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HomeMy WebLinkAboutPermit Electrical 2004-12-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)~~I'~/.t-l ELECTRICAL PERMIT APPLICATION ,-I ~ov;( ql)O'~ r& City Job Number (olill\ z.t; 01.{ _ 01 2. '7 b Date (l - 0 ( - 0 l( , O"'le <0, &-s- I)~: q-s--s- , "'v. ">11) ~& (;60, ....~ ,.".". ........ . ...... ""'x: '.>...... '., ...\rzol:'""...;.....'!?,.:c'1(;Ii:.JII$. 1. LOCATION 6FiNSTALIATION";':'r~>~ 3.. COMPLETE.FEE SCiiEnU 'B lV;;6>~.() I?'(!.s>, ' 7 b~3 "c, '''.A~p lit" ".,,,,"u, '.' .. ,.... ... ... ... '""l.9~;;v; . '.. . b"'c,;;o :;~.-,O//: .. .... ..,..............,'~ .'..," .i..'.~.. 9'4I..,1t~. A. ;.~e\Y Residenti~I-~i~~I~;2~t'!yII}~~, lil~' ,~' ing ~nfe.' (9'. , f Service Included I 1000 sq. ft. or less ,$1 i&Q.0 ' Each additional 500 sq. ft. or 'C ~ portion thereof ~ $ 19.00 !'.COip:R4-t;IJ~R.JN;STALi4rto~()NL.r. B.:Services or Feeders ~,Ifistallatioii;'Alterationsor Relocation:' 2., .~" .",u.. ",'.0.. \.";.,..3;;",,;;,,:,.,-,, . it <.,.",,-,\;,. f...L.. ..;k,,;,l;/;. <)ox J;;;.L{: <K..:;:C:.: .,'.<;. ,':,";',,- ",.,;;:;;;.:;; i:'.:.:':.,,;;..,'..,,," \;., ..;,::'>',:.. . ;,;:" ....! .''' " .". ,.. .:.: '" Electrical Contractor L '€. E E LtGt-\'\ ( 200 Amps or less $ 63.00 q I ?d ^.~~~AIDDS.to~OO Amps ." ,,~," $ 75.00 ^ __ ~ I ",I \lTION: Jreaon law reqUlr~,v'~' .~, Address ~ 5:3 3 (. 0 (lQ 5 1\<...1 -(). f IAI IllPS to OOt,1\mo~, +'ne Ora"'~.,., : ',;1;'" $125.00 . oowrUlesaopeaoy. "'~-"-" 3 Noti~~ktt&P~~99~e rules arA s~i:u.,$163.00 Phone i.. 3 -). 518 In O<AFf95@~~1ue~\!'Arough OAR S52-C'J!$375.00 oogl)~~lYtayn&btain copies o'f thp riJI3S Ll~$ 50.00 ca,HinQ. the,:C(;1t;!.t~r...,[.~.q~f.tQJ~l~t~c I no ~umEiIDft9r~ma~f1~t~~~tj;t., Center is 1-800-332-2344). Installation, Alteration or Relocation LEGAL DESCRIPTION j 7 D ':s. '"3>Lf Z- ( ()Z3CO JOB DESCRIPTION S I~ \2- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City S~~IJ Expiration Date 4{'l4-S (J, 10- DI-~cW lo5l--{cS :s- 30 -Q(.Q LJJ.. Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician E0 ~~n1 yl QA.. Owners Name 15'( .Ace: W / cc...--Lc-(\.- + Address .:;; 57<:: ~^Q..~ !+, I {s. '_ 'C' City e lA G-t::IV' C Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps , Over 600 $ 50.00 $ 69.00 $100.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E:f :~'~~l\.el~ip~~M~I~~~1i~~~~f[~!~~I~~)IJl!:ach .InstaU,"ation P,UTI-:OP,i2EO UI~[;ER THIS PERIl/liT IS I~Ol .. .. Ce~R\'?EI\~t,&'{jlR IS ABJ.\i~DOI\;!:O ~g.g $ 50.00 f.1\~?~UiUky~gR~OD. $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. /6 '-S /I (.{ I / b;le 190?1. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03,doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01276 ISSUED: 10/29/2004 APPLIED: 10/15/2004 EXPIRES: OS/2412005 VALUE: $ 177,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 763 Aspen Street ASSESSOR'S PARCEL NO.: 1703342102300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Aspen Park lot 6 - SFR 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 License BRUCE WIECHERT CUSTOM HOMES INC 101717 L & E ELECTRIC INC 1~~~ COMFORT FLOW \)\~eS~6~,\\\\'1 STEVE R JOHNSON . n \a'l'J ~e~te~c65_~o~\'(\ ~fX' m1F)."~ ~ ~ . ()U \. ",~~N~~~ ~ ,\v}l~~ N!;es b'1 r m t\)\e_~~~. ~~O\)g ~ \'(\e ~ . e \b\\~ ~\on UFOr ~s. \eS 0 ~e?'(\O~ 1 ~\\\\ca; 9t;)2..~1g h~I$t~~g~~e \e ~\\\C~t)!5~ U~ Op..~ ~o\) ~e~~~~~O \}\\~.t\i\~ir Gas VNC()90. . \~'!~O" ?>?>?.'2.?/J' Gas ca\\\ngE~~~~()()- Gas 3 (\utt'Ue Y'ath: Path 1 , prinkled Building: n/a 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: Lot Size: 8,092 Sq Ft 1st Floor: 1,774 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 552 Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: 3 Paved Drive Rqd: Yes % of Lot Coverage: 28.50 "rR?'~f"~' _'/{"'Ipt: \1= 1\1E \NORK . PUBLIC I"~iio.vrE~Ni$~I~~~1H\S\PERM\i \S NU I 1\1IiH \ ' J$l\~~lIt~~O e~OR Fully Improved MMENCEO OR \S p . Curbside 5' Yes CO p,\'\ OA'{ PE.R\O\Downspoutsillrains: Curb and Gutter No hook-up to City infrastructt~~~nlirPublic Way Improvements have been accepted by the City 20.00 5.00 17.10 17.10 10.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: 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 V Wood Frame Garae:e Dwelline:s Garae:e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee , + 7% State Surcharge + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - 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 WiIlamalane Single Family + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft CITY OF ~l'Kll~GFIELD ' Building/Combination Permit PERMIT NO: COM2004-01276 ISSUED: 10/29/2004 APPLIED: 10/15/2004 EXPIRES: OS/24/2005 VALUE: $ 177,331.00 I Valuation Description I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,774.00 552.00 Value Date Calculated $163,917.60 $13,413.60 $177,331.20 10/15/2004 10/15/2004 Total Value of Project ~ Amount Paid $532.45 $10.00 $5.00 $114.92 $3.50 $80.44 $254.00 $31.00 $819.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $383.88 $504.84 $10.00 $865.31 $82.03 $135.75 $62.47 $772.49 $175.13 $75.00 $1,170.72 $50.00 $18.00 $1,000.00 $16.30 $11.41 $106.00 Date Paid Receipt Number 1200400000000001477 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001535 1200400000000001678 1200400000000001678 1200400000000001678 . 10/15/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 , 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 12/1/04 12/1/04 12/1/04 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01276 ISSUED: 10/29/2004 APPLIED: 10/15/2004 EXPIRES: OS/24/2005 VALUE: $ 177,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea AddtI 500 $57.00 12/1/04 1200400000000001678 Total Amount Paid $7,552.79 Initial Review Plan nine Review Public Works Review 10/18/2004 10/18/2004 10/19/2004 Plan Reviews I 10/18/2004 APP SKG 10/28/2004 APP TAJ 10/20/2004 APP CAS 10/20/2004 - No hook-up to City infrastructure until Public Improvements accepted by the City. -CS 10/28/2004 APP RJB Structural Review 10/18/2004 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Rough Mechanical: Prior to Cover Paee 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01276 ISSUED: 10/2912004 APPLIED: 10/15/2004 EXPIRES: OS/24/2005 VALUE: $ 177,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Pa2;e 4 of 4 225 Fifth Street :,.Springfield, Oregon 97477 J . . . ';' 541-~726-3759 Phone Job/Journal Number COM2004-0] 276 COM2004-0 ]276 COM2004-0]276 COM2004-0 ]276 Payments: Type of Payment CreditCard ]2/1/2004 r.ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200400000000001678 10:38:16AM Date: 12/01/2004 Description Residence Wiring 1000 Sq Ft , Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Amount Due 106.00 57.00 , ] 1.4] ]6.30 $190.71 Item Total: Check Number Authorization Paid By Received By Batch.Number Number How\Received BRUCE WIECHERT CUSTOM djb 063432 In Person HOMES Amount Paid $190.7] Payment Tota]: $190.71 ( Page ] of 1