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HomeMy WebLinkAboutPermit Electrical 2004-3-21 :?:. ~~, >~. -' -, ":...-- - 225.1:'1J.' it! STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ::;O~~~~~::;:ftr~: .'5 h (Ie '\. ! , f 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