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HomeMy WebLinkAboutPermit Building 2013-10-8 SPRINGFIELD ' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 x Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01995 www.springfietd-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/08/2013 EXPIRES: 04/06/2014 STATUS DATE: 10/08/2013 APPLIED: 09/05/2013 SITE ADDRESS: 6145 Graystone LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802032204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ST-New SFD lot 74 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 CCB 105475 03/30/2014 541-933-2598 CUSTOM PLUMBING (PB)Plumbing Col 20-174PB 07/01/2014 541-741-1736 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 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 I spection: Prior to cover and after all rough in inspections have been ATTENTION: Oregon law requir appro ekl, 1370 Ma`r_i,—.Veneers aoopieu uy ulc ��� —•' - ..::.7 • r,,.,,tar ThncA rules are set forth 1410 Urkerf oor iinsulatioq-0010 through OAR 952-UU1- Il V/1 I o.'.. ....L.., h ' 14201na/1'afian AlbFitiVrieQtau l "PI" — •—-- .L,, nnntor INnte: the telephone 1430 Insula�iondalliOr the Oregon Utility N\,�fal naurt��ion: Prior to cover.Mil ICE: - ::%:-. • ' °nier IS I 'r• Pla rtfilvlll SHALL EXPIRE IF THE WORK 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. IIIIT;;nn,-r nD �l ig TT CC bHMII IS NOT 1520 Interior Shearwall Shear Wall Nailing: Before covering.shea p w fl �i M �ka . .,I II■..../If 1, '.- R IC RCA;JDD;JED FCR -1530 Exterior Shearwall ANY 180 DAY pERIOn_ 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 10/8/2013 11:55:43AM Page 1 of 2 SPRINGFIELD 225 Fifth St r a�, -�.a: r CITY OF SPRINGFIELD Springfield,OR 97477 ,S .,. Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01995 www.springfield-or.gov perm itcenter©springfield-ar.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. //__ // r vV�/ / o -7-/ 3 Owner or Contractor Signature Date Springfield Building Permit 10/8/2013 11:55:43AM Page 2 of 2 SPRINGFIELDisasis, CITY OF SPRINGFIELD t ..:43 ,{0.3„..„ 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 , ,;( s- 541-726-3753 t '' \ OREGON 811-SPR2013-01995 www springfield-ar gov 6145 Graystone LOOP permitcenter@spnngfield-or gov RECEIPT NO: 2013002235 RECORD NO:811-SPR2013-01995 DATE: 10/08/2013 baokinidi.i:7: ---:7T1';;;:T -nl,' ir:.i.f: Tcrif, " . mi' ;;4: A-booW4i-bobeirRAil§'co6i;:.7-1 F-rTAMblPir tilit'71 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 SDC: Improvement-Transportation SDC 447-00000-448027 1174 1,962 23 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 42.77 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 1,401.05 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 . 1183 , 4,423 08 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 963.46 Second Permit Discount 201-00000428060 1148 67.00 TOTAL DUE: 9,500.00 LIPAYMENT TYPE., 4 PAYOR - CASHIER:6CARRENTER, --',.;-: 'COMMENTS ' ' -7 •- '''- —:,IS'-c''AMOUNT PAID Credit Card BRUCE VVIECHERT CUSTOM HOME: 9,500.00 055530 INC TOTAL PAID: 9,500.00 SPRINGFIELD_ CITY OF SPRINGFIELD r i tt *e:.. 225 Fifth St y- ei- TRANSACTION RECEIPT Springfield,OR 97477 Lil:# '2 O EGON 541-7263753 811-SPR2013-01995 www.springfield-or.gov 6145 Graystone LOOP permitcenter©springtield-or.gov RECEIPT NO: 2013002239 RECORD NO: 811-SPR2013-01995 DATE: 10/08/2013 IpESCRIPTION_ ___ 1- _ ,._._, _� ; .., .,r y-ACCOUNT COOE/TRAN$!CODE�' :, • ' '.,AMOUNTDUE • 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 147.65 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC:Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.58 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 2,116.07 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 , 1,448.64 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 114.41 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 79.78 SDC:Total Sewer Administration Fee 719-00000-426604 1175 329.10 SDC:Total Storm Administration Fee 719-00000-426604 1180 118.23 SDC:Total Transportation Administration Fee 719-00000-426604 1190 125.03 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 181.82 Structural Building Permit Fee 224-00000-425602 1002 1,515.16 Technology fee(5%of permit total) 100-00000-425605 2099 86.31 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 TOTAL DUE: 9,957.78 r' TYPE'TYPE PAYOR' CASHIER:ccnRPENrER COMMENTS °- .'' f.. :..:';AMOUNT PAID I Check BRUCE WIECHERT CUSTOM HOME: ._... — 9,957.78 23189 INC TOTAL PAID: 9,957.78 SPRINGFIELD CITY OF SPRINGFIELD al i s 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01995 www.springfield-or.gov 6145 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013001961 RECORD NO: 811-SPR2013-01995 DATE:09/05/2013 DESCRIPTION ,.. _ _ ACCOUNT CODEITRANSCODE___ AMOUNT"pUE__, Structural Plan Review Fee Residential 224-00000-425602 1061 984.85 TOTAL DUE: 984.85 PAYMENT TYPE_.__PAYORcasRlER:ccnrsPENrER — COMMENTS___ AMOUNT PAID-�_ . - _ _-__ Credit Card BRUCE WIECHERT CUSTOM HOME: 984.85 045620 INC TOTAL PAID: 984.85 • • Structural Permit Application sva^^wccrnn DEPARTMENT USE ONLY �� SI'RUNGFIF�LDD OO R>?GOO 'N ' Permit no:S f 3—/gtS- Date: 11 S77 3 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 t This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ❑ SAME AS: LOCAL GOVERNMENT APPROVAL This project has final land-use approval. FEE SCHEDULE Signature: Date: 1.Valuation information This project has DEQ approval. (a)Job description:New Single Family Dwelling,detached Signature: Date: Occupancy: R3/U Zoning approval verified: IM Yes ❑ No Construction type:VB Property is within flood plain: El Yes G No Square ft: Houser 22771 G:I 676 (Other: (O CATERGORY OF CONSTRUCTION Cost per square foot: $107.08 $40.62 $20.31 Q Residential I❑ Government I ❑ Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Gas forced air Job site address: 6145 Graystone loop Energy Path: E5A and CAI City: Springfield (State:OR ZIP: 97478 U New ❑ alteration❑ addition Subdivision: Mtgate west I Lot no: 74 (b)Foundaltion-only permit? ❑ Yes G No Reference: /go? 0?22_ ITaxlot: I O 'f 5730 Total valuation: $271,280.28 PROPERTY OWNER 2. Building fees Name: Bruce Wiechert Custome Homes (a)Permit fee(use valuation table): $1,515.16 Address:3073 Skyview Ln. (b)Investigative fee(equal to[2a]): City: Eugene State:OR (ZIP:97405 (c) Reinspection($ 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+26+2c]): $181.82 owned by me or a member of my immediate family,and is exempt (e)Subtotal of fees above(2a through 2d): $1,696.98 from licensing requirements under ORS 701.010. 3.Plan review fees Sign here: (a)Plan reveiw(65%x permit fee[2a]): $984.85 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): $984.85 Address:3073 Skyview Ln. 4.Miscellaneous fees: 5%Tech $75.76 City: Eugene State:OR IZIP:97405 (a)Seismic fee, 1%(.01 x permit fee[2a1): Phone: 541-686-9458 Fax: 541-344-3362 TOTAL fees and surcharges(2e+3c+4a): $2,757.59 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 Custom Plumbing 5414851146 M Comfort Flow 460 541-726-0100 Updated 4/1/2013 e f SPRINGFIELD 225 Fifth St Vt . 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-SPR2013-02021 www.springfield-or.gov permitcenter @springfield-ocgov PROJECT STATUS: Issued ISSUED: 10/08/2013 EXPIRES: 04/06/2014 STATUS DATE: 10/08/2013 APPLIED: 09/06/2013 SITE ADDRESS: 6145 Graystone LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802032204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-New SFD lot 74 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 CUSTOM PLUMBING (PB)Plumbing Col 20-174PB 07/01/2014 541-741-1736 L 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: 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. / ------ • Owner or Contractor Signature Date ATTENTION: Oregon�a the(Oregon Util ty follow rules adopted y Notification Center. Those rues are set forth NOTICE: in OAR 952-001-0010 o1 11 cop es ofthe u?es by THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may THORIZED UNDER THIS PERMIT IS NOT calling the center. (Note:..he telephone 1j number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Springfield Building PermitCenter is 1-800-332-2344): ),,; \( 180 DAY PERIOD. 10/8/2013 11:53:20AM Page 1 of 1 • SPRINGFIELD-- CITY OF SPRINGFIELD • '�' =:^'n.. "`- 225 Fifth St Is :Nail TRANSACTION RECEIPT Spdngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-02021 www.springfield-or.gov 6145 Graystone LOOP permitcenter @springtield-or,gov RECEIPT NO: 2013002238 RECORD NO: 811SPR2013-02021 DATE: 10/08/2013 DESCRIPTION ACCOUNT CODEISRANS�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 «,: AMOUNT PAID . `- �PAYMENT_TYPE =•-PAYOR_ casNleR:bcnRPENTES_°.. : COMMENTS `_ �.. - -- .I Check BRUCE WIECHERT CUSTOM HOME: 565.11 23189 INC TOTAL PAID: 565.11 SPRINGFIELD '° � - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 :p,. E N GO Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02020 www.springfield-or.gav permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 10/08/2013 EXPIRES: 04/06/2014 STATUS DATE: 10/08/2013 APPLIED: 09/06/2013 SITE ADDRESS: 6145 Graystone LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802032204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ME-New SFD lot 74 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 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to . • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT _. springfielrllBuii i pe„nRhe Oregon Utility Notification 10/8/2013 11sa:o6nMIMENOED OR IS ABANDONED FOR ' Page 1 of 1 Center is 1-800-332-2344). ANY 180 DAY PERIOD SPRINGFIELD — . CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 ?``"A� 541-726-3753 l OREGON 811-SPR2013-02020 vwnv.springfield-or.gov 6145 Graystone LOOP permitcenter©springfield-or.gov RECEIPT NO: 2013002236 RECORD NO:811-SPR2013-02020 DATE: 10/08/2013 [DESCRIPTION - 77.7.71 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 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 LPAYMENT�TYPE: • -- •PAYOR CASHIER:CCARPENTER , ,: • 'COMMENTS r . .' -- `AMOUNT:PAID, -- ,. -b cj Check BRUCE WIECHERT CUSTOM HOME: 255.06 23189 INC TOTAL PAID: 255.06 • • SPRINGFIELD 225 Fifth St „{ CITY OF SPRINGFIELD Springfield,OR97477 pike, �° 3 Phone: 541-726-3753 '' OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02019 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/08/2013 EXPIRES: 04/06/2014 STATUS DATE: 10/08/2013 APPLIED: 09/06/2013 SITE ADDRESS: 6145 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802032204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: EL-New SFD lot 74 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 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 d/ 7/3 Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility 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 THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for l the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Springfield Building Par liPr IS 1-800-332-2344). - 10/8/2013 1t5Hq�AM180 DAY PERIOD. Page I of 1 A SPRINGFIELD CITY OF SPRINGFIELD 4-. ,.-„,,3 '• 225 Fifth St -1 o : TRANSACTION RECEIPT Springfield,OR 97477 ''` � L"”' R 541-726-3753 -.OREGON 811-SPR2013-02019 www.s69499eld-or.gov 6145 Graystone LOOP permitcenter @spnngfield-or.gov RECEIPT NO: 2013002237 RECORD NO:811-SPR2013-02019 DATE: 10/08/2013 [ESCRIPTION "- =-4' ACCOUNT CODE/TRANS CODE _ 'AMOUNT�DUE Each added 500 sq ft. or portion 224-00000-426102 1004 110.00 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 39.18 Technology fee(5%of permit total) 100-00000-425605 2099 16.33 Temp services 200 amps or less . 224-00000-426102 1003 69.00 TOTAL DUE: 382.01 ES PAYMENTTYPE , ; PAYORI,s.CASHIER.;CCARPENTER i sir "'COMMENTS " ,r AMOUNT PAID' I , ,.p:.'. Check BRUCE WIECHERT CUSTOM HOME; 382.01 23189 INC TOTAL PAID: 382.01 N ke, -{—e yin P Electrical Permit Application s>w,,.a.,a.� w A41 ,DEPARTMENT,USE ONLY4? +`A.' L-tz� �ar• .,4-tai ^..k!.�C" ,t, s� t TyY O�+ SPR NGFTFLD,O£R�E ;U ' t. 4.i Permit no.: 513' Zs/ 5 225 Fifth Street•Springfield,OR 97477•PB(541)726-3753•FAX(541)726.3689 �/� ///,) Date: 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. M;rigi".;r;LOCAla GOVERNMENT:.AP.P_ROVAL f 0`.1 _ >,1 i7eStn`."eFF,EV6CHEDULEM zz. ggitl" Zoning approval verified? ❑Yes ❑No ; gym ear 4 t ,l',k kPA+°a = 4“.`4.,,,( CO , Total 6 Number of inspections per item,O , Qt ,x(ei 7 ;:cosa"' & CATEGORYOFgCONSTRUCTION s s '—''''a•r ."''' ''''s "Pi't ' 3 � „ „ ,; Residential,per unit,service included: ❑Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) / .00 $�//)Td 4 ti+ IIOB S[TE INF.ORMATIOWAND;LOCAT,ICM s q ( ) Each additional 500 sq.ft or portion 9,SG Job site address: 6j/ti S (a i-t.y 5+0 y\-" thereof 9 S W:00 $k G City: e9 State:� ZIP:P471 Limited energy(2) $ 32.00 $ Reference:Ah 012 _ Taxlot.: OS-3z° Each manufactured home or modular ,.3 ,,,,,�. ,x f. „a dwelling service or feeder(2) $ 63.00 $ � .,} , ,;„z�DESCRIPTION`OF WORK sx, RgtZ ' WM_a /JJu Se C 2yu./ p.m_ Services or feeders:installation,alteration,relocation 200 amps or less(2) $ 81.00 $ yak ` a;" , ",.-wPROP,ERTY§.,OWNER s i ,11�." �Itr.i,s i 201 to 400 amps(2) $ 95.00 $ Name: (3'.r t1 ce- W,e c k e.4" CJ 5 kw— 6 riv c at 401 to 600 amps(2) $158.00 $ Address: 3 O 7 3 S k. Q'e-a) )N 601 to 1,000 amps(2) $205.00 $ City: E i 5 C u I State: 0 a. ZIP: 9 71 o s Over 1,000 amps or volts(2) $469.00 $ Phone.541-tab- ct y s-$ FaxS4(-34 Y 3 3 , 7--/ Reconnect only(2) $ 63.00 $ E-mail: ke��- o 5 y Y Temporary services or feeders:installation,altera�tig� relocation (/•� is being h 'rest Pi or farm c r y c 200 amps or less(2) 1 S.B3:00 $G This installation is b made on residential or far property 9 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 ': ;,4 4'CONT1RACTORINSTALLATION „ , .;'',:`i'.' _".X: Branch circuits:new alteration, extension per panel Business name: � E L 1 ec ' c_ a.Fee for branch circuits with purchase of a service or feeder fee: Address: 7Z g ;3 *3-orve.S Acv-es Each branch circuit $ 6.00 $ City:5cC\a StateD LIP: 9 '7 y 7 3 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:5-1) -52-,\ L) I ct g Fax6"1 1- (7-33 2 S.-9Z First branch circuit(2) $ 55.00 $ E-mail: - Each additional branch circuit $ 6.00 $ CCB license no.: 0 S 97r BCD license no.: 3-3 3 1, Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Lf/7 '-j - $— Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: CJ D ,e r\ Each sign or outline lighting(2) $ 63.00 $ no. (LQ1 O�( „ , A Signal circuit or a limited-energy(2)energy panel, Signature of signing supervisor: \SLIn $ 63.00 $ gn gn g alteration,or extension(2) Each additional inspection:(I) $58.00 $ ra. rfr. APP.LICANT .USE.,:` (A) Enter subtotal of above fees (Minimum Permit Fee$58.00) $ 24 (B)Enter 12%surcharge(.12 x[A]) $' it (C)Technology Fee(5%of[A]) $ KM TOTAL fees and surcharges(A through C): $ d P 440.25847(9/08/COM)