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HomeMy WebLinkAboutPermit Building 2013-6-10 • • • SPRINGFIELD - 225 Fifth St '' t °- CITY OF SPRINGFIELD Springfield,OR 97477 lit ki • Phone:.541-726-3753 'OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00646 we.springfield-or.goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013 STATUS DATE: 06/10/2013 APPLIED: 03/29/2013 SITE ADDRESS: 6304 MAIN ST,Springfield,OR 97477 SCOPE: Duplex ASSESOR'S PARCEL NO: 1702343103002 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-Two New Duplexes(Four dwelling units) OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number: ADDRESS: 3073 SKYVIEW LN EUGENE OR 97405 r 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 L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100 STEVEN R JOHNSON CCB 65065 03/12/2014 541-342-3765 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 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. 1260 Framing T/CE. Framing Inspection: Prior to cover and after all rough in inspections have been TM.c PER approved. 1410 Unr/erf r r dn,5 dnSHALL EXPIRE 11- D VIPER 1430 Insulation taDAyy p RIS ABANDONS ,y �M�In: Prior to cover. f n •� rules,ador,ed Nv th,mores you to IOD, . ta�cation Center. Those rules are set forth 1440 Insulation Ceiling • Ceiling Insulation: Prior to cover. 1520 Interior Shearwall Shear Wall Nailing: Before coverin sheathin wth.finish m�u�tferlBYsuyil OAH yb'L-UO7- 9 9. 9l lilav uulairl CUbIRS of the ruIgs by 1530 Exterior Shearwall cHluncd the center. (Note: the telephor; " "` Oe 1, UI ,yy Iv Icatc1; 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made afte a Iki a ,g ps t board, interior and exterior are in place, but prior to plastering���o `�4 ' 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1550 Firewall Firewall: Located and constructed according to plans. • Springfield Building Permit 6/10/2013 8:32:54AM Page 1 of 2 • SPRINGFIELD- -- 225 Fifth St i -, CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 g' :OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00646 w -w.spdngfieldar.gov _ permitcenter @springfield-or.gov 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. G -10 — r 3 Owner or C ctor Signature Date • . • - r Springfield Building Permit 6/10/2013 8:32:54AM Page 2 of 2 SPRINGFIELD --• - CITY OF SPRINGFIELD ..�� ' ' TRANSACTION RECEIPT Spdngfield,OR 97477 IIIL—`OREGON 225 Fifth St 541-726-3753 811-SPR2013-00646 • www.springfield-or.gov 6304 MAIN ST permitcenter @springleld-or.gov RECEIPT NO: 2013001167 RECORD NO:811-SPR2013-00646 DATE:06/10/2013 IE FamiSt.S2....4„:t_gi 14: =_r %..:'1_-t t."- -' ACCOUNT CODE TRANSICODE ."=--._ " i'-AMOUNTlDUE Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 163.40 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 67.83 SDC: Improvement-Transportation SDC 447-00000-448027 1174 2,865.96 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,729.11 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 4,176.12 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 981.49 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 786.34 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 3,542.74 SOC. Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 324.42 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 673.77 SDC:Total MWMC Administration Fee–Local 719-00000-426604 1121 228.92 SDC:Total Sewer Administration Fee 719-00000-426604 1175 263.59 SDC:Total Storm Administration Fee 719-00000-426604 1180 82.76 SDC:Total Transportation Administration Fee 719-00000-426604 1190 182.62 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 207.15 Structural Building Permit Fee 224-00000-425602 1002 1,726.25 Structural Plan Review Fee Residential 224-00000-425602 1061 502.65 Technology fee(5%of permit total) 100-00000-425605 2099 94.71 Willamalane fees-Single family attached 821-00000-215023 1074 5,434.16 TOTAL DUE: 24,254.99 PAYMENT TYPE P,AVOli CASRIER7.cciuni ER. COMMENTS AMOUNTFFAID. Check BRUCE WIECHERT CUSTOM HOME; 24,254.99 22697 INC TOTAL PAID: 24,254.99 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St ` EGON TRANSACTION RECEIPT Spdngfield,oR 97477 541-726-3753 811-SPR2013-00646 www.springfield-ar.gov 6304 MAIN ST permitcenter @springfield-or.gav RECEIPT NO: 2013001164 RECORD NO:811-SPR2013-00646 DATE:06/10/2013 e ' •I` 10` 46-Zs -4L ..7"„ ° ? ACCOUNT CODE/TRANS CODE i.,_.x, `-AMOUNT.DUE::41 Address Assignment,each new or change 224-00000-425602 1020 168.00 Wiillamalane fees-Single family attached 821-00000-215023 1074 8,105.84 TOTAL DUE: 8,273.84 PAYMENTaTYPE - - PAYOR CASHIER-0CARPE s; , COMMENTS ' 3- AMOUNT,P.AID Credit Card BRUCE WIECHERT CUSTOM HOME: 8,273.84 035465 INC TOTAL PAID: 8,273.84 Pp willamalane . tb Park and Recreation District Job. No. 9 3 - Lo .[�/4 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET - Jan. 1-Dec. 31, 2013 / NAME: FAA PHONE: 6& COSc ADDRESS:�075 $SC'4V1Eb-) CITY: 0-1A( STATEOI--__ZIP: �7P9O LOCATION OF PROPOSED BUILDING SITE: Street address: (05Oq, 6301 63v8 37 a jfim'' $r Plat name: Tax Lot Number: /?OZ 743/ - D?oot 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 If X $3,385 per unit = $ / 3-C/° 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.) ($ I// ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 1Y 5�/D - • • City of Springfield. Date of building permit submittal 04— lP / �o / City of Springfield Date of building permit issuance SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00649 www.spnngfieldocgov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013 STATUS DATE: 06/10/2013 APPLIED: 03/29/2013 SITE ADDRESS: 6304 MAIN ST,DPLX#,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702343103002 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New Duplex 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 tic Exp Phone BRUCE WIECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 Plumbing Contractor OREGON CUSTOM CABINETS INC CCB 90409 06/08/2014 503-266-9177 • INSPECTIONS REQUIRED . Inspections 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line ;3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing 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. (4 6-- 0 -' 3 Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR • . in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the teleph-:;o • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/10/2013 8:36:33AM Page 1 of 1 • • • SPRINGFIELD- CITY OF SPRINGFIELD il' 225 Fath St TRANSACTION RECEIPT Spdngfield,OR97477 OREGON 541-726-3753 811-SPR2013-00649 wwwspringfield-or.gov 6304 MAIN ST, DPLX permitcenter©spdngfield-or.gov RECEIPT NO: 2013001163 RECORD NO:811 SPR2013-00649 DATE:06/10/2013 DESCRIPMON __ '-..:7 , s a 7:fz .___-L"_.t _`.'_�.,.- o o p : • r o e ;_; '.:AMOUNT DUE..'; One or Two Family Dwelling with One Bath 224-00000-425603 1005 1,048.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 125.76 Technology fee(5%of permit total) 100-00000-425605 2099 52.40 TOTAL DUE: 1,226.6 PAY,MENT4TYP_E P,AYOR casHIER:YCCARFENTER COMMENTS s AMOUNT PAID`r Credit Card BRUCE WIECHERT CUSTOM HOME: 1,226.16 035465 INC TOTAL PAID: 1,226.16 • • • SPRINGFIELD 225 Fifth St T CITY OF SPRINGFIELD Springfield,OR 97477 rs Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00648 www.springfield-ar.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013 STATUS DATE: 06/10/2013 APPLIED: 03/29/2013 SITE ADDRESS: 6304 MAIN ST, DPLX#,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343103002 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New Duplex 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 BRUCE WECHERT CUSTOM HOMES INC CCe 101717 09/16/2014 541-686-9458 Electrical Contractor L 8 E ELECTRIC INC CC8 105475 03/30/2014 541-933-2598 INSPECTIONS REQUIRED Inspections 4000 Temporary Power Service 4150 Underslab Electric Underslab Electric: Prior to cover 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 th property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor.Signature Date NOTICE: ...• ,. THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. • 0090. You may obtain copies of the rules by calling the center. (Note: the telephc::ro number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/10/2013 8:35:47AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 1 „ 225 Fifth$t ce TRANSACTION RECEIPT Spy Fifth d,OR97477 ""- OREGON 541-72fi-3753 811-SPR2013-00648 www.springkeld-or.gov 6304 MAIN ST. DPLX permitcenter @spdngfield-or.gav RECEIPT NO: 2013001166 RECORD NO:811-SPR2013.00648 DATE:06/10/2013 DESCRIPTION ii_ . Viini_ $ t s 2f � _iACCOUNTiCODE/TRANS=CODE -a 1 'AMOUNT DUE .i.2 Residence wiring 1,000 sq. ft. or less 224-00000-426102 1004 590.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 79.08 Technology fee(5%of permit total) 100-00000-425605 2099 32.95 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 771.03 PAYMENTiTYP,E P,AYOR, casTarRa� c�'c`aR EEiiTEx COMMENTS MOUNT4FIAID Check BRUCE WIECHERT CUSTOM HOME 771.03 22697 INC TOTAL PAID: 771.03 • • • SPRINGFIELD _.. 225 Fifth St '` CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01189 www.springfield-cr.gov permitcenter @springfeld-or.gov • PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013 STATUS DATE: 06/10/2013 APPLIED: 06/07/2013 SITE ADDRESS: 6304 MAIN ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702343103002 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Two New Duplexes(Four dwelling units) 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 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. 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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 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..� // '' Wl 1/i 6 - I u - i 3 Owner or Contractor Signature Date ATTENTION:.Ore ed law requires you to the Oregon Utility • 'OTICE: „' ` follow rules adopted by 1115 PERMIT SHALL EXPIRE IF THE WORK -, h OAR 952-001 Notificalton Center. Those rules are set fort in OAR952-001-o0t inwuesoftherulesby JTHORIZED UNDER THIS PERMIT IS NOT ;: 0090. You may obtain cop r .;_; 'I,4MENCED OR IS ABANDONED FOR calling the center. (Note: the telep �' 180 DAY PERIOD. number for the,Oregon Utility rflcation Center s 1-000_332_2344). Springfield Building Permit 6/10/2013 8:37:21AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD a 225 Fifth St cre TRANSACTION RECEIPT Spdngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01189 A vw.springfield-or.gov 6304 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2013001165 RECORD NO:811SPR2013-01189 DATE:06/10/2013 Ie1.1.g-JIJIi[o r. •. n;:'s,x . _..,_. '� Ifif' ;. n ACCOUNT rafe�e]yntl:7_1:6' CODE`= ` *. ':AMOUNTDUCA First Appliance Fee 224-00000-425604 1006 80.00 Range hood/other kitchen equipment 224-00000-425604 1006 43.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.42 Technology fee(5%of permit total) 100-00000-425605 2099 10.18 TOTAL DUE: 238.10 11 AYMENTaT,YPE .AYOR :CASHIER:CCARPENTER COMMENTS. AMOUNT4PAID1. _ Check BRUCE WECHERT CUSTOM HOME: 238.10 22697 INC TOTAL PAID: 238.10 • SPRINGFIELD CITY OF SPRINGFIELD e4. -it.... 225 Fifth St � 0 OREGON TRANSACTION RECEIPT SpringfthSt 477 541-726-3753 811-S P R2013-00646 • www.springfield-or.gov 6304 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2013000614 RECORD NO:811-SPR2013.00646 DATE:03/29/2013 (DESCRIPTION - ;-...:ACCOUNT.CODEITRANSCODE' AMOUNT DUE_e" Structural Plan Review Fee Residential 224-00000-425602 1061 619.42 _..� --- --.- `-'-•'—�._._ .'.-`. _-----._—'—'-------- TOTAL DUE: 619.42 AMOUNT PAID - ' ' I:�--°' PAYMENT TYPE�,PAYOR_..,,cnsNiER ccnRaEerEw - :"y,,_COMMENTS�;_..�,-- te_-��_,__ „ e,_._ _,.._._ ,I Credit Card BRUCE WIECHERT CUSTOM HOME: 619.42 035946 INC TOTAL PAID: 619.42 Structural Permit Application SPRINGFIELD ' DEPARTMENT USE ONLY arc©V SPRIINGFIIELI), OREGON v Permit no:5/3-6�/6 r Date: sy 0.1/4,1 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 / This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ❑ SAME AS: LOCAL GOVERNMENT APPROVAL This project has final land-use approval. FEE SCHEDULE Signature: Date: 1.Valuation information This project has DEQ approval. (a)Job description:New Single Family Dwelling,detached Signature: Date: Occupancy: R3/U Zoning approval verified: G Yes ❑ No Construction type: VB 7"/ Property is within flood plain: ❑ Yes M No Square ft: House:! 45341 G:I 0 (Other: 10 CATERGORY OF CONSTRUCTION Cost per square foot: $103.92 $39.44 $19.72 o Residential I ❑ Government I U Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat:Gas forced air Job site address: 6304 Main street Energy Path:ESA and CAI City: Springfield !State:OR ZIP: (J New ❑ alteration❑ addition Subdivision: I Lot no: (b)Foundaltiononly permit? ❑ Yes G No Reference: ITaxlot: 117-02-34-31-3002 Total valuation: I citilitr011i - PROPERTY OWNER 2. Building fees Name: Bruce Wiechert Custom Homes (a)Permit fee(use valuation table): 9& / 72 Address:3073 Skyview Ln (b)Investigative fee(equal to[2a]): City: Eugene State:OR (ZIP:97405 (c) Reinspection($ per hour): Phone: 541-686-9458 Fax:541-344-3362 (number of hours x fee per hour) This installation is being made on residential or farm property (d)Enter 12%surcharge(.12x[2a+2b+2c]): 421214215-. jp7L- owned by me or a member of my immediate family,and is exempt (e)Subtotal of fees above(2a through 2(1): — from licensing requirements under ORS 701.010. 3.Plan review fees Sign here: (a) Plan reveiw(65%x permit fee[2a]): $gt //ie CONTRACTOR INSTALLATION (b)Fire and life safety(40%x permit fee[2a]) Busisness name:Bruce Wiechert Custom Homes (c)Subtotal of fees above(3a and 3b): 2 7/ Address:3073 Skyview Ln 4.Miscellaneous fees: 5%Tech 44 1 City: Eugene State:OR IZIP:97405 (a)Seismic fee, l%(.01 x permit fee[2a]): Phone: 541-686-9458 Fax:541-344-3362 TOTAL fees and surcharges(2e+3c+4a): $ 437, E-mail: wiecherthomes @comcast.net 0 y f r: CCB license no: 101717 Print name: Derrick Westover Signature: SUB-CONTRACTOR INFORMATION Name: CCB License Number Phone Number L&E Elect. 105475 541-521-4198 Steve's Plumbg. 65065 541-342-3765 Comfort Flow 460 541-726-0100 Electrical Permit Application -. T~ �b+s' S PNINGFIELO�..� DEPARTMENT RTMENT USE ONLY 4 •$ .w L.i `o-4 t S "ri. 3f 1 of a CITY„OE SPRINGEIELD,rOREGON -.- .o 3 C!F -fr.40 5 rek.z: „ z __c+ i7ii e.z tna-t ° -, ..rc» x _ s .' Permit 225 Fifth Street•Spnngfield,OR 97477♦PH(541)726 3753•FAX(541)726-3689 Date: 3/2_, /, 3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL`GOVERNMENT APPROVAL ?-" Frmr,t` iF.EE SCHEDULE ':_, •.•' 'i; -''__ Zoning approval verified? ❑ Yes ❑No Number of inspections per item () `.Qty. Cost Total CATEGORY;OF :CONSTRUCTION - ea. cosh �/ -- Residential,per unit,service included: .CI Residential ❑ Government ❑Commercial 'Lf7 _Y-1-D, '244. JOB,.SITE INFORMATION 'AND:.LOCATION ,- 1,000 sq, ft. or less(4) L( 5'°c°u°u $ 5-9511 Each additional 500 sq ft. or portion $ 25.00 $ Job site address ,766( 6,, it/0 4,/11-/4/ r thereof City: 5,0�-9 State: 0--a__ ZIP:c ?co Limited energy(2) - I $ 32.00 $ Reference:/70 2 9 L/3 7 Taxlot.:( day Each manufactured home or modular $ 63.00 $ ' DESCRIPTION OF WORK dwelling service or feeder(2) 2 00,3 9a.pl.E- r c c ( t( (�[N)TS Services or feeders: installation, alteration, relocation 200 amps or less(2) $ 81.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $ Name: 401 to 600 amps(2) $158.00 $ Mt.) (..--1-4- Address: 3077 S(c,-f J (-7„J 601 to 1,000 amps(2) $205.00 $ City: (-_--hC( State: ZIP:9'7c0a Over 1,000 amps or volts(2) $469.00 $ Phone: 6 QL >'�Su Fax: - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) f $ $6 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 . _:CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel Business name: I,_E g E( ci-c( c, a. Fee for branch circuits with purchase of a service or feeder fee: 'Address: 9-3..163 3 S. C�V-,_,S r`t;-( .e( R6, Each branch circuit $ 6.00 $ City: Sp Q'(c3 State:? (.q I ZIP: 9 - L.(7g b.Fee for branch circuits without purchase of a service or feeder fee: Phone:{ q33 - ZS 7 B Fax:S'l( -(3I ..259.6 First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I r Lc15 BCD license no.:,(O-3 B3 C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Li t J1-4- 5 Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: . C_.. uik Q.�J a.Q„\ Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: �,( / -� 11 L o�Lh a�teratiogcortextenls on limited-energy panel, $ 63.00 $ C.�`�- Each additional inspection: (I) $58.00 $ -,24 "1-0-z£t' 'APPLICANT USE (A) Enter subtotal of above fees $ ^5 c' (Minimum Permit Fee$58.00) (1 • (B)Enter 12%surcharge(.12 x[A]) $ '§ 0 c (C)Technology Fee(5%of[A]) $ 3z9 • TOTAL fees and surcharges(A through C): $ 7 /j • 440-2584-1(9/08/COM)