HomeMy WebLinkAboutPermit Electrical 2006-8-18
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INITIALS t0JN\
~ DATE' ~ /'n.ll Ul(/
1f;iIJ' SOURCE Mb rS,p9 .
Date ~ / I <t I O~ .
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.. 225 FIIiTH STRIEET . SPRINGFIELD, OR 97477 . PH:(541)72f-3753 . FAX: (541)726.3689
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60] Amps to 1000 Amps
Phone SLft-7S'-{ -(POl Over 1000 AmpsIVolt5
. '. Reconne':;t Onl~ou to
~TTE.NT\ON: Orego.~ \~~,::;qulr.~s I !~l~.~~~~<=o!..;c~,:.~-
1-/ ::t7/d/i, n liAS adopteCC)\:}'Te' .cCI__ ~~ :df~~2fjt~",~~
,~.... Thos'
/ N tiHcation Center. ~h .oAR 952-001-
/0/0'7 . _or. t, 0 Ql;?-001-001 0 t1liistallaMIk Albilltt!o~)or Relocation
"I ...." .. . .. . """o'es ot tne r I
0090 You may obtaIn 200 Amps or,Je-sshone $ 50.00
. (~I'"'te' tile leilv!-,
Lv "73/..p"2: ~"lIinf1 thp. center. 20'1 'AI'mIls tQ.oil-~,AIrip-s1 $ 69.00
~~.. ~ 0 nCln l tl\!(V I. II v~.. -
~ number tor the reS401 ~J;UJ!S,t9L 600 Amps $100..00
/ ., 's 1_800-30~-L0"''''')'-
Expiration Date {.1l 1'1/ ;;vu7 r.pnter \ Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. ~,~f~j~S~~~ff~J .~8mlf~cc;
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pf.1i;CTRICAL PERMIT APPLICATION
City Job Number COW\ 'Zoo G. ~ 00 f!)4 (
I; ?~~glr~~~~~JI~~~j~ 3.
LEGAL DESCRlPrON
J ~ (? '1 r ~I-.t t.(
1-6+- J b7
JOB DESCRIPnON /..
. feW! e Poc/t:;lLf!t1/V
Permits are non~transferable ani expire if work is .
not started wnthin 180 days of issuance or if work is
Sus])ended for 180 days.
2. ~i;S?~~~'g~,fe[~~~irr8~'2ib~1;
Electrical Contractor !^1f0 fltJ~ct~c..-.
Address
.;(Cj<6~'1 Hr...V~ ~ L.( 5 vJ
City
Alk/A<I.
\
Supervisor License Number
Expiration Date
Conso:. Contr. Number
I/\----
Owners Name ~., J~ !-t.......t--S
'Z6 z,"Z- G-:/AC.,,=,--
City ~~"",-,d Phone z;u: -- b?:J r
Address
"~"'c1B~~*ifJ~ti~~~~~:~~t~~~tf~~;:~:""
Sf'.rvice llncludecl
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
F~:eder
$50.00
n. i:'.~~~t]~j~~!;Jl~!~6!,fst~~~i~~~1~~~~~;,~~!:~~i1~~~!I~~:
$ 63.00
$ 75.00
$125.00
$163..00
$375.00
$ 50.00
50
$ 43.00
$ 3.00
E. :i:~~~~~i~~~~[~lt~~~~~~;tr~gi:~~11[~t~i~~i,~i~,~~~.;i?~l"~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or .rent . Minir~y~~~~~i~,,:~e~:~~,,~~,~~~~~i~~'~~,~c~~~:~,o.:.surCharges
Owners Signature: "Ol\CE. '\ S\1~LL E~P\RE \~~~f:$~13~bi#-'9E~q~~ri;,;!1~~):.~;.i\~?gfi-t;:;i.j;:j~~{~ ,. 'bO
1\1\S PERM\ UNDER 1\-\\S PEn . O"'fO?;"."'.,""....".:,'""',:,"'o"c,''''''''''''''',.,"':-_:':",,,:,,,,,:,,,,,,,":,,;,;,~'.':"f.":"'::,,,,,,;"'c'
tl.Ul\10R\IE~~ /"\0 \C, f\\3~NOONE 8% State Surcharge t.-f
MEN\..Jt.u VI' '
COM Df'~ PER\OD. W%AdministrativeFee
~N'{ '\ BO f"\ 5% Tez:.t+.FcC
Inspection Request: 726-3769 TOTAL
..
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TOO III
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Shared Drive(T:)/BuiJding FonnslElectrical Permit Application j -06.doc . 61 ~.;::
alald~NladS dO ALI~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/16/2007
VALUE: $ 209,687.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 P~one
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1525 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 169
Same As COM2006-00102 5750 Montclaire
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure 26.25
Secondary .Occupancy Group: U Type of Heat: Forced Air Gas
Primary Construction Type VN Water T~ne: Electric
Secondary Constructio.n,,~pe: c"P\t\t. \P~Mfg~Nry.~~ Electric
# of Bedrooms: ~.ij h 19 t.RN\\\ S\-\i\\..\1 '-"\-\\S pt.~.4'~rgr p~t1i: Path 1
1\-\\5 P \2EO UNOER '\ r\O~~i!iiiild~d Building: n/a
0\ \,unR - 'f /\p.~Nu
COMMtNC\:~ ~~R\ODI. DEVELOPMENT INFORMATION I
i\N'< "\ 80 0/\
Front yard Setback: 30.60 Overlay Dist:
Side 1 Setback9 17.00 # Street Trees Rqd:
Side 2 Setback: 5.50 Paved Drive Rqd:
Rearyard Setback: AT3S;90rION' OregO!!lnofaLoteCov.erag~: t
I Ll\l . \J I W r qUireS-yOu' 0
Solar Setbacks: f 1112.50 I d t 'b h 0 . .
01 Ow ru es a op eo V t e reqon Utllltv
~\jotJ1lcatlon CI:VU-:-BLfC"fNipROVEMF:NTS-llh
inOAR0!::2-0.'" ~~~~.. . -'-- Iii-,
V" L. -_._....__<::I..~.".~~'-~~1-
0090.F'illit T'nrP're-h!ain copies of the rules by Sidewalk Type:
calling the ceny.'es (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
92208
67362
39237
142776
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
BUILDING INFORMATION I
Street 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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,300
1,008
1,005
400
2
Yes
22.30
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
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
V Wood Frame
Garal!e
Dwellinl!:s
Garal!e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 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
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,013.00
400.00
Total Value of Project
~
Amount Paid
$200.00
$10.00
$158.58
$117.21
$306.00
$31.00
$6.00
$12.00
$923.15
$80.00
$6.00
$9.00
$120.65
$12.00
$4.00
$198.00
$-30.00
$106.00
$57.00
$474.97
$624.64
$10.00
$865.31
$82.03
$123.60
$68.34
$836.32
$189.60
$80.00
$755.84
$24.00
$1,000.00
$5.00
$2.50
$4.00
Date Paid
7/6/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/18/06
8/18/06
8/18/06
Pal!e 2 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02116/2007
VALUE: $ 209,687.00
Value
Date Calculated
$199,287.00
$10,400.00
$209,687.00
07/06/2006
07/06/2006
Receipt Number
1200600000000001024
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001257
1200600000000001303
1200600000000001303
1200600000000001303
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/16/2007
VALUE: $ 209,687.00
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
1200600000000001303
Total Amount Paid
$7,522.74
Initial Review
Planninl! Review
Public Works Review
Plan Reviews I
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 hook up 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 08/09/2006 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.
~eouiredJnsDections ,
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.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
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.
Underfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/16/2007
VALUE: $ 209,687.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
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.
Low Voltage: Prior to cover.
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.
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
Springfield, Oregon 97477
541-726..3759 Phone
Job/Journal Number
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
HA YDEN HOMES
r.'y of Springfield Official Receipt
,velopment Services Department
Public Works Department
1200600000000001303
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
3:51:23PM
Amount Due
2.50
4.00
5.00
50.00
$61.50
Amount Paid
$61.50
$61.50
8/18/2006