HomeMy WebLinkAboutPermit Electrical 2004-3-21
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225.1:'1J.' it! STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
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3. C01l1PLETE"FEE SCHEDULE BELOW
. .
1. 'LOCATION OF INSTALLATION,
'10~ Cf CJ-.e:oJ(ee- .,
T...." ":gJl_ 1
LEGAL DESCRIPTION zO~i~g:~~~;?ciol:s e~~f~eSqU~~.tt(9~ tkeMltre'fttigl- Sbtgle orMldti-Familype~ dweHing unit.
app[<).\Ijl1 UI e specifIC land use ",. '
I ,~(.) Lt...; G.... ( ( , f.-..1~?,~- U')e. Service Included
JOB DESCR.u-llON Date . &- :<'HD4JIUUU sq. it Vi k":,, I $106.00 I C' &-.
N n 0 - ' EileR .u;\rl;t;nnal".iOO sq. ft. or ? \-
'e/ioJ 1LJ.--:> Authorized Signature Cf1l portion thereof L_ $ 19.00 ./ t/
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
. CONTRACTOR INSTALLATION ONLY
2.
Electrical Contractor ,/!.. ,:<-' E (; L,z c+r I L
'-,;'" ) Q -, -.,
Address '-/0<'0 ~)..)
",.IonR \ A ( r t1 Rd.
Phone r~f:3 --J596
City
~ --. "
~'C:>f)~\ Ie
J
Supervisor License Number Lj/ 7 '1- ~
I
Expiration Date / ().- () / -~ Ora
Constr. Contr. Number / I) 54 '1 5"
Expiration Date
c .;; -' .~ () .- (-) it
,
Signature ~pervisin~ Electrician '\ ,
(" ( ) I i, J , /
(~.y /'L!~ l",{/( (Jlez"!
Owners Name B r \,; LQ... lJ \...Q ch.e r +-
Address :5 j "1 5" (-=b f'- k H- \ I h
City C:':0C1 Q n Q _ Phone l oS lLl- (( It 5f)
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
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
- -
B.Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or F~~d~rs
. ~uires yOU to
Inst,~~~t\1;lf~o~\ft~J~ ol\.on Utility
4,' \....... ... d bvtne reld ""
20 ~,Amn~gWes&dop.e J ru\^'" !::Ire seU~!(YO
j\\OWi Those ~'
2R\~~~~~~ U h-OAR 952B~~
4~XJ6~~9ij~~~~~~~pi~s-cf the ru\*~)f)o
O'6lD'~O"'fOOp~g~~R~arY~~~,~ ~~~:n
D'N~~!~~~;l~~~~ ..
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
E. . Miscellaneous (SerVice/feeder not included) ':""Each Installation
Pump or irrigation $ 50.00
fSigiVPl.Imne Lighting $ 50.00
.~t~<F~~~iy&~SiMnii3:fY! iF 'r '~:f,is.oo
illiitt~i'M~n&-gykC~nilif~~Jial ,... i \ :::l ;\$145.00
Minh~~~liJ~~~ ~e~~jt;X~~~~~t~o;i~~rs ~~~:~o + Surcharges
r\J~'{ I ;,H'l, t\;;.(\\\.!'-i. .
4. SUBTOTAL OF ABOVE f L( i,,(
(e ,,~'
7% State Surcharge
10% Administrative Fee
TOTAL
/ L( 4 L'
I L~ s- L( ~
~"T' '\,..... .,.J~_ _ 1""'___/T":'1_...~-=........1 n..._:+ ^ ........1;......,,+;1"l."" 1_(\1. ~nr
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00362
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: 10/27/2004
VALUE: $ 135,384.00
SITE ADDRESS: 4029 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR - shady creek lot 22 - same as COM2003-01244 4026 Douglas dr
Residential
Owner: BRUCE WIECHERT ,
Address: 3375 PARK HILLS EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION.
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
, L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
BUILDING INFORMATION'
I PUBLIC IMPROVEMENTS I
Fullv Improved Sidewalk Type:
Y NOTICE: .Do' niqhf) .
es THIS PERMIT SHALL E}\t'I~l!sWlnt:" WemK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:,
Side 1 Setback:
Side 2 Setback:
Rearyard Setback: .
Solar Setbacks:
18.00
5.00
12.00
29.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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
1
R-3
U-l
VN
# of Stories: ~aw ~you to
Height of sMiHiJ)!lION: Ore~ th~d'~9~
TypeofH~owruleSadope .a/ mt~ .
Water T~~ification Center. ~!ose f\ftAR~"OO1.
Range TYltfOAR 952-001 BlP~i~ro~ g t\ilrtul~~ort
Energy p~O. You may oI1>WPFoP'~a ~lRffione '
Sprinkled B~,mg the centaTa (Note<;t~~~l~alt~Wi\\~n
"" "!.h' f..:.: 1,":s ':'~o:"n IltlhtV'"NOtl
I DEVELOPMENT rNFO~~nG ,-800-332-2344).
. REQUIRED PARKING
Total: 2
Handicapped:
Compact:
5,850
1,360
420
3
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
30.40
Curbside 5'
Curb and Gutter
Pae: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
Gara1!:e
Dwellin1!:s
Gara1!: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
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
1,360.00
400.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$101.27
$70.89
$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
$344.20
$452.80
$10.00
$214.23
$314.63
$99.46
$54.11
$727.42
$164.89
$75.00
$843.32
$18.00
$1,000.00
$14.40
$10.08
$106.00
$38.00
Date Paid
4/1/04
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
5/21/04
5/21/04
5/21/04
5/21/04
Pa1!:e 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00362
ISSUED: 04/19/2004'
APPLIED: 04/0112004
EXPIRES: 10/27/2004
VALUE: $ 135,384.00
Value
Date Calculated
$125,664.00
$9,720.00
$135,384.00
04/01/2004
04/01/2004
Receipt Number
1200400000000000426
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000503
1200400000000000780
1200400000000000780
1200400000000000780
1200400000000000780
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00362
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: 10/27/2004
VALUE: $ 135,384.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $5,945.35
I Plan Reviews ,
Initial Review 04/08/2004 04/08/2004 APP RJB
Plannine Review 04/08/2004 04/17/2004 APP TAJ
Public Works Review 04/09/2004 04/1412004 APP VRJ
Structural Review 04/08/2004 04/13/2004 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 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
31 Sidewalk - Curbside: 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 Piumbing: 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.
Paee 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00362
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: 10/27/2004
VALUE: $ 135,384.00
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
Pal!e 4 of 4
Date
225 Fifth Street
Springfield, Oregon 97477
54J-726-3759 Phone
Job/Journal Number
COM2004-00362
COM2004-00362
COM2004-00362
COM2004-00362
Payments:
Type of Payment
CreditCard
5/21/2004
RECEIPT #:
rity of Springfield Official Receipt
velopment Services Department
Public Works Department
1200400000000000780
1:13:09PM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Paid By Received By
BRUCE WIECHERT CUSTOM djb
HOMES
Page 1 of 1
Date: OS/2112004
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
10.08
14.40
106.00
38.00
$168.48
Amount Paid
000390 030963 In Person
$168.48
Payment Total:
$168.48