HomeMy WebLinkAboutPermit Building 2004-5-21
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225 :l'll' HI STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION , I. ,.
City Job Number COY,." t:PC>4- 0037 D Date 5/ z( ~ LI
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1. i;tff";<!NZ!1~rt;}NJtl;); 3. :;CJl~f/P::~$CJ!EX!:l~~S!~c~jt~%J;" u
LEGAL DESCRIPTION The following project as submj\t.e~:~it~~WA.~i ~"Sh.gl~ or'1\tfulti~FawiIY:pe~' d\~~ilirii ~iiit~:?';::'~
in . an,d ~s not require specificland..use.. .f..'i....-"" .,,~' "',,,, ,,' .';'c.... ., c.,'."
f <;)0 L Dhll ~~p , nfL Service Included, I /
JOB DESCRIPTION zonmg.., ttJvv sq. rt. or lesS I $106.00 /00
S ~,0 -Date - ,4 - rl..u,.(()l].; \~a~R ;la9i.:.....d..wO sq. ft. or '-::> . ""
I \'-- d(~1 hortion thereof _.' C-- $ 19.00 J 0
.!.~~:.~::~eel Si@Aatl:lfC 0\' r -
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
2. ~.(:.C,",',O.i,'..,~.:....,..,....',.:.'.-.".:?;'..iJT..'..:.",..O,~..:~,~,..,:-.'.,.IN.,'.,.'. '*.'1:.<.~,..,',,-.'..:.'.':,'.LA,',:',,~,""i,tI....'.'~",:"O,',""~.'N"'~"';P.". m.::,....'..y.'.......,"...' B. "s;~~i~.~~t~~.~~~~~;~'+j~~i~i]~tio~~: ~t~r~ti~~~'~~r'i~io~~-ti~~"::,:\ .
. _ ....., ..__n'..._''__ "'" _ _.._.~ ,._ _ _ _ -"Mr-_.;"'._ n _"'" ,,- .::. :~,;,._..::'.'t...,"';~;,!_;_>.;'.:< <.:','~"';'" :;..~.'~_~.-_.~~.,;:<;:.;~,.;;_it;'! r:,' 'i:...:.._i:_~', .~-':';.:.,. ':.;".".._- .-~. .~. >.. ,-,
Electrical Contractor L~' E ;; t.R eft / L 200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
O~J! .~llI'Fi6l~e.gon law reQuires yoUSb15.00
Rtf~mwc'~adopted by the Oreaon UtSit)jl.OO
~qtifiqeJil?D,p~m~r~ '. ;r1'!.o~,~J\Jt~~,~r~ .~e.t ,fgrth....
c. iM~~~~~~ttff~A.R952.:cOl..- .
0090.'You'rTuiy obtaln'copi'esoltheru\es by
Ins~~"~tJWRtim1 ~NUiI94R~lephone
2001wmlpSlol<I\Es\he Oregon Utility NotificatSPm.oo
201 Amps 'firo~Aii~80o-332-2344). $ 69.00
401 Amps to 600 Amps. $100.00
Address 7'd833 ". onq \ Ac I r f) R d
City ~~ I C\ Phone 1~5:3 -J598
J
Supervisor License Number Lf / 7 '1- S'
Expiration Date / ().- D / .- 0 If
Constr. Contr. Number /1) 5 4 '1 5" ,
"~ -,' ~U ,.,'~ oG
- 1Cf?:' I
Si7t2S71~A:frn
Expiration Date
Owners Name
R r U LQ..lJ "~Q ch.e r+-
Fbr-k H-\ Ih
Phone l of) La - C( Lf 50
~-.....
Address :S 5 1 S-
. C
City C 0~n 2.
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
S?f}.'1nM~Fnstt...ro ,
$50.00
qy~r 600~psor 1000 Volts see "B" above.
D. (~}3r~,~;~~'~~r,~p~~s:/.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Servi~~~~~lJ8er Permit $ 3.00
~~WtG _~,~{.tbe K
E. '{:~~flaa~i~~~~~~~mf;ltll~~~~Q~ Installation
,-,',. AUtHDRIZED UNDHfTHtS P.tt{Mn~,f\JUI.
PumIUG~~~~O OR IS ABANDONED ~Q8.oo
Sign/~~.w~8-GgfiMBPERIOD. $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
$ 43.00
',':~ i~'0:?:>?L:'- "., .;-,~, ,. _ ,:'.. .' ~','
4.;,Sl[!3!PTAL OF ABOVE'; .
+:":~~,~-::;,"~-.).:, ,;,.~~,;~:..., ,",/ ," ,:; .
/ L( <,{
loog-
1'1 Lf C>
/6~~
7% State Surcharge
10% Administrative Fee
TOTAL
.~ "J""" :'.J~__ r___Ir.'1_.....-:....-.1 D..._;.. A__l;...~t;^"" 1_01 rlrv-
CITY OF SPRINGFIELD
Building/Combination Permit
Status 'Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/27/2004
VALUE: $ 135,432.00
SITE ADDRESS: 4054 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061113000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR- shady creek lot 31
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
License
10~ 717
105475
460
65065
Expiration Date
09/16/2006
, 03/30/2005
06/27/2005
03/12/2006
Phone
541-686-9458
,541-933-2653
541-726-0100
541-342-3765
I BUILDING INFORMATION I
3
# of Stories: 1 LM}1t' ~~ ou to
Height of StiiQdm~TION: Or~~'b la~~e lsJ ~~fifi!y
Type of HeirtllloW rlJ<i6fc&P~~~Y t~. r~WRf~tth
Water TYflmtification Center.G~ose ~ WJsl~e . 1
Range TyWt:()AR 952-001~ta~hro. ~JMlf'a iff-port
Energy Patm90. You may oetaiolcoplSij pI tlNh . es 'I
Sprinkled B~nfg the centeAa (Note<.J\llii\pi~
')' 0.:' 1.'":.' ;"dl.~ €\ ':';::1I_I~ili~,t.I"MII"~tlnn
I DEVELOPMENT fNFOI&lA;{ilQ~ 1-800-332-2344).
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
10,424
1,350
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
440
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
9.00
5.00
92.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
17.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type: C b'd 5'
NotiCE.' ur Sl e
THIS PERMIT SH~t~R@lJ1rltQi: WORKcurb and Gutter
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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
V Wood Frame
Garal!e
Dwellinl!s
Garal!e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
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
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,350.00
440.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$106.27
$74.39
$254.00
$31.00
$682.65
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$361.41
$475.44
$10.00
$214.23
$314.63
$105.50
$53.71
$727.42
$164.89
$75.00
$916.11
$50.00
$18.00
$1,000.00
$14.40
$10.08
$106.00
$38.00
Date Paid
4/2/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
4/19/04
5/21104
5/21104
5/21104
5/21104
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/27/2004
VALUE: $ 135,432.00
Value
Date Calculated
$124,740.00
$10,692.00
$135,432.00
04/02/2004
04/02/2004
Receipt Number
2200400000000000316
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000505
1200400000000000781
1200400000000000781
1200400000000000781
1200400000000000781
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/2712004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $6,122.13
I Plan Reviews I
Initial Review 04/05/2004 04/05/2004 APP LLH
Planninl! Review 04/05/2004 04/17/2004 APP TAJ
Public Works Review 04/07/2004 04/14/2004 APP VRJ
Structural Review 04/05/2004 04/13/2004 APP RJB
To Request an inspection call the 24 hour recording at 726-3769. AU 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 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to floor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
11 Drywall: Prior to taping.
12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor 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 Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Mechanical: When all mechanical work is complete.
27 Rough Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete.
30 Curb cut - Overwidth: After forms are erected but prior to placement of concrete.
31 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/0212004
EXPIRES: 10/27/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 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
541-72.6-3759 Phone
Job/Journal Number
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
Payments:
Type of Payment
CreditCard
5/21/2004
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
BRUCE WIECHERT CUSTOM djb 000390 030963 In Person
HOMES
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
~'ty of Springfield Official Receipt
.;velopment Services Department
Public Works Department
1200400000000000781
Date: OS/21/2004
1:14:04PM
Amount Due
'106.00
38,00
10.08
14.40
$168.48
Amount Paid
$168.48
Payment Total:
$168.48
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