Loading...
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- ~. . " ' --- .--.-- -_.'.- . 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