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-
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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:'.:.:':.,,;;..,'..,,," \;., ..;,::'>',:..
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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
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