HomeMy WebLinkAboutPermit Electrical 2003-1-29 (2)
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'225 FIFTH STREET. ,'\ ....... ...~ : [,.> ' .. .' . EL~CAL PERJvIIT APPLICATION . .
. v'!, SPRI!'lGFIELD, OREGON 97~77 iC' r;,., , " , .:tr\ '"\ 'OJ ;p,IIh" . 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 .'.Q. .
;- J >."'ii,; ,: .'.: :.~: (; .... ,;\ ~Y:! :3: cO~LkTE ffiE'sc~DULlollliLOw '7 .:.' .
~(. I. L?~1\I!9.N ~~s~'.,~? J~~~~-1~:~~;1~~;idcntJ;~s:~~!~r ,.::' .,t.0'~G.
Multi.Family per dwelling unit.
LEGAL DESCRIPTION n.!\gpili@lIncluded;
I " 0 S Cl.. (0 I 3 [) <+ '-f<:5C) sub!l\i\\ad n~~c\ lend usa
. fO\ect as \fe spec\
\o\\o'<N\\1Q ? 5 00\ teQ.U . /
:~~ing. and doa J:i)~ !QllJl..sEr.fr.less
o,~,ovel. _ '~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 18lA1'1~s. d S'lgnelU,a 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..ct.iM trlt'fc l:: ~r I 'c.. ~ificiIW(QMfi>llter. . ose rUh OAR 952-001
, inOAR952-o01-001pthrO~g , I' b
Address} 'Cl 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 ~'-< ff81,U''': Phone </f.pf 7St:rftp nuni\ger"I!JP~\lmaQQ(ll!J1llll UtilIty NOtlll""f"$125,OO _'
D,. '. />"",}L 601 elgmi!.'l~QqoOOfpS332-23441'_.$16300_
Supervisor License Nlunber 4.5$3 8;,';i'''',' . Over 1000 amps/volts .....$375.00 .
t ":>\'f'. ' Z,'i~',It ~i' ';"'1""/:,.; .R.econnedOnlv:,,') ""'--"$'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, ~Ii"ll P-. C-ftl:ffiN-
,\'ll'rfi~Yb~~U'WO~~1fH?S ~R~IT IS NOJi
COMMENCED OR IS ABANDONED FOR .
D. iWJ'jII1f!l(f=O'Alfi~ERIOD.
New Alteration or Extension Per Panel
Items Cost
SUlll
JOB DESCRIPTION
z... $106.00 z./?.~
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,yo which is not intended
for sale, lease or rent
Ownc~ignaturc;
A/~
.
7~
E. Miscellaneous (Scrvicc/fccdcr 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",,,,,! 0 ~
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrati\'e 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 of Payment
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
1/2812003
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
Pavment Total:
cReceipl.rpt
CITY OF SPRINGFIELD
Building/Combination Permit
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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, Subdivision, 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 INl<"ORMATlON 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
1
23.00
Forced Air Gas
Gas
Gas
Path I
3
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearysrd 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:
IPUBLIC 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
FullV Improved
Yes
Sidewalk Type:
Downspoutsillrains
Curbside 5'
Curb and Gutter
Notes:
1 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 Fee--
+ 7% State Surcharge
+ 8% Administrative Fee
I Bath One & Two Family
2 Baths One or Two Family
Addressing Assignmeot
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 Mult Disc - 2nd Permit
SDC MWMC Administration
SDC MWMC Credit
SDC MWMC Improvement
SDC MWMC Reimbursemeot
SDC Saoitary Improvement
SDC Sanitary Reimbursement
SDC SanitarylStorm Admin
SDC Storm
SDC Transpo Admin
SDC Transpo Improvement
SDC Traospo Reimbursement
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
.
I Valuation Descriotion ,
$ Per Sq Ft
Square Footage
Total Value of Project
I Fees Paid I
Amount Paid
Date
$534.56
$10.00
$96.98
$1l0.83
5145.00
5254.00
$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
550.00
$18.00
$2,000.00
$26.90
$18.83
$212.00
$57.00
9/12/02
10129/02
10/29/02
10/29/02
10/29/02
10/29/02
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1/28103
1/28/03
1/28/03
1/28/03
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CITY (J1< ~.rKmljl'1J!.LU
Building/Combination Permit
PERMIT NO: 02-01097-01
ISSUED: 01128/2003
APPLIED: 09/12/2002
EXPIRFS: 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
Eneineerine-Res
Ioitial Review-Res
Planoine-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.
Coodition 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 a.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 hut 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 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
11 Drywall: Prior to taping.
12 Underfloor Plumbing: Prior to insulation or decking.
13 Rongh 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 includiog 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 ao appliance.
20 Gas Service: After line is installed and Iioe has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
21 Rough Mechaoical: Prior to Cover
22 Final Gas: When all gas work is complete.
23 Final Mechanical: When all mechanical work is complete.
3 of 4
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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 aU electrical work is complete.
By signature, I state and agree, that I bave carefuDy 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 "ith 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, 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
4 of 4