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HomeMy WebLinkAboutPermit Building 2013-7-12 SPRINGFIELD•swe 225 Fifth St CITY OF SPRINGFIELD • Springfield,OR97477 {i� Phone:541-726-3753 ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01395 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 06/26/2013 SITE ADDRESS: 6204 GRAYSTONE LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802032202800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New SFD-Lot 57 MtGate West 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 COB 105475 03/30/2014 541-933-2598 COMFORT FLOW HEATING CO (CRE)Electrical C 20-431CRE • 07/01/2014 541-726-0100 Plumbing Contractor 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. 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 Insulation Vapor Barrier 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 ExtMii g t-hll II hil(lrarinn on ,.. 1540 cfplicarr®tdatdLatikpri.f*lby the Oregr_Drywalt\Prior to taping. Lath/Plaster: To be made after all lathing and gypsum Notification Center. Those rules eYFbpardyrinterior and exterior are in place, but prior to plastering. _ ,. . 1999 lilaig@Bl6ll?-001-0010 through OAR Einal-BtGifding: After all requiredpinleEons have been requested and approved and': 0090. You may obtain copies of thehelbuildigg is complete. THIS PERMIT SHALt EXPIRE IF THE WORK calling the center. (Note: the teleph:,aa number for the Oregon Utility Notiticauon AUTHORIZED UNDER THIS PERMIT IS NOT • Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR Springfield Building Permit 7/12/2013 8:57:26AMANY 180 DAY PERIOD. Page 1 of 2 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 'r'1��` i Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01395 wwwspringfield-or.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 - • he approved set of plans will remain on the site at all times during construction. 7-I2- i3 Owner or ontractor Signature Date • • • • • • • • • • • n p . . Springfield Building Permit ':41 �'., 7/12/2013 8:57:26AM Page 2 of 2 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St �� TRANSACTION RECEIPT Sphngfield,OR 97477 541-726-3753 ORR EGON 811-SPR2013-01395 www.spnngfeld-or.gov 6204 GRAYSTONE LOOP permitcenter @spnngfeld-or.gov RECEIPT NO: 2013001349 RECORD NO:811SPR2013-01395 DATE:06/26/2013 _ �l ACCOUNT CODE/TRANS CODE ODE x=«.5. * AMOUNT1I ` Same as Plan Review Submittal 224-00000-425602 1060 275.00 TOTAL DUE:' 275.00 PAY,MENSGTYPE P.AYOR -caswEli:;RGaeeNe r' COMMENTS: ,',AMOUNTAPIO",� Credit Card BRUCE WECHERT CUSTOM HOME 275.00 055357 INC TOTAL PAID: 275.00 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St C6t TRANSACTION RECEIPT Springfield,OR 97477 �`� OREGON 541-726-3753 811-SPR2013-01395 www.springfieltlar.gov 6204 GRAYSTONE LOOP permitcenter©springfield-or.gov I RECEIPT NO: 2013001505 RECORD NO:811-SPR2013-01395 DATE:07/12/2013 [DESCRIPTION —' = ACCOUNT CODE/TRANS CODE -r AMOUNT DUE 1 Overwidth/Second Driveway 201-00000-428060 1144 54.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 161.10 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 715.41 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 491.12 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 60.33 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 1,373.04 Technology fee(5%of permit total) 100-00000-425605 2099 6.05 TOTAL DUE: 9,500.00 . _ _. l' PAYMENT TYPE' PAYOR :rcasxleR:CcgRPexTER .,,,:� COMMENTS' � ' " ;", AMOUNT PAID • ' 'I Credit Card BRUCE WIECHERT CUSTOM HOME: 9,500.00 035137 INC TOTAL PAID: 9,500.00 SPRINGFIELD CITY OF SPRINGFIELD _sazzasei 41_ 225 Fifth St keit TRANSACTION RECEIPT Springfeld,OR 97477 OREGON 541-726-3753 811-SPR2013-01395 www.springfieldor.gov 6204 GRAYSTONE LOOP permitcenter @springfieldor.gov RECEIPT NO: 2013001514 RECORD NO:811 SPR2013-01395 DATE:07/12/2013 ]o] .Yq:71:dICol:titL..a=3 t __.<w :;-T ' i.'ACCOUNTCODE!TRANS CODE `.` "`-.^ 'AMOUNT;DUET 'S Address Assignment,each new or change 224-00000-425602 1020 42.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 194.43 Structural Building Permit Fee 224-00000-425602 1002 247.24 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: 3,976.78 €i'PAYMENTTYPE{ .,_"„PAYOR�' �. COMMENTS” � ,tt-ile aWd A._O 114 PA . 4L.rn _i7ut m� Check BRUCE WIECHERT CUSTOM HOME: 3,976.78 22803 INC TOTAL PAID: 3,976.78 • • Structural Permit Application DEPARTMENT USE ONLY aff FIMHOFIPtD OREGON Permit noSf3 _ / 3qs v^+r Date:c5/2,6,J / 3 225 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: 16110 Graystone LOCAL GOVERNMENT APPROVAL This project has final land-use approval. FEE SCHEDULE Signature: Date: I.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 12 No Square ft: House:1 24781 G:I 682 (Other: 10 CATERGORY OF CONSTRUCTION Cost per square foot: $107.08 $40.62 $20.31 12 Residential I❑ Government 1 [j Commerdal Other information: JOB SITE INFORMATION AND LOCATION Type of Heat:Gas forced air Job site address: 6204 Graystone loop Energy Path: E5A and CA I City: Springfield Istate:OR ZIP: 97478 0 New Li alteration❑ addition Subdivision: Mountaingate west I Lot no: 57 (b)Foundaltion-only permit? ❑ Yes G No Reference: / FO Z 03ZZ ITaxlot: 1 0 Z..-re O Total valuation: 2C-7 S 52.4— ' - • ,147.08 PROPERTY OWNER 2. Building fees j 1pyp 2-' Name: Bruce Wiechert Custome Homes (a)Permit fee(use valuation table): Address: 3073 Skyview Ln. (b)Investigative fee(equal to [2a]): City: Eugene State:OR 'ZIP:97405 (c) Reinspection($ per hour): Phone: 541-686-9458 Fax: 541-344-3362 (number of hours x fee per hour) 7,9 S'3 This installation is being made on residential or farm property (d)Enter 12%surcharge(.12x[2a+2b+2c]): _.$1-93-.-38— owned by me or a member of my immediate family,and is exempt (e)Subtotal of fees above(2a through 2d): .`i 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 - ::. : r City: Eugene State:OR 1ZIP:97405 (a)Seismic fee, I%(.01 x permit fee[2a]): Phone: 541-686-9458 Fax: 541-344-3362 TOTAL fees and surcharges(2e+3c+4a): $2,160.48 jE-mail: I 2) 76 _. CCB license no: 101717 Print name: 1 Signature: SUB-CONTRACTOR INFORMATION Name: CCB License Number Phone Number E L&E Elect 105475 541-933-2598 3/3_ /314 P Steve's Plumb. 65065 541-342-3765 p1-/s 9? M Comfort Flow 460 541-726-0100 5(9 ,/797 Updated 4/1/2013 toli\willamalane deb Park and Recreation District Job. No. 5-(y-/ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME: -3GJC-I-} PHONE: Cr[D�o Sa ADDRESS: 3° .z_y VW CITY: et-cc STATE: 02-ZIP: 51717/O ) LOCATION OF PROPOSED BUILDING SITE: // Street address: �P� V c y?z A Nat name://`—cl/�t-/`h- C' 715-2Tax Lot Number:/R)2 o722 D Ze-2to 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,410 per unit= $ 1HJ 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 $ �- C� City of Springfield - Date of building permit submittal City of Springfield Date of building permit issuance SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 ` OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01398 www.springfleld-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 06/26/2013 • SITE ADDRESS: 6204 GRAYSTONE LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802032202800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New SFD-Lot 57 MtGate West OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number: ADDRESS: 3073 SKYVIEW LN EUGENE OR 97405 • CONTRACTOR INFORMATION II 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. (mil// �� TTENTION: Oregon law requires yo-u-71-t/ 2 T �3 uy f le vi eyuil Utility Owner or Contractor Signatureation Center. Those rules are set fail, in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the teleph:1no - number for the Oregon Utility Notification. • Center is 1-800-332-2344). NOTICE: THE VOffl< THIS PERMIT UNDER THIS PERMIT S NOT AUTHORIZED Springfield Building Permit 7/12/2013 9:00:36AM ;;OMR4ENDED OR IS ABANDON ge 1 of 1 • ;NY 180 DAY PERIOD. SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St '" i0 EGON TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-SPR2013-01398 www.spdngfield-or.gov 6204 GRAYSTONE LOOP permitcenter @spnnggeld-or.gov RECEIPT NO: 2013001513 RECORD NO:811-SPR2013-01398 DATE:07/12/2013 DESCRIPTION' itATTTSISll tei " r . a _7 ACCOUNTI.CODE/TRANS:CODEj_''r?ocite_.;> 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 PAYMENT'e1YPE s' .'1- P.AYORi cnSwMET RPErifER .COMMENT , NARAPAIMMItitai Check BRUCE WIECHERT CUSTOM HOME; 565.11 22803 INC TOTAL PAID: 565.11 • SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 ' �OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01397 www.springfield-ar.gov perm itcenter @springfield-or gov • PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE:• 07/12/2013 'APPLIED: 06/26/2013 SITE ADDRESS: 6204 GRAYSTONE LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802032202800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New SFD-Lot 57 MtGate West 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 COB 101717 09/16/2014 541-686-9458 COMFORT FLOW HEATING CO CCB 460 06/27/2015 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 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. . l z -13 - CjdNT:dnn law rbouires you to owner dk J61?(*3&i ni p ci d by the Oregon Utility Date Notification Center. Those rules are set forth NOTICE: pIRE 1F (HE NIDRIC In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHAD HIS PER�17 IS NOT 0090. You may obtain copies of the rules by AUTHORIZED UNDER • calling the center. (Note: the Notification number for the Oregon Utility Notification ANY Y80 DAY PER PERIOD. FO Center is 1-800-332-2344). . Springfield Building Permit 7/12/2013 8:59:26AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ' TRANSACTION RECEIPT . Sphngield,OR 97477 541-726-3753 OREGON 811-SPR2013-01397 www.spdngfield-or.gov 6204 GRAYSTONE LOOP permitcenter @springfeld-or.gov RECEIPT NO: 2013001511 RECORD NO: 811SPR2013-01397 DATE:07/12/2013 o ; I O` CODERRi4NSrCODE -� if�a 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 60.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.16 Technology fee(5%of permit total) 100-00000-425605 2099 10.90 TOTAL DUE: 255.06 ..-... ..W.._.- E m.._... ..,......y�.,.......,...a. PAYMENT�TYP.E � .PAYORcnSRleR:,ccaRPENTER Check BRUCE WIECHERT CUSTOM HOME 255.06 22803 INC TOTAL PAID: 255.06 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 'OR scoN Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01396 www.spnngfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 06/26/2013 SITE ADDRESS: 6204 GRAYSTONE LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802032202800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD-Lot 57 MtGate West 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 IMECHERT 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 • 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 113TICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-o01-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR • 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. =::r calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permits 7/12/2013 8:58:25AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Sphngfield,OR97477 • .OREGON 541-726-3753 811-SPR2013-01396 www.springfieldor.gov 6204 GRAYSTONE LOOP permitcenter @springfeld-or.gov RECEIPT NO: 2013001512 RECORD NO:811-SPR2013-01396 DATE:07/12/2013 e s�ea st�?a ? vw -ta.. 'ACCOUNT_CODE/TRANSCODE _§r,* 'w?=AMOUNTDUE.= 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 P.AYMENTpTNP,E. - PAY,OR cnsw°°ire aFtriN R ' COMMENTS ' _ _ AMOUNTRAI_P Check BRUCE WIECHERT CUSTOM HOME 414.18 22803 INC TOTAL PAID: 414.18 Ne-o4. ere,wQ Electrical Permit Application „, DEPARTMENT USE ONLY `w^r SPWMOFlmD -...-• Y.e*,mu:.a - u . ;n. -, d r rip,o itaikil x3 ptr 'Y .t*rw 4I n5 $ hawk vb � s e T U SPR NGFlELDnEGO i - "'`- t '/3 /3* not ; Permit 1i 225 Fifth Street•Springfreld,OR 97477•PH(541)726-3753•FAX(541)726.3689 • Date: 4/2‘/( 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. (t' ` gi `s L”OCAL?";GOVERNMENT;s'APPROVAL'r." ,it ti 4Str' ,:a tx?FEEISCHEDULE'VWaRk 'fig' q r '�f4 "Sga� + "017.1"XW'^- ;,3''',..;_n S Cost' Total Zoning approval verified. ❑Yes ❑No -Number of lnspectionsmer item at vi.y i_ ei v_cost4 sn , cf.::' CATEGORY,iiOF,,S'CONSTRUCTION'4,..,"s S'ea Residential,per unit,service included: ��� ❑Residential ❑Government ❑Commercial St34� mil) 1,000 sq.ft.or less(4) 00 $i(7 r`zJOB,SITE INFORMATIONANDgLOCAT.ION} < ' Each additional 500 sq.R or portion 1$ 7 $ 9 Job site address: 6709 4 rwt 5�w thereof /3 City: c-MD State:gh_ ZIP: q?y-) 2 Limited energy(2) $ 32.00 $ Reference: /7n)_ 03 2 Z. Taxlot �2Z) Each manufactured home or modular c a y� dwelling service or feeder(2) . $ 63.00 $ p;.`ti. 51 ,=.ke DESCRIPTION`OEVORK, wh': iWiii 0 a�1'i �G 9 1P���� Services or feeders:installation,alteration,relocation �J( 200 amps or less(2) $ 81.00 $ . 'h ; 1rit pROPERTY.OWNERWA' "m S-`'i'tea :' 201 to 400 amps(2) $ 95.00 $ Name: 13i cc- W',e c 1.e-/r C.,$ �w {}r7 -. Tv c, 401 to 600 amps(2) $158.00 $ Address: 3 0 7 '3 5 ki fi e Wl 11‘) 601 to 1,000 amps(2) $205.00 $ City: j j 5 c it State: 0)1., ZIP: 9 7-/o) Over 1,000 amps or volts(2) $469.00 $ PhoneSv 1-ter q `t S$ Fax34(-34 Y 3 3 6 7.-, Reconnect only(2) $ 63.00 $ Temporary services or feeders:installation, alteration relocation E-mail: UL) , e�l.e... -hors Pi Co Mc U)1 . reel- oil i iii This installation is being made on residential or farm property 200 amps or less(2) 1 $ s e6' $ 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 ailittSda:CONTFtACIORliiNSTALLATIONPPZik4i&tak Branch circuits:new,alteration,extension per panel Business name: 1-..— a- E El c 'f y e._ a.Fee for branch circuits with purchase of a service or feeder fee: Address: 9Z g ,3 -Sores Acv-eS Each branch circuit $ 6.00 S City: SPC\Z. Statefl ZIP: 9 7 y 7$ b.Fee for branch circuits without purchase of a service or feeder fee: Phone:5'4 -57.\ (—) 1C1 ' Fax61-1/- 9'-33 2 S9'g First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I I) S 9 7S' BCD license no.: 3-3 3/, Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Li/7 L-J - S- Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: De p-�c!12-�n Each sign or outline lighting(2) $ 63.00 S Signature of signing supervisor: t-.2w`,W t Signal circuit or a limited-energy panel, $ 63.00 $ gn gn B P alteration,or extension(2) Each additional inspection:(1) $58.00 $ ?;.w . ,._4 YTAP..PLICAWtiSEi":'•" r.1 t ,L. .:-. (A) Enter subtotal of above fees y'/ (Minimum Permit Fee$58.00) $ 3c 1 (B)Enter 12%surcharge(.12 x[A]) $ "7 t§- (C)Technology Fee(5%of[A]) $ 17 92" TOTAL fees and surcharges(A through C): $ t./I "l i r: 440-2584-3(9/08/COM) KZ MINIMUM SETBACKS - CORNER LOTS All measurements are fz am Pi onerty Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Street Side yard to House or Garage 10 feet -Interior Side yard to House or Garage 5 feet y -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS ( ' STREET TREES ARE ARE REQUIRED. Please refer to attached Development Section regarding the placement and types of V �(� allowable street trees. ' Ci 0 n r— ceS� a ,U--� am• Ln n A co�r'' h - CD :j mC fib j•N aZ„"11 02 p2 (D� co D c�� o CD asoCD 0 0!