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HomeMy WebLinkAboutPermit Electrical 2004-4-14 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAXJ (541)726-3689 ELEcl1<lCALPERMIT APPLICATION / Ie . -r-ne,tollowingprOjectass OOWIn C. J b N b / /"1 0 - D U / u 0 '( zonmg, and does not require specific land use Ity 0 um er L.-VYI'1ZOO4 -0 2-0. Date I -/ '- approval. 1. Ik~~l1EH~t~~ 3. '~~i{~~!l~]N:S~~~'~~ Lf 0'-/ <) C\;tEfLO \L.e?c:.m....,,,...c;,,Alith9ri~e,<l9ignature . . . t)lAj..... LEGAL DESCRIPTION . A. l~;R~~i.~~~id~ri!tii.B?~i.~gl~i~?i~r~l!!:~~:~iil~;;~~E'.~~vi!!i'ri,if~nii~';~~:jij I <60 Z- 0 b if II ~ 0 0 S':;~:':~::IU~~~m._._'m~m'_~"A'~.".,.~.".".,. "......,.". ,..."......M, I $106.00/0 b Z $ 19.00 3 ~ sfrL-' 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION Permits are non-transferable and expire jf work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 2. B. Electrical Contractor iJ.lo.RIJ1/?J,!.. J aK.lf(~ Address rr: 0 :5&;r Sol} t) City aec:r--- u Phone 9)~ -CO):)7 200 Amps or less 201 Amps to 400 Amps 401 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 Supervisor License Number 10 /7 S) Expiration Date 10 /' 1- 0 (0 c. Constr. Contr. Number I / If.? ~d / Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps . $ 50.00 $ 69,00 $100.00 Expiration Date / /,"J I .1(") / f( /-.'_ r'/ 1-- Over 600 Amps or 1000 Volts see "B" above. I ':f';'_'>\t:.:.:~~ >::.:: '~/F9'}/: ";::<~ec~:':T:',o.,,:;. Signature of Supervising Electrician .. . D.i{~~~l]5,ti~it~~l ~ /7 / C ~O~. NI\1 St\l\l~e~af.a~~IT lff~lon Per Panel ,a (\. _or' -if~ \\-\\~~ "0 UNO\WJcl~Vt M~[) fOR ]\...::/ - i\U1\1Ut\\21- Ot\~~U~h~'Circuit or with - ~ (LlA.CC I /II'~.MMW ~ c MW~e or Feeder Permit Owner ame c..NJL~;1eU-Ut\'{i>'" uu Address 337 S- ?~\L l-t\]! ~..' E. eV& $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER mSTALLATION Limited Energy/Residential $ 25.00 The in.stallation is being made on property I own )X~iflt:.N-;iON:f}~fj8:~\la\8Yt/~~~I~i~~' $ 45.00 IS not Intended for sale, lease or rent. ;uHCW-:U\M!q:iIJtl.Jp1\mctYi~lNfd.!ifl~~;~toh *fe is $45.00 + Surcharges ; ,,+i;""a;"'''''''' :~ . -, '-;.';,:.;?(;,(: I L(/( ~V~l.:l"""-~\U\'~' '. V p~ OAH 952.1; . O'O:::..~:.:: 7fiE~6~~~~;~~~4;m~ telephone 1008 ",alL! 's . . .1j)Qi."~A.n,,.; 'A~r~"" ~tification / U L( 0 \'1UmberTOrme'\.~H'~J'WJ\I'llol'P1..l" -, - . ToiALf'I".!::jI)?-?~44)' /63 J..!E- Phone City Owners Signature: Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Pennit Application 1-03_doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2004-00200 ISSUED: 03/04/2004 APPLIED: 02/19/2004 EXPIRES: 09/17/2004 VALUE: $ 154,408.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4045 Cherokee Dr ASSESSOR'S PARCEL NO.: 1802061111800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR - same as COM2003-01195 4046 Douglas Owner: BRUCE WIECHERT Address: 3375 PARK HILLS EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION. Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVE R JOHNSON License 101717 105475 460 65065_ BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Primary Occupancy Group: R-3 Height of Structure 17.00 Secondary Occupancy Group: U-1 Type of Heat: -' Forced Air Gas Primary Construction Type VN Water Type: Gas Secondary Construction Type: Range IrrI?C~ Electric # of Bedrooms: c.. 3 \Rr. \fYf4ti~P\tYil1 . Path 1 "O~\C1;.~M\1 S\1P\~l f~'J\", PtRWI\\_\S NO \ n\J \'E UNU\-\\ "' - "ill:'..'.:: ! Or. , . C\\ rn-\OR\l~O OR \S jlWb'4tmJUPMENT INFORMATION. SETBACK[OW\MtNCt~ 't.R\OO. Front yard Setback: M~'{ '\ 6Q O~ 1k.00 Overlay Dist: Side 1 Setback: 11.00 # Street Trees Rqd: Side 2 Setback: 16.86 Paved Drive Rqd: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 18.00 0.00 % of Lot Coverage: 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: 6,570 Sq Ft 1st Floor: 1,558 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 430 Sq Ft Other: Impervious Surface Area: 5 REQUIRED PARKING Total: 2 Handicapped: . Compact: Yes 30.80 ATTENTJON:rnlU;Jffi1lMl1~R.Q(WS ~ tollow rules adoptedbY the uregoll UlI y Sidewalk Type: JotificcltMW hWlf&F.dfhose rules are'setfortl in OAR 952-001-o"tNO, 'h.ro,~h OAR 952-00 Downspouts/Drains: 0090. You may qbtaif;1: qbpies "'bf th~ rules l calling the centlel'. Y(Nbte: the telephone number for the Oregon Utility Notification '7 . ---,~- :"" '1 "QnIV=l~?-2344). Pal!e 1 of 4 Curbside 5' Curb and Gutter 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 Residence Wi~ing 1000 Sq Ft Residence Wiring Ea Addtl 500 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 I Valuation DescriPtion' $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,558.00 430.00 Total Value of Project ~ Amount Paid $100.00 $10.00 $127.74 $89.42 $254.00 $31.00 $744.40 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $38.00 $344.20 $452.80 $10.00 $214.23 $314.63 $103.23 $53.85 $727.42 $164.89 $75.00 $913.50 $50.00 $27.00 $1,000.00 $14.40 $10.08 Date Paid 2/19/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 3/4/04 4/14/04 4/14/04 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00200 ISSUED: 03/04/2004 APPLIED: 02/1912004 EXPIRES: 09/17/2004 VALUE: $ 154,408.00 Value Date Calculated $143,959.20 $10,449.00 $154,408.20 02/19/2004 02/19/2004 Receipt Number 2200400000000000160 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000206 2200400000000000359 2200400000000000359 CITY OF SPRINGFIELD I Status Issued Building/Combination Permit PERMIT NO: cOM2004-00200 ISSUED: 03/04/2004 APPLIED: 02/1912004 EXPIRES: 09/17/2004 VALUE: $ 154,408.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring 1000 Sq Ft . Residence Wiring Ea Addtl 500 $106.00 $38.00 4/14/04 4/14/04 2200400000000000359 2200400000000000359 Total Amount Paid $6,328.79 I Plan Reviews I Initial Review 02/1912004 02/1912004 APP RJB Planninl! Review 02/19/2004 03/03/2004 APP TAJ Public Works Review 02/19/2004 02/21/2004 APP VRJ Applicant has submitted for an overwidth driveway 2/21/04, PW's is waiting for approval from Traffic. Public Works Review 02/23/2004 02/23/2004 APP VRJ 30' driveway throat approved 2/23/04. Structural Review 03/01/2004 03/01/2004 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. 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 Gas: When all gas work is complete. 29 Final Mechanical: When all mechanical work is complete. 30 Rough Electric: Prior to Cover 31 Electric Service: Approval required prior to utility company energizing service. 32 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. Pal!e 3 of 4 CITY OF SPRINGFIELD - I Status Issued Building/Combination Permit PERMIT NO: cOM2004-00200 ISSUED: 03/04/2004 APPLIED: 02/19/2004 EXPIRES: 09/17/2004 VALUE: $ 154,408.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 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 Fif~h.Street Sp:'irigfield, Oregon 97477 541.,726-3759 Phone ~'+y of Springfield Official Receipt ..;velopment Services Department Public Works Department Job/Journal Number COM2004-00200 COM2004-00200 COM2004-00200 COM2004-00200 :<i: Payments: Type of Payment CreditCard P. '~-. '-- 4/14/2004 RECEIPT #: . 2200400000000000359 Date: 04/14/2004 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By Received By BRUCE WIECHERT CUSTOM djb HOMES INC ' Item Total: Check Number Authorization Batch Number Number How Received 000355 090482 In Person " Payment Total: Page 1 of 1 8:23:49AM Amount Due 106.00 38.00 10.08 14.40 $168.48 Amount Paid $168.48 $168.48