HomeMy WebLinkAboutPermit Electrical 2004-5-17
ng project as submitted has thl? following
d does not require specific lan"d use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689z .
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ELEt.:l KICAL PERMIT APPLICATION
City Job Number COVIA ZOOq _ 00 3. b I Date
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
n W - \ ^ . Service or Feeder Permit
Owners Name \ ~ '(\) c..e \ e. v-ne. vt C. vS-M IfO"h(~. _
Address'3~ '75- r '^V" Ie. 1+; \\~ E.
E (r'1l ~.\o\\ ~~-r \J~ ~
City -v~e_t,\(" Phone t;9b-9Y:. \? Pumporirrigat'io~\\\\J~ ~CJt.\) 0~~\J\)' $50.00
Sign/Outline Li~~~~ \)~" $ 50.00
Limited Energy/R~~n\~~ $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
1. 3.
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LEGAL DESCRIPTION
I cz-oz-obl I
} 3/00
JOB DESCRIPTION
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
it:'c Elil/,jnc
j(jfU.J A-u-l3 eeL
Phone C/.33 -)S'1f3
Address C;}g5.~
~f~ld
City
Supervisor License Number
'1/ ;L;-S
~ 0ff 0,
Expiration Date
(C)-C)f
Expiration Date
105415
3-3()-91-0b
c
Constr. Contr. Number
Signature of Supervising Electrician
8J asJf~'
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
Date
L- t') rL
""} - \ 1 -0 L'.1
.p;~J
Authorized 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
::sf'
$ 19.00
$50.00
B.
200 Amps or less . _ 'JO~'OO
201 Amps to 400 Amps ~pnu\te~~ ~\~~~
40 I Amps to 600 Am~~~ot\ \8.\'t\P- O~e~.e. sf\ ~~*
6?1 Amps to~\~~~eo 'O~se ~u\e~~\\ ~~~
Over ~~~~~~~. \~ 'S\~ou~'(\ j, ...'(\~~~
Reco~~~1t~ce(\ QO\O\: ~\es : -e\$~. O{\
~.~\c'3-~ _OO\- i\t\ C " \t\Q' I(\\~ _
C.
009 '. ~~ \~ 'S\e nO'~
Installa tionc~W~.iEJiff6):\ ~r R~c~fion
~u 'f\\eP
200 Amps o~ss c,e
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
4.
/Lftf
100'$
ILf 40
/ b ~l{ g
7% State Surcharge .
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00361
ISSUED: 04/19/2004
APPLIED: 04/0112004
. EXPIRES: 10/19/2004
VALUE: $ 129,046.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4062 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061113100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR - Shady creek lot 32 - same as COPM2004-00206 4019 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
3
BUILDING INFORMATION I
. \IOU to
# of StorIes: \!w feb.~t'Sfi~ \ " i\\tt .
Height of S1r.~~t!!~l(O"t Ofe~" the Qrq<pn i~~ .
Type of ~at: . f' ,\es adopte aSse f\!\Q5Fa~fiEfII.' .
ffl\\0W v t r 0 A s,Oc:;.?' '
Water Type:.. ation Cen e . ~rou~(J)'J'\Da!lt!tl\en .~
Range Type~\1\CR 95Z-00~ -:fl~t~lc' i~cJ{tt'tiaf~ at-port
Energy p-.uID.J\ u rna,/ o~G pOP ~gtt~~~e
SprinkledaOOidi~&: the centara tNotueR\w;PtW\~~
,,~\\\na ~~it"\nn ,,\\y .~
I DEVELOPMENT ~t:ial-800-332-~,)- .
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
10,205
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
VN
451
1,278
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
8.00
14.00
80.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
17.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type: C b'd 5'
ur Sl e
NOTICE: DO~lJS1lQntf~TMHE WO~Krb and Gutter
THIS PERMIT SHALL cJl..t"
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERlOD.
Notes:
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 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
WilIamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
{
I Valuation Description I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,278.00
451.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$99.32
$69.52
$254.00
$31.00
$663.15
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$309.78
$407.52
$10.00
$214.23
$314.63
$100.14
$54.06
$727.42
$164.89
$75.00
$935.54
$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
5/12/04
5/12/04
5/12/04
5/12/04
Pa2e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00361
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: 10/19/2004
VALUE: $ 129,046.00
Value
Date Calculated
$118,087.20
$10,959.30
$129,046.50
04/0112004
04/01/2004
Receipt Number
1200400000000000426
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000504
1200400000000000723
1200400000000000723
1200400000000000723
1200400000000000723
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00361
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: 10/19/2004
VALUE: $ 129,046.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $5,935.68
I Plan Reviews I
Initial Review 04/09/2004 04/09/2004 APP RJB
Plannin2 Review 04/09/2004 04/17/2004 APP TAJ
Public Works Review 04/09/2004 04/14/2004 APP VRJ
Structural Review 04/09/2004 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 Electric Service: Approval required prior to utility company energizing service.
28 Final Electric: When all electrical work is complete.
29 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
30 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 Final Plumbing: When all plumbing work is complete.
18 Sanitary Sewer Line: Prior to fIlling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Underfloor Mechanical. Prior to insulation or decking and including required testing.
21 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 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.
24 Rough Mechanical: Prior to Cover
25 Final Mechanical: When all mechanical work is complete.
26 Rough Electric: Prior to Cover
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00361
ISSUED: 04/19/2004
APPLIED: 04/0112004
EXPIRES: . 10/19/2004
VALUE: $ 129,046.00
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 he 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 Fiftlt Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00361
COM2004-00361
COM2004-00361
COM2004-00361
Payments:
Type of Payment
CreditCard
5/12/2004
RECEIPT #:
r<:ty of Springfield Official Receipt
,velopment Services Department
Public Works Department
1200400000000000723
Date: 05/12/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Paid By
BRUCE WIECHERT
Received By
djb
Page I of I
Item Total:
Check Number' Authorization
Batch Number Number How Received
'000381
050210 In Person
Payment Total:
9:43:19AM
Amount Due
10.08
14.40
106.00
38.00
$168.48
Amount Paid
$168.48
$168.48