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Home My WebLink AboutPermit Electrical 2003-2-18 , ( ELk ~RICAL PERt\1IT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 City Job NumlJer 3. COMPLETE FEE SCHEDULE BELOW 1. l-OkATION OF INSTALLATION ~ .~7 Lj ..<;i ~IIV\ eo If' ~~,? A.. ~~. Residential-Single or ,0 ,c,' M' F"l d II" " G.(,:,0 () v UltI- amI y per we mg umt. 'l:" .Qo<::' S" I u\' .,\c ,. .~ en'lce ncluded: "'~~::' " ?,c'" ..;1'/ -:!o.. SV A.' (, '/'~~j~~,e://~.. / // ,,).o'\~. ~c." ,\-.Ac'~Y(p/ IjlGt! sq.f~. .or less ,c/'''''' .~r::'i.',,<'A':"'f'~"[ Each addItlonal 500 ,,'(, }'v " \ " ((';-1: sq. ft or portion Permits are non-transferab~~'a~~'expi}:e~')' '\ thereof if work is not started withiQ\;rfo days' ,~,- Each Manufd Home or -{o. of issuance Of if work is suspended for '::>'''- Modular Dwelling 180 days. ' ~,>'c Q" Service or Feeder \-".)' LEGAL DESCRIPTION -r,:<l' :-;! . {' . JOB Da~~TION 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Altera,tions or Relocation: Electrical' ContractorI~'~ (:., -- , - ,'". - I.,~ I... Lti{ 1,-. Address ! ,I J r <. 'hJ4 L-j )1')'(,' Je.: l~ r' I ! .f H:~'//J Z-L" ;)./ 1'0,'-.. C. <... Ity ( ; ." ',~ Pllolle'" [ .I.. iLk Supervisor License Number Expiration Date i Constr Contr. Number I or Feeders Alteration or Relocation '7~; Expiration Date ., -"" J 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above f. "'') L)) Signature of Supervising Electrician c { ,/{U "vl Owners N ame \~ (' l" ( t~ ~; I e. c ~\ (:" r D. Branch Circuits New AltG,(~~t.ion or~}"iensj(),n Per Panel ,;~:,"'--{",s \- "."' '., "',) Address ':;'3~7S- p"',..r\L k,)\S City f VCJ (?,hc.. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. '1ionaI Circuit or with Service Permit E:\Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergyIRes Limited Energy/Comm Owners Signature: Items Cost Sum $106.00 .' ", $ 19.00 $ 50.00 $ 63.00 $ 75.00 $125,00 $ I 63.00 $375.00 $ 50.00 $50.00 $69.00 $100.00 $43.00 $ 3,00 $50.00 $50,00 $25.00 $45,00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee TOTAL CITY OF SPRINGf11ELD Building/Combination Permit PERMIT NO: COM2002-01313 ISSUED: 12/13/2002 APPLIED: 11/21/2002 EXPIRES: 07/30/2003 VALUE: $ 140,312.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6874 Simeon Dr ASSESSOR'S PARCEL NO.: 1702341108600 TYPE OF Single Family Residence PROJECT DESCRIPTION: SFR TYPE OF USE: New Residential Owner: BRUCE WIECHERT Address: 3375 PARK lllLLS EUGENE OR 97405 Contractor Type General Electrical Mechanical Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: ..0 ,)0-.1 .~~ ..'0 I CONT~qO~_8RMATION I '\.e~ ~0~ "0'\ Contractor \'l>~ eO ~~~OJj~~0r:, 0 License BRUCE WIECH~'\f~A~Q1'O~5~0~. ~1717 L & E ELEg'~~~~~e o\)~ ~ o\~ ~0<:J.~,# 105475 COMFO~~'F~'\.~ (;:j~ ri~,0 ~0~~0~ 460 BRU~-W~~~~II\ .~c:; 0\.0' "~\.~ b.~' S"~~J,~No"O'~( ~ ('~~:~fJI~~ 65065 \0\' (jt b~ ~..~~ ~. _..I ~~ 50 C?j ~ ~"Ia ' 'I~' 18O'"INFORMA TION I ~oO~ 4.0 ~ ~..,.~ .~ 1J1J<?>~~~0'\.'0'<. ~-si'~f Stories: 2 Lot Size: w.'j~'Q cJo Height of 24.0~ Sq Ft Ist Floor: U~ Type of Heat: Forced Ai~~\),\ Sq Ft 2nd Floor: VN Water Type: 'X-~~~ Sq Ft Basement: VN Range Type: ~ ~ ~~~~~ Sq Ft Garage/Carport 3 Energy Path: 9..~ 'f<,~~~'t Sq Ft Other: ~,....,C:J ~ ('\,,~v Impervious Surface Area: ,\" ~ '('\, ,''v I DEVELOP.ME~16~~MSi~ION I T.- ~1 u;' tr~1~ ~~~.\.~~~~~ x,~ ~ \)~~~\)~. .-(,~ ~~ '\ \ ~ 'Y~~ Rqd: % o'ft~t Coverage: 18.00 15.00 15.00 17.00 15.00 IPUBLIC IMPROVEMENTS I Phone Number: 541-686-9458 Phone Number: 541-686-9458 Expiration Date 09/16/2006 03/30/2004 06/27/2003 Phone 541-686-9458 541-933-2653 541-726-0100 541-686-9458 541-342-3765 03/12/2004 5,242 929 836 441 3 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 26.00 Sidewalk Type: Fully Improved Yes Downspouts/Drains Overwidth driveway permit must be approved before issuing building permit. 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 CITY OF SPRINGf11ELD' Building/Combination Permit PERMIT NO: COM2002-01313 ISSUED: 12/13/2002 APPLIED: 11/21/2002 EXPIRES: 07/30/2003 VALUE: $ 140,312.00 I Valuation Description I Description DwelIinl!s Garal!e Type of Construction V Wood Frame Garal!e $ Per Sq Ft $74.60 $19.60 Square Footage 1,765.00 441.00 Value $131,669.00 $8,643.60 $140,312.60 Date Calculated 11/21/2002 11/21/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number Plan Review Residential $454.29 11/21/02 1200200000000000277 -Mechanical Issuance Fee- $10.00 12/13/02 1200200000000000401 + 5% San & Storm Admin Fee $141.87 12/13/02 1200200000000000401 + 7% State Surcharge $78.11 12/13/02 1200200000000000401 + 8% Administrative Fee $89.27 12/13/02 1200200000000000401 3 Baths One & Two Family $306.00 12/13/02 1200200000000000401 Addressing Assignment $8.00 12/13/02 1200200000000000401 Appliance Vent $6.00 12/13/02 1200200000000000401 Building Permit $698.90 12/13/02 1200200000000000401 Curbcut - Overwidth Appl $35.00 12/13/02 1200200000000000401 Curbcut Permit $75.00 12/13/02 1200200000000000401 Dryer Vent $6.00 12/13/02 1200200000000000401 Exhaust Hoods $9.00 12/13/02 1200200000000000401 Furnace - up to 100,000 btu $12.00 12/13/02 1200200000000000401 Gas Outlets 1-4 $4.00 12/13/02 1200200000000000401 Plan Review - Planning $55.00 12/13/02 1200200000000000401 PW Mult Disc - 2nd Permit $-30.00 12/13/02 1200200000000000401 Sanitary Sewer - Improvement $386.17 12/13/02 1200200000000000401 Sanitary Sewer - Reimbursement $508.07 12/13/02 1200200000000000401 SDC MWMC Administration $10.00 12/13/02 1200200000000000401 SDC MWMC Credit $-1.21 12/13/02 1200200000000000401 SDC MWMC Improvement $34.83 12/13/02 1200200000000000401 SDC MWMC Reimbursement $332.86 12/13/02 1200200000000000401 SDC Sanitary/Storm Admin $91.68 12/13/02 1200200000000000401 SDC Transpo Admin $50.19 12/13/02 1200200000000000401 SDC Transpo Improvement $709.81 12/13/02 1200200000000000401 SDC Transpo Reimbursement $160.87 12/13/02 1200200000000000401 Sidewalk Permit $75.00 12/13/02 1200200000000000401 Storm Drainage Impervious Area $695.98 12/13/02 1200200000000000401 Temp Power 200 amps or less $50.00 12/13/02 1200200000000000401 Vent Fan $24.00 12/13/02 1200200000000000401 WiIlamalane Single Family $1,000.00 12/13/02 1200200000000000401 + 10% Administrative Fee $16.30 1/31/03 1200200000000000636 + 7% State Surcharge $11.41 1/31/03 1200200000000000636 Residence Wiring 1000 Sq Ft $106.00 1/31/03 1200200000000000636 Residence Wiring Ea Addtl 500 $57.00 1/31/03 1200200000000000636 2 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2002-01313 ISSUED: 12/13/2002 APPLIED: 11/21/2002 EXPIRES: 07/3012003 VALUE: $ 140,312.00 Total Amount $6,277.40 Plan Reviews , Initial Review 11/2512002 11/25/2002 APP LLH Plannine Review 11/25/2002 12/03/2002 APP AJD Public Works Review 11/25/2002 12/04/2002 APP DPE Overwidth driveway permit must be approved before building permit can be issued. Structural Review 11/25/2002 12/13/2002 APP DLM 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. I Reouired Insnections I 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Water Line: Prior to filling trench and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Storm Sewer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01313 ISSUED: 12/13/2002 APPLIED: 11/21/2002 EXPIRES: 07/30/2003 VALUE: $ 140,312.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01313 COM2002-01313 COM2002-01313 COM2002-01313 Payments: Type oCPayment Check Paid By Description Receipt #: 1200200000000000636 Date: 01/31/2003 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee BRUCE WIECHERT CUSTOM HOMES Received By Check Number Confirm No djb Page 1 of 1 1/31/2001 2:50:39PM City of Springfield Development Services Department Public Works Department Official Receipt - Amount Paid 106.00 57.00 11.41 16.30 Line Item Total: $190.71 How Received Amount Paid In Person 190.71 Payment Total: $190.71 cReceipt.rpt