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HomeMy WebLinkAboutPermit Building 2013-7-12 SPRINGFIELD °a- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 '"s e. t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01336 www.springfield-or.gov permitcenter @spri ngfield-or,gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: • 07/12/2013 • APPLIED: 06/20/2013 • SITE ADDRESS: 6110 Graystone LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802032200800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-single family residence.SAME AS 6116 Graystone 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 Contactor 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 06/27/2015 541-726-0100 Plumbing Contractor STEVEN R JOHNSON CCB 65065 03/12/2014 541-342-3765 INSPECTIONS REQUIRED I 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 underadiffriSTMt Oregon law reauires you to f ,��urvr t'- ar, leap rivliliC: 1420 Insulation Vapor Cantor y the Oregon Utility I f Alumina. •ontcr T,"cc_ r�;-- i/ ,tom,tit , : :,0 I EI trvuT SHALL EXPIRE IF THE WOrK 14301nslitafiBr"1,hU4152-001-0010 through OhWrPk -` tn: Prior to cover. AlITN(1R17CDUNDERTHISPEP,MITIS (':^T 1440 InsulaY iCeilin Islay oo[aln Copses of b'1 f llta,.. Lion: Prior to cover. COMMENCED OR IS ABANDONED FOR l:A ll l(1(1 i1gP t`oni of /NIM.,. rr-.. .,.,�, ,. • 1520 Interibt.ShearwalN the Oregon Utilit y vSh,e,a6W4jrVailing: Before covering sheatliing1witti pgBIigD, 1530 Exterior SheaGall1ei Is I-buu-331-2344)• 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 7/12/2013 8:40:47AM Page 1 of 2 SPRINGFIELD 225 Fifth Sf CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01336 www.springfield-or.goy perm itcenter @springfield-ocgov • 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. (,id 7-1 7 - 7 Owner or Contractor Signature Date • • Springfield Building Permit 7/12/2013 8:40:47AM Page 2 of 2 • SPRINGFIELD ° CITY OF SPRINGFIELD . 225 Fifth S • ,r°� TRANSACTION RECEIPT Spnngfield10R97477 Oa EGON 541-726-3753 811-SPR2013-01336 www_springfieldor.gov 6110 Graystone LOOP permitcenter®spnngfield-or.gov RECEIPT NO: 2013001510 RECORD NO:811-SPR2013-01336 DATE:07/12/2013 3 DESCRIPTION - 'ti ' ' - `- ACCOUNT CODE(FRANSCODE - ' ` _AMOUNT DUE Address Assignment,each new or change 224-00000-425602 1020 42.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 161.10 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 194.43 Structural Building Permit Fee 224-00000-425602 1002 87.65 Technology fee(5%of permit total) 100-00000-425605 2099 83.11 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 TOTAL DUE: 4,189.29 PAYMENT.TYPE L-°°•„PAYOR;.CASHIER:CCARPENTER .' '.COMMENTS,_„ ;�• r AMOUNT PAID .'.�,... Check BRUCE WIECHERT CUSTOM HOME: 4,189.29 22803 INC TOTAL PAID: 4,189.29 SPRINGFIELD CITY OF SPRINGFIELD -Au. , .,,:=j 225 Fifth St Y TRANSACTION RECEIPT Springfiel&OR 97477 C L%"+ OREGOW 541-726-3753 811-SPR2013-01336 www.springfield-ar.gov 6110 Graystone LOOP permitcenter @a'springfield-or.gov RECEIPT NO: 2013001506 RECORD NO:811-SPR2013-01336 DATE:07/12/2013 (EDESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE. Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 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 1,084.93 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 806.96 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 2,222.90 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 553.96 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 165.39 SDC:Total Storm Administration Fee 719-00000-426604 1180 68.05 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 1,532.63 Technology fee(5%of permit total) 100-00000-425605 2099 8.45 TOTAL DUE: 9,500.00 LPAYMENT TYPE -.b PAYOR ,CASHIER(CCARPENTEI :,.COMMENTS - °'1--' 'AMOUNT PAID ,. ' i Credit Card BRUCE WIECHERT CUSTOM HOME: T 9,500.00 035205 INC TOTAL PAID: 9,500.00 • • SPRINGFIELD CITY OF SPRINGFIELD • = 225 Fifth St - �EGON TRANSACTION RECEIPT SpringfieIdOR 97477 C` 541-726-3753 811-SPR2013-01336 www.springfield-or gov 6110 Graystone LOOP permitcenter@springtield-or.gov RECEIPT NO: 2013001283 RECORD NO: 811-SPR2013-01336 DATE:06/20/2013 IDESCRIPTION- • .. - _ ..ACCOUNT CODEITRANS CODE -:1 _AMOUNT DUE 1 Same as Plan Review Submittal 224-00000-425602 1060 275.00 --�— —_-- - _— --- TOTAL DUE: 275.00 PAYMENT TYPE.‘...... _FAVOR, CASHIER:DBOWLSBY,___ ,. ,_ COMMENTS ` `-..' AMOUNT PAID , f Credit Card bwch lot 16 275.00 015814 TOTAL PAID: 275.00 • Structural Permit Application swmwrmo, DEPARTMENT USE ONLY CRY OF SPRINkinl LD, O� REGOO N Permit no: $J) v1336 A Date: ‘,!?o/i3 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. 0 SAME AS: 16116 Graystone loop 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: 0 Yes ❑ No Construction type:VB Property is within flood plain: ❑ Yes G No Square ft: House:) 24781 G:[ 744 Other: 10 CATERGORY OF CONSTRUCTION Cost per square foot: $107.08 $40.62 $20.31 El Residential I❑ Government I U Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat:Gas forced air Job site address: 6110 Graystone loop Energy Path: ESA and CAI City: Springfield (State:OR ZIP: 97478 • New U alteration❑ addition Subdivision: Mtgate west I Lot no: 16 (b)Foundaltion-only permit? ❑ Yes G No Reference: 18O Z O.3Z4Taxlot: I p0 fO o Total valuation: I $295,565.52 PROPERTY OWNER 2. Building fees Name: Bruce Wiechert Custome Homes (a)Permit fee(use valuation table): $1,620.28 Address: 3073 Skyview Ln. (b) Investigative fee(equal to[2a]): City: Eugene State:OR (ZIP:97405 (c) Reinspection($ 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]): $194.43 owned by me or a member of my immediate family,and is exempt (e)Subtotal of fees above(2a through 2d): _ $1,814.71 from licensing requirements under ORS 701.010. 1 3. Plan review fees / Sign here: (a)Plan reveiw(65%x permit fee[2a]): $275.00 1/ 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 $81.01 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): $2,170.73 'E-mail: d.westover @comcast.net 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 PL willamalane Park and Recreation District Job. No. S/3—/Y36- • PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET . Jan. 1-Dec. 31, 2013 NAME: 047A✓Cit PHONE: r=)lo Xa 56 ADDRESS: 3b7T SAY(,/0-4-1 •CITY: 014 STATE: IX_ZIP: 1ZiCiC LOCATION OF PROPOSED BUILDING SITE: Street address: 6igO yjTd>r/t' c, Plat name: l%4,4-7 €J. /76 Tax Lot Number: /eO Z D 32 z oo TOc7 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS • / X$3,410 per unit = $ ,7V/D 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 Of applicable.SDC payer must furnish proof of credit approval.) (5 yJ 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 9/D ,Z / -2. 42i /3 • City of Springfield - Date of building permit submittal City of Springfield Dat) uildt"ng permit issuance • SPRINGFIELD 225 Fifth St I •° OREGO 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-SPR2013-01339 www.springfield-or.gov permitcenter(r7Jspringfiel d-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: ' 07/12/2013 APPLIED: 06/20/2013 • SITE ADDRESS: 6110 Graystone LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802032200800 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 WECHERT 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 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. __ 7._//e.-77 Owner or Contract fj!NtrIbN: Oregon law requires you fo Date follow rules adopted by the Oregon Utflto Notification Center. Those rules are set fgrty �f QTICgi in OAR 952-001-0010 through OAR 952:ppg, 1HIS 0090. You may obtain copies of the rules by PERMIT BHALL EXPIRE IF THE WDRI( calling the center. (Mote: ih3 teln "�'COMMENCED UNDER THIS PERMIT IS N01 number for the Oregon Utility , .p.°�'' C'C ✓MENCED OR IS ABA FfI• Center is 1-800430 ,...1/4,h� .s,\IY ;i 8Q D AY P ^ NQQNED v';; Spdngfield Building Permit 7/12/2013 8:44:04AM 4�`u T' •. !;`tage'l of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Firth St TRANSACTION RECEIPT Spnngfield•OR 97477 OREGON 541-726-3753 811-S P R2013-01339 wwwspringfield-or.gov 6110 Graystone LOOP permitcenter©spnngfield-or.gov RECEIPT NO: 2013001509 RECORD NO: 811-SPR2013.01339 DATE:07/12/2013 IDESCRIPTI_ON ACCOUNT CODE/TRANS CODE AMOUNT DUE One or Two Family Dwelling with Three Bath 224-00000-425603 1005 483.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 57.96 Technology fee(5%of permit total) 100-00000-425605 2099 24.15 TOTAL DUE: 565.11 LPAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT,PAID: - Check BRUCE WIECHERT CUSTOM HOME: 565.11 22803 INC TOTAL PAID: 565.11 • SPRINGFIELD:.... 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 k. .C Phone: 541-726-3753 \OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01338 www.springfield-or.gov permitcenter @spri ngfiel d-or.gov • PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 06/20/2013 SITE ADDRESS: 6110 Graystone LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802032200800 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 WECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458 • Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED r 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 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. 04 (A1,------- 7^,7.13 Owner or Contractor Signature requires you to Date ATTENTION: Oregon law follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- NOTICE: OCPO. You may obtain copies of the rules by :''ling the center. (Note: the 7/12/2013 8:43:OOAM THIS PERMIT SHALL EXPIRE IF THE WORK "rmit the Oregon te:tt Iteraph" ' AUTHORIZED UNDER THIS PERMIT IS NOT�(1 Springfield Building Permit y o, ration COMMENCED OR IS ABANDONED fIWS enter is 1 8Q¢ -2344) ANY 180 DAY PERIOD. I SPRINGFIELD crry0r�ex|wOno'o ....t........ii o5rnmot TRANSACTION RECEIPT S,dn�rm»R�w,ttb k `` �,son� y1�z��m 811'SPR3013'01338 ^mw.`pn^onem-o,.v*/ 6110 Graystone LOOP ,w^nmxoter@*^no*mo*'vov RECEIPT NO: 2013001507 RECORD NO:811-SPR2013-01338 DATE:07/12/2013 -- �--�' - �/���'�'�����'��-m�,��vr �����.'A� �T�ut-1 " ' � �� ^-- ~-`~—~- ` -� � ^ --^--`----` ~--^~~ - � Air conditioner 224-00000-425604 1006 18.50 . . FinxApp|ianweFee 224'00000'*2560* 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`*25604 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: 1006 60.00 State of Oregon Surcharge(12%of applicable fees 821-00000-215004 1099 26.16 Technology fee(5%of permit total) 100' 0000-425605 2099 1090 TOTAL DUE: 255.06 LPAYMENT TYPE iH ^pcw7 ; �o —�� ' �-� 8�0UmTp4|U • � ^ ' • �' ,. �/��n�. ox /smon�np sn �.� �^ �gg� ' . , � �� Check BRUCE W1ECHERT CUSTOM HOME ---' 265.0E 22803 INC TOTAL PAID: 255.06 • . SPRINGFIELD -- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 `e _-Ca_`+ Phone:541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01337 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 06/20/2013 SITE ADDRESS: 6110 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802032200800 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 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 Electrical Contractor L&E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 INSPECTIONS REQUIRED 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. CM 7-17 3 Owner.or Contractor Signature Date ATTENTION: Oregon law requires you to Notification Cennter. Those rulees arrest forth in OAR 952-001-0010 through OAR 952-001- ®TICI i 0090. You may obtain copies of the rules by THIS PEMIT SHALL calling the center. (Note: the teleph:.;:;o AUTHORED UNDER HPSR ERM T IS NOT number for the Oregon Utility Notification COMMENED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 18D AY PERIOD. Springfield Building Permit 7/12/2013 8:42:13AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St (\«; TRANSACTION RECEIPT Spnngfield.OR97477 kir lOREGON 541-726-3753 811-SPR2013-01337 wwwspringfield-or.goy 6110 Graystone LOOP permitcenter @spdngfield-or.gov RECEIPT NO: 2013001508 RECORD NO: 811-SPR2013-01337 DATE:07/12/2013 DESCRIPTION ,,IJ - ,,ACCOUNT CODE/TRANSCODE AMOUNT DUE 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 42.48 Technology fee(5%of permit total) 100-00000-425605 2099 17.70 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 414.18 - PAYMENT TYPE- PAYOR. ,CASHIER:acnRPeRTe-R ., COMMENTS --. ;.-' ., . AMOUNT PAID - ; .: °I Check BRUCE WIECHERT CUSTOM HOME; 414.18 22803 INC TOTAL PAID: 414.18 Electrical Permit Application DEPARTMENTPSE ONLY t -� oglittYfiO. SPRINGEIELD,zOREGONiw : Permit no 5/3- 0/337 225 Fifth StrectoSpringfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 . Date: 6/x/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. gmg LOCALYGOVERNMENT9APPROVAIMR P zit', t'.,'FEEISCFIEDULEf '.l�" . .:+. -A Zoning approval verified? ❑Yes ❑No .Anmbe of mspechons p r ter( .Qty �?kCost A' Total _+2,._..ca->.Sa.is... a.w+ __ ... ,....�.-_ 1.e8 te-. . cbstk _?: CATEGORY,"OF CONSTRUCTION ' tv;lr. Residential,per unit,service included: - /Y7 7� ❑Residential ❑Government ❑Commercial ar.1OB SITEFINFORMATION JTAND 'L'OCATION< , 1,000 sq.ft.or less(4) / ,.§yie 09-�S�q7 S !'' � Each additional 500 sq.ft.or portion /� 27 `rd' Job site address: 61/0 C f c+0 hL thereof ) $ $177 City: G State: / ZIP: Limited energy(2) $ 32.00 $ Reference: /O Oza 3 t Z Taxlot.O 080-0 Each manufactured home or modular dwelling 2 service or feeder $ 63.00 $ err a €�-C. ;ram � DESCRIPTION',OF`,WORK , ^' ( ) Services or feeders:installation,alteration,relocation W I01tClot",c ma7, o /9 /1--_ 200 amps or less(2) $ 81.00 $ ? ,,: Y's; 'P1R`OPERTWODWNER- ' 5a f " ' fs 201 to 400 amps(2) $ 95.00 $ Name: (3•r0 Ce_ W' ec Lek C.,s pw 1r,nvs Tv 401 to 600 amps(2) $158.00 $ Address: 3 0 7 '3 Sky �'e,J )N 601 to 1,000 amps(2) $205.00 $ City: E.i5 i i..c '1 State: O(I- ZIP: 9 7'1°r Over 1,000 amps or volts(2) $469.00 $ Phone:541-Wt- q ti s-g FaXS'ff-34Y 3 3 6 Z Reconnect only(2) $ 63.00 $ E-mail: i 1- Temporary services or feeders:installation,alteration,relocation (� e.c,Le v a-h o 5 P/(oMc e-> eve 200 amps or less(2) This installation is being made on residential or farm property r $ 66 $(p/ 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) 5126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above 'strii( mCONTRACT.OR INSTALLATION ` ,a« '' ., : Branch circuits:new alteration,extension per panel Business name: L. .- E L I e—v<(_ a.Fee for branch circuits with purchase of a service or feeder fee: Address: `j1 g >j "Tor'ts AcveS Each branch circuit $ 6.00 $ City:SQC\Z State° ZIP: 9 7 y 7'$ b.Fee for branch circuits without purchase of a service or feeder fee: Phone54 -5),\ t—) 15 g Fax6-I I- '7-33 2 S-9 t First branch circuit(2) $ 55.00 $ E-mail: - Each additional branch circuit - $ 6.00 $ CCB license no.: ( 17 S 97C BCD license no.: 3 33G Miscellaneous fees:service or feeder not included Signing supervisor's license no.: �/7 r-/ - S Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: Ca. 1D e n Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: q Signal circuit or a limited-energy panel, $ 63.00 $ �'�SL Q�1��`QLv alterat on ore teasion(2) Each additional inspection:(1) $58.00 $ (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) S 172)-t- (C)Technology Fee(5%of[A]) $ /7 70 TOTAL fees and surcharges(A through C): $9/y/l 440-2584-J(9/08/CONe