HomeMy WebLinkAboutPermit Electrical 2004-5-17
9 project as submitted has the following
does not require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S4I)726-368~oning Lr>,-e.
ELECTRICALPERMITAPPLICATION Date .J:;~17-()U:.
City Job Number Com ZeOLI -DOL( 6f Date . t,uthorized Signature . 'if;)
J. ~"EOi:M.i.rioN;.e. #liNST.f4'T~j;'4fi1ibN~*1\1 3. ~OOMPi2ET-E~.FEEtse~Vi!E!if€i.'(jl~~~1
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Lf 0 2. 9, C h e..vo 1< ee...
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps. $125.00
60 I Amps to 1000 Amps $163.00
O;';er 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
5 . -
ye ~i1;7.Ii"Jc~~ll":Mst""iCTsYM;;if~~jl~'\f~-ii:'*-~""'~~~.:. .~~~
'-". ~#p"""'.",~~~,,,,~-zi<"~~ff~~~
00 laIN leqUI Uti\iW '.
Ins~~~Ii~d'!)ft1'/!l'lilfIi'ftlOOset torth
20~ OOlP~oIee~dDpt 1hose lules alrS~~(jO
2(l'bftPifltll&P1'~!'. 0 thlOU9h~\~~2190
4b'A 6'/11'1'!il5>'6dOci~aiO copies 01 .,I~~ph~I\llO.OO
O~OOO X9lr:~a'/ lVclMq,\e::~; ~~tiOn _
D. ~~J1~m . .'~_.~)a~Jlr~r.~'t_
nUll I .s .
New AlteratidiiEllf1~~ension Per Panel ,
One Circuit $ 43.00 '
Each Additional Circuit or with
. n dJ W" \. .l C. . I.L... Service or Feeder Permit
Owners Name 1-") (\1 <-<.. \ e OV Ie. vT vSM ITV'~<';-
Address Ss. ') 5,- P tr.,,- Ie. \+; \ \s. E. /iJMis~fu,~t11.7s~~@f=h'6tr~lf~r.rs~(;on
~.J~'-<<!1;'~~L':l.l1:~.:W-~~iU1l:iY"'I!'~lb':'U;!l':t!lNl;,i""~.;J;o."""w"",~;~,\'ill' , ..,..... ;-'.-
City E:.vy_ne. Phone bBb-9'i{'~ Pumporinigation $50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limitrg _/Residential $ 25.00
The installation is being made ,h\9;t~~M\~~l:A.. EXPIRE L~~~'f!~f.WVCommercial $ 45.00
IS not mtended for sale,lease or:fK~RIZto UN~~: ~MI!~:pe~:~~=::::~ Fee i~ ~45.00,+ Surcharges
Owners SIgnature: . ~~~~i~~~~ ~ERIO\). 4. ~~~1iOifAJj~~O.l1E !', .~. 1 9l(
7% State Surcharge . 15 j-g
10% Administrative Fee , '7 L( 0
TOTAL Z.Z b !E
LEGAL DESCRIPTION
/'107..0bll 125"C50
JOB DESCRIPTION
Ne.- w ~")
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Ef.asTTri~;rn-;~'A;:;"/"1._~.;.<,m. '."*i'-.' I....',"'""'. ;"'",",,~!<!:'c<--'""'~~"'!I'k~~'""'t:::~
2. ~~~;"~~~~~~~~i,~~
Electrical Contractor Lt:' E r:: I PI'Jr/C
Address C;;)g5.~ j()fltS Acre.> eel
City
Sp~ld
Phone '733 -,}.S1f3
Supervisor License Numher
'-I/7Lf-5
~ (J){ (j b
Expiration Date
10- L)I
Expiration Date
lo54lS
3 - ) () -c;Y('O~
.
Constr. Contr. Numher
Signa~peZ:3:JA
Inspection Request: 726-3769
A. ~~JB~l~E~1lf~l~~~!itiiil~p~~~
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
I
z
$106.00
/Ob
3f
$ 19.00
$50.00
B.lS:". ~,'i'm~rtd~t~lli;\ffillftillipmi~fo~R'tI:r~Xfi~~J
'-;::;o<;Wl"_'~'.~~';i'l:;.m"~~r.'il1J~~~il'f:.Y: ~ .~.. ~~ _~l~":':'t;::~~.....,
S-D
$ 3.00
Shared Drive(T:)IBuildmg Forms/Electrical Permit Application l-Q3,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/11/2004
VALUE: $ 135,432.00
SITE ADDRESS: 4028 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR - Shady Creek snbd lot 26 - same as COM2003-01237 4038 Douglas Dr
Residential
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW
STEVE R JOHNSON
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
9.00
5.00
0.00
License
101717
105475
460
65065
Expiration Date
09/16/2006
03/30/2005
06/27/2004
03/12/2006
BUILDING INFORMATION I
I
R-3
U-I
VN
# of Stories: I Lot S~' e:
Height of Structure \avf~ire~ s Floor:
Typ.e.-qfcH!'I'!()N: O~~Ai.ne\9regOOJ~ ~Floor:
W&\~U:~5\eS adDpte y e~S ar8q;f't'lr!.\J.ment:
Rallg~'rIVn center. lh~re~tR/; o/>.IS~~~9~age/Carport
EJt~\'iWi ~ . ~_001-001? thrp.tl~J Dl tl'fulrB~t\l~r:
spllIJMfull '(J1l\-ilW' DbtalO cGF~. the t~pliRt Load:
""an 0 ... 'J'\n'e. .., _ _.inn
I DEVELOP~IfI~FOlWfI{WL\\1it1ti\\~~~~):'--
nud/J- 's 1_~Uu-~a2 REQUIRED PARKING
center I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
12,610
1,350
440
3
2
Yes
14.40
Total: I
Handicapp.ed:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvemen~T' ICE' F II I t K
Nu, u y m THE WOR
Storm Sewer Ava~m~:PERMIT SHALL Exfli~j MIT IS NOT
Special Instructio~UTHORIZED UNDER THIS PE OR'
COMMENCED OR IS ABANDONED F
Notes: ANY 180 DAY PERIOO.
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Pa2e I of 4
Status
Issued
CITY OF SPRINtJJ<lJi,LD'
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/11/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garal!e
V Wood Frame
Garaee
$ Per Sq Ft
or mnltiplier
$92.40
$24.30
Sqnare Footage
or Bid Amount
1,350.00
440.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$124,740.00
$10,692.00
$135,432.00
04/27/2004
04/2712004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 4/27/04 1200400000000000547
-Mechanical Issuance Fe.... $10.00 5/10/04 1200400000000000706
+ 10% Administrative Fee $170.13 5/10104 1200400000000000706
+ 7% State Surcharge $119.09 5/10104 1200400000000000706
2 Baths One or Two Family $254.00 5/10/04 1200400000000000706
Addressing Assignment $31.00 5/10/04 1200400000000000706
Appliance Vent $6.00 5/10/04 1200400000000000706
Building Permit $682.65 5/10/04 1200400000000000706
Curbcut - Overwidth Appl $35.00 5/10/04 1200400000000000706
Curbcut Permit $75.00 5/10/04 1200400000000000706
Dryer Vent $6.00 5/10/04 1200400000000000706
Exhaust Hoods $9.00 5/10/04 1200400000000000706
Furnace - up to 100,000 btu $12.00 5/10/04 1200400000000000706
Gas Fireplace $15.00 5/10/04 1200400000000000706
Gas Outlets 1-4 $4.00 5/10/04 1200400000000000706
Heat Pump $12.00 5/10/04 1200400000000000706
Plan Review - Planning $71.00 5/10/04 1200400000000000706
PW Mult Disc - 2nd Permit $-30.00 5/10/04 1200400000000000706
Sanitary Sewer - Improvement $361.41 5/10/04 1200400000000000706
Sanitary Sewer - Reimbursement $475.44 5/10/04 1200400000000000706
SDC MWMC Administration $10.00 5/10/04 1200400000000000706
SDC MWMC Improvement $214.23 5/10/04 1200400000000000706
SDC MWMC Reimbursement $314.63 5/10/04 1200400000000000706
SDC Sanitary/Storm Admin $105.50 5/10/04 1200400000000000706
SDC Transpo Admin $53.71 5/10/04 1200400000000000706
SDC Transpo Improvement $727.42 5/10/04 1200400000000000706
SDC Transpo Reimbursement $164.89 5/10/04 1200400000000000706
Sidewalk Permit $75.00 5/10/04 1200400000000000706
Storm Drainage Impervious Area $916.11 5/10/04 1200400000000000706
Vent Fan $18.00 5/10/04 1200400000000000706
Willamalane Single Family $1,000.00 5/10/04 1200400000000000706
+ 10% Administrative Fcc $19.40 5/12/04 1200400000000000721
+ 7% State Surcharge $13.58 5/12/04 1200400000000000721
Residence Wiring 1000 Sq Ft $106.00 5/12/04 1200400000000000721
Residence Wiring Ea Addtl 500 $38.00 5/12/04 1200400000000000721
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/11/2004
VALUE: . $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Temp Power 200 amps or less
$50.00
5/12/04
1200400000000000721
Total Amount Paid.
$6,245.19
I Plan Reviews I
Initial Review 04/27/2004 04/27/2004 OK RJB
Planninl! Review 04/27/2004 05/06/2004 APP TAJ
Public Works Review 04/27/2004 05105/2004 APP VRJ Overwidth driveway approved
5/5/2004.
Structural Review 04/27/2004 05/03/2004 APP TCM Same As Com2003-01237
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.
I RpllllirpriJnsnections I
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected hut prior to concrete placement.
4 Posl and Beam: Prior to tloor 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 heen approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulalion: 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 Undertloor Plumbing: Prior to insulation or decking.
13 Undertloor Drain: Prior to cover or placement of concrete.
14 Rough Plumhing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanilary 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 complele.
19 Undertloor Mechanical. Prior 10 insulalion or decking and including required lesling.
20 Rough Gas: After line is installed and required lesling and capped if nol attached 10 an appliance.
21 Gas Service: After line is inslalled and line has been connecled 10 a minimum of one appliance including required
lesting. Presure lesl done allhis point.
22 Rough Mechanical: Prior 10 Cover
23 Final Gas: When all gas work is complete.
24 Final Mechanical: When all mechanical work is eomplele.
25 Temporary Electric: Approval required prior to Utilily Company energizing pole.
26 Rough Eleclric: Prior 10 Cover
27 Eleclric Service: Approval required prior to ulilily company energizing service.
28 Final Eleclric: When all eleclrical work is complele.
29 Curbcul- Overwidlh: After forms are erected bul prior to placement of concrele.
30 Sidewalk - Curhside: After forms are erected but prior 10 placemenl of concrete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/2712004
EXPIRES: 11111/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, J state and agree, that J have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and J 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.
J 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 ofthe 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
541-726-3759 Phone
G:~'R~N!!."'!.~' __.'_' ",
Wir,:. i
.--.c".~. _ ;
.- '"
~ ,r
0_ ,... ...~ ~t
r''y of Springfield Official Receipt
..elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
Payments:
Type of Payment
CreditCard
5/12/2004
RECEIPT #:
1200400000000000721
Date: 05/12/2004
Description
+ 7% State Surcharge
+ !O% Administrative Fee
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addt! 500
Paid By
BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000381 001730 In Person
Payment Total:
Page 1 of I
9:40:19AM
Amount Due
13.58
19.40
50.00
106.00
38.00
$226.98
Amount Paid
$226.98
$226.98