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HomeMy WebLinkAboutPermit Building 2013-6-21 A I° SPRINGFIELD 225 Fifth St it _ CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01034 viww.springfield-or.gov pennitcenter©springfield-cr.gov PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 STATUS DATE: 06/21/2013 APPLIED: 05/23/2013 SITE ADDRESS: 6068 Graystone LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702343302100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-single family residence 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 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 L 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. 1170 Post&Beam Post and Beam: Prior to floor insulation or decking. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 InsulAtI Ff'!l Iflf'•rrfle.onnn la,n rfr.,,;rr., r . to _ 14301nsttmttpprWY0les adopted by the Oreptii t.% itVion: Prior to coverNO'TICE: 1440 In 4$;:te-If1 J en er. ose ru es au k, 2111-lion: Prior to cos- 1 ' fy}g nII ''�LRL EXPIRE IF THE WORK In A oF9-001-0010thro nb OA cI5 -001- ""TIID IZFQIf a ri t� 15201ntQ S h tatilay obtain copies of ti qw1& byailing: Before coverllny/ t IR IS ABANDONED FOR 1530 Exterfr .imRia1�7�a11center. (Note: the telepr.:.a'fo ANY 180 DAY PFRIS nurn Pr nr the nrp3nn I Itilfty Nntificnh^n 1540 Gypsum BoaQ {ttbil9'Wa600-332-234r9cywall: 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 6/21/2013 8:35:43AM Page 1 of 2 SPRINGFIELD' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 '.`C Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01034 • www.springfield-or.gov permitce nter©s pringfield-or.gov I 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 i jj7......3 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 Contractor Signature Date • Springfield Building Permit 6/21/2013 8:35:43AM Page 2 of 2 • SPRINSPRINGFIELD CITY OF SPRINGFIELD GFIELD 225 Fifth St � ; TRANSACTION RECEIPT SpringfielQOR97477 OREGON 541-726-3753 811-SPR2013-01034 www.springfield-or.gov 6068 Graystone LOOP permitcenter @springfietd-or.gov RECEIPT NO: 2013001293 RECORD NO:811-SPR2013-01034 DATE:06/21/2013 [DESCRIPTION_ ' A` . ACCOUNTCODE/TRANS CODE _:AMOUNTDUE__ Address Assignment, each new or change 224-00000-425602 1020 42.00 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 150.05 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 677.34 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 464.98 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 57.12 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 1,471.36 Willamalane fees-Single family detached 821-00000-215023 1074 541.35 TOTAL DUE: 9,500.00 L PAYMENT TYPE_ _ PAYOR_CASHIER'JLARSON ' . COMMENTS: ':- - AMOUNT PAD - ,- - 1 Credit Card BRUCE WIECHERT CUSTOM HOME. 9,500.00 025050 INC TOTAL PAID: 9,500.00 •SPRINGFIELD CITY OF SPRINGFIELD 't= - 225 Fifth St TRANSACTION RECEIPT Springfield:OR97477 OREGON 541-726-3753 811-S P R2013-01034 www.springfield-or.gov 6068 Graystone LOOP pennitcenter @ springfield-or.gov RECEIPT NO: 2013001297 RECORD NO: 811-SPR2013-01034 DATE:06/21/2013 (DESCRIPTION` _ ACCOUNTCODE/TRANS CODE_ - AMOUNT-DUE Planning-Major Review-City 100-00000-425002 1231 211.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 176.56 Technology fee(5%of permit total) 100-00000-425605 2099 84.12 Willamalane fees-Single family detached 821-00000-215023 1074 2,868.65 TOTAL DUE: 3,340.33 I.. PAYMENT TYPE;;aPAYOR CASHIER:JLARS0N , -COMMENTS 1' 'AMOUNT PAID. ,:.' ` , _J Check BRUCE WIECHERT CUSTOM HOME; 3,340.33 22734 INC TOTAL PAID: 3,340.33 • • SPRINGFIELD CITY OF SPRINGFIELD -A... 225 Fdth St —,`C TRANSACTION RECEIPT Springfield OR 97477 OREGON 541-726-3753 811-SPR2013-01034 www.springfield-ocgov 6068 Graystone LOOP permitcenter @springfield-or.goy RECEIPT NO: 2013001021 RECORD NO: 611-SPR2013-01034 DATE:05/23/2013 IDESCRIP_TION _ACCOUNT CODE/TRANS CODE: AMOUNT DUE• Same as Plan Review Submittal 224-00000-425602 1060 275.00 TOTAL DUE: 275.00 L.PAYMENT TYPE;___ ___ _bwch —� -- - _ -- _ _ --- — -_-275.00 035172 TOTAL PAID: 275.00 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY ` y; Permit no: CITY OF.SPRINGF IELD;OREGON ��, ., �y 51S_f(33� Date: 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. • El SAME AS 1513-01034 I . 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 Property is within flood plain: ❑Yes II No Square ft: House:1 21411 G:I 716 (Other: 1144 CATERGORY OF CONSTRUCTION ' Cost per square foot: $107.08 $40.62 $20.31 El Residential ❑Government I ['Commercial Other information: • JOB SITE INFORMATION AND LOCATION, Type of Heat: Gas forced air Job site address: 6068 Graystone Energy Path: E5A and CAI City: Springfield IState:OR ZIP: 97478 G New ❑alteration ❑addition Subdivision: MtGate West I Lot no: 5 (b) Foundaltion-only permit? ❑Yes El No Reference: 17023433 ITaxlot: I 2100 Total valuation: I $261,266.84 PROPERTY OWNER 2. Building fees. Name: Bruce Wiechert Custome Homes (a) Permit fee(use valuation table): $1,471.36 Address: 3073 Skyview Ln. (b) Investigative fee(equal to [2a]): City: Eugene State:OR (ZIP:97405 (c) Reinspection ($ 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]): $176.56 owned by me or a member of my immediate family, and is exempt (e)Subtotal of fees above(2a through 2d): $1,647.92 from licensing requirements under ORS 701.010. 3. Plan review fees Sign here: (a) Plan reveiw(65%x permit fee [2a]): $275.00 CONTRACTOR INSTALLATION (b) Fire and life safety(40%x permit fee [2a]) Busisness name: Bruce Wiechert Custome Homes (c)Subtotal of fees above(3a and 3b): $275.00 Address: 3073 Skyview Ln. 4. Miscellaneous fees: 5%Tech $73.57 City: Eugene State:OR (ZIP:97405 (a)Seismic fee, 1%(.01 x permit fee [2a]): Phone: 541-686-9458 Fax: 541-344-3362 TOTAL fees and surcharges(2e+3c+4a): $1,996.49 ;E-mail: CCB license no: 101717 Print name: .- , Signature: SUB-CONTRACTOR`INFORMATION Name: CCB License Number Phone Number E L&E Elect 105475 541-933-2598 P Steve's Plumb. 65065 541-342-3765 M Comfort Flow 460 541-726-0100 Updated 4/1/2013 re 4 wiliannalane is Park and Recreation District Job. No. �r-% 7 3- l93k PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET • Jan. 1-Dec. 31, 2013 NAME: C? ( PHONE: 606, S—D�0 ADDRESS: 3673 5g ti VI b� CITY: • STATE ZIP: 97€70s— LOCATION OF PROPOSED BUILDING SITE: Street address: 6,06 8 4,4-n Plat name:/117-qt---re- J -X Tax Lot Number: /7o.211(.17 D2/a 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X$3,410 per unit = $ � y io 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 �jj credit approval.) ($ 7 ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 3W9 z7/ /3 City of Springfield Date of building permit submittal J[, / Z/ / /3 City of Springfield • Date of building permit issuance i SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ter Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01037 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06121/2013 EXPIRES: 12/17/2013 STATUS DATE: 06/21/2013 APPLIED: 05/23/2013 SITE ADDRESS: 6068 Graystone LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702343302100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-single family residence 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 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 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 r lrEcfNiftenic fm - -que7sied ti e6l�r r<time,that each address is readable from the street,that the av ci ty permit card is loci tpclignt� g • yhgneitleg r�ylell get of plans will remain on the site at all times during construction. Noti ' ation C-nter. ose rules are s t forth NOTICE: in R 952-1 1 hrough ^, 52-001- ( HIS PERMIT SHALL EXPIRE IF THE WORK 00 O. u ma .. , c s of the rules by 60 / T y t.. C. „ ; ,c;,,,,,,r, AUTHORIZED IORIZED UNDER THIS PERMIT IS NOT Owner or Con racto9$iglati a the Oregon Utility Notification Date COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 6/21/2013 8:42:32AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD -1° Ai.. 225 Fifth St ~ TRANSACTION RECEIPT Springfield.OR97477 �`�� 541-726-3753 OREGON 811-SPR2013-01037 wwwspringfield-or.gov 6068 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001296 RECORD NO: 811-SPR2013-01037 DATE:06/21/2013"St iDESCRIPTION - „ , ,_._ " •_ACCOUNT'CODE/TRANS,CODE - .. AMOUNT DUES 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 ' COMMENTS . AMOUNT PAID TYPE ." CASHIER: - - ` COMMENTS 'l:- � � ' Check BRUCE WIECHERT CUSTOM HOME: 480.87 22734 INC TOTAL PAID: 480.87 SPRINGFIELD - j 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-SPR2013-01035 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 STATUS DATE: 06/21/2013 APPLIED: 05/23/2013 SITE ADDRESS: 6068 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343302100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-single family residence 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 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 INSPECTIONS REQUIRED j - Inspections 4000 Temporary Power Service 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules enter. Those by the rules are set lirt THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are st forth in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/21/2013 8:40:13AM Page 1 of 1 • I SPRINGFIELD CITY OF SPRINGFIELD f -t• ..`s... 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 ' 1�'� 541-726-3753 'OREGON 811-SPR2013-01035 www,springfield-or.gov 6068 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001295 RECORD NO:811-SPR2013-01035 DATE:06/21/2013 IDESCRIP_TION s _, _ _ t ACCOUNT_CODE/TRANSCODE- - -.L;AMOUNT DUE_J Each added 500 sq. ft. or portion 224-00000-426102 1004 82.50 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 35.88 Technology fee(5%of permit total) 100-00000-425605 2099 14.95 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 349.83 - ' ' AMOUNT PAID �PAYMENT_Tl',P,E�-PAYOR -cnswER:duRSOR r* _ �• COMMENTS k.- � - -- " I Check BRUCE WIECHERT CUSTOM HOME: 349.83 22734 INC TOTAL PAID: 349.83 Electrical Permit Application gpgMGF1aLD . DEPARTMENT USE ONLY' �it tow..y lS^✓arci Ch4 4Tt'e f;o sue, .,3+1ny 3p' o fi4 747, , e. C' W �r ®F SPRINGFIELD OREG_ ON-1 y �, permit 513 ' /025— 225 Fifth Street*Springfield,OR 974774 PH(541)726 3753•FAX(541)726-3689 Date: 5123.(/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. _ .Igtf LOCALIGOVERNMENTAPPROVAL z ra itriM itigiMEESCHEDULE " A1, it-N Zoning a pp roval verified? ❑Yes ❑No " Ays u u'3,f 8 itiux' v°, tein i.I I„ ',� 0<., .,,... s Cost t7 J ..,T otsal:i ' umber omspectr0ns per item 00, Qty r d (A.- t41. nrr CATEGORYh OF CONSTRUCTION fh a Residential,per unit,service included: - )H 7 i ❑Residential 0 Government ❑Commercial 1,000 sq.R or less(4) / $j3t0C s)'-/7 ._- Job site address: (oO 6 v 0 6 Y ei 5%v-ems thereof 53--253r0— $712Si- City: elifp State ZIP:'7 X17( Limited energy(2) $ 32.00 $ Reference: 7762 3£73 3 Taxlot.: 2'a) Each manufactured home or modular dwelling service or feeder(2) 63.00 $ p"'s`� ' 'gsDESORIFTION'OF.WORK x 14;M G "t'r; ( ) l,./1•Zt: /1-g.t,t.d t e- T 1Y1-1 P P,12 Services or feeders: installation,alteration,relocation 200 amps or less(2) $ 81.00 $ W- -, ';e DY-''P.,ROPERTY owNER 1,ti. II 11 ": t 201 to 400 amps(2) $ 95.00 $ Name: 13•'0 ce. W,ec Le-4- Cis�w ti0 ma4 Tv C. 401 to 600 amps(2) $158.00 $ Address: 3 07 3 S kt .1:C-JO )N 601 to 1,000 amps(2) $205.00 $ City: 205 e u / State: 0 rt. ZIP: 9 71 o) Over 1,000 amps or volts(2) $469.00 $ Phone:541-(g&- q `l 1'$ Fax:54(-39 L 3 3 6 Z Reconnect only(2) $ 63.00 $ E-mail: W B c,Le„a-In o,ys�5 IOj Cp MC o - W c_y Temporary services or feeders: installation,alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $9.6311:10.". $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 1.,,i ::",DONTRACT.OWANSTALLA, TION #ZZi g: Branch circuits:new,alteration,extension per panel Business name: 1.— 4- E E. 1 ec...-y;{_ a.Fee for branch circuits with purchase of a service or feeder fee: Address: 7Z g ; •Scvve.S Acre$ Each branch circuit $ 6.00 $ City:S pC\e State°1t..— ZIP: 9 7 y 7 z b.Fee for branch circuits without purchase of a service or feeder fee: Phone:54 -5. \ H ic t Fax5-y/- '7-33 2S-9S First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit - $ 6.00 $ CCB license no.: ( 0 5 975' BCD license no.: 3-g?t Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Lf T7 `7 — S— Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: Ca- De n O�e>, Each sign or outline lighting(2) $ 63.00 $ e,;'9! Signal circuit or a limited-energy panel, $ 63.00 $ Signature of signing supervisor: �( \, 0��\ alteration,or extension(2) Each additional inspection:(1) $58.00 $ Pa "ri' 's '-:ti''APPLICANTeUSE 's';; ' „ SZS (A) Enter subtotal of above fees L L (Minimum Permit Fee$58.00) $ 29 5 `/r v (B)Enter 12%surcharge(.12 x[A]) $ 3S$g fr'•1 (C)Technology Fee(5%of[A]) $ /c/`» t� �1 TOTAL fees and surcharges(A through C): $ '� 440-25845(9/08/COM) • SPRINGFIELD 225 Fifth St ''` CITY OF SPRINGFIELD Springfield,OR 97477 4../"r C� Phone: 541-726-3753 � OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01036 • www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 STATUS DATE: 06/21/2013 APPLIED: 05/23/2013 SITE ADDRESS: 6068 Graystone LOOP,Springfield,OR 97477 SCOPE: Mechanical Only • ASSESOR'S PARCEL NO: 1702343302100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-single family residence 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 WIECHERT CUSTOM HOMES INC COB 101717 09/16/2014 541-686-9458 Mechanical Contractor COMFORT FLOW HEATING CO GCB 460 06/27/2013 541-726-0100 1, 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 in compliance with ORS 701.005 will be used on this project. I further agree to ensurc4that UT 1ifpO(tspB?ctignare legye�t dJa tFr proper time, that each address is readable from the street,that the permit datbsylgo a q01 gfytfleiggreMelt. o nejh�,approved set of plans wiOrIrICEt n the site at all times during :7�.._ - constrI$tjgniication Center. Those rules are set fortth • THIS PERMIT SHALL EXPIRE IF THE WORK ' OAR 52-p01;0 10 through OAR 952-001- / - Z / A1TORIZED UNDER THIS PERMIT IS NOT 00 0, ou r�j/ copies of the rules by (� CdIvIMENCED OR IS ABANDONED FOR i 9 the co or. (Ncts: it: otifil.,;,,., ANY 180 DAY PERIOD. Owner d}to`tiirclarg,>aS regon Utility Notification Date Center is 1-800-332-2344). • Springfield Building Permit 6/21/2013 8:38:28AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ..ii -+m+^ 225 Fifth St ct ;OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-S PR2013-01036 www.springfield-or.gov 6068 Graystone LOOP perrnitcenter @springfield-or.gov RECEIPT NO: 2013001294 RECORD NO: 611-SPR2013-01036 DATE:06/21/2013• }DESCRIP_TION,-: - - _ ,_.__....—_ .-_b .�A000UNT�CODE/TRANS'CODE__- - , • AMOUNT-DUE_] 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 40.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 23.76 Technology fee(5%of permit total) 100-00000-425605 2099 9.90 TOTAL DUE: 231.66 -, ,;PAYMENT TYPE__ ,,,.,-NAM CASHIER:dOAresoN -' c_COMMENTS AMOUNT PAID , . vi Check BRUCE BRUCE WIECHERT CUSTOM HOME; 231.66 22734 INC TOTAL PAID: 231.66 ,.,. � a ,Y �- � (� � �- r, q �- �_ � �� � i O -� t t �� < f { 3 ' 1 ��—� �S r � i {{ f � I �� �, Q � ' _ °� (.`� 1 j\``', � � , �3, (/ � ` t Y F 4 � o i \ /� J ,I 1 V {{ 4yb C} �� 4� z �� � S� 1 � I k � � e Vi.a_..�..�,.,_._...a.��.....-.T.,�.�.....�-.,-� �..,�,.. ��s ' � Q �� � � .--�� -'�-' ��t:�- C C Sr � O p OPV �� U °�co�owoo .��� E?Z �z�� ca ,e ,�, � m � �=��mo �e�g�o i p m r ��^ c��vO.����� ch O Q> ��,p�N cry +�-" � �` os ►. � J.i ��iosc*� ma��o �ao���m a h— �..m e�.�� � off° N mo �s m T l�T M �� m �, L 0 4 � �� u� U �` �� L Y {— � O o z � O W � Li.. = O � � � � � w � o � cJ] G _ z X = m J CC ¢ � � w cn O Q � � S � � W � � O L1. �Qo} W w .. � tV U � +� �swo v � o � � ,- a—�n��y. � � ¢ � ����- i-.upm ��U� ®='=�o ,�t��rr a u�� � >�;�`� c����� ��� W � � � uwp,� LJ O �. tf3 w��� 0 �U�� .L y 1-' V! q �Gp� ®f_j�Q� wt—;��� cc v, � U wC);��� z- � G7 r- u, u3s,=�© �- o �,� � z�-�a- w��—u.� F�O��C! � � la.l F"° -J U��W� ua ti; � G] � J � � T F�4dr1.e--