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Home My WebLink AboutPermit Electrical 2006-8-18 Date ZON LDZ- INITlALS ~. DATE . r:;. ~J J O~, - SOURCEm.rl '~~ [f} It(Ov . 225 FIITH STREET 8 SPRINGFIELD, OR 97477 . Pfl:(541)726-3753 .. FAX: (S41)726-3611!J ELECTRICAL PERMIT APPLICATION City Job Number (r)IAA."2C"O b;" 00 b ~ S- 1.f~~!!:9i~~1~!~~~ii LEGAL DESC~TION -:r Irs of '1' '" pI., ~ JOB DESCRIPTION J-I-t>",- s...e::'" tJ/ I i ~ lo+- III b Permits are non.transferable and expire if work is not: started within 180 days of issuance or if work is Suspended for 180 days. 2. -~i~2~~?l~Ri~~~1E~flgi~~i~] Electrical Contractor l^')ft.U flJ.~~ .tVl(.... 3. l~!?i~[1i~~,~~:~;~R~~$.!iq~f{1;:~~ii~:~t[lt~~~)]fuj:;r~~t .,,~ ..~~~~~~~I~~~~~~~i~t],~@i~it~~.~~1~~~~~~~~~~J{ Service lincludeCl , .2 $ 19.00 $106.00. lOb. st" 1000 sq. ft. or less E,ICh additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Fe:eder $50.00 E;, i:[~~[~~t~EI!~ftiG~~I~~~~~!~]~~~:-&~r~~t~~~~1*~~ . . , ..', .... '-.v'-" 200 Ainps. or1~s ..., ;',,'2 ":\' ," -. ... \' .-.... . 201- Ampsto 400Alnps <,: '1.;;18 HvtJu[ ~'-( S~ r: :40'rAmp"~ tb,~b(U~p~~ifi~a~ion . ,. . '~ Ur:.:~1Oill, ..'''y , . i1l ':',.. 'u'" L16. OJ ArnDSltorI:Q002f.fuJDS Phone Si-{/-7SL(-(gl7{ C')ll"b~;;fd60~~~ry~I;" Reconnect Only Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps . 40 I Amps to 600 Amps Cly'er6,O,0 }~:~p..s_.?,:: 1000,yolts see "B" above. D. ~~~[~h5~~~- ,. New Alteratiolll or Ertension.Eer~aner" , ., ~ 'i;J tt' Q C \ r \ \ \ L. .' ~ ' . ~J) \.' ''One GirceiV\ll tXPlnc II Ie:, \\\01 $ 43,00 , 1\-1\S PtE1'dl\\Adaitional\Oif~u9tgf~f~ r- Owners Name f-k,.."J4'A/ ~€S P\1lI\-108t~~b~6t~el~J~t)ONtD rOR $ 3.00 Address Z6.z- ~ 6-1 KI i:-''--. ~~~\~~j~~~~~~~~!~~'~~J~~~~r~~i.~~~I~d~I~~~~li'~~;~~i~fIi'~ City ~~~ Phone 'Z2f-b '7:1 j-' p~~p ~:::~:i:~-'."""'."'<.' ......',-,- ..----"$'~.~.~~.."".- ...,:,,,1>..:0,..: Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric P'el'mit Inspection Fee is $45.00 + Surcharges Address .;{'1%~'1 City A \ kIA, Expiration Date i./~7L/ S /0/0'7 Supervisor License Number Constr. Contr. Number G /3& L.... r.v.iJ'1/ :>>;7 Expiration Date Signature of Supervising Electrician ~(" OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or renl Owners Signature: Inspection Request: 726-3769 100~ $ 63.00 $ 75,00 $125,00 $163.00 $375.00 $ 50.00 c. ~1~Ei~,21~t1~ ~~~]i1t~[~ $ 50.00 $ 69.00 $100.00 4. ilt~%]:~~~1!fJaf!J~~.{, JI./t{ }/ S'~ '/4 C(b ?70 8% State Surcharge W% A~strative Fee ,,/ . ~~*" ~ 5'- T(JffAL S.hared Drive{T:)!BuiJding Fonns!EIectrical Permit Application 1 ~1J; ~ 01ald~NINdS dO XLr~ 6R9C9ZLIvS XVd 60:0T aaJ 90/TT/LO CITY OF SPRINGFIELD . Building/Combination Permit Status Issued PERMIT NO: COM2006-00695 ISSUED: 07/07/2006 APPLIED: 06/07/2006 EXPIRES: 02/17/2007 VALUE: $ 132,665.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5766 Montclaire Way ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4 lot 146 Same As COM2006-00694 5782 Montclaire Residential Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Phone Number: 541-228-1081 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor HA YDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 . 142776 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 BUILDING INFORMA nON I 3 . . , '~_ i... _:'. I (" ' ,.... _ # of St()ries~si "tlCO-J")_'~ ~ . /.-) 1" Lot Size: u _ ~ul.j'""" Height of Structure 16.00 Sq Ft 1st Floor: Type of Heat: Wall Heat Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 6,218 1,235 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 400 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 5.00 5.00 46.03 0.00 -CJ-/lS P~-=Pl\'::'. l._,o", ;-\, ',- .__ _ -. 1. ., I oJ f . r\ L I r ro. j.J 1,-1/- J 1- I 1_1 L ) Il/ r:. I : 1/ . PU:a1 cIMPR:a~ENll$1 s PEI~IVIiT-J~ 1~6'~r' . . '\~_J f r\l]r-\l~OOLIJFjJ r:(;'", F II 1 IJ,lll\./ "1 or, ;~.'.' '-ER on ~lUewalkl.Type: u y mprov..,tt ".; .." ",~ .1 ,.. Yes Downspouts/Drains: Curbside 5' Curb and Gutter ~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , % of Lot Coverage: 1 Yes 26.20 Total: Handicapped: Compact: 2 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: No hook-up to city infrasturcture until Public improvement accepted by the city; storm drainage piped to curb face 6/12/2006 CAS Paee 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 Garal!:e 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 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimum/Adjustment Mechanical Plan Review Major - Planning Plan Review Same As Plan ReviewIResidential Hourly PW Disc - 2nd Permit (Street) 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 WilIamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 I Valuation Description I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,235.00 400.00 Total Value of Project ~ Amount Paid $100.00 $10.00 $105.37 $77.75 $254.00 $31.00 $672.90 $80.00 $6.00 $9.00 $81.75 $12.00 $198.00 $100.00 $45.00 $-30.00 $457.68 $601.68 $10.00 $865.31 $82.03 $122.15 $66.25 $805.70 $182.69 $80.00 $762.93 $18.00 $1,000.00 $14.40 $7.20 $11.52 $106.00 $38.00 Date Paid 6/8/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 Pal!:e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00695 ISSUED: 07/07/2006 APPLIED: 06/07/2006 EXPIRES: 02/17/2007 VALUE: $ 132,665.00 Value Date Calculated $122,265.00 $10,400.00 $132,665.00 06/07/2006 06/07/2006 Receipt Number 2200600000000000758 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001036 1200600000000001298 1200600000000001298 1200600000000001298 1200600000000001298 1200600000000001298 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00695 ISSUED: 07/07/2006 APPLIED: 06/07/2006 EXPIRES: 02/17/2007 VALUE: $ 132,665.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,984.31 Initial Review Plannin1!: Review I Plan Reviews I 06/09/2006 06/0912006 APP LLH 06/09/2006 06/30/2006 APP TAJ Survey required because of minimum side setbacks. 06/09/2006 06/12/2006 APP CAS No hook-up to city infrastructure until Public Improvements accpeted by the city; storm drainage piped to curb face 6/12/2006 CAS 06/09/2006 06/20/2006 OK RJB Public Works Review 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. ~eouireCUnsDections . 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. 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Pa1!:e 3 of 4 r Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00695 ISSUED: 07/07/2006 APPLIED: 06/07/2006 EXPIRES: 02/17/2007 VALUE: $ 132,665.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line 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. 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 <;&. of Springfield Official Receipt ~Iopment Services Department Public Works Department Job/Journal Number COM2006-00695 COM2006-00695 COM2006-00695 COM2006-00695 COM2006-00695 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 1200600000000001298 Date: 08/18/2006 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HA YDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 097242 In Person Payment Total: Page 1 of 1 3:44:14PM Amount Due 106.00 38.00 7.20 11.52 14.40 $177.12 Amount Paid $177.12 $177.12 8/18/2006