HomeMy WebLinkAboutPermit Building 2013-7-18 •
SPRINGFIELD ' 225 Fifth St
s = " 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-SPR201 3-01 340
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014
STATUS DATE: 07/18/2013 APPLIED: 06/20/2013
SITE ADDRESS: 572 MOUNTAINGATE DR,Springfield,OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1802032202400 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 Contractor BRUCE WIECHERT CUSTOM HOMES INC CCB 101717 09/16/2014 541-686-9458
Electrical Contractor L&E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598
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
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 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 Exterior ShearwallATTENTION: Oregon law rennirae to
1540 Gypsum Board/I4tt b r�I�es adopted Drjrwa`I° 1Prlorjtolta0.19;rath/Plaster: To be,m er all lathing and gypsum.
NI ion Center. Tf "i r
boaFBCtihritesiA •-∎_�Qxteti�are in place, but prim tering. XX�� pprr 11 TTHE WORK
1999 Final Building rn 0.1(;:::2-00 I-JU I U tPi{'1QIrBu'll�1'RARe�}-elth'�quired inspectionslhe5e dui t ldrapp,I&d�nB
0090. You may obtain"-lair
Is`1aih16te ty AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephnso COMMENCED OR IS ABANDONED FOR
Springfield Building Permit number for the Oregon Utility Mb-MO.1; i 1:54PM
ANY 180 DAY PERIOD. ?age 1 of 2. ;;
Center is 1-800-332-2344).
SPRINGFIELD - - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
A et, `+ Phone:541-726-3753
OREGON Building / Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01340
www.springfieldor.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
•
7/1) /3
Owner or C•ntractor Signature Date
Springfield Building Permit 7/18/2013 2:11:54PM Page 2 of 2
SPRINGFIELD - CITY OF SPRINGFIELD
sc t TRANSACTION RECEIPT Spnngf Fifth
OR 87477
L OREGON 541-7263753
811-SPR2013-01340
www.springfield-or.gov 572 MOUNTAINGATE DR permitcenter @springfield-or.gov •
RECEIPT NO: 2013001571 RECORD NO:811-SPR2013-01340 DATE:07/18/2013
EOESCRIPTION ;: ACCOUNT CODE/TRANS CODE AMOUNT DUE'
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 184.97
Technology fee(5%of permit total) 100-00000-425605 2099 79.17
Willamalane fees-Single family detached 821-00000-215023 1074 3,407.94
TOTAL DUE: 3,672.08
PAYMENT TYPE PAYOR CASHIER:CCARPENTER • COMMENTS.-.' _ ,. -` - .AMOUNT PAID ' "...`I
Check BRUCE WIECHERT CUSTOM HOME; 3,672.08
22843 INC
TOTAL PAID: 3,672.08
•
.
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SPRINGFIELD . C|Tr0rSPRINGFIELD
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541-726-3753
811^SPR2013'01340
572 www.springfield-or.gov "mnn/tcuote"0,pnogfmo-or nov
RECEIPT NO: 2013001567 RECORD NO:811^SPR2013.01340 DATE:07/18/2013
' 11 7,- ` 1- '17-77::yr -- t/:~ ' � ------ kriolikt DUE-::3
Address Assignment,each new or change 224'00000~425602 1020 42.00
.
Planning-Major Review-City 100'00000425002 1231 211.00
Residential Fire(.05 Per Sq Foot) 100'00000'*2*005 9111 16015
SDC:Administrative Fee'MVVMC Regional Wastewater SDC 611'00000'42550* 1189 10.00
SDC: Compliance Cost MVVMC Regional Wastewater SDC 444'00000426807 1113 22.61
SDC: Improvement-Transportation SDC 447'00000'*48027 1174 955.32
SDC: Improvement Cost-Local Wastewater 443'00000'*48025 1184 94932
SDC: Improvement Cost-MVVMC Regional Wastewater SDC 445'80000'448025 1187 1,392.04
' SDC: Improvement Cost-Storm Drainage 440'00000448028 1176 812.68
SDC: Reimbursement'Transportation SDC 446'00000-448026 1173 26211
SDC: Reimbursement Cost-Local Wastewater 442'00000448024 1183 1,94503
SDC: Reimbursement Cost MVVMC Regional Wastewater SDC 444'00000448024 1186 108.14
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 557.89
SDC:Total MWMC Administration Fee—Local 719'00000'*26604 1121 766*
SDC:Total Sewer Administration Fee 719'00000-426604 1175 14472
SDC:Total Storm Administration Fee 719'00000-426004 1180 68.53
SDC:Total Transportation Administration Fee 719'00000-426604 1190 60.87
Second Permit Discount 201-00000-428060 1148 67.00
Sidewalk up though 90 Feet 201'00000'*28060 1142 102.00
Structural Building Permit Fee 224'00000'425502 1002 1,541.44
Technology fee(5%of permit total) 100'00000~*25505 2099 8.45
Wi||uma|ano fees Single family detached 821'00000'215023 107* 2.06
TOTAL DUE: 9,50000
Credit Card BRUCE WECHERT CUSTOM HOME 8'500.00
015106 INC
TOTAL PAID: 9'500.00
'
SPRINGFIELD CITY OF SPRINGFIELD
4 1 .dm..-. 225 Fith St
-s- ';--c , TRANSACTION RECEIPT Springfield,OR 97477
11.i' 1-' ``OREGON 541-726-3753
811-S P R2013-01340
www.springfield-ocgov 572 MOUNTAINGATE DR permitcenter @springfield-or.gov
RECEIPT NO: 2013001284 RECORD NO:811-SPR2013-01340 DATE:06/20/2013
(DESCRIPTION . ' _ ACCOUNT CODE/TRANS_CODE_,-_. ^AMOUNT DUE.J
Same as Plan Review Submittal 224-00000-425602 1060 275.00
TOTAL DUE: 275.00
LPAYM_EN_T TYPE , FPAYOR_--CASHIER:oeowLSeV - = COMMENTS - _- ".AMOUNT PAID I
Credit Card bwch lot 53 275.00
015814
TOTAL PAID: 275.00
\--
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
• CITY OF SPRINGFIELD, OREGON Permit no:g/3 ei /3�7
• Date: c/ /
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.
G SAME AS: 16116 Graystone Lp
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: S Yes ❑No Construction type: VB
Property is within flood plain: ❑Yes El No Square ft: House:) 22701 G:1 777 'Other: 1156
CATERGORY OF CONSTRUCTION Cost per square foot: $107.08 $40.62 $20.31
G Residential I❑Government I ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Heat: Gas forced air
Job site address: 572 MtGate Dr. Energy Path: E5A and CAI
City: Springfield (State: OR ZIP: 97478 G New ['alteration ❑addition
Subdivision: MtGate West I Lot no: 53 (b) Foundaltion-only permit? ID Yes G No
/
Reference: ! y2_Af Faxlot: I (7217/00 Total valuation: I $277,801.70
PROPERTY OWNER 2. Building fees
Name: Bruce Wiechert Custome Homes (a)Permit fee(use valuation table): $1,541.44
Address: 3073 Skyview Ln. (b) Investigative fee(equal to [2a]):
City: Eugene State:OR 1ZIP:97405 (c) Reinspection($ 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]): $184.97
owned by me or a member of my immediate family, and is exempt (e)Subtotal of fees above(2a through 2d): $1,726.41
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 $77.07
City: Eugene State:OR IZIP: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): $2,078.48
'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
G
ts%wilRecreation lane l
Job. No. 93 g /D
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
Jan. 1-Dec. 31, 2013
NAME: ad C-l# PHONE: 6/ 56
ADDRESS:167' S(Ct(\/rt2✓ CITY: GZ^-C.? STATE:_ ZIP: 7 2 y4 S—
LOCATION OF PROPOSED BUILDING SITE:
Street address: ST-72
Plat name:/,fit— I N• S T 3 Tax Lot Number: /E6 .2 O 2`Z— O Z`fOO
1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.)
A. Single-Family Detached
NO. OF UNITS / • X$3,410 per unit= $ Sz/U
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-D
, / 3
City of Springfield Date of building permit submittal
7 j7/3
City of Springfield Date of building permit issuance
SPRINGFIELD 225 Fifth St
` CITY OF SPRINGFIELD Springfield,OR 97477
cats - Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01341
www.springfield-or.gav permitcenter @spri ngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014
• STATUS DATE 07/18/2013 APPLIED: 06/20/2013 •
SITE ADDRESS: 572 MOUNTAINGATE DR,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1802032202400 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
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.
7-12 -fl
Owner or Contractor Signature Date
ATTENTION: Oregon law requireson Utility NOTICE:
follow rules adopted by the Oregon
Center. Those rules are set forth THIS PERMIT SHAM EXPIRE IF THE WORK.
AUTHORIZED UNDER THIS PERMIT IS NOT
in OAR 952
001-0010 bta n copses of the rules 952-001-
by COMMENCED OR IS ABANDONED FOR
0090. You may Note: the teleph ,nri
calling the center. ton Utility Notifroat;on ANY 180 DAY PERIOD.
Springfield Building Preurrtitlber for the Oregon 7/18/2013 2:10'.12PM Page 1 of 1
Center is 1-800-332-2344),
SPRINGFIELD '} CITY OF SPRINGFIELD
kr .�f,', , 225 Fifth St
t TRANSACTION RECEIPT Spdngfield,OR 97477
\14:90 t 541-726-3753
OREGON 811-SPR2013-01341
•
www.springfeld-or.gov 572 MOUNTAINGATE DR permitcenter @springfield-or.gov
RECEIPT NO: 2013001569 RECORD NO:811-SPR2013-01341 DATE:07/18/2013
DESCRIPTION ,,, ( _. :' ? :Ti— ; .„ ACCOUNT CODE(TRANS;-CODE : ,: 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
PAYMENF;;TYPE 4, ''-'PAYOR _cASNIS:,CCARPENTER K` COMMENTS ` AMOUNT PAIDr t i,: 1 '
Check BRUCE WIECHERT CUSTOM HOME: �.,........_________._ ___..____._- � -�W 414.18 �
22843 INC
TOTAL PAID: 414.18
•
'Yr i k w ... zrwx'�EUfd.
Electrical Permit Application Fx DEPARTMENT USE ONLY; y
t aEYOVSPRINFIELUoOREG `iGyO -y Permit no.: S /7 -/ J /
225 Fifth Street•Springfeld,OR 97477♦PA(541)726-3753•FAX(541)726-3689
I�(
Date: `p/7(� //J
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.
i,�x�%^'^nrr`LOCALA GOVERNMENMAPPROVAL .'".')'- 'r ,% "r?,7s. s""tr;;'FEE'ISCHEDULE° ;" '. d:Ni°',:t " i
,' 4q +p-TV^r+.t"ha'„','. b "€e+'x' f Total
Zoning approval verified? El Yes ❑No '. 93-11. of mspecnons`'per item O,,,x"1 Qty ` i.e , : -- l:
,n �ig.,f 35 Wxt' '£...Z ,aa�e R .., 3'C ,.r�.af^. :n"i wa.. . r ,..,e8 r .,C09t�eL!4
,,,„,- .n CATEGORY<.,OF. CONSTRUCTION� N,... Residential,per unit,service included: -
❑Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) $ $
a;h M:1013 rSITEitiNFORMATION``AND,LOCATION 7 „_” 4 ( ) /
Each additional 500 sq.ft.or portion Sr $ l $ /„.3-772
Job site address: 6`-7 Z -G A-1-6/ thereof ✓
� ry�� JJ /A
City: DV I`��� State: �� ZIP:�7�7 Limited energy(2) $ 32.00 $
Reference: /Dv2- z32 L Taxlot.:2 yorm Each manufactured home or modular
z dwelling service or feeder(2) $ 63.00 $
iT.fS : . ,.,s DESCRIP.T1ON.e,OF[,WORK`�a`�''..;G. .f Vk; •
Services or feeders:installation,alteration,relocation
G-1- R.6 (4-D- CP ?1,/\-
200 amps or less(2) $ 81.00 $
' Us. gtx?r"^'-'PROP ERTYiOWNER>.' ` r;��, M°"*- ?a 201 to 400 amps(2) $ 95.00 $
, Name: P-c i) cc- L,tI e c L e� Cis k nn o,./s Tv c. 401 to 600 amps(2) $158.00 $
Address: 3 o 7 3 S k'� v`e�J 1 ry 601 to 1,000 amps(2) $205.00 $
City: E j 5 e,..t. I State: 0 yL ZIP: '7 7/or
Over 1,000 amps or volts(2) $469.00 $
Phone:64;-(81r 9 y C g Fax:54(-39�t 3 3 6 Z Reconnect only(2) $ 63.00 $ .
E-mail: IJ ■ e_4..1.-es-\"h o„n 5 &— CD t c�)1 . ro e.Y Temporary services or feeders:installation,akerati •location
This installation is being made on residential or farm property 200 amps or less(2) / .00 $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 -
479.5400)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
it n `o t:',`r,,,]CONTRACT.ORf:INSTALLATION`'k'-`)yry,, .', i is Branch circuits:new alteration, extension per panel
Business name: L- 4- E E I eG-Iv([ a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 92. 'R ; -Some.S Acves Each branch circuit $ 6.00 $
City:5pC\e StateD t.. ZIP: 9 p 7 y 7 3 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:54 -55. \ H 15 X Fax$y4- ?-33 2 rq X First branch circuit(2) $ 55.00 $
E-mail: Each additional branch circuit - $ 6.00 $
CCB license no.: 1 0 S 975'. BCD license no.: 3-83G, Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: Li/7 `, - S Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: era., De n1:,, e>` n Each sign or outline lighting(2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
Signature of signing supervisor: co(� ,I� 004.124,' 1 alteration,or extension(z)
Each additional inspection:(1) $58.00 $
—.14. ?APPLICANY USE ' ;._% V 1 '' 10
(A) Enter subtotal of above fees $ �/(/
(Minimum Permit Fee$58.00) ' /
(B)Enter 12%surcharge(.12 x[A]) $ 112 Y�
(C)Technology Fee(5%of[A]) $ ii'2/,
TOTAL fees and surcharges(A through C): - $ /l//U /�
440-25847(9/08/COM) `1
SPRINGFIELD" 225 Fifth St
'` '� CITY OF SPRINGFIELD Springfield,OR 97477
Phone:541-726-3753
t OREGON Building / Residential Permit � Inspection Phone: 541-726-3769 •
Fax:541-726-3676
PERMIT NO: 811-SPR2013-01342
vrxw.springfield-or goy permitcenter @springfieId-or.gov
•
PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014
STATUS DATE: 07/18/2013 APPLIED: 06/20/2013
SITE ADDRESS: 572 MOUNTAINGATE DR,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1802032202400 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
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
Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100
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.
/J 7-/i - 13
Owner or Contralrl'or rTkS?�`1: Oregon law requBCo yJu ;J
follow rules adopted by the Oregon Utility Date
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952 001 NOTICE:
0090. You may obtain copies of the rules by t
calling the center. (Note: the teleph :a:r. THIS PERMIT SHALL EXPIRE IF THE WORK
number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT .....
Center
• 1-800-332-2344). COMMENCED OR IS ABANDONED FOR
Springfield Building Permit 7/18/2013 2:09:06PM ANY 180 DAY PERIOD. -Pag'e'1'of t
SPRINGFIELD CITY OF SPRINGFIELD
. 225 Fifth St
'Vr TRANSACTION RECEIPT Springfem.OR 97477
F '' OREGON 541-726-3753
811-SPR2013-01342 •
www.springfield-or.gov 572 MOU NTAINGATE DR permitcenter@springfield-or.gov
RECEIPT NO: 2013001568 RECORD NO: 811-SPR2013-01342 DATE:07/18/2013
;DESCRIPTION - ?' 'ACCOUNT.CODE/TRANS,CODE `_' -::."'AMOUNTDUE
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 roomi 224-00000-425604 1006 50.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.96
Technology fee(5%of permit total) 100-00000-425605 2099 10.40
TOTAL DUE: 243.36
;: PAYMENT TYPE• ' PAYOR CASHIER CCARPENTER'.';- ' 'COMMENTS' ';: , AMOUNT PAID' , '" ' :j
Check BRUCE WIECHERT CUSTOM HOME: 243.36
22843 INC
TOTAL PAID: 243.36
•
SPRINGFIELD 225 Fifth St
.1= CITY OF SPRINGFIELD Springfield,OR 97477
,�o ecoN Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01343
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014
STATUS DATE: 07/18/2013 APPLIED: 06/20/2013 •
SITE ADDRESS: 572 MOUNTAINGATE DR,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1802032202400 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
L 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
Plumbing Contractor STEVEN R JOHNSON CCB 65065 03/12/2014 541-342-3765
LINSPECTIONS REQUIRED III
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: Wien 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.
CelW� 7,—./Z- 0
Owner or Contractor Signature Date
ATTENTION: Oregon la the Oregon Util ty NOTICE: WORK
follow rules adopted by THIS PERMIT SHALL EXPIRE IF THE
Notification Center. Those ruheOAR 952f001-
in OAR 952 001 0010 throng AUTHORIZED UNDER THIS PERMIT Fis OR
NOT
0090. You may obtain co i1es oe the ru by COMMENCED OR IS ABANDONED FOR
calling the center. ( ANY 180 DAY PERIOD.
Springfield Building& ter for the Oregon Utility Notification
Center is 1-600-332-2344
7/18/2013 2:07:57PM Page 1 of 1
. . . .
SPRINGFIELD
TRANSACTION CITY OF SPRINGFIELD
RANSACTION RECEIPT
225 Rfth St
Spnngfield:OR 97477
' OREGON 811-SPR2013-01343 541-726-3753
www spnngfield-or gov 572 MOUNTAINGATE DR permacenter@spnngtield-or goy
RECEIPT NO: 2013001570 RECORD NO: 811-SPR2013-01343 DATE:07/18/2013
-11_5ESCalFiTIO-N7 , 7..'-',7%:7---. --7* - '• .' :c" -, AOotillnr thiiErrRariidobEl , ; 7iiiiithilit touirti
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
LPAYMENT TYPE =" ,,PAYOR :CASHIER:CCARRENTEli - , t, COMMENTS: ' :- .' ;,. . . . . AMOUNT PAID"
Check BRUCE WECHERT CUSTOM HOME 480.87
22843 INC
TOTAL PAID: 480.87
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