HomeMy WebLinkAboutPermit Electrical 2004-5-17
roject as submitted has the following
" as not require specific land use _
225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (5iffl2>~aJ689, Jt-1"\, L?
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ELECTRICAL PERMIT APPL/.CATION Date t; -t 1-6\.{( ,
City Job Number COVJ1 z..OO'f- 00 .3>// Date ~ 7\
Authorized Signature t<W
1. 3. ~~~~~~
Installation, AJteration or Relocation \NOt'\<.
200 Amps or less 'j..f\?T W \\t~;(\\
201 Aru.116~~U'Am~S\\~\.\. t: , t\r' O~t'~\
401 Anl~~\~6pa~?O \)~DEt' \D ~\~Q~~ ,0
Over 600 ~ ~ ~e~~" above. ,
D.
New AJter~
One Circuit
Each Additional Circuit or with
n W - \ ^ ' Service or Feeder Permit
Owners Name' ~ tV c...e \ e. v'V\e. v-t C VS~ Ito~c:~'
Address3~"7 5,- ~ r;-.......IL 1+; \h ,E.
City E V G,. e.Y\ f, Phone b ~ b- 9 LJ .( ~ non}\I~~~~atiblt't\\\\'I
-J ,(,~. Ote~ tYl v(~ Q,\ 1ort"
~1\Etn\ ~dO?ted ~I17 ~~lut!bo'\" $ 50.00
OWNER INSTALLATION 'O\\O'lJ t~\eScentet. 1\1bto~V\e~Al~~tWtl $ 25.00
The installation is being made on prope~P~~~ShOO'\-OO'\~I~~rQ\.~~pcial $ 45.00
. , \ Op\ff~~ n'ot~\n . the te\ep. . .
IS not mtended for sale, lease or rent. n 'loU rna~MI~'f.I~~tle..PlSt~echon Fee IS $45.00 + Surcharges
0090. . t"e cen'tl:' . . n~1
Owners Signature:, ca\\\~~T ,aT t"(I: I Lf t{
nuO' centeT \ 0 fr
7% State Surcharge ' /0
10% Administrative Fee Ji{ I{O
/6f'lI8
)$> S IA AJ-_y
LEGAL DESCRIPTION
I gOLobtl 13660
JOB DESCRIPTION
SF(L
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-t: c E. (p/,)n c...
JCJfl,L5 Acrl:5 eeL
Phone '133 -)5'1f3
Address f}.gJ, )
City $/ ((I d
Supervisor License Number
'-//7Lj-S
~QK( 6 b
Expiration Date
IO-C)'
T
Expiration Date
105415
]-3lJ-CY(ob
Constr. Contr. Number
Signature of Supervising Electrician
fl) OOv(\ fP~
Inspection Request: 726-3769
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
$106.00
lob
38
I
Z
$ 19,00
$50.00
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
c.
$ 43.00
$ 3.00
$ 50.00
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 1-03,doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00311
ISSUED: 04/02/2004
APPLIED: 03/22/2004
EXPIRES: 10/07/2004
VALUE: $ 147,663.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 833 Shady Creek Dr
ASSESSOR'S PARCEL NO.: 1802061113600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - lot 37 Shady Creek - same as 4042 Douglas
New
Residential
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
, Plumbing
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION.
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
I BUILDING INFORMATION I
Expiration Date
09/16/2006
03/30/2005
06/27/2005
03/12/2006
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
18.00 Overlay Dist:
9.00 # Street Trees Rqd:
5.00 Paved Drive Rqd:
59.50 % of Lot Coverage:
ATTENTId1<P.'bregon law requires yo~ to ,
follow rules aaopt~TuT';; ;i[~~JJ~I?.. TS :",
Notification Center. ~-- ~
Street Improvements: in OAR 952iWI1-QQ.1 0 thr~ugh OAR 952-001- Sidewalk Type: C . ,
Y)bti"rove ies of the rules by urbSlde 5
Storm Sewer Available: 0090. You may 0 am W~ I Downspouts/Drains: Curb and Gutter
Special Instruction: Ndl~~~~@atflp ~t~qm.~'wt~~Utlic Improvement Plans are approved by Public Works.
rttiWlReftfsaM ~oo.&Jc1~i!~ &~~~~'Y16-2240).
Notes: Center is 1-800-332-2344).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
1
R-3
V-I
VN
# of Stories: 1 Lot Size:
Height of Structure 17.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: NOTtCE: Gas ~!~~rme!WORK
Range Type: THIS PERMtret€tF1~LL tffi - t 1H~fN~M.n
Energy Path: AUTHORIZE[PMNljER Si_1 ~t':
Sprinkled Builf,ffMMENCEGt/@R IS MiAM~ilJatt9R
~'~r~;1\OO.
I DEVELOPMENT INF0k'MXrION .
430
7,804
1,485
3
2
Yes
24.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Paee 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
Dwellinl!s
Garal!e
V Wood Frame
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
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,485.00
430.00
Total Value of Project
~
Amount Paid
$100.00
$10.00
$109.57
$76.70
$254.00
$31.00
$721.65
$35.00
$75.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$344.20
$452.80
$10.00
$214.23
$314.63
$100.38
$54.04
$727.42
$164.89
$75.00
$860.29
$50.00
$18.00
$1,000.00
$14.40
$10.08
$106.00
$38.00
Date Paid
3/22/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
4/2/04
5/12/04
5/12/04
5/12/04
5/12/04
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00311
ISSUED: 04/02/2004
APPLIED: 03/2212004
EXPIRES: 10/07/2004
VALUE: $ 147,663.00
Value
Date Calculated
$137,214.00
$10,449.00
$147,663.00
03/22/2004
03/22/2004
Receipt Number
1200400000000000353
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
3200400000000000025
1200400000000000725
1200400000000000725
1200400000000000725
1200400000000000725
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00311
ISSUED: 04/02/2004
APPLIED: 03/22/2004
EXPIRES: 10/07/2004
VALUE: $ 147,663.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $6,060.28
I Plan Reviews I
Initial Review 03/23/2004 03/2312004 APP LLH
Plannine Review 03/2312004 03/31/2004 APP TAJ
Public Works Review 03/2312004 03/25/2004 APP VRJ No Sewer Hook-up or Occupancy
until Public Improvement Plans are
approved by Public Works. See Ron
Sather for status of acceptance (
726-2240).
Structural Review 03/2312004 03/29/2004 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.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
1 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Vnderfloor Plumbing: Prior to insulation or decking.
17 Vnderfloor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
24 Vnderfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
26 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.
27 Rough Mechanical: Prior to Cover
Paee 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00311
ISSUED: 04/02/2004
APPLIED: 03/22/2004
EXPIRES: 10/07/2004
VALUE: $ 147,663.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
28 Final Mechanical: When all mechanical work is complete.
29 Rough Electric: Prior to Cover
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 aUhe 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
Paee 4 of 4
225 Fifth Street
Springfleld" Oregon 97477
541..726-:3759 Phone
rlty of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
1200400000000000725
Date: 05/12/2004
9:46:05AM
Job/Journal Number
COM2004-00311
COM2004-00311
COM2004-00311
COM2004-00311
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft '
Residence Wiring Ea Addtl 500
Payments:
Type of Payment Paid By
CreditCard BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000381 096395 In Person
Payment Total:
Amount Due
10,08
14.40
106,00
38,00
$168.48
Amount Paid
$168.48
$168.48
5/12/2004
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