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.
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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