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Home My WebLink AboutPermit Electrical 2004-6-18 j;..1lC.....Qt>:,'it~:A.:m'..~.'-;t.,....;,{;\'~j{T!i7A:...,..".;;ri"'_. '~.:.~..,~"~ftj: ~. n.L.a.c1C:.r.:v.n.;u".:J.l- .... '.LA.' B j,\l 2. ;~1,<;J;;,:-"".:.i~l":'_.llJlB',~""""';"""'.'I;,j.~~;n. \1 SHAL:~' . L) , ~ _1H\~):.t:~~'~ Ob~L1~S PEt;U~\1' \ ElectricalContractor /f~h()IIfTS ~.UN 12UOfu~~n FOR fl COMMENCED OR ~ A. )s to 400 Amps Address .2/ 75"" LM L It t;/ ,~~ ~o DA'l PE.~~)Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNo1ts Reconnect Only ELEt;l ideAL PERMIT APPUCATION City Job Number Lov1-1 '2-0cY1 -00:) ~,l Date 1. :'~io-cATIii. 'cJ:fF:1NSTAT~'tATI."'d~ k-~~~'>"""J""""""J...,.f. . crSI S ST LEGAL DESCRIPTION , 70 "3. ?b (-S JOB DESCRIPTION Sr~ otsuo Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City E",,,,ene (/ 3'1-3-72-'17 Phone Supervisor License Number ~ S;1../J - 5 Expiration Date /O/Oy / Constr. Contr. Number /7.'7 .4) Z- Expiration Date (!;) 2-/ 0 S Signature of Supervising Electrician ~~~ dName ;-/;tf- L"'in'", I~~+- ~)b fZ.- 5t- City S PIc D Address Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 ~~~ .......~ 9//.''-1.... '-'" ;'-:)i '''';1;''~-'''''''' .,',..,.....)~'l'~:---'..."..~.:"".~,<~--..,;,.~t ~;r,~"""'--"";'''''.'''--I-'r:'"' ,~?S~~V.---:~.~-:- 'J.. . .->~ . --<I A. itNewResidentlal::; Suig"le ot:Mlilfi.;1t amify.':p"et. O'\\;,eUing. Uni.t.:',;;'~~~ ........:...._..,......... ,'_.. .__,..,""-._~_..._~r,,,.',,.. _, ~.' .._,...... iibl" -'. ,-"",~-,---_'_'._;;.:",,:--,..._:"\i:."":" -. "",~.. r~, =;DIll.:":I::.M1..~~ilI~ ' '''''...:.J: t :-- .~~..-...~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder -'. j06 7b I L-( $106.00 $ 19.00 $50.00 ..~~~~...,!.l<;<;,;,.:Ir;<,.1"~~r..';}..y-~,:~' -:4,~;.::...~,./.";:>"::.::'.;.r;;;r;:;~:.'.~i J.I. .;A1terafiohsOl' Relo'cilno ' ., 1.~.:1,~t-...~~.i~~-";~l.~;~';~;'~~';~~:--:~ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 "..,.""'........., .<".~'-,......._.-"'....<-"....... c. :"\Tem"'~rJr::.seiS1CeS2orFe ie-.;.;;;,.....-u:::.:.;.;J?\;..U.....:.....~~~~~~ .c,;".,. $ 50.00 $ 69.00 $100.00 $ 43.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyIResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges :0?::.'";;:;\.f";-":':':(:~j';'-::""'-',~c,::~.~:~:.:'Z~~::~""~";.'~-F.'~tif:'~~:. . ';'~-'" ,.,..~ 4. ';::SUBTOTALOF ABO Vitf*..,,:;(!g::: .'.:,~.:.:,t.~.:._...'.~,.:.';-.~.:"'_':..~.~_.~.' ..~:~.~~_.~..\..'..~.:; ~~~~:2~~.~~...j"::~{':"1&~l8~~8:~~~1~~;\i1 - -_. ~~~:.:~ 7% State Surcharge 10% Administrative Fee tfZ { Z 7'1 ,c;- 2-~ (0._ Z, l 7L! TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application l-03.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 11/05/2004 VALUE: $ 265,069.00 '-IIIIr~;'~~;!;'~~' . "".. . '. . . ..... .., ..,~ ''".~ , .. '{";;;-~_,.,~.,.r," '''_.,._ ].:;;~~t"~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 951 S ST ASSESSOR'S PARCEL NO.: 1703261308500 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR - Mimosa park, 2nd Addition, lot 24 - same as COM2004-00042 862 S St Owner: HIATT LIVING TRUST Address: 836 R ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical , Plumbing Contractor GENE B HIATT CONSTRUCTION INC REYNOLDS ELECTRIC SHAD CHASAN SURRETT License 68798 17252 158295 BUILDING INFORMATION I # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height of Structure 25.00 Secondary Occupancy Group: U-l Type of Heat: Forced Air Gas Primary Construction Type VN Water Type: 'NO"~' Gas Secondary Construction Type: Ql\CE: Ra~~lr lr\t.\'3.': .WOl Gas # of Bedrooms: . ~ p~RN\\\ S\-\~E\re\-~,~a~~. M... \.18 R" Path 1 . 1\-\\S \lEO U~~iJllU\~~~ii'grO... n/a ;..\.HUIIR . . \lf1 \': ~R \ CO~N\t. V. 9,ENT INFORMATION M~'{ '\ ~Q 14.00 18.60 5.60 36.90 0.00 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . Expiration Date 10/09/2007 02108/2005 01/14/2006 Phone 541-822-3509 541-343-7297 541-741-3553 Lot Size: 7,604 Sq Ft 1st Floor: 1,683 Sq Ft 2nd Floor: 1,070 Sq Ft Basement: Sq Ft Garage/Carport 440 Sq Ft Other: Occupant Load: 2 Yes 27.90 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS~ qutres you to . o~n 1aw re U 'Iii\., . At ,eN'T1. t\Ill'PJlGregon tl.., Fully Improved OnOW rUles. ad.oP ~~lue seuorth Curbside 5' Yes f t'flcation CentD;t)~fift~ah'O~952-o~urb and Gutter ~O~A~ 952-001-O()1?;~:~o1the rules bY 0090. You Olay ob~ .ote: the te\e,pt\o~e ' caning the center. (N UtmW Noti1\cation number for the, 01re~Oo~ 1),32.-2.344). Center ,s -v I,T"OII Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 4 -_~~F!!~~~!~gJ' ~_.~. ,,,.. ~ .~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwelline:s Gara2e Tvpe of Construction V Wood Frame Gara2e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit 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 Temp Power 200 amps or less Vent Fan WiIlamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00357 . ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 11/05/2004 VALUE: $ 265,069.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,753.00 440.00 Value Date Calculated $254,377.20 $10,692.00 $265,069.20 03/31/2004 03/31/2004 Total Value of Project ~ Amount Paid $100.00 $10.00 $151.62 $106.13 $306.00 $31.00 $-21.07 $6.00 $1,105.15 $75.00 $6.00 $9.00 $4.00 $12.00 $71.00 $-30.00 $344.20 $452.80 $10.00 $214.23 $314.63 $108.24 $53.14 $727.42 $164.89 $75.00 $1,020.51 $50.00 $18.00 $1,000.00 $18.20 $12.74 $106.00 $76.00 Date Paid Receipt Number 2200400000000000306 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 2200400000000000406 1200400000000000942 1200400090000000942 . 1200400000000000942 1200400000000000942 3/31/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 6/21/04 6i21/04 6/21/04 . 6/21/04 Pa2e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 11/05/2004 VALUE: $ 265,069.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $6,707.83 I Plan Reviews I Initial Review 04/0112004 04/01/2004 APP LLH Planninl! Review 04/0112004 04/17/2004 APP TAJ Public Works Review 04/0112004 04/09/2004 APP VRJ Structural Review 04/01/2004 04/19/2004 APP TCM 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. curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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 excava.ted. 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. Drywall: Prior to taping. 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 fIlUng trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 11/05/2004 VALUE: $ 265,069.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 54'1-726-3759 Phone r:ty of Springfield Official Receipt ielopment Services Department Public Works Department Job/Journal Number COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 Payments: Type of Payment CreditCard 6/21/2004 RECEIPT #: 1200400000000000942 Date: 06/21/2004 Description Residence Wiring 1000 Sq Ft Residence WiringEa Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000416 021256 In Person Payment Total: Page 1 of 1 9:19:27AM Amount Due 106.00 76.00 12.74 18.20 $212.94 Amount Paid $212.94 $212.94