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Home My WebLink AboutPermit Electrical 2003-7-14 '" ' submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . ~M~(~if~.s1689reqUire specific land use ELECTRICAL PERMIT APPLICATION approval J.....'DP- C. T b N b ' 1" ,~., 2 f./ 7 (r/ 0" Zoning Ity.O urn er (,oJl1. ^ 00') -vO ! {Date - '"1- J '1-/S-0'3 \ Dale ~ 3. C01l1PLETE .f;g#A~iiP.EJ1IE BE'r.o'WT .7 )LV 1. LOCATION OF INSl"ALLAl'ION 7()Z S S+ LEGAL DESCRIPTION /7032(;,1 J D 9200 JOB DESCRIPTION t/-O LA- os. t= w, .rLC: Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residential- Single or Multi-Family per dwelling unit. 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 / $106.00 IO(~ $ 19.00 .3"3 /- $50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: Electrical Contractor ~1f\J ~~c.. Ff~t CO 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address ~ 0 OQC 4zotiP Euge<<.5l- cr1((J1 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City Phone 1lol 2090 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 Supervisor License Number -"15....S3 S /6 /t /(') 4 I I Expiration Date Expiration Date ~Ah-~~;1Y\/\ Owners Name 1}1, L-l~( Address I ~ bl:.{ 9ft,.". City Sf> F ~ Phone J-/; ~ -If S1- OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $ 43,00 $ 3.00 E. Miscellaneous (Service/feedernot included) -Each Installation \'\i'NQ"'~ PuiF.e.' irrig,';on \.. tY-I'\\\t \r ~i I';; tl.OS 50.00 "~~w.~ ~\~~ l\\\S ~t~ n;~ $ 50.00 \\11fmY~n~g\)AA.~\~e~~~DO\~~\) $ 25.00 f.\'2.;u1. ~~tH~~~1WA~cial $ 45.00 . .rB~im...N nl\" ~t.\~lVV.. . MlDltr'lf\~ l\\Setit.M'Permlt InspectIOn Fee IS $45.00 + Surcharges 4. SUBTOTAL OF ABOVE ) 1-1- 7% State Surcharge /0 0 8' 10% Administrative Fee I 1'1 40 TOTAL 1/6gi/b Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-03,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00214 ISSUED: 05/13/2003 APPLIED: 03/27/2003 EXPIRES: 01114/2004 VALUE: $ 116,235.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 902 S ST ASSESSOR'S PARCEL NO.: 1703261309200 TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence Owner: MICHAEL HIATT Address: 1864 9TH STREET SPRINGFIELD OR 97477 Contractor License EXPi~IO te Phone MICHAEL HIATT CONSTRUCTION 152009 /iJI . .....~ 741-0384 THOMAS LEE BALCOM JR 138121 .9-({,iaf.?/,~' 541-461-2590 MICHAEL HIATT 152009 ,0t$: ~;Jj,l ~.~'61-741-0384 SURRETTS PLUMBING INC 121687 ,~ '!/:'>.eO gflt.lfiqlt L-"'41~741-3553 T~f'llJ ~r ~ ....'a ~ (S' ,i~' I BUlLi~'it;"FORMATIONI ~'~~ P/lfIi ~q,...Jb~~-~ ~~ ' ~tl) -H ~O.s-~ ~ .~~~'"# # of Buildings:' 1 ~ ~ ~s: ~9 ~~. ~~(J!,f6I!~~-_'W Primary Occupancy Group: R-3 ~~ ~'fl."~<t'df Structure ~O ~~~ ~ ~~ : Secondary Occupancy Group: U-" ~ ~S ~<'\.~e of Heat: Fllf-~~<<i~ ~fi1ti/1J. oor: Primary Construction Type ~ ~ "\ ~~\..water Type: t:- ~ ~.# ~ ,..i~)t\.:ltment: Secondary Construction ~:# C3 ~~~~ ~ ~<Q Range Type: ~ # ~.f Oj~~ ~ ~t:!arage/Carport # of Bedrooms: ~t:::J'\~ ~<v~ ~<<,~ ~ ~~. Energy Path: ~ # ~~~ ,~~ Other: " ~S ,\.r:::,~ rv<<'~ ~<v~ ~.~O tP. ~ JJ; ~ervious Surface Area: ~ '(Y''''~ ,...~ "l. N'" tlli ,V ~~~~~~CO~ 'V' I DEVELOPMENT INFORMATION I~.s SETBACKS ~~ 10.00 5.00 12.00 Contractor Type General Electrical Owner Plumbing Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-741-0384 I CONTRACTOR INFORMATION I 7,394 1,432 480 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING Total: 2 Handicapped: Compact: 2 28.00 34.00 % of Lot Coverage: Yes 26.00 I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5', Curb and Gutter Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00214 ISSU,ED: 05/13/2003 APPLIED: 03/27/2003 EXPIRES: 01/14/2004 VALUE: $ 116,235.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I DweIlinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount 1,432.00 480.00 Value Date Calculated Description Total Value of Project $106,827.20 $9,408.00 $116,235.20 03/27/2003 03/27/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $403.59 3/26/03 1200200000000000888 -Mechanical Issuance Fee- $10.00 5/13/03 2200200000000000839 + 10% Administrative Fee $97.69 5/13/03 2200200000000000839 + 7% State Surcharge $68.38 5/13/03 2200200000000000839 2 Baths One or Two Family $254.00 5/13/03 2200200000000000839 Addressing Assignment $8.00 5/13/03 2200200000000000839 Building Permit $620.90 5/13/03 2200200000000000839 Curbcut Permit $75.00 5/13/03 2200200000000000839 Dryer Vent $6.00 5/13/03 2200200000000000839 Exhaust Hoods $9.00 5/13/03 2200200000000000839 Gas Fireplace $15.00 5/13/03 2200200000000000839 Gas Outlets 1-4 $4.00 5/13/03 2200200000000000839 Plan Review - Planning $59.00 5/13/03 2200200000000000839 PW Mult Disc - 2nd Permit $-30.00 5/13/03 2200200000000000839 Sanitary Sewer - Improvement $335.80 5/13/03 2200200000000000839 Sanitary Sewer - Reimbursement $441.80 5/13/03 2200200000000000839 SDC MWMC Administration $10.00 5/13/03 2200200000000000839 SDC MWMC Improvement $34.83 5/13/03 2200200000000000839 SDC MWMC Reimbursement $332.86 5/13/03 2200200000000000839 SDC SanitarylStorm Admin $91.69 5/13/03 2200200000000000839 SDC Transpo Admin $50.22 5/13/03 2200200000000000839 SDC Transpo Improvement $709.81 5/13/03 2200200000000000839 SDC Transpo Reimbursement $160.87 5/13/03 2200200000000000839 Sidewalk Permit $75.00 5/13/03 2200200000000000839 Storm Drainage Impervious Area $812.16 5/13/03 2200200000000000839 Temp Power 200 amps or less $50.00 5/13/03 2200200000000000839 Vent Fan $18.00 5/13/03 2200200000000000839 Willamalane Single Family $1,000.00 5/13/03 2200200000000000839 + 10% Administrative Fee $14.40 7/14/03 1200200000000001751 + 7% State Surcharge $10.08 7/14/03 1200200000000001751 Residence Wiring 1000 Sq Ft $106.00 7/14/03 1200200000000001751 Residence Wiring Ea Addtl 500 $38.00 7/14/03 1200200000000001751 Total Amount Paid $5,892.08 Pal!e 2 of 4 , .sP-:R~NGFIa;p, ~Itr'- :(~-~~,~~",.-",.,;r -, f' -'~E~~"' .,~~~,~~:_<~~.~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00214 ISSUED: 05/13/2003 APPLIED: 03/27/2003 EXPIRES: 0111412004 VALUE: $ 116,235.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Revised Plan Review - Str 03/27/2003 03/27/2003 03/27/2003 04/16/2003 I Plan Reviews I 03/27/2003 APP 04/02/2003 APP 04/04/2003 APP 04/17/2003 APP LLH EMM VRJ DLM Truss layout drawings only. Applicant to provide truss design drawings to this office prior to delivery of trusses to the job, and provide an additional set at the job site prior to requesting framing inspection. ' Received Truss Information Revised Plans Received/Ro Structural Review 04/10/2003 04/16/2003 APP 04/11/2003 APP LLH 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. 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Vnderfloor Plumbing: Prior to insulation or decking. 15 Vnderfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00214 ISSUED: 05/13/2003 APPLIED: 03/2712003 EXPIRES: 0111412004 VALUE: $ 116,235.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 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 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 Bignature Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00214 COM2003-00214 COM2003-00214 COM2003-00214 Payments: Type of Payment Check Receipt #: 1200200000000001751 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 + 7% State Surcharge + 10% Administrative Fee Paid By MICHAEL HIATT CONSTR Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department , . Date: 07/14/2003 10:24:31AM Amount Paid Item Total: 106.00 38.00 10.08 14.40 $168.48 How Received In Person Payment Total: Amount Paid - $168.48 $168.48