 200 amps or less
$50.00
8/18/06
1200600000000001304
Total Amount Paid
$7,579.18
Initial Review
Planninl! Review
Public Works Review
I Plan Reviews ~
07/10/2006 07/10/2006 APP SKG
07/10/2006 08/02/2006 APP TAJ
07/10/2006 07/14/2006 APP CJS No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to curb face (weep
hole) 07/14/06 CJS
07/10/2006 08/04/2006 APP RWC
Structural Review
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.
~eouire<Unsoections 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.
Roofing: Prior to installing any roof covering.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-00840
ISSUED: 08/09/2006
APPLIED: 07/06/2006
EXPIRES: 02/18/2007
VALUE: $ 134,745.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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.
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
Final Electric: When all electrical 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
Pal!e 4 of 4
225 Fifth Street
Springfi~td, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00840
COM2006-00840
COM2006-00840
COM2006-00840
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
HA YDEN HOMES
r:4v of Springfield Official Receipt
elopment Services Department
Public Works Department
1200600000000001304
Date: 08/18/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 097242 In Person
Payment Total:
Page 1 of 1
3:53:49PM
Amount Due
2.50
4.00
5.00
50.00
$61.50
Amount Paid
$61.50
$61.50
8/18/2006