HomeMy WebLinkAboutPermit Electrical 2004-4-29
, 't as submitted has the following
225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · F~~i~~'l~~8~ot require specific land use
ELECTRICAL PERMIT APPLICATION approval, l..-'\)tfZ-
City Job Number COtM200L( -0 029 7 Date Zoning 4 _ a q _ 0 ~
1.
3.
L!033
,
~~eVf)t.ee..
LEGAL DESCRIPTION
I ~OLOb{ I
JOB DESCRIPTION
A.
/26uO
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
$ 19.00
$106.00
106
sF
!'Jew ~s
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
B.
2.
Electrical Contractor /..,rz;' E ;:: Lp (')(/ L
Address r}.g5.~ JCJ(U.5 Acre:> ed
City Sp ((I d
,
Phone 9.33 -JS?f3
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number
'-//7'-1-5
c.
. "lures yoU to
_ "-NAtS!'Jl,P.t!wu~tetatft)'hE:'M KelocatiWllit\!
A1Tt::.,"!'" "".' ,'bytheoregon1)LII. 1
iallow ltR!hNIlPS'pj~S ,..",0 rules are ~p.t tort $ 50.00
'. ,,'Z' ~"'L'\ffi\ ~pSCfO'400"}\mps h 0 1\ ~'l R.5?-OO $ 69.00
,fOll!l\...a. . - . . ():\-G..+\~~OU"!1 i,",\j,\.
. OA\':l c.@~_~pSlfOoOU'f\Jn. . g~U~ ~'f tre rules t $100,00
In . . CJ I tni'" "G~ 18;:; 'J_ -
'0090. Y<we't'15lJO XD"~$@ 'iqQQ ){~S:@te~0~ve,
ca\br1
numbe .. .--,f'lQ ')"r)..?, 1> '
New AlteratIOn or Extensujn rer Panel
One Circuit
Each Additional Circuit or with
n W" \ ^ Service or Feeder Permit
Owners Name ,~ ('V c..e \ e OV\e. v-t C. vS-M 1t-o>A~ ~
Address 3~ ) 5- P v-. or IL 1+1 \ \s. . E.
City E v~e_Y\ e. Phone b ~}Wrrt?v\tT SHALL ~RfiJ\llig1iWi1WORK $ 50.00
AUTHORIZED UNDEWmS~Mlgh~G1l-JOT $ 50.00
OWNER INSTALLATION MMENCED OR ISIA&.4~OOtential $ 25.00
!he in.staIIation is being made on property~~~ 81)iijlAY PERIOOptited Energy/Commercial $ 45.00
IS not Intended for sale, lease or rent. - Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Expiration Date
(O-OI~O'f
Constr. Contr. Number
105415
3-3{)-ol{-
Expiration Date
Si~a~~)zrlu::L .
$ 43.00
$ 3.00
Owners Signature:
4.
7% State Surcharge .
10% Administrative Fee
/t/t/
, 100 f>
IV 40
/6t~
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application I-03,doc
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/0112004
VALUE: $ 135,962.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4033 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112000
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: SFR, Lot 21 Shady Creek
TYPE OF USE:
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION'
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
I BUILDING I~.FO~WTION ,
\a"" few..... on \.)\\\\\1
# of Units: N'.Ote~Of\ JW~~h~~: e sett~{\\ 1
Primary Occupancy Group:i\EN1\<il.-3 dO~\ed t) ,,'Vgigb\a{ji gt~u9ty1!.eO(Y 21.00
Secondary Occupancy Gr;U~o"" {u\l~~C:~f\\et. \n~)'.p#fata\! {u\~&ed Air Gas
Primary Construction TyilJ'.".c. a\\otiVN ,\_OO'\O\\W3. a~5g~~".e \o100{'\e Gas
. ' ('\~\I \ .. -0 \ .. \' .
Secondary Construction Ty.'O~f\ 95'2...0._ o. OO\a\{'\~~ ~~~e~\e~.ca.\\Ot'\ Electnc
# of Bedrooms: -{'\ () '(ou fg\8.':! 0n\Gt. ~Ejne ~\""l\tI)'lot\ \ Path 1
009 '\\\{\g \n9 c . Otago{'\ ~,,\~_2.3.1A).
/",a . _,,\"6 ~,,~_ .
nurn'Oe\'f.- I DEVELOPMENT INFORMATION.
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
18.00 Overlay Dist:
10.00 # Street Trees Rqd:
13.00 Paved Drive Rqd~a~'t\
11;~0 l~~ (fu*~{'5 ~a\
"01\~~~\\ '2>\\~~'- ,\,\\'2> ?t.~\'!\ ~('\~
\I-I~~~g~\~tCL~W~~O'\)~~NTS I
p.: 1~~~Ct. P.,\OU.
COWFji~~ ~~~ ~~tl' .
~~'{ \ Yes'
New
Residential
Phone Number: 541-686-9458
Expiration Date
09/16/2006
03/30/2005
06/27/2004
03/12/2006
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,850
1,361
420
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
30.40
Sidewalk Type:
Downspouts/Drains:
Pal!e 1 of 4
Curbside 5'
Curb and Gutter
-7:.;FI~iij.' ...-. -. ..,.:,..:..
~- -
~......'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type 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 MuJt 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 Description I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,361.00
420.00
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
$309.78
$407.52
$10.00
$214.23
$314.63
$99.80
$54.08
$727.42
$164.89
$75.00
$929.16
$50.00
$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
412/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
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
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/28/04
4/28/04
4/28/04
4/28/04
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/01/2004
VALUE: $ 135,962.40
Value
Date Calculated
$125,756.40
$10,206.00
$135,962.40
03/18/2004
03/18/2004
Receipt Number
1200400000000000340
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
3200400000000000027
2200400000000000428
2200400000000000428
2200400000000000428
2200400000000000428
$RRINGEI~',
-__ ,_"..:.:-",>l""~:'-':'H=_:;,~,!';!t;h:~""~'_~~c ':0>...., "'':~
I I -.
~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/01/2004
VALUE: $ 135,962.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$6,010.30
I Plan Reviews'
Initial Review
03/19/2004
03/23/2004
APP
LLH
Delay in initial review due to school
week of 3/15 through 3/19
Planninl! Review
Public Works Review
03/23/2004
03/23/2004
.03/31/2004
03/30/2004
APP
APP
TAJ
VRJ
30 ft max approved for overwidth
driveway.
,
Structural Review
03/23/2004
03/29/2004
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.
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.
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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
31 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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.
Pal!e 3 of 4
Sr,!~':N-GEI!w.;o,!
--,~t"~,-:\,";PU&"'1~~~ ""'"'~-"\"'~:~'~~"--^.
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
25 Rough Mechanical: Prior to Cover
26 Final Mechanical: When all mechanical wor.k is complete.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: ,03/1812004
EXPIRES: 10/01/2004
VALUE: $ 135,962.40
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 aU work performed shaU 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
Pal!e 4 of 4
Date'
225 Fifth 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 #:
r<:ty of Springfield Official Receipt
.:velopment Services Department
Public Works Departmeot
2200400000000000428
Date: 04/28/2004
Description
LDAP Single 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