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HomeMy WebLinkAboutPermit Electrical 2004-5-17 : j€UIt as submitted has the followin, S fiot require specific land use ' 225 F'IFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~~g----..... ELECTRICAL PERMIT APPLICATION Date City Job Number (DiM. ZOOll- 00 '3> b:3 Date C. ~}r~.: 'I 'r~ Installation, A!~,~~~~un U~ t~ rt~ 2 ~<t_l\Q~sho?ted '0'1 tU\p.s ate s~ 2_g~~.oo 2 H\~~~g~stnose n QJl..f\ \i:> JsftNJo 466t"~~ ro~~O tnto~~~ 01 tne {u\oWJo.oo ~~ 52- me~CO?~t~ ~ep\\ .~\on D. ~ - New ~ftbtPbrt~~OPer Panel O C. . cen ne lrcult Each Additional Circuit or with n , /J W" \ ^ .1. C . IL... Service or Feeder Permit Owners Name , ~ (\J '-C.- \ e. one. VT vS-M 1TUy\...(~' Address5~ '7 ~- P C"v- Ie. I-h \\~ E. City E V!:tY\ e. Phone b Bb-9Lf5g Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 !he m,staIlation is being made on P.t<W~rty I own which \t ~i~\frgy/Commercial $ 45.00 IS not mtended for sale, lea~~lMb.t.. 1 S\1f\ll t.'1-?\R.~~.W~Wp \fI&\Q.A: Permit Inspection Fee is $45.00 + Surcharges 1\1\5 PERM\ NDER 1\1\51~ \ Owners Signature: . f\\n\10R\1.E~D\.lOR \5 M~f\NQO I Lf if COWlMEN~~'{ PER\OD. 7% State Surcharge 10 0 f( PS~1' ",BQ - 10% Administrative Fee /'11..{0 I b r'!f2 1. 3. 407 b de,y-oke..e.- ,; LEGAL DESCRIPTION I gO"l.Ob{ I JOB DESCRIPTION 132-00 SFfL 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 L'E c E lfJ (')" c... Address f}g5.~ J6fl-Lj Aut> ed Phone C/.33 -J5'1f3 City Sp~ld I Supervisor License Number '1/7t;-s ~ 0Jf' Ob Expiration Date fO-()/ , Expiration Date 105415 3 - 3 () -0)(0& ( Constr. Contr. Number Signature of Supervising Electrician FQ OwCIYL Inspection Request: 726-3769 .LDt< . &) -I, -Ot.{..- -. 'K0 },Jrhonzec Signature A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 1 '2 $106.00 lOb sff $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc '- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00363 ISSUED: 04/19/2004 APPLIED: 04/01/2004 EXPIRES: 10/21/2004 VALUE: $ 135,384.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4076 Cherokee Dr ASSESSOR'S PARCEL NO.: 1802061113200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: SFR - shady creek lot 33 - same as COM2003-01244 4026 Douglas dr Residential Owner: BRUCE WIECHERT Address: 3375 PARK HILLS EUGENE OR 97405 Phone Number: 541-686-9458 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW CARTE PLUMBING INC License 101717 105475 460 121387 Expiration Date 09/16/2006 03/30/2005 06/27/2004 03/24/2004 Phone 541-686-9458 541-933-2653 541-726-0100 541-607-6945 BUILDING INFORMATION. 3 # o~ Stories~: TTENTION: ore~tlaw~mfffis~u to Height of S fl,l,cture I d 1. t ,~O f5i1v T fH ~.1I0W ru es a Opl y db ::1 J:t:: Ty~9tification Center. sose ~I! ft~fth Range TyjnPAR 952.001F9Pcf~~hro~1! ~~~i~tport Energy PaOOSO. You may optftlPfopl~ if 8.ty!es Oy Sprinkled BUiftil~ the centftYa (Note. r~&!l@ n..mhlO>r fnr thlO> nr~~nn I ltilitv N;;t.if~n . I DEVELOPMENT INFORM~Wl'i 1800-332-2344). REQUIRED PARKING Total: 2 Handicapped: Compact: ' 10,010 1,360 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-1 VN 420 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 11.00 5.00 90.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 18.40 I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Fully Improved Storm Sewer Av~jI]tp~CE: PIRE ~IHE WORK Special Instructi~lf-HS PERMll SH~ll E'~HIS PERM\! IS NOi Notes, . ~~~3~~~~o U~~~; ;BANOONEO fOR ~NY 1 BO D~Y PERIOD. Pa2e 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 Dwellin2s Gara2e V Wood Frame Gara2e 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 Mutt 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 WilIamalane 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 $99.13 $54.13 $727.42 $164.89 $75.00 $837.09 $18.00 $1,000.00 $14.40 $10.08 $106.00 $38.00 Date Paid 4/1104 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 5/12/04 5/12/04 5/12/04 5/12/04 Pa2e 2 of 4 C.TY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00363 ISSUED: 04/19/2004 APPLIED: 04/01/2004 EXPIRES: 10/21/2004 VALUE: $ 135,384.00 Value Date Calculated $125,664.00 $9,720.00 $135,384.00 04/0112004 04/01/2004 Receipt Number 1200400000000000426 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000502 1200400000000000722 1200400000000000722 1200400000000000722 1200400000000000722 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00363 ISSUED: 04/19/2004 APPLIED: 04/01/2004 EXPIRES: 10/21/2004 VALUE: $ 135,384.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $5,938.81 I Plan Reviews I d Initial Review 04/08/2004 04/08/2004 APP RJB Plannin2 Review 04/08/2004 04/17/2004 APP TAJ Public Works Review 04/09/2004 04/14/2004 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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 31 Curbcut - Overwidth: 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 Plumbing: 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. Pa2e 3 of 4 ._~e-@IN~~I!~\' _....~'".,,~, \).; CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00363 ISSUED: 04/19/2004 APPLIED: 04/01/2004 EXPIRES: 10/21/2004 VALUE: $ 135,384.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Pa2e 4 of 4 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone rity of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000000722 Date: 05/12/2004 9:41:46AM Job/Journal Number COM2004-00363 COM2004-00363 COM2004-00363 COM2004-00363 Description + 7% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Payments: Type of Payment CreditCard Paid By . BRUCE WIECHERT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 10.08 14.40 106.00 38.00 $168.48 Amount Paid djb 000381 024662 In Person Payment Total: $168.48 $168.48 5/12/2004 Page 1 of 1