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HomeMy WebLinkAboutPermit Building 2013-5-30 SPRINGFIELD' - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 7. ibii Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00891 www.springfield-or.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 05/30/2013 EXPIRES: 11/25/2013 STATUS DATE: 05/30/2013 APPLIED: 05/06/2013 SITE ADDRESS: 6104 Graystone LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702343303100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New single family dwelling-SAME AS 6116 Graystone, Lot 15 Mt Gate W OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone.Number: ADDRESS: 3073 SKYVIEW LN EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BRUCE WIECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100 Plumbing Contractor STEVEN R JOHNSON CCB 65065 03/12/2014 541-342-3765 r INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks . • I , 1090 Street Trees - -" - ; 1110 Footing Footing: After trenches are excavated. , , _ , .4 , 1118 Footing Drain - .. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1170 Post&Beam Post and Beam: Prior to floor insulation or decking. 1260 Framing • )14/3/4; Framing Inspection: Prior to cover and after all rough in inspections have been .1 P1 ,.;.g., ,, 1,"! :,approved. 1 .. ro 1 f`* . //�'r ' 1370 Masonry Veneer , Srt., ^ C.I.7 r n.;. . 1 y 1410 Underfloor insulation �*..!j j a/ 01 n l-j ' 1420 Insulation Vapor Barrier 4101935 t7, . 1430 Insulation Wall Wall Insulation: Prior to cover... 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum • board, interior and exterior are in place, but prior to plastering. 1999 Final Building Final Building: After all-required inspections have been requested and approved and the building is complete. Springfield Building Permit 5/30/2013 8:32:50AM Page 1 of 2 SPRINGFIELD CITY OF SPRINGFIELD a= 225 Fifth St At TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-00891 www.springfield-or.gov 6104 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001064 RECORD NO:811-SPR2013-00891 DATE:05/30/2013 DESCRIPTION L±.a7a��><._.._ _.:... .-_- : ;A! ._.ACCOUNT CODE/fRANS:CODE.1.1t_t_._"_';.._ AMOUNT DUE-lit-I, Address Assignment,each new or change 224-00000-425602 1020 42.00 Planning-Major Review-City i 100-00000-425002 1231 211.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 183.40 Structural Building Permit Fee 224-00000-425602 1002 1,015.38 Technology fee(5%of permit total) 100-00000-425605 2099 78.52 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 • TOTAL DUE: 4,940.30 •'t PAYMENTTYPEw t -a:(PAYOR� cgsNlei.:..Deoxnsav &_Ar.COMMENTS bii t u tc.Ila k i AMOUNT PA D7 ft va" P', iI Check BRUCE WIECHERT CUSTOM HOME: 4,940.30 22610 INC TOTAL PAID: 4,940.30 • • • i • SPRINGFIELD -- CITY OF SPRINGFIELD f. TRANSACTION RECEIPT spnngfelaoR97477 `t,a, OREGON 541-726-3753 811-SPR2013-00891 www.springfield-or.gov 6104 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001060 RECORD NO:811-SPR2013-00891 DATE:05/30/2013 Jol�o�01.2.12111[07:6, ." �-�.� r,-"n�em-',.,,,u �.,*,�,' „,.,,e,,t24 �AGCOUNTdCODE/TRANS=CODE ! AMOUNT DUE Overwidth/Second Driveway 201-00000-428060 1144 54.00 'Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 160.15 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.61 SDC: Improvement-Transportation SDC 447-00000-448027 1174 955.32 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 949.32 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 968.71 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 1,945.03 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 665.00 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 144.72 SDC:Total Storm Administration Fee 719-00000-426604 1180 81.69 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Second Permit Discount 201-00000-428060 1148 67.00 Structural Building Permit Fee 224-00000-425602 1002 512.92 Technology fee(5%of permit total) - 100-00000-425605 2099 6.05 TOTAL DUE: 8,442.32 'd!>P.AYMEFIETP,Em,E = PACOR atHIER:oBOwLSBr, _41"x` ! COMMENTS ( AMOUNTIPAIpd�b .',' ' Credit Card BWCH 8,442.32 035251 TOTAL PAID: 8,442.32 • • SPRINGFIELD-- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 '„ i Phone: 541-726-3753 '11%'11-OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00922 www.springfield-or.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 05/30/2013 EXPIRES: 11/25/2013 STATUS DATE: 05/30/2013 APPLIED: 05/09/2013 SITE ADDRESS: 6104 Graystone LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702343303100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New single family dwelling-SAME AS 6116 Graystone,Lot 15 Mt Gate W OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number: ADDRESS: 3073 SKYVIEW LN . EUGENE OR 97405 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BRUCE WIECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 Plumbing Contractor STEVEN R JOHNSON CCB 65065 03/12/2014 541-342-3765 INSPECTIONS REQUIRED Il - Inspections 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line trAS y0u'Oy 3400 Storm Sewer Oterloo a thPmdst4ff% t4�e: Prior to filling trench. 3500 Rough PeceuyTtOt�. doP 1N e ru\ `'t`w,Iu',Lilt.�h Prior to cover and including required testing. 3999 Final Pl� ai on Cen Opto tht°11 sFjrfal\P%umbing When all plumbing work is complete. N,o,�tQiiPR952ma1 ontaan''i1',,10 e•.the 1<v tficuyiOn By signature, n tattl a recat@Aaue'car(llllylexamined the completed application and do hereby certify that all information he��b�4t1Y'Istt( £V r8+�l�ursth per 1 © �gc,certify that any and all work performed shall be done in accordance with the Ordinances of the t o f e cc'Snrtrk Laws of the State or Oregon pertaining to the work described herein,and that NO OCCUPANCY wilflr madQ5021 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. _ ,_// / 4- Z8- )3 .�s°\o Owner or Contractor S � Date Q\Q��`f�w\,,i0" ""' \�O�sQk� cc0- ,\s o \SEN01-%Ci�P� -44 G NMSO • P Springfield Building Permit 5/30/2013 8:37:50AM Page 1 of 1 SPRINGFIELD'"— CITY OF SPRINGFIELD 1 .�O REGON TRANSACTION RECEIPT SPA gfeld`OR 97477 541-726-3753 811-SPR2013-00922 www.springfieldacgov 6104 Graystone LOOP pennitcenter©aspringfeld-or.gov RECEIPT NO: 2013001061 RECORD NO:811SPR2013-00922 DATE:05/30/2013 elgYy:4I;Itlfo1 J. gF= '_I I_, =:it._ _,til .j ACCOUNT CODEITRANSrCODE' r;_ frTnnil One or Two Family Dwelling with Two Bath 224-00000-425603 1005 411.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 49.32 Technology fee(5%of permit total) 100-00000-425605 2099 20.55 TOTAL DUE: 480.87 PAYMENTffiWOE PAYO'--etSweOTB-6w�'"'sev. _COMMENTS_ AMOUNT;PAID Credit Card BWCH - 480.87 035251 TOTAL PAID: 480.87 • • • • • • • SPRINGFIELD- 225 Fifth St '' `- CITY OF SPRINGFIELD Springfield,OR 97477 u • Phone: 541-726-3753 " OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00923 . www.springfeld-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/30/2013 EXPIRES: 11/25/2013 STATUS DATE: 05/30/2013 APPLIED: 05/09/2013 SITE ADDRESS: 6104 Graystone LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702343303100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New single family dwelling-SAME AS 6116 Graystone,Lot 15 Mt Gate W • OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number: ADDRESS: 3073 SKYVIEW LN EUGENE OR 97405 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BRUCE WECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100 L INSPECTIONS REQUIRED- Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. - 2995 Final Gas Final Gas: When all gas work is complete. 2999 Final Mechanical Final Mechanical: When all mechanical 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 or 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 compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are re%uQstea a�\u4 proper time,that each address is readable from the street,that the permit card is located at the front of the/pr el h efll�p lrov-• - of plans will remain on the site at all times during construction. 01e('�o ayl'-s■ UUl..ssceS .•by N�\• `'• ,.rye' .os` •' 1VAe5:,; . •• SP' es - e1' r ' • yes°�to\eVr',.i\O' 7, 3 -� 3 two 0.� Owner or C-pgif, it..q-t.9 ooksk vwke••�1km aal,3 Date Q\RS���MZ\O� C1�0°°.t MO S'ek t Oe�l�e°°3, 23 -(\ti:' R SNPpE�t\\SO �O� 00 Ges 4- 'SOS 1 POOP\\O� • P opnot OPy QS •Springfield Building Permit 5/30/2013 8:34:11AM r �ao 0 Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD ICI: • 225 Fifth St x TRANSACTION RECEIPT SpnngfeldiOR 97477 �`kO ;OREGON 541-726-3753 811-SPR2013-00923 xww.spnngfeld-or.gov 6104 Graystone LOOP permitcenter @spnngf"eld-or.gov RECEIPT NO: 2013001062 RECORD NO:811 SPR2013-00923 DATE:05/30/2013 J aLtp-.�its t c..a�r=. ra ..r., . _,AGGOUNT:CODERMANS'CODE : AMOUNTDUE. E Air conditioner . 224-00000-425604 1006 18.50 First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 10.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 50.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.96 Technology fee(5%of permit total) 100-00000-425605 2099 10.40 TOTAL DUE: 243.36 PAYMENT TYP,EPAYOR cASI1ER DBOw.SEIY .COMMENTS AMDUNT(PAID,: Credit Card BWCH 243.36 035251 TOTAL PAID: 243.36 • SPRINGFIELD -- 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR97477 l� -I Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00924 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued • ISSUED: 05/30/2013 EXPIRES: 11/25/2013 STATUS DATE: 05/30/2013 APPLIED: 05/09/2013 SITE ADDRESS: 6104 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343303100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New single family dwelling-SAME AS 6116 Graystone,Lot 15 Mt Gate W OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number: ADDRESS: 3073 SKYVIEW LN EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BRUCE WIECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 Electrical Contractor L&E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 INSPECTIONS REQUIRED - Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 or 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 //fr 3�.. , 3 , • Owner o-ont c o ignature .tegU'eg°n V�`•OC'th Date on\a e Oc e se\ 0\" N\\ps9.°C t(Nesec°t\OFPeyUesbl s \e u\ 0 \ \C 01140\e �a�D�G Q�.03 �r c09 oe\e�P`cak'On weFl• Nco\ y2.0 q\a o\e.. . No " N j OPPg Jmay \ec IN �\\\,\\I A4). se M`�‘S Vo cen o0 23 cR Q. . '°.. 0pg°.'n9\he \he�c�80a- i\tt \Z$0\ scOS P ONTO" c n��ber�e�\et ,s NN�S PORN i,VNS\ NO` 01\A �NSEO ER G N g)OP.(P \013. • Springfield Building Permit 5/30/2013 8:35:31AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD it 225 Fifth St � t� TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-00924 wvnv.springfeld-or.gov 6104 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001063 RECORD NO:811 SPR2013-00924 DATE:05/30/2013 .DESCRIPTION r ACCOUNT'CODE/TRANS CODE . . AMOUNT =1 Each added 500 sq.ft. or portion 224-00000-426102 1004 137.50 Residence wiring 1,000 sq.ft. or less 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 34.20 Technology fee(5%of permit total) 100-00000-425605 2099 14.25 TOTAL DUE: 333.45 ...__ ,�.t .. �.... �`.a � ° 4 i..-; �4 -'AMOUNTdPAIDsyy 1' it: • . PAXMENTrTYPE."fai.��3PAYOR .<.casritEt�aoeowLSer..,w;:.ti� _ )COMMENTS�'�, -,._,-r,_ �z.�- Credit Card BWCH 333.45 035251 TOTAL PAID: 333.45 • • willamalane tzza Park and Recreation District . Job. No: S/� — D9 ( PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET 7. Jan. 1-Dec. 31, 2013 NAME: P(nJCV+ PHONE: £ 0G 5-6 T7 ADDRESS: -?U? 3 CITY: Ctkt1 STATE:z5 —ZIP: 77405 LOCATION OF PROPOSED BUILDING SITE: Street address: 6(0'/ C 4 yi7 r-c Plat name:/kT IflJE9 /S Tax Lot Number: -/7o 2 3937 DT/to 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X$3,410 per unit = $ B. Single-Family Attached NO. OF UNITS X$3,385 per unit= $ C. Multi-Family Apartment NO. OF UNITS X $3,021 per unit = $ D. Single Room Occupancy NO. OF UNITS X $1,510 per unit= $ E. Accessory Dwelling Unit NO. OF UNITS X$1,705 per unit = $ 2. SDC CREDIT(If applicable.SDC payer must furnish proof of credit approval.) ($ ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 3Y / c 4, i S City of Springfield Date of building permit submittal / sue / 3 City of Springfield Date of building permit issuance C ) 1 (, 5' ,5) — Structural cpu),4 e, A-5 Structural Permit Application_ _/ nomiermENT USE ONL ,4 .PRINOrlynaR • CITY OF SPRINGFIETE), OREGON Permit no.: 93_ yr", i 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753*FAX(541)726-3689 niza 10 Date: 5— ... This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of suance or if work is suspended for 180 days. itife0114i#140kkt40.00OVA14::gfiii: This project has final land-use approval. Signature: Date: -?*:::i.:::: '110.04t4ife;44.W: K0:41EPLALEWL: e:,;-,15k,.Taghigiiii&tU;(,. This project has DEQ approval. 1 V4160910114111X141.11,40Nrsh;: Signature: Date: (a)lob description: 5,1LE h.4.6.../ y it-01■ 44,cc-. Zoning approval verified: 0 Yes 0 No Occupancy LA / Property is within flood plain: 0 Yes 0 No ' Construction type. v n 4.?..Vi.: ..ii:4....i;(i0M,E670:*.air_0:04144tOlj4TIOft:i...,';'•;.•.- ' :, .'.,: Square feet: 2-170/7 77 cd Residential I 0 Government I 0 Commercial Cost per square foot: ' 41:41000kisi-$101P-0, 41Mtiel4trA1±0100004 4:1 :::::::: Other information: Job site address: 69 1 0 L4 e Li, 5-h 1-A., Type of Heat: CitY:cgr:inciclie-0 State:0 It I ZII3:f 7 y 77 Energy Path: Subdivision: 211...indbamitrier. .> Lot no.: 5- 0-1TW 0 alteration 0 addition Reference:17D 3E4 Taxlot: Ca 31,:so (b)Foundation-only permit? 0 Yes A6lo , _ 74 Total valuation: Z7iSh°33 Name:a eil 4C tti:e Ova a CvS430. 11406wS XNC 2. 3110i f0 '..;'Address:30)3 5 c"Vic k L-N 14 ,: .Y!,L; !: • • ' : ;'''17,14. :s''',''''■.:i‘5;.ff : I zu):9 7105_, (a) Permit fee(use valuation table): S / 16 78 City:Cle,„Le.„. I State0 M1- (b)Investigative fee(equal to[224): $ Phone: -bith- 9115 er Fax: -371- S3 b Z. (c)Reinspection(S per hour): E-mail:W i eche-it ‘xon.e.S 0.,come‘si . Net (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2b+21): $ll 3 "' me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. (e)Subtotal of fees above(2a through 2d): $ '' .:11ilii*,4..::..;:-Y-7;7?ei. tk.'''.43,c'e'-':'..1. ;': :::1:7,;!::•::Cisi.".1,1:14,2??4.1''..:: Sign here: 13 ill7Z-) s Q4-75 siitair.4044Aatiittiikatiml:AfioNi.44:.7.,, cc,iv.:,, ,.,,::, (a)Plan ITVICW(Welk,: D. (b)Fire and life safety(40%x permit fee Pal): S Business name: Zrtutc k)iechr..ir C Li;b 0- hoe-ac XV c.... (c)Subtotal of fees above(3a and 3b): $ Address: 3 07 3 C 14 g■e.4 i-v■ 4.Mbee.tii',i4iithiteei:1 City: Cul : ... . e,..c State:04- I ZIP:9 ple r Phone: -W 6, ci Li s 7 Fax: 31/Y- 336 2 (a)Seismic fee, 1%(.01 x permit fee[20): $ . & coun ce-.14:irk). TOTAL fees and surcharges(2e+3c1-4a): $20(.2..11 - -- CCB license no::—lot )1-"/ — — - Print name:i)E 4 v■al; tries l-o4,/, Ro 0 0 Signature: 64.4" 1A.r.......-------- % Pittnaglineliirit.ffilr:Ort Name - CCE License Number Phone Number Electrical 44-e. /03'j 7s sii 1l1 6 Plumbing 5icv. p ..j,:1 bsoes s yz-31 65-- Mechanical CFH Y 60 726 -o)oo • No 'reMe Electrical Permit Application L g �GFl� aDEPARTMENT USE ONLY:r - „rett 3-1 into ` = g;- 513 - 1(�.i/ E nOF SP.RING'FIELD; ,OREGON -r_ t+^+ eitir ti Nisi? t '1 .:r° : a ate: 4:Mg1 S 15.4„; Permit no.: 225 Fifth Street•Springfield,OR 974774 PH(541)726-37534 FAX(541)726-3689 � . Date: //)°//n // /3 This permit is issued under OAR 918-309-0000.Permits are nontransferable.Permits expire if work is not//l started within 180 days of issuance or if work is suspended for 180 days. 9 _,t°I LOCALi''.%GOVERNMENT4APPROVAL,m` [` tt %n n aFEEsSCHEDULE`?a r P1 x Zoning approval verified? ' .: 'a' '" "zY e,;`Cost a Total r g PP Yes ❑No Numberkofmspeettons,peritem()f Qty ,ea .k d;e6st.1 [4 1 ;"'„t 'CATEGORY?OF`!CONSTRUCTION '�4`I;v „ f Residential,per unit,service included: y 7 ra ❑Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) ( $197r° u c``_„JOB'SITE.INFORMATION"�'AND LOCATIONzr�w2,2V" q ( ) r1 G� Each additional 500 sq.ft.or portion 5— �� — $ ro Job site address: 6/ 07 r -/ S�bn. thereof City: State: ZIP: Limited energy(2) $ 32.00 $ Reference: Taxlot.: Each manufactured home or modular dwelling service or feeder(2) $ 63.00 $ �. 'DESCRIPTION,'OFVWORK.,. w ti?. Services or feeders:installation,alteration,relocation 200 amps or less(2) $ 81.00 $ 14:Zal., i^;PROPERTY OWNER.fir * ' 'fix 1,` r 201 to 400 amps(2) $ 95.00 $ Name: BY CL W;et 4.eJr c..„5 w E4nfry-s .itL 401 to 600 amps(2) $158.00 $ Address: 3 o 7 3 S k7 u,e.� )N 601 to 1,000 amps(2) $205.00 $ City: E JS eu I State: O YL ZIP: 9 7'10 C Over 1,000 amps or volts(2) $469.00 $ PhoneS4l-yg&- '3 'i 3-13 Fax3y(-ii { 3 3 6 7-- Reconnect only(2) $ 63.00 $ E-mail: W e oke..a-�0"'`4_5 (Jj Come . ev c.y Temporary services or feeders:installation,alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent.OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above } ,,." . ,0 LCONTRACTORANSTALLATION ' Nr.. . 'zm,,,ii Branch circuits:new,alteration,extension per panel Business name: L+ 4- 5 E , { a.Fee for branch circuits with purchase of a service or feeder fee: Address: 7Z g7j 3-ar`e-S AcveS Each branch circuit $ 6.00 $ City:5pC\2. StateD t_ I ZIP: 9 7 '17$ b.Fee for branch circuits without purchase of a service or feeder fee: Phone:54 -552.\ I-] Icf O Fax6'I/- '7-33 2 5-9)1 First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: 1 0 S 975' BCD license no.: 37331 Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 4/7 `i - S Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: Ca Da p_c e n Each sign or outline lighting(2) $ 63.00 $ •P � �(� � � Signal circuit or a limited-energy panel, Signature of signing $ 63.00 $ ng supery sor: CX E 1 Sw alteration,or extension(2) Each additional inspection:(1) $58.00 $ • r ».e i 4 '?AFPLICANT iititi 4V :: .. (A) Enter subtotal of above fees $ 7 ; (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $ 3`f=° (C)Technology Fee(5%of[A]) $ /1/2(' TOTAL fees and surcharges(A through C): $ r311i 440-25847(9/08/COM) SPRINGFIELD - CITY OF SPRINGFIELD a, 225 Fikh St e>` TRANSACTION RECEIPT SpnngfielSOR97477 OREGON 541-726-3753 • 811-SPR2013-00891 www.springreld-or.gov 6104 Graystone LOOP permitcenter @spnngfield-or.gov RECEIPT NO: 2013000877 RECORD NO: 811-SPR2013-00891 DATE:05/06/2013 lol4.Yoli./liS:0 -- w__ .i,s _;:i,, ._: k.� �s� �;_: �'3.ACCOUNTCODEITRANSCODE"atl�s.l._� zAMOl1NTDUE Same as Plan Review Submittal 224-00000-425602 1060 275.00 TOTAL DUE: 275.00 id P,AXMENTeT;YPE P.AY,OR CASHIER:;CCARP.ENTER COMMENTS TArq UN.1MAIDThanallak Credit Card BRUCE WIECHERT CUSTOM HOME: 275.00 045125 INC • TOTAL PAID: 275.00