HomeMy WebLinkAboutPermit Electrical 2007-2-7
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225 FIFTH STREET: SPRINGFIELD, OR 97477 . PH:(541)716-3753 . FAX: (541)716-3689 ;~ ~ ... SOURC~f~~.'SS
ELECTRICALA'ERMIT APPliCATION .
City Job Number C{, -IJOS/O .. Date ;)J7/d~7
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LEGAL DESCRIPTION:
//O;S d-d-)~ ()~S60
JOB DESCRIPTION:
s: Pv2-
Permits are non-transferable and expire if work is.
not started within 180 days of issuance or if work is
Suspended for.180 days,
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2. iS~;"$f~~,~~~~Sl1'.!liM2!)'i1Q~~~
Electrical Contractor l (. E \:::. ~c..:."'\ C .
Address C(;).. <3 5 3 j c5V\.Q. '> A<JO \QJ.
City <)~ <; \ C.
Phone 5~ \ -y 1~8
Supervisor License Number Y \ ll.\ - .s
Ibh 101
\ 05 415
3 / ?oJ 08
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
eQ.~n~
Owners Name ).'1c' C 4 C( '" ( /-./ ; u-r-.
Address f'J 9) ;J"~ {,,<-( K. C"7-
City f' c,~ <7 " .
Phone !f.Lc- - 0) /_ cr
OWNER L"lST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
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3. (>;.COllfPLETE:FEESCHEDULE BELOW;<;...i:>.~,~ .": ";jl<,,*,~.,,<
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'(:' ''.;;;''_' ,~t '.o;'-(W">:1~'1~(, in: .:-' (; :,;,c;;:l ;1t'(,;,,;,'.~f':l:t\!.~,.-.';Il.',::'1~"';<"'.;"!"?i,~'::"'?;~il ";'l~:lll.~"i~"::'i.r:'"~
A. .~N.w Residcn!ial';' SingJe.or'Mtilti.F:l"'1il)"per dwelling'(i'nit.'.'l~
_,"4~~'~~"{.."_..u...:.-",,_:~. ...:..... ;~( .).~~~~~,,Q......~~......., ","':" .........a _.....'...~..... "',' ".'i.>;....
Service Included
1 000 sq.. ft.. or less
Each additional 500 sq. ft. or
portion thereo f
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
~
$106.00
/o~
31"
d-
$ 19.00
$50.00
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B. ~,SerVtces or..Feeders.":)nstallahon,Allerahons or.RelocatlOn: ',:12
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200 Amps or less. $ 63.00
t.9J..<i'P.Ps to 400 Amps $ 75.00
4'6i1 i.Y;;f.to 600 Amps $125.00
~MIM~&!i1iQ(lf~~EXP'RE IfThr: $163.00
~rtVa/ilj:1iifi'p~V~R THIS PE-. wQWf.oo
OOMrwe~Sf'Ir OR IS ABA "Mil IS OOIT.oo
CA~YT"MD,.j)AYFP.Fl)tllf'l'~?'F'~.~d.~~~~QlJ,.;'"i:r1;.""1.~~"'~~.~:~~~.
. . ~~mp2!:.!ljI~~~~r';"l<~.:.l!.1sd~~'.:u;..~n~(q~~lS~:~~.&
Installation, Alteration or Relocation
. 200 Amps or less $ 50.00
20 I Amps to 400 Amps $ 69.00
,ATTJGf'JlJgN~PSlV\lI&'4u,,<,,:gU t... $100.00
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In OAR~~~t-I)b~Jihrotigtfcgir~~5'1~~:'::1";':,,;f}}"~<:'; ~l,<;;
0090. ~OOA11~atSMaint'tlena8~fffi~~n~ 1
call1w!U:.a:llillnfer. (No;: Ihelel('p~,,:~~'$ 43.00 .
T)um~s ~~~~~G\'1i!,JlnlffNotifi~tion $ 3 00
. e'''''''''''\'''S''leSoogyS2-2344). .
~~"',:~"'w_(~,O;:1'.;~.':;~~r,t.,..'f.:,."';;P"'"~::'~::\.t,'.';".::-,"'~7;i!~',~,:,,~;, ;~:'> ~N"r;:.' .,,'.;s~, .~":-.t.
E, . i\lireellaI;eous(Ser\'iee/fei'-dernot iilCludedi -ElIehIilstallntion':
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Pump or irrigation $ 50.00
Sign/Outline Lighting no.oo
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. f..~.UBT()TAL Of1BO~$~~I..l;ii:,,~:~,;:;~!:,"::-
'"'_'" "~";;:~~~"_~...;I."U.:,,..:.....-l' .."r........ e:.\, ,l:r.."e,;...~"\..,,.ll."'f.''''''''''''~'')
8% State Surcharge
10%Administrative Fee
5% Technology Fee
/.L..,p..; G1J
/1..5~
lAt'. '1 u
7: ::J---.r,
TOTAL )t) 77. / ;J...
Shared Drivc:(T:)IBuilding Fanns/Electrical Pt:mUtApplic:ltion 8-Q6.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 535 Ethan Ct
ASSESSOR'S PARCEL NO,: 1703221206500
~
.
.CITY OF ~rKl1~t..J!lELD.
Building/Combination Permit
PERMIT NO: cOM2006-00510
ISSUED: 06/30/2006
APPLIED: 05/0112006
EXPIRES: 08/06/2007
VALUE: $ 184,349.00
Springfieid
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Breanne Commons subd lot 7
Residential
Owner: MICHAEL HIATT CONSTRUCTION LLC
Address: 3283 JA YHA WK CRT
EUGENE OR 97405
Contractor Type
Generai
Eiectrieal
Mechanicai
Plumbing
Phone Number: 541-485-0219
I CONTRACTOR INFORMATION I
Contractor
MICHAEL HIATT CONSTRUCTION
L & E ELECTRIC INC
. COMFORT FLOW
ALAN DOUGLAS HAlMA
Phone
541-915-3569
541-933-2653
541-726-0 I 00
541-967-7686
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
9.00
10.00
0,00
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
152009
105475
460
163929
Expiration Date
06/28/2008
03/30/2008
06/27/2007
03/29/2007
2
BUILDING INFORMATION I
'\VII"...
#9ffl,9JfI~~MIT SHALL EXPIRE~F T~l:~' ~
H~W~ fm~' 4 ~ loor:
T~J}j'.ifMaf: '\'jfi.~ml~I~~sRMI ~ Floor:
WlIt'lfIW.J'l!~ED OR IS ABM~ilNEDSij)A Basement:
Rl\~ t~ile;1AY PERIOD. Gas Sq Ft GaragelCarport
Energy Path: Path I Sq Ft Other:
Sprinkied Building: nla Occupant Load:
484
5,332
1,735
I DEVELOPl\<u'" I ",.ORMATION I
REQUIRED PARKiNG
Total: 2
Handicapped:
Compact:
ATiDEiMI:\O:i~ll)reYOlll"w liiljulle:, you 10
follli&r'4letl!l'fNlfl/{lj'll3 by the Oregon 12ti1ity
NotiflbU'lid1\l6'ooRlJ1I:Those rules are\!l!it forti
in O~'!1~OOg(lthrough OARe6lE-001
0090. You may obtain copies of the rules b'
... ...,. J -
I pujfi~lMfjfQY~J;~~~jiiiitY N~tifi;;ii~n
Center is 1-800-332-~il~"ik Type:
Fully Improved
Yes
DownspoutslDrains:
. Curbside 5'
Curb and Gutter
Notes: Storm drainage piped to curb race 5/412006 CAS
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfieid, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dweilines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 80/0 State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Firepiaee
Gas Outlets 1-4
Pian Review Major - Planning
PW Disc - 2nd Permit (Street)
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$99.00
$26,00
Square Footage
or Bid Amount
1,735.00
484.00
Total Value of Project
Fpp<, P~irl I
Amount Paid
$547,24
$10,00
$132,39
$97.03
$254,00
$31.00
$6.00
$841.90
$80,00
$6,00
$6,00
$110,95
$12,00
$15,00
$4.00
$198.00
$-30.00
$438.61
$576.61
$10.00
$865.31
$82,03
$136,36
$64,85
$805,70
$182,69
$80,00
$1,063,15
$50.00
$18.00
$1,000.00
$7,694.82
Date Paid
511106
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
6/30/06
Paee 2 of 4
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00510
ISSUED: 06/30/2006
APPLIED: 05/01/2006
EXPIRES: 08/06/2007
VALUE: $ 184,349.00'
Value
Date Calculated
$171,765.00
$12,584.00
$184,349.00
05/01/2006
05/0112006
Receipt Number
2200600000000000539
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
1200600000000001005
.
eLll i VI' ~rKll"'t.I'II!.LD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-0051O
ISSUED: 06/30/2006
APPLIED: 05/01/2006
EXPIRES: 08/06/2007
VALUE: $ 184,349.00
225 Fifth Street, Springfieid, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Piannine Review
Public Works Review
05/02/2006
05/0212006
05/0212006
I Plan Reviews ,
05/0212006 APP
05/24/2006 APP
05/04/2006 APP
LLH
TAJ
CAS
Storm drainage piped to curb face
5/4/2006 CAS
Structural Review
0510212006
05/25/2006
OK
RWC
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
ErQsion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed,
Sidewalk - Curbside: After forms are erected but prior to p'.aeement of concrete.
Curbcut - Standard: After forms are erected but prior to piacement 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 pia cement,
Post and Beam: Prior to floor insulation or decking.
Fioor 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,
Drywall: Prior to taping.
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.
Underfloor 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.
Finai Piumbing: When all plumbing work is complete,
Paee 3 of 4
-1Ik';.A.I~~!"~'
p. I
- ~
-. : ,...;:-.,~
.
.
. CITY OF ~n~ll'LJt< I~LD .
Building/Combination Permit
PERMIT NO: cOM2006-00510
ISSUED: 06/30/2006
APPLIED: 05/01/2006
EXPIRES: 08/06/2007
VALUE: $ 184,349.00
Status
Issued
225 Fifth Street, Springfieid, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Mechanical, Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appiiance including required
testing, Presure test done at this point.
Rough Mechanical: Prior to Cover
Finai Gas: When all gas work is compiete,
Final Mechanieai: When all mechanieai work is complete,
Rough Electric: Prior to Cover
Final Electric: When all eiectrical work is complet~.
Low Voltage: Prior to cover,
Rough Electric: Prior to Cover
Final Electric: When all eiectrical work is compiete,
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 oniy 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 iocated 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
Paee 4 of 4
225 Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
· Wii~l
~~:
'.~"~_._ . ~.~ ~.' ''P''-_'- -,
~of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-005\ 0
COM2006-00510
COM2006-00510
COM2006-00510
COM2006-00510
Payments:
Type of Paymeat
Check
cReceintl
RECEIPT #:
1200700000000000129
Date: 02/07/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MiCHAEL HIATT
CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 2081 In Person
Payment Total:
Page I of I
9:55:01AM
Amount Due
106.00
38.00
7.20
11.52
14.40
$177.12
Amount Paid
$177.12
$177.12
21712007