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
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