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Home My WebLink AboutPermit Electrical 2003-1-29 " " . .. ''''v.'', a , '225 FIFTH STREET. .\ ,...'.' '..~ : [,.> ' .' .' . EL~CAL PERJvIIT APPLICATION . . , "'I'SPR1!'lGFIELD, OREGON 97~77 iC' r;..-' " , ,:I!"\""\ 'OJ p,IRh" , I ~,'.'O!N. .FSFPI...CE...,CE~I70.2N6'.,RE3 75Q9J-10S.,.T.,: 72..,..6.;~n~Jl.:,: I,>,: ~."'.:t:,;':,i;1 ~;Cit.Y ~oh ~~m~e,:,u,'" A,.....'-.... :...tjf~...ff...~......I .-.CP . ;- J : ,"'ii,; ,: ".: ~.~: (, "" ,;\ ~Y:! :3: cO~LkTE FEE'SdrEDULloBIiLOW '7 .:,' ' ~(. 1, L?~1\I!9.N ~~s~'.,~? J~~~~'1~:~~;1~~;identJ;~s:~~!~r ,.:=_ _,t.0'~G. Multi-Family per dwelling unit. LEGAL DESCRIPTION n.!\gpili@lIneluded: I ',os Cl.. (0 I '3 [) <+ '-f<:5C) sub!l\i\\ad n~~c\ land usa . fO\ect as \fe spec\ \o\\o'<N\\1Q ? 5 00\ teQ.U . / :~~ing. and doa /:i)~ ~less o,~,oval. _ '~ach <illdiLien 1500 " 'Lonlng...... 'k. -v . ft or porti Permits are non-transferable and expire .3. $ 19,00 !:;[1- if work is not started within I8lA1'1~s. d S"gnalUre Each Manufd Home or, , of issuance or if work is suspend~lfl5l',za Modular Dwelling , ': '. c 180 days. Service or Feeder $ 50.00 J::"'Tlnl\l~re90n law reqUIres you tv 2. CONTRACTOR INSTALLATION ONLY B. 8lf.tlce~ ,o\"'F!e e~l: b the Oregon Utility, . ^ t . 1_ .. J JollOWr'istl:ftlhfi ,PA1\~aYions R~s are setfortl Electrical Contractor..l:t.iM trlt'fc l:: ~r I 'c.. ~ificiIW(QMfi>lltef. . ose rUh OAR 952-001 , inOAR952-o01-001pthrO~g . I' b Address} 'n IP)(J1r: -{20! (tJ 0090.2\JlllJIl1)lS:otCillsslin copies of tlie;~o~~ J3.00 _ "" /.' '>". ',cam\li9'tQ1WOO[4l\llra~pste:.t~ete\~. ,'~,75.00_ CIty ~'-< ff8l,tl'...: Phone </f.pf 7St:rftp nuni\ger"I!JP~\lmaQQ(ll!J1llll UtilIty NOtl"""f"$125.00 _' 2" '. />,.,.,)L 601 elgmi!.'l~QqoOOfpS332-23441'_.$]6300_ Supervisor License Nlunber 4.5$3 8;,';i'",' ,Over 1000ampslvolts ....,$375,00 ' t ,.:>\'F. ' Z..i~',It """7'(:' ,)'",'1"".:,.; ,R.econnedOnly:,," ""'--"$'50 OO=-- .. ~::~:~!~";'~;!';~:::;!?~I::~::::~:::;~~7"""" ... .*~l::o.oo . -, ..,'" .tlp'. ,20f:amps to 400 amps _ $69.00 _ , . Over 40] to 600 amn~IR~ IF TH" '''I'\[)I;oIOO.OO 1 ~ I "I<~~r, :-'111'11 P-. C-ftl:ffiN- .\'ll'rfi~Yb~~U'WO~~1fH?S ~R~IT IS NOJi COMMENCED OR IS ABANDONED FOR . D. iWJ'jI"'F!l(f=O'Alfi~ERIOD. New Alteration or Extension Per Panel Items Cost SUlll JOB DESCRIPTION z... $106,00 zJ?.~ Signature of Supen'ising Electrician ~J'li~. f?yJfi PAP? . : Owners Name (Y..';f liE /-11 ,{ . If Address~r':9ft)j A-;}V Cj' R j) City~~.8,{'Phone_~ 5. :z3 So 1 " One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for sale, lease or rent Owne~ignature: A/~ . 7~ E. Miscellaneous (Service/feeder not included) . -Each installation Pump'or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Conun $50,00 '$50.00 $25,00 $45.00 l\linimum Electric Permit I.nspcction Fcc is ~45.00 + Surcharges TOTAL 12&9- 1~,g3 ~.05 Is-,~J 0 ~ 4. SUBTOTAL OF ABOVE 7% State SurCharge 8% Administratiye Fee 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .oe Items: Job/Journal Number 02-01097-01 02-01097-01 02-01097-01 02-01097-01 Payments: Type orPayment Check . Cash Paid By Receipt #: 1200200000000000618 Date: 01/28/2003 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No GENE B. HIATT GENE B. HIATT nJm njm Page 2 of2 1/28/2003 12:3I:37PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 212.00 57.00 18.83 26.90 Line Item Total: $314.73 How Received Amount Paid In Person In Person 310.86 3.87 $314.73 Payment Total: cReceipl.rpt CITY OF SPRINGFIELD Building/Combination Permit _~....,._...8.!!!~ _.2..,........... ". lit......".......... 'Uj' ,..... . ,':... i ~^":. , ,," ."'. ._ . "."i., " ',,~ . . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: 02-01097-01 ISSUED: 01/28/2003 APPLIED: 09/1212002 EXPIRES: 07/28/2003 VALUE: $ 182,827.00 SITE ADDRESS: 905 Fuchsia St ASSESSOR'S PARCEL NO.: 1703261304400 Spr TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Lot: 5, Suhdivision: Fuchsia Gardens, Land Use: Single Family Dwelling, Zoning: LDR, Address for ADU is 905 Fuchsia, STU Owner: Gene Hiatt Address: 55868 King Road McKenzie Bridge OR 97413 Contractor Type Applicant General Electrical Mechanical Owner Plumbing I CONTRACfUR INJ<'ORMATION I License Contractor Gene Hiatt Gene Hiatt Chinook Electric Comfort Flow Heating Co Gene Hiatt Eugene Plumbing BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: I R-3 U-I VN I 23.00 Forced Air Gas Gas Gas Path I 3 SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I 5.00 35.00 38.00 42.00 41.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLlC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Phone Number: (541) 822-3509 Expiration Date Phone (541) 822-3509 (541) 822-3509 (541) 461-2590 (541) 726-0100 (541) 822-3509 (541) 484-7440 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 14,811 1,712 440 I REQUIRED PARKING Total: Handicapped: Compact: Yes 15.00 Fully Improved Yes Sidewalk Type: Downspouts/Drains Curbside 5' Curb and Gutter Notes: I of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description Residential Plan Check -Mechanical Issuance Fe.... + 7% State Surcharge + 8% Administrative Fee I Bath One & Two Family 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Photocopy Fees Planning Final Occy Inspection Planning Plan Review PW Mull Disc - 2nd Permit SDC MWMC Administration SDC MWMC Credit SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary Improvement SDC Sanitary Reimbursement SDC Sanitary/Storm Admin SDC Storm SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Temp Power 200 amps or less Vent Fan WiIlama1ane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . I Valuation Descriotion I $ Per Sq Ft Square Footage Total Value of Project I Fees Paid I Amount Paid Date $534.56 $10.00 $96.98 $110.83 $145.00 $254.00 $16.00 $835.40 $75.00 $6.00 $18.00 $24.00 $15.00 $8.00 $12.00 $4.75 $55.00 $55.00 $-30.00 $10.00 $-21.98 $34.83 $332.86 $386.17 $508.07 $106.57 $993.77 $49.15 $709.81 $160.87 $75.00 $50.00 $18.00 $2,000.00 $26.90 $18.83 $212.00 $57.00 9/12/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 10/29/02 1/28/03 1/28/03 1/28/03 1/28/03 2 of 4 . CITY (J1< :s.rKmljl'1~LU Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 01128/2003 APPLIED: 09/12/2002 EXPIRES: 07/28/2003 VALUE: $ 182,827.00 Value Date Calculated Receipt Number 10594 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 2200200000000000119 1200200000000000618 1200200000000000618 1200200000000000618 1200200000000000618 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Enl!ineerinl!-Res Initial Review-Res PIanninl!-Res Structural-Res . . LIt r' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 01/28/2003 APPLIED: 09/12/2002 EXPIRES: 07/28/2003 VALUE: $ 182,827.00 $7,973.37 I Plan Reviews , 10/07/2002 10/08/2002 APP VJ 09/13/2002 Appr LH This plan review includes the single family residence and the accessory dwelling unit 10/07/2002 APP AID Condition I: Accessory Dwelling Unit may not be occupied prior to the occupancy of the primary dwelling. Condition 2: Applicant shall submit a copy of the recorded deed restriction to City before final occupancy of the ADU can be given. 09/20/2002 Appr TM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 3.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~ Reouired InsnectionsJ I Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 7 Shear Wall Nailing: Before covering sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 WalllnsuIation: Prior to cover. 10 Ceiling Insulation: Prior to cover. II Drywall: Prior to taping. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Rough Plumbing: Prior to cover and including required testing. 14 Water Line: Prior to filling trench and including required testing. 15 Sanitary Sewer Line: Prior to filling trench and including required testing. 16 Storm Sewer Line: Prior to filling trench. 17 Final Plumbing: When all plumbing work is complete. 18 Underfloor Mechanical. Prior to insulation or decking and including required testing. 19 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 20 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. 21 Rough Mechanical: Prior to Cover 22 Final Gas: When all gas work is complete. 23 Final Mechanical: When all mechanical work is complete. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: 02-01097-01 ISSUED: 01/28/2003 APPLIED: 09/12/2002 EXPIRES: 07/28/2003 VALUE: $ 182,827.00 24 Temporary Electric: Approval required prior to Utility Company energizing pole. 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When aD electrical work is complete. By signature, 1 state and agree, tbat I have carefuDy examined tbe completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliance "itb ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspections are requested at the proper tOOe, that each address is readable from the street, tbat the permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date 4 of 4