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Home My WebLink AboutPermit Electrical 2004-3-24 < # '. CITY OF 'Si iINGF~LD, OREGON', C)' SPR,INOFt. ELD ~-~ . ~ ^ · ....-~- .....~.bl1 >L-.i~_1~='.\~w~';, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:l(;54~~ject .il'rtillliiilted h.~oljQ~lhg ELECTRICAL PERMIT APPLICATION ~ (c ,'zonlng, and does not ~rilspeclfi'6ilQll'd u~j approval. CityJobNumber COVlo11.00lj-DOOZ.3.Date :3 2'-{ OL{ . Zoning u:>.e- _ / --'.~"'-'-"--. '''=1''''.''''''-'-. "~..,,,-...,.-"'!, ""''''^-.. .~...t1.. -...'.' "~"""" .... '--""'-'i.-:SL-~- H'." -1.-- "', ~..:I;''ZIV~~V~ '".. 3. [~SQ~eJ~~:r~:~E.~.~ _ ~" !~f;g,}ls,...L;;2.:ft2~X"&~'~;~~~~:~:;;' _~j . ~\i.Jl(lonzed ignature . ""1 200 Amps or less I $ 63,00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50,00 er. 'r. N.'4-'~'"' ,-" >..~ .-...., '~"""""'~_A .~..~~~ C. , ;I:~mpora!'Y S'J:'ic,'s ~~~~,\\~~~~,\",,--:,j,'~~,. ";~li Instal1~tion, A1t~t~~~.g.~W~\-~\\ ~~Il~~1iI<a~~:t.\\ '\~\'o.~I;)\)~~ $ 50,00 ~~~R~ldoe Il' $ 69.00 \~~.~~~ ~I;). $100.00 Expiration Date fa r 1- t) b ~..';;'.~ ~,~~~-SI.O.OO~~~~~~~;;~~b~:~!l!;,.t'~:;~Ji,'~""".'l Signature of Supervising EleG D. f2"j!i.C~i9~e~~~;~t~',<';''''i't,;,i.t,~~ ~r~k;T, ~f\-.. ~!~ ) ~::~::;tionorExtensionperpanel $43,00 y~ Eacb Additional Circuit or with --;? I / / -f- Service or Feeder Permit $ 3.00 Owners Name I'> (' o.Jo..c..I-<" I/" /;""Coo~ Address '3"5 7,)?^Cl. ~ 14. '/,1 d E. ~~g?~~~~:(~~i~ffi~~~'W~1~?2~R12~~t~lm~ City ~\..&C='de Phone ~n.~<6 _~jQ'IJA'il~;~~\\'\90{e;~:&e\'Ilf\\$50,00 p.I1CS'ti~dIe~~~e {u\e~~,", 9S'/..-'V;J \$ 50,00 \o\lO'1.1~~~il4~\'\ ~ \\,\e {Ullt" $ 25,00 -\o\i\iC~;""",~Q!l,~;:r?""'r';'tT1t11~i~~...oe \ele\:ln~~:,~" 45,00 The installation is being made on property I own which 1i<<9~f\"5"-.I1Ie.~ 0'0= ]NO\8:\I' "'O\\\lv--" - ,l" is not intended for sale, lease or rent. \tiQ~~'Ele~r~<e~litit'b'fl~~ 1<~~~ $45.00 + Surcharges ca_~.g.\b,":'M'O{~~, .l\1i;.....'l~g;. '3 _'f.....".""""1tC> 4. ,,'S O11'A:I.;QFiAJrUVK'>:i?~,~;~':'<'O'i'" 207 ...." _^,.,. ,..'~"" "''OH,'''','''~' ,> ~ ' \"'" "._li.'.>,...>...~,=~.",""." -, ""~;:'"",,io.R._', . ,....._-" "'" ^ l!..j l.( '1 H"",~,,~: ." .,.~ T''U1'..~.,.,,::!-~ .,.. -:,-.';<'I'-~''"J.,.""...'~: ;-.-::Yt"t'~1<~:- 1. ,tLOCATIONOEJNSTALIATION,i~;f~,:,r:'i /~~~~~...i..d;~...o..;;.~.;.'-""- '0<' ," ;~l"..ii!;~o...:ill.! f..{OZ-'L ~ov-Jl/'r~ LEGAL DESCRIPTION 1 goZ- c6( I br l\2.00 JOB DESCRIPTION S'f'(L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t?"---"-Y4' "':"-~,;"::"'!R~-:-, 'p-:r"'!'~-~I""'~f7TI.~.-:-~ 2. 1}92t'f.L%:~:S'rl1f !!'~'Y:I4EPJXP/fl-.~ ElectricalContractor~A.J71h,O aU ~c Address ;J..{Pr ~ ~ City~er. 5b(j'l Phone 9S) -m,.!} 7 Supervisor License Number .30/7.s Expiration Dale /(J.--I-I) b Constr, Contr, Number II b"5;:}-'7 OWNER INST ALLA nON Owners Signature: Inspection Request: 726-3769 t~,. -," _,."fi;"-:>~;:>;"'~ -.'- '"...,~ "J7~:J'" , .?~'- "'....,i<"- ,!,.~,.,~~;-::..." ~""I'~ "?i,:;r;~: -:,;f'.j'ti A. l-~Ncw, Residential-; Single.or~ Multi=FamIIy per di.'lIirig.uiiit.'f; r'"~~ _~ ~~.... .."...._>,:~.._ .~;.._..."'-.~...~"~,..::.:~~_.........::.-~.........;t..-...i, 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 2 $106.00 loG 3g' $ 19,00 $50,00 B. rs~~vi~~tF~~~~-.i~rigIThfi~~l't~~r~ti~~;"ii~.R~i6~~tiri~\~~~ 2~:..;:"-"""'Y'"","~'_' -.;;.t""'Yf',-tl,;,,&.>,,,: ,.'-flo.A'~~'"''-'''V.:;''' :1j/'~,,\.>~.'.',t!..~:5,;J b'3> 7% State Surcharge 10% Administrative Fee 2-070 2-4 Z lL. TOTAL Shared Drive(T:)IBuilding Forms/Electrical Pennit Application }..Q3.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00023 ISSUED: 02/02/2004 APPLIED: 01/08/2004 EXPIRES: 03/19/2004 VALUE: $ 154,408.00 SITE ADDRESS: 4022 Douglas Dr ASSESSOR'S PARCEL NO.: 1802061111200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR - Lot 13, Shady Creek Subdivision, same as 4046 Douglas Dr COM2003-01195 Owner: BRUCE WIECHERT Address: 3375 PARK HILLS EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing Phone Number: 541-686-9458 , CONTRACTOR INFORMATION I Contractor License BRUCE WIECHERT CUSTOM HOMES INC IOI7I 7 L & E ELECTRIC INC 105475 COMFORT FLOW 460 STEVE R JOHNSON 65065 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: '!~ SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaiJable: Special Instruction: Notes: 18.00 14.91 5.00 18.00 12.50 Expiration Date 09116/2006 03/30/2004 06/27/2005 03/12/2006 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 1 R-3 U-l VN # of Stories: 1 Lot Size: Height of Structure 17.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: ~ Water Type: Gas Sq Ft Basem.~t. ~C\~ i\ Range Type: ' Electric Sq Ft G<!~;;~~llf! ~C\ Energy Path: {.ath 1 ~'l... I1t'l)'t e~\\WI ~C\\\ "-,\),,\C ;,..~\ CS\\ I\IlU'i\I\fI; IS;SU~~ lI.:rea: ~ nt:l"\\'i\ ,~,,\ )0'. r"'\f\~\)\) I DEVELOPMENT INFom~A''rI~ijlt.~~ '0,\\ \"';.; ~! \l\w-.t:~c, ~ ,?t.\\~ REQUIRED PARKING Overlay Dist: c,'0,~'{ \ 'O\l \l Total: 2 # Street Trees Rqd: ~ 2 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 34.00 5,842 1,558 430 3 I PUBLIC IMPROVEMENTS' .Il 11",,1 tiWnoldln laW reqUires you.'~o Sidewalk Type: C b'd 5' JTEI'l'wtlP.",~" Oregon UtIlity ur Sl e A III adopYl\lsl by the lort' Downspoutsillrains: Curb and Gutter N~~€R ~rIll>~~ PUBLIC IMPROVEMENTS ARE Ail:l\iEPIf~g:I}&M(} ~MWs~~ a~r for Public Improvement Project status). In OAR 95/-'8dl, . . 'airi'do~iBst'(jf the ru S 0090. You mayobt Note: the telephO~e calling the center.l on Utility NotificatIon number ~~~~~~:~~~~nM\32-2344). Paee 1 of 4 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curhcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Perm ServlFdr 200 amps or less Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Willamalane Single Family + 10% Administrative Fee . I Valuation Descrintion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,558.00 430.00 Total Value of Project )?pp< PiWIJ Amount Paid $100.00 $10.00 $132.54 $92.78 $254.00 $31.00 $6.00 $744.40 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $63.00 $59.00 $-30.00 $106.00 $38.00 $344.20 $452.80 $10.00 $214.23 $314.63 $102.55 $53.90 $727.42 $164.89 $75.00 $900.74 $50.00 $18.00 $1,000.00 $20.70 Date Paid 1/8/04 212/04 2/2/04 2/2/04 2/2/04 212/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 212/04 2/2/04 2/2/04 2/2/04 2/2/04 2/2/04 3/24/04 Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00023 ISSUED: 02/02/2004 APPLIED: 01/0812004 EXPIRES: 03/19/2004 VALUE: $ 154,408.00 Value Date Calculated $143,959.20 $10,449.00 $154,408.20 01/08/2004 01/0812004 Receipt Number 1200400000000000023 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000145 1200400000000000373 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Perm ServlFdr 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid Initial Review Plannin!! Review Public Works Review Structural Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00023 ISSUED: 02/02/2004 APPLIED: 01/0812004 EXPIRES: 03/19/2004 VALUE: $ 154,408.00 $14.49 $63.00 $106.00 $38.00 3/24/04 3/24/04 3/24/04 3/24104 1200400000000000373 1200400000000000373 1200400000000000373 1200400000000000373 $6,433.27 I Plan Reviews I 01/13/2004 01/1312004 APP RJB 01/13/2004 01/1312004 APP TAJ 01/13/2004 01/13/2004 APP VRJ NO SEWER HOOK-UP OR OCCUPANCY UNTIL PUBLIC IMPROVEMENTS ARE ACCEPTED BY PUBLIC WORK'S (See Ron Sather for Puhlic Improvement Project status). 01/26/2004 01/26/2004 APP RJB 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. UeoniredJnsneC'tions I 1 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected hut prior to placement of concrete. 27 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. 28 Rough Mechanical: Prior to Cover 29 Final Mechanical: When all mechanical work is complete. 30 Temporary Electric: Approval required prior to Utility Company energizing pole. 31 Rough Electric: Prior to Cover 32 Electric Service: Approval required prior to utility company energizing service. 33 Final Electric: When all electrical work is complete. 3 ErosionlGrading Inspection: After all erosion measures are in place. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to 1100r insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Pa!!e30f4 -:-G-'.IJ.l.~~J~,~ ..~ 1 . . UI t' OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00023 ISSUED: 02/02/2004 APPLIED: 0110812004 EXPIRES: 03/19/2004 VALUE: $ 154,408.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Underfloor Plumbing: Prior to insulation or decking. 17 Underfloor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Sbower Pan. Prior to covering and including required testing. 20 Water Line: Prior to filling trench and including required testing. 21 Sanitary Sewer Line: Prior to filling trench and including required testing. 22 Storm Sewer Line: Prior to filling trench. 23 Final Plumbing: When all plumbing work is complete. 24 Underfloor Mechanical. Prior to insulation or decking and including required testing. 25 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 26 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00023 COM2004-00023 COM2004-00023 COM2004-00023 COM2004-00023 Payments: Type or Payment CreditCard ~':.;~ ~....... [ ~i ~'.I Receipt #: 1200400000000000373 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Penn ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By BRUCE WIECHERT CUSTOM HOMES INC 000333 018799 'City of Springfield Official Receipt Development Services Departmen(- Public Works Department: Date: 03/24/2004 9:1I:lIAM ~ Amount Paid Item Total: 106,00 38,00 63.00 14.49 20,70 $242.19 How Received In Person Amount Paid $242,19 Payment Total: $242.19 . .