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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? Zonmg ~,' )('-. 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 Page 1 of 1