HomeMy WebLinkAboutPermit Electrical 2008-8-22
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INITI~ A
DATE ?,"1'1( \~O...L'
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"225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM Zoo '6 - 00 SbO
I. !fJ1"Q~[F::~rqg@$~ 3,
1410 /4/2 S. 57
LEGAL DFi'CRIPTION: A.
/8020Lltl.{ f) Izot
Supervisor License Number L( li4 - 5
(0 lOll ~O
,
I QSY l'S
3/3t (04
/
Signature of Supervising Electrician
5alOhOL(J~
Owners Name G-f:!;Nl:: U. i4- ++
Address 55 gb~ e ~tlll(;- ~d,._.E.
t,le , c "
City f:Jt f3J ~ Il.~ Phone 'ii; Z Z - S 5"0 9 Pump or'i1'ri&ation $ 57.00
tI> "l>. u\~~1tighting $ 57.00
OWNER INST ALLA TlON .~li'i. . OlegOI\ \alN ~1~~lResidential $ 29 00
The in.'tallation is being made ~~~~~b~ ~~\ei-~~~Commercial $ 52.00
IS not tntended for sale, lease ofl.~tu\e$ a (\tel 1'\OS:M~~' rmit Inspection Fee is $52.00 + Surcharges
. 'O~i\ica\\once '\..oO,\O~IOnl"S' 3'30
Owners SIgnature: ~o p.P.'9!>Z..oo iotail\ cOy- "- . .t . .
i" 0 'foU tna~ 0 I ~~O\e~ar e 3 CJ E,O
UU~\!\g ~e col\~;egOI\ \)tIV 0 i)\P'ini~#~~e Fee ~3 -
.:._het101~e. ,..e.O~ 0 ,c':nologyFee I{,!)O
I\TP.... cel\tel ill , 1 0
TOTAL' .' Lfl't-
.: . Sharedprive(T:)/BuildingFormslElectricaJ Pennil Application 7-08.doc
.JOB DESCRIPTION:
{,N IRe
bLA~Le-,X
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.
&. E s.. \i2dn (
, .
Address '1 J833 Joi\C') AU('; ki
. Phone 'l:S ~ - J 5" q \6
Electrical Contractor
City ~(cS.
Expiration Date
Constr. Contr. Number
Expiration Date
Inspection Request: 726-3769
Date
'6'27..-0g
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof '
Each ManiIfact'd Home or
Modular Dwelling Service or
Feeder
z..
t..f
ZI../Zr
1~
$121.00
$ 22.00
$57.00
B.
200 Amps or less $ 73.00
20 I Amps to 400 Amps $ 86.00
40J Amps to 600 Amps $143.00
60 I Amps to 1000 Amps $ 186.00
~;;~;~c~ :~SNOlts ., ';:~~:~~~~~J .
_____ill:w~"~'~~~"'"!'1.~\l,~IM""-.AIli,,,'*"' -.'
c. !!:rempora9\':'ien;ices~lfe4il~ "o.~'1a~c."\n'll~.:lti,m';:'~"
cl"i',~ t;\o. '% S\'If'''''''~\l'\ -k\~'(.~'\JoI", ,,- "-.,,
, "'()~~ ,t:~~\\ \\'~~ .o.t..~'\JfJ .'
Insta/!iJ..tltlll~~?\~fIl Sqeaa~,n .
200 ~~~~c.'t.\) C\ 't.rr,.f~'\J. ' $ 57.00
201 Am~lb\~i~~>1\Il1Jj~ ~ . $ 79,00
401 Amps~~~~o@~mps $] 14.00
Over
. D.
New Alteration or Extension Per Panel
One Circuit.
Each Additional Circuit or with
Service of Feeder Permit
$ 50.00
$ 5.00
I ~ \'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1410 S 57th St 1412
ASSESSOR'S PARCEL NO.: 1802041401201
PROJECT DESCRIPTION: Duplex
Owner: GENE HIATT
Address: 55868 E KING RD'
MCKENZIE BRIDGE OR 97413
Contractor Type
General
Electrical
Mechanical
Plumbing
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 02/25/2009
VALUE: $ 288,680.00
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
Residential
Pbone Number: 54t-822,3509
I CONTRACTOR INFORMATION I
Contractor
GENE B HIATT CONSTRUCTION INC
L & E ELECTRIC INC
COMFORT FLOW
VOS PLUMBING INC
Phone
541-822-3509
541-933-2653
541-726-0100
541-485-0551
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
26.00
5.00
12.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
68798
105475
460
,41805
Expiration Date
10/09/201t
,
03130/2010
06127/2009
0410412010
I BUILDING INFORMATION I
.."'.'.~~.::-l' .',j'
2
R-3
U
VB
A 1t7lI!~tw:i~~: 1 Lot Size:
fO"!W~IiI~01'"St~bPJ la 23,00 Sq Ft 1st Floor:
NotilfrYiIl'i@fiIopted by ~ W<ilu1Hcatou ~q Ft 2nd Floor:
In OAR'l152_ ter. Those ~ ~flilglliv Uti,. 9 Ft Basement:
0090R)l} {dePOt 0 throug~~ei9"ilat fo Ft GaragelCarport
CaJl~~ td\9tain COPie ~l4I5I?-oo . Ft Other:
I1U~iIW WRnni#tote: t~ Oft~ules bOccupant Load:
B e -6f~''-:''.'' .. etpl.,..~ '"
~ll!W,,'- ~~ -.>""
I DEVELOPMEN'f'L_ -~.~catiOIl
560
8,544
2,600
4
-"""'()X~J.l~y Dist: .
# Street Tr"es.Rqd: ~
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
",'-
4
Yes
36.90
.'
I PUBL'Vflt~~VEMENTS I ,
THIS PERMIT SHAll EXPI Stdf+Htpe:
AUTHORIZED UNDER TH/sYm1~Rf.s:
COMMENCED OR IS ABANDONED FOR
. ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541"-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellines
Garaee
Tvpe of Constrnction
V Wood Frame
Garaee
Fee Descriotion
Plan Review Residential
, + 5% Technology Fee
Overwidth Application Fee
-Mech [ss 2+ Appliances-
+ t 0% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
2 Baths One or Two Family
Addressing Assignment
Bnilding Permit
Cnrbcnt Permit
Dryer Vent
Exhanst Hoods
Fire SF Fee - Residential
Plan Review Major - Planning
PW Disc - 2nd Permit
Sanitary Sewer - Improvement.
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbnrsement
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Transpo Reimbnrsement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervions Area
Storm Sewer Each Addtll00"
Temp Power 200 amps or less
Vent Fan
Willamalane Attached (duplex)
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
. Residence Wiring 1000 Sq Ft
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/2912008
APPLIED: 04/2212008
EXPIRES: 02/2512009
VALUE: $ 288,680.00
I Valuation Descrintion I
$Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amonnt
2,600.00
560.00
Value
Date Calculated
$273,000.00
$15,680.00
$288,680.00 .
04122/2008
04122/2008
Total Valne of Project
F~~. P~W
Amount Paid
$844.65
$2.75
$45.00
$40.00
$216.65
$241.02
$lt 7. t 7
$560.00
$70.00
$t,299.46
$85.00
$14.00
$20.00
$158.00
$205.00
$,40.00
$816.16
$1,073.33
$10.00
$1,980.79
$190.70
$258.63
$1,724.50
$390.96
$144.95
$85.00
$1,885.12
$32.00
$55.00
$28.00
$5,452.00
$33,00
$39.60
$16.50 .
$242.00
Date Paid
Receipt Nnmber
4/22108
4/25108
4/25108
5/29108
5/29108
5/29108
5129/08
5129/08
5129/08
5129/08
5129/08
5/29108
5/29/08
5/29/08
5/29108
5/29108
5/29/08
5/29/08
5129/08
5/29108
5/29108
5/29108
5129108
5129108
5129/08
5129/08
. 5/29108
5/29108
5/29/08
5/29108
5/29108 .
8126108
8/26108
8/26108
8126/08
1200800000000000389
2200800000000000521
2200800000000000521
. 1200800000000000568
t200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
t200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
1200800000000000568
'1200800000000000568
1200800000000000568
t200800000000000568
1200800000000000568
1200800000000000568
t200800000000000568
. 1200800000000000568
t200800000000000568
1200800000000000568
1200800000000000568
t200800000000000568
2200800000000001293
2200800000000001293
2200800000000001293
2200800000000001293
Paee 2 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 02/25/2009
VALUE: $ 288,680.00
225 Fifth Street, SpringHeld, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Residence Wiring Ea Addtl 500
$88.00
8/26/08
2200800000000001293
Total Amount Paid
$]8,424.94
I Plan Reviews I
]nitial Review
04/2312008
04/23/2008
APP LLH
Public Works Review
04123/2008
04/25/2008
APP TSS
Storm water routed to public
system.
Planninl! Review
04/23/2008
05/01/2008
APP TAJ
4 Street Trees are required: 3 on S
57th and 1 On Mt. Vernon.
,
Need design for masonry porch
doumn and fabricator for welded
column cap. Sent letter to owner
and designer 5120/08dlm. See
documents for request letter.
Structural Review
04/23/2008
05/20/2008
APP, DLM
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be mad'e the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Rpnllirpti In~.oectionsl
Erosion/Grading Inspection: Prior to ground distm:bance and after erosion measures are installed.
Sidewalk - Setback: After forms are ~rected but prior to placement of concrete.
Curbcut - Overwidth: 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 Hnish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulatiou: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Statu's
Issued
PERMIT NO: COM2008-00560
.ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 02/25/2009
VALUE: $ 288,680.00
225 Fifth Street, Springfield, OR
541-'726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested aud approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
. 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.
Under(1oor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Fiual Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electrie: 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 tn~e 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, Bnilding 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 inspect~ons 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
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
. . ,.
541~726-3759 Phone
City of Sprin'gfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
Payments:
Type of Payment
CreditCard
cRccciotl
RECEIPT #:
Date: 08/26/2008
2200800000000001293
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JO H1A TT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
05594C In Person
Payment Total:
'page I of I
IO:58:47AM
Amount Due
242.00
88.00
16.50
39.60
33.00
$419.10
Amount Paid
$419.10
$419:10
8/2612008