HomeMy WebLinkAboutPermit Electrical 2003-9-18
JOB DE~CRIPUON - b~~~~IPJW(lSS
(il \..^. I h }r iA(Y) J 1 ~ TI-,P followmg p,rOlec' ~s sUub,~~t~e;fuNkaldrliti~H%1 500
d ooes no. req .
;C0r1'rIg an sq, ft or portIOn
Permits are non-transferable and @f{~[feVal , ~:D(2, , tJJ.ereof ----
if work is not started within 180 days ZOOlng '1--11- \) )Each Manufd Bmne or
~f issuance or if work is suspendeWe _ . .' (/, !\1bd~lar DW~~,i~~
~80 days, .ca Sll'nalUf€ ~_':1-,..-Servl'ce"Of"Feeaer
l"j\nOflZv d
-Si
Multi-Family per dwelling unit.
Service Included:
......225 r ll'LJiS1]lliJj.T ,.'
" SPRINGFIBLp', 8BEq01'l974{J,7
INSPECTJONRE8l[EST: 72(f;'31' '
.',. OFFICE' '7263759> ,,;,,. :;,; ';;;;$),
'.. ., .... .....- ..,......'.A..;. :&i~
1. LOCATIO. N OF IN. '. STfi.ii~ON
~~"jJ'" -+'
LEGAL DESCRIPTION
J70 '52-b/3 09300
Items Cost
~:}~t::,~
3 $ 19,00 $-7'
, . .\Owners N am , ,
,,' :' ,,<, , "f;j'""
"Address x~3 <27 . ..,' .~;:
~' ,~
Citf;.S(>O~' ", JdllO
OWNER INS LLATlON'
The installation is being mad
",:. ',.. .. .. >':: ::-:.:.- -~ .. .. ..
property I o\vn which is noi i
for sale, lease or rent."'~'f;:,
, .. ',>"-- ;.;, '" :":-:'>'/<~~
',',,",.. ..,-,--.-....,...,
$ 50,00
2, CONTRACTORINSTALLATIONONLY B.
Electrical' Cont;actor.>r/CrJ i fl c EJ tel' fl. G
" d~J2
Services or Feeders
Installation,
Relocation:
Date
Signat.ure pfSupervising Electrician
"B" above
~,t~l~
D. Branch c:i~'c~~~s ,',/
New0Alteration or.Extension Per Pane
d>.. ,,' ;:(~>~:' .".- .',,',-- . ""'t>~':r:,f
Owners Signature:
NOTIO~Ci;6Uit:.0 ... ...' , .'~43,bo
THIS PE. $flA~l.,...'..e.xp. .IRE IF.TJ.-jEW...".-O.,.......R.. K '
AUTH~' ~ 1ff~l)t!ft~opr~~rrs:~()T
COM~~tUij{f~~ ABANDONED ;=tjri.'$'3,QQ
E~tt\Yist~R~~~~StW)~/f~~der not included)
;-7~gh,installation.:' ..
?~!gjR,:9ijr~~gation. .'.
$~~ri<Oht1i~eLighting
Llp1ited~EnergylRes
Llll1itedEnergy/Comm
,. -j
ei
$50.00
$50.00
$25,00
$45,00
~~",'''':_'w!>
,,";',:', ", 'f;~'
Zb?
I <3' 'z(3
'Zb 90
3/ t.f '72-
4. SUBTOJ;.;\l. OFABOVE
7% State Surcharge
8% Administrative Fee'
TOTAL
. _.:0:;",.):'_1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-'3769 Inspection Line
SITE ADDRESS: 888 S
ASSESSOR'S PARCEL NO.: 1703261309300
CITY OF SPRINGFIELD'
Building/Combination p'ermit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/2412003'
EXPIRES: 01124/2004
VALUE: $ 242,827.00
Springfield TYPE OF WORK: Single Family Residence '
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Single Family Residence wi accessory unit
Owner: HIATT BERNARD D
Address: 836 R ST SPRINGFIELD OR 97477
Owner: RICHARD HIATT
Address: P.O. BOX 173 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
C L. \re"E~oU. to. D
ontractor l(;~n.seIU 1 . x.p'lIi,atlOn ate
\Cl..' 't"- n \)\1 "J
HARDING ELECTRIC INC 1\ON..oregor~J~,~B Grego JW~fl2004
COMFORT FLOW ~"r\E.N 5 adO?ted4'60 e ru\e5 are 5 0.[>Jg;V2005
SURRETTS PLUMBINGcJi~.<~N r~\~ r,Anter .1Jl!1i~,7.an G~R ~:9).a.~/2004
BBIt:nING~INF.(i)RMAiioN~,.?ie5 O\~~;?no~e
" "";;;.: ,<oU rna'J v- er. ~Note'. :~e No\i\icat\On
C#Jof'Stories:ne cent on \jt\\\W ^ .I.ot Size:
..~\\\nU' "_,, Greg f) f)'3<-ttri.
HeIght ~!;~t,~.ctur~ _800-'3'3~-~ Sq Ft 1st Floor:
Ty.peq)f-He~enter \5 '\ Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: , Sq Ft Other:
ImperviousSurface Area:
Contractor Type
Electrical
Mechanical
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
R-3
U-l
VN
VN
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
24.00
10.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone
541-688-5006
541-726-0100
541-741-3553
I DEVELOPMENT INFORMATION .'
REQUIRED PARKING
2
overlaYH's~~E: 1H~f~RK
# Street ~ r;' 'Mll SHAll E)(PI~E IF Mn ~~tflpped:
Paved D;li If{ . IZED UNDER~I PER ;Qwpact:
~U1H ONED U~
% of Lot COY~f~~~CED OR IS .
ANY 180 OAY PERIOD.
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fully Improved Curbside 5'
Yes Downspouts/Drains: Curb and Gutter
Engineering has called for a survey of to verify the location of the easement lines in relation to the
proposed siting of the structures. Intrusion of footings, eaves, and any other portion of the
proposed structure in to easement area is prohibited.
Notes:
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
Tvpe of Construction
DwelIinl!s
Garal!e
V Wood Frame
Garal!e
Fee Description
Plan Review Residential
Curbcut - Overwidth Appl
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
, Fixture
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Plan Review - Planning
Planning Final Occy Inspection
PW Mult Disc - 2nd Permit
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
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 01124/2004
VALUE: $ 242,827.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
3,063.00
731.00
Value
Date Calculated
$228,499.80
$14,327.60
$242,827.40
02/24/2003
02/24/2003
, Total Value of Project
~
Amount Paid
$669.76
$35.00
$10.00
$149.44
$104.61
$306.00
$1,030.40
$75.00
$12.00
$18.00
$28.00
$15.00
$4.00
$1.00
$59.00
$118.00
$-30.00
$554.07
$728.97
$10.00
$69.66
$665.72
$139.54
$102.88
$1,419.61
$321.74
$75.00
$1,078.65
$50.00
$30.00
$1,000.00
$26.90
$18.83
$212.00
$57.00
Date Paid
Receipt Number
2/24/03
6/24/03 '
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
9/16/03
9/16/03
9/16/03
9/16/03
1200200000000000740
2200200000000001115
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000001669
1200200000000002136
1200200000000002136
1200200000000002136
1200200000000002136
Pal!e 2 of 4
CITY OF SPRINGfilELD .
Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 01124/2004
VALUE: $ 242,827.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$9,165.78
I Plan Reviews I
Initial Review
Plan nine Review
02/24/2003
02/24/2003
02/24/2003
04/28/2003
APP RJB
APP AID
Public Works Review
, 02/24/2003
04/29/2003
APP - VRJ
Structunll Review
02/24/2003
03/11/2003
OK
TCM
Informed applicant 3-6-03 that
permit will bepiaced on hold
pending approval of an Accessory
Dwelling Unit Application.ADU
approved.' -
Engineering has called for a survey
of to verify the location of the
easement lines in relation to the
proposed siting of the structures.
Intrusion of footings, eaves, and any
other portion of the proposed
structure in to easement area is
prohibited. Applicant has applied
for overwidth driveway application.
Contacted Richard Hiatt 4/29/03, he
will either trim a 'foot or two off
house' or eliminate eaves. I
requested that he speak with
Building regarding any changes. MI
Haitt came into counter, 5/9/2003,
no eave on west side of structure.
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.
~eouireVnsnections .
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Underfloor Plumbing: Prior to insulation or decking.
13 Underfloor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
Paee 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 01124/2004
VALUE: $ 242,827.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 Underfloor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
21 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.
22 Rough Mechanical: Prior to Cover
23 Final Gas: When all gas work is complete.
24 Final Mechanical: When all mechanical work is complete.
25 Rough Electric: Prior to Cover
26 Electric Service: Approval required prior to utility company energizing service.
27 Final Electric: When all electrical work is complete.
28 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
29 Temporary Electric: Approval required prior to Utility Company energizing pole.
30 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00 1 09
COM2003-00109
COM2003-00 109
COM2003-00 109
Payments:
Type of Payment
CreditCard
Receipt #: 1200200000000002136
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Paid By
HARDING ELECTRIC
Received By
djb
Check Number
Batch Number Authorization Number
000169 016929
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/16/2003
10:41:37AM.
Amount Paid
Item Total:
18.83
26.90
212.00
57.00
$314.73
How Received
In Person
Payment Total:
Amount Paid
$314.73
$314.73