HomeMy WebLinkAboutPermit Electrical 2004-5-17
roject as submilled has the fol/owing
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~.J,&~~oas not require specific land use -
ELEt;l1:dCAL PERMIT APPLICATION Zoning Lr\v'l
City Job Number CotIVI ZD OL-{ - 00470 Date Date 6- 17--oJ-,
I
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residential $ 25.00
!he in,staUation is being made on prolflftl e~ which, . . Limited Energy/Commercial . $ 45.00
IS not mtended for sale, lease or rent. THIS PERMIT SHAL~T)<<J~E&teCJHEMla5lKInspechon Fee is $45.00 + Surcharges
Owners Signature: AUTHORIZED UNDEP". I '7 L/
COMMENCED OR IS A
/\NY 1 Rn DAY PERIOD. 7% State Surcharge' 1358
10% Administrative Fee 1'7 L( 0
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1.
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LEGAL DESCRIPTION
( ~O z. ob 1I
JOB DESCRIPTION
Ne..-w
/3700
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 E. /PI')..flC
J(9fU,j A-ul) eel
Phone '133 -J,.S9E3
Address C;;)9J ~
City ~r (LI d
Supervisor License Number
'-I/7L;-5
~~ (!)
ye5~.
b
Expiration Date
fO-()/
Constr. Contr. Number I 0 5 4 1S'
Expiration Date '3 - 3 L) -.911- 0 b
~
S;gnMn8)"7:L~J::&- .
- -
1+; \ \ ~
Phone b Bb-9y.(g
Inspection Request: 726-3769
3.
A.
Service Included
1000 sq. ft, or less
Each additionalS00 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
'2
$106.00
iob
--sf
$ 19,00
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
40 I 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
s-a
$ 3,00
TOTAL
Shared Drive(T: )/Building Fonns/Electrical Permit Application 1-03,doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00470
ISSUED: 05/10/2004
APPLIED: 04/28/2004
EXPIRES: 11/11/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 841 Shady Creek Dr
ASSESSOR'S PARCEL NO.: 1802061113700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - Shady Creek subd lot 38 - same as COM2003-01245
New
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
STEVE R JOHNSON
License
101717
105475
460
65065
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
BUILDING INFORMATION I
3
# of Stories: 1 Lot Size:
Heighlllf-HlRt.l. Or gPl~fW req~Y6tJltwor:
Type 0 e f" ',v,'t'M'8efell fi\e Ofif:h28~IJtfor:
Water '1lJ ru es a p ~ % t.
Rang &.atian Center. J~8').c ru~~ ~~~~c~rport
EnerdSl . 952-001-o0fOitllYI\'~g ~ t ~G'
SprinID.Q~f8u~ay abtainJ!&lples ~~n L~rd:
,~..1Ii~{' tho ,.pntAr 1~IQte~ the te e\Jnane
I DEVELOPM~ JuWu~t1Cfl Utility Notification
-.;emer IS l-ov0-332-2344). REQUIRED PARKING
Total: 2
Handicapped:
Compact:
7,336
1,278
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
352
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
8.67
54.00
4.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
21.60
I PUBLIC IMPROVEMENTS I
Street Improvements: F II I d
MOlICE' u y mprove
Storm Sewer A vailabl~'!' .Y.~~
Special Instruction: THIS PERMIT SHALL EXPIME IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Pa2:e 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
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
Appliance Vent
Building Permit
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
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
I Valuation Descrivtion I
~ Per Sq Ft
or multiplier
, $92.40
$24.30
Square Footage
or Bid Amount
1,278.00
352.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$105.30
$73.71
$254.00
$31.00
$6.00
$45.00
$653.00
$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
$105.67
$53.69
$727.42
$164.89
$75.00
$959.03
$18.00
$1,000.00
$19.40
$13.58
$106.00
Date Paid
4/28/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/1 0/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/1 0/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/12/04
5/12/04
5/12/04
Pal!:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00470
ISSUED: 05/10/2004
APPLIED: 04/28/2004
EXPIRES: 11/11/2004
VALUE:
Value
Date Calculated
$118,087.20
$8,553.60
$126,640.80
04/28/2004
04/28/2004
Receipt Number
2200400000000000428
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000705
1200400000000000720
1200400000000000720
1200400000000000720
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00470
ISSUED: 05/10/2004
APPLIED: 04/28/2004
EXPIRES: 11/1112004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
$38.00
$50.00
5/12/04
5/12/04
1200400000000000720
1200400000000000720
Total Amount Paid
$6,153.55
I Plan Reviews I
Initial Review 04/29/2004 04/29/2004 OK RJB
Planninl!: Review 04/29/2004 05/07/2004 APP TAJ
Public Works Review 04/29/2004 05/05/2004 APP VRJ Overwidth driveway approved
5/5/2004.
Structural Review 04/29/2004 05/03/2004 APP TCM Same As Com2003-01245
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.
~eollire<Unsnections I
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
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 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Underfloor Plumbing: Prior to insulation or decking.
13 Underfloor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 Underfloor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
21 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.
22 Rough Mechanical: Prior to Cover
23 Final Gas: When all gas work is complete.
24 Final Mechanical: When all mechanical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
Pal!:e 3 of 4
-s:;r:J;~
WilL.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
26 Rough Electric: Prior to Cover
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-00470
ISSUED: 05/10/2004
APPLIED: 04/28/2004
EXPIRES: 11/11/2004
VALUE:
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
Pal!e 4 of 4
Date
225 Fifth Street
Springfield, Oregon 97477
54}-726-3759 Phone
rity of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00470
COM2004-00470
COM2004-00470
COM2004-00470
COM2004-00470
Payments:
Type of Payment
CreditCard
5/12/2004
RECEIPT #:
1200400000000000720
Date: 05/12/2004
Description
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000381 077793 In Person
Payment Total:
Page 1 of I
9:38:58AM
Amount Due
50.00
106,00
38,00
13,58
19.40
$226.98
Amount Paid
$226,98
$226.98