HomeMy WebLinkAboutPermit Electrical 2004-4-29
225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54 )726-3~~ing
ELECTRICAL PERMIT APPLICATION
City Job Number CO#12bO l{ -C 0 Z 7 g- Date
Installation, Alteration or Relocation
200 Amps or less $ 50.00
I 054 15 201 Amps to 400 Amps 5 '10U to $ 69.00
40LAmp,s..t~ 6.@(i)/M~M\reon Utility $100.00
3 :J,I\ 0 u. ON,ureyv' \A Oreg " ,
Expiration Date - ) U - f AlIEN1\ 0,' ?~rRp~ m~ . lts!S~ ~Br.\above.
Signatu8JrofSu ervising Electrician to\\o\N tr.u~.s -
- {l , titica \0,. Q he
. DueL' .0 OAR 95'2N'~;(I ~~H08CP,iEitf'~:iQn l\~f>"~el
In -n.'-!\'!i--f:l'o . t . the telep
-PonQ "{ou ~n~ CircUit (No e. ~'~'Ic~tion
uU;'; ;\\ing tEac~~td*~8A~h~\tdmt'b}'~ '
n , /J W" \ ^ .L /' - C d.fu..qf '~~iee b?fe,~~~\J;J>.erfui?344 .
Owners Name , ~ (\) ~ \ e C/V \e. V T L vS-t'll1~\IITOi"( ~ ...'-
Address3~).s- {>o-..~IL 1+; \\~ E.
City E V,!:/-Y\ e. Phone b Bh-9y5'(3
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION TICE Limited Energy/ReSidenti~ORK $ 25 00
NOli: . ll~,t:..lt: lliE . .
!he i~stallation is being made on property I own ffi'~PERMIT S~~tlEittPrgypffiMi~~ NOT $ 45.00
IS not mtended for sale, lease or rent. AUTKORM:uUnlliM)E~cl#~ r. ttf~Rion Fee is $45.00 + Surcharges
COMMENC ILl i-(
ANY 1BO LJ
7% State Surcharge. /0 oy
10% Administrative Fee I L( 40
/6t'lg
1.
'1057 Ch (h oJ:e.-U
LEGAL DESCRIPTION /go 2... DGI f
Ne w R..--es (/70D
JOB DESCRIPTION
~rfL
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor L ~. E E fJ1 I'Jr Ie
Address f;J.gJ) J611.t.J Acre> ed
City ~f ~l d Phone cJ33 -JS'1f3
Ljj 7Lj-S
Supervisor License Number
Expiration Date
fO-O/,..OLf
Constr. Contr. Number
Owners Signature:
Inspection Request: 726-3769
, roject as submitted has the following
as not require specific land use
,
Date
L-\) (L
~- d-~j
Authorized Signature
3.
A.
Service Included
1000 sq. ft. or less
Each additiona1500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
{
L
$106.00
lOb
3.6
$ 19.00
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
6?1 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
$ 43.00
$ 3.00
TOTAL
Shared Drive{T:)lBuilding FonnslElectrical Permit Application 1-03.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00298
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 147,420.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4037 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061111900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR, Lot 20 Shady Creek Subdivision
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION I
Contractor
BRUCE WIECHERT CUSTOM HOMES
L & E ELECTRIC INC
COMFORT FLOW
STEVE R JOHNSON
License
101717
105475
460
65065
Expiration Date
09/16/2006
03/30/2005
06/27/2004
03/1212006
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
VN Water Type: ~Gas
Range T . E \f ,\it. \N tric
~01~Clt:. S~~<<t.rg~~?t."W\\' \S ath 1
,\-\\S ?~~~~; ,\~Dt~ ~~~~m()~tD rO"
~Ij'\-\~~~~nm.~~h INFORMATION I
ca~ nO D~'i r\:.
1\ \\\'( '\ u . .
18rn'O Overlay Dist:
13.00 # Street Trees Rqd:
6.00 Paved Drive Rqd:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1
R-3
1
17.00
Lot Size: 5,850
Sq Ft 1st Floor: 1,485
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 470
Sq Ft Other:
Impervious Surface Area:
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
19.60
0.00
Yes
33.40
% of Lot Coverage:
. I PUBLIC IMPROVEMENTS ~U1res you to
I)1TION:Uregu" ,...... re UJelJyUt)f e'
Fully Im\l1~iI I s adopted by the 0 ~ et fortYP . Curbside 5'
fo~l~yJ!~.U e Center. Those rules a:b~c&~P8~tS/Drains: Curb and Gutter
No Sewer HOOk~,\qtic\~t'c1.~~nc~ !l99\ ~q~ijDl]U1~f.?~~i'n'1~f1I~nf are approved by Public Works.
See Ron SatherlfQo.&%~~fag~ptaBfM.,7e~~49)Df the ru e
0090. You may 0 . Note: the telepho~e .
calling the center. ( Utility Notification
the Oregon
number for. .' ,_ ~ .0(,(\_~"?-2344).
Pal!e 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
Vent Fan
WilIamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,485.00
420.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$105.17
$73.62
$254.00
$31.00
$721.65
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$344.20
$452.80
$10.00
$214.23
$314.63
$101.75
$53.95
$727.42
$164.89
$75.00
$885.81
$18.00
$1,000.00
$14.40
$10.08
$106.00
$38.00
Date Paid
3/18/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
412/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
412/04
412/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
412/04
4/2/04
4/2/04
4/2/04
4/2/04
4/28/04
4128/04
4/28/04
4/28/04
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00298
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 147,420.00
Value
Date Calculated
$137,214.00
$10,206.00
$147,420.00
03/18/2004
03/1812004
Receipt Number
1200400000000000341
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
3200400000000000026
2200400000000000428
2200400000000000428
2200400000000000428
2200400000000000428
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00298
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 147,420.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$6,035.60
Initial Review
I Plan Reviews I
03/19/2004 03123/2004 APP LLH Delay in review due to backlog from
school week of 3/15 through 3/19
03/23/2004 03/31/2004 APP TAJ
03/23/2004 03/25/2004 APP VRJ No Sewer Hook-up or Occupancy
until Public Improvement Plans are
approved by Public Works. See ROll
Sather for status of acceptance (
726-2240).
03/23/2004 03/29/2004 APP RJB
Planninl! Review
Public Works Review
Structural Review
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.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
1 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
27 Rough Mechanical: Prior to Cover
28 Final Mechanical: When all mechanical work is complete.
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
31 Final Electric: When all electrical work is complete.
3 Erosion/Grading 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 floor 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.
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 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
Pal!:e 3 of 4
_$P.RINGF1.' m..D.' '.iii..'" .. -..:.
WiL- ~. .
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--- .--.-- -_.'.- .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00298
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 147,420.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
23 Underfloor Mechanical. Prior to insulation or decking and including required testing.
24 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
26 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.
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 Rifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
SHR2004-00080
COM2004-00298
COM2004-00298
COM2004-00298
COM2004-00298
COM2004-00297
COM2004-00297
COM2004-00297
COM2004-00297
COM2004-00470
Payments:
. Type of Payment
CreditCard
4/28/2004
. RECEIPT #:
'---';ty of Springfield Official Receipt
,velopment Services Department
Public Works Department
2200400000000000428
Date: 04/28/2004
Description .
LDAPSingle Family Dwelling
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Same As
Paid By
BRUCE WIECHERT CUSTOM
HOMES
Received By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number
000368
093499
How Received
In Person
Payment Total:
8:25:33AM
Amount Due
300.00
106,00
38.00
10.08
14.40
106.00
38.00
10.08
14.40
100.00
$736.96
Amount Paid
$736.96
$736.96