HomeMy WebLinkAboutPermit Building 2004-8-5
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541;ib'^-i;J1S8~.
ELECTRICAL PERMIT APPLICATION /~ ;o"'ot-~/ ~I');~..o",o'
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1. 3.
200 Amps or less $ 63.00
201 A~Te~/ONPbre ' $ 75,00.
401 AfW~~~Q gon raw r~un'e'I~~~O
. , . uS'aoopted by the: vregon JJtilih,
601 ?4Jitjjfimani~0ewler. Those ru'~ ~r63:UCJ'rtn
Ovefn. ~1i\19p5POO1fi-001 0 through OARE$~~Hij .
Rec~G:.~M mayobt . . 1~~o@O,.
. am cOpte.i uf Ule rules by
c.
Center is l-ROO-3X>-934 ,\
Installation, Alteration or Rewcamir 4,"
200 Amps or less I $ 50.00
~~~rICE: 201 Amps to 400 Amps ., $ 69.00
THIS PERMlfOs~~t ~~~?RrwTHE WOnK $100.00
ALlTHORIZEl9> .
COMMENGf
ANY 180 DAM~~tion or Extension Per Panel
One Circuit
Each Additional Circuit or with
l-b..-.e <.> Service or Feeder Permit
4032
dt6<Lc lC6=Cf
LEGAL DESCRIPTION
J 80L06{ (
JOB DESCRIPTION
/ 2600
I CVlA vC>
PbL/evL
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
Address
City Phone 7
S"pcrvi,o, L;o",,, Nwnb", /
/
Expiration Date
Constr. Contr. NU~
Expiration ~
Signature of Supervising Electrician
Owners Name ~(\ldJ\ f':1'1.Q/} Cuc,b
Address "3)7)" P~\c, \1\.'-.\\ <
City fu:)C;~) oIL Phone b"3tr 91')'6
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
(0 si"il;J-
,
Inspection Request: 726-3769
l
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
S-O
$ 43.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
so
350
5cJo
S-8~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application 1-03.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00887
ISSUED: 08/02/2004
APPLIED: 07/16/2004
EXPIRES: 02/05/2005
VALUE: $ 129,046.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4032 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Shady creek lot 27 - SFR same as COM2004-00685 4025 Cherokee. Plans were not
same as, contact Bob B.
I DEVELOPMENT INFORMATION'
e u\reS yOU to
...f.Werm)(JltitOregon 'aWn' 6regon Utility
A"1::tp'H -~~d by t e s~ 10rth
10J.6'o/ftlt~~~. those rUles are ~~001.
NO{~ca~=t9 thro~gh ~~~EJ.oo\es bY
\n OA~ obtain cOpIes 0 \ hon9
nnqQ. "(ou roay ... .. ,tJote: the te e.~ _ ~ . nn
\:-" - -.. ... 1<"'''.= r UtilItY ''lv~,l\...ll
PUBL~l'N1P . ~332.-2344).
center \S - Sidewalk Type:
Owner: BRUCE WIECHERT
Address: 3375PARKHILLS EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
I BUILDINGINrATION.
Q~~ 1\'\t. ~ 0\
# of Units: ~C~:. ~\..\.. t.~?\\ 'fr ~e~ ~ 1
Primary Occupancy <\l;~' t.~~\\~~ t.t\ \t\\S~ ~cture 16.00
Secondary Occupancy ;~6~\1t.~D \S ~'al\~~ eat: Forced Air Gas
Primary Construction l\tjj~t\1 \k~N)~ Water Type: Gas
Secondary Constructionc1SP\h~t.~ DI\'< ?t.t\\OD. Range Type: Electric
# of Bedrooms: '. ~~'< '\ BCl 3 Energy Path: Path 1
Sprinkled Building: n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
7.00
15.00
110.00
110.00
Street Improvements:
Storm Sewer A vaiJabJe:
Special Instruction:
Fully Improved
Yes
Phone Number: 541-686-9458
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
12,220
1,278
451
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
--...... .
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes:
h
Paee 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 Major - Planning
Plan Review Residential
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
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
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
I Valuation Description I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,278.00
451.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$109.92
$76.94
$254.00
$31.00
$663.15
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$103.00
$331.05
$-30.00
$106.00
$329.04
$432.72
$10.00
$865.31
$82.03
$121.27
$63.90
$772.49
$175.13
$75.00
$1,036.64
$18.00
$1,000.00
$5.00
$3.50
$50.00
Date Paid
7/16/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
. 8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
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8/2/04
8/2/04
8/2/04
8/5/04
8/5/04
8/5/04
Pal!e 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00887
ISSUED: 08/02/2004
APPLIED: 07/16/2004
EXPIRES: 02/05/2005
VALUE: $ 129,046.00
Value
Date Calculated
$118,087.20
$10,959.30
$129,046.50
07/16/2004
07/16/2004
Receipt Number
1200400000000001092
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001163
1200400000000001187
1200400000000001187
1200400000000001187
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00887
ISSUED: 08/02/2004
APPLIED: 07/16/2004
EXPIRES: 02/05/2005
VALUE: $ 129,046.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$6,963.09
I Plan Reviews I
Initial Review 07/16/2004 07/16/2004 APP RJB
Plannin2 Review 07/16/2004 07/21/2004 APP EMM Public Storm Drainage Easement on
Northern portion of lot. See plan.
Public Works Review 07/16/2004 07/21/2004 APP MS
Structural Review 07/16/2004 07/28/2004 OK 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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Final Mechanical: When all mechanical work is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa2e 3 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00887
ISSUED: 08/02/2004
APPLIED: 07/1612004
EXPIRES: 02/05/2005
VALUE: $ 129,046.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Mechanical: Prior to Cover
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 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
54'1~726-3759 Phone
-'ty of Springfield Official Receipt
.:velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00887
COM2004-00887
COM2004-00887
Payments:
Type of Payment
CreditCard
8/5/2004
RECEIPT #:
1200400000000001187
Date: 08/05/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
BRUCE WIECHERT CUSTOM djb 000464 072689 In Person
HOMES
Payment Total:
Page I of I
8:34:34AM
Amount Due
3.50
5.00
50,00
$58.50
Amount Paid
$58.50
$58.50