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HomeMy WebLinkAboutPermit Building 2013-12-16 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 I WA.j� Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02524 vnnv.spdngfield-or.gov - permitcenter @springfield-or.gov . • PROJECT STATUS: Issued ISSUED: 12/16/2013 EXPIRES: 06/14/2014 STATUS DATE: 12/16/2013 APPLIED: 11/18/2013 SITE ADDRESS: 6215 Graystone LOOP,Springfield,OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802032203500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New SFD lot 64 MtGate West.SAME AS 572 Mt Gate 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 Plumbing Contractor OREGON CUSTOM PLUMBING INC . CCB 191104 06/21/2014 541-434-1146 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 L 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. 1410 Underfloor insulation 1420 Insulation Vapor Barrier • 1430 Insulation Wall Wall Insulation: Prior to cover. tt_ r .'rv. VICy VII IoW ICq urie` vnll I 1440 InsOnu�W ruiiesgarinnted by the f rnnnnlllndit sulation: Prior to cm/NOTICE: _ 1520 IriterioriSh' aiwa1Bnter. Those rules a rSheaif1W�tl Nailing: Before co C,,eiirjg shE�I iF�i vsittj iriisld eUFaF.IF I HE WGnh � ,� '.�Cvvi-uv iv LIu vuyli Linn yoc-uu l- AU I HUKILLU UtNutn I HiS r[ruvilT 1, L.„. 1530 Exterior Itiearwa� - uvou. ruu Ind obtain CnnIPF of then dac by ........� n r gppNn(lf`ILfI FOR cri L /VI ,,Ivil IY LV 1540 Gyp's"um Board7L<at7i'!f)ry'.wallJOte: the telEDrywall= Prior to taping. lath/Plalstera�alb�414�.aftgFlal lathing and gypsum number for the Oregon Utility Nottibard'Idrllterior and exterior are place, bu pr r otpnast�ring. 1999 Final Building rater IS 1-800-332-2344)Final Building: After all required inspections have been requested and approved and the building is complete. Springfield Building Permit 12/16/201 1:28:07PM Page 1 of 2 • SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR97477 ' - Phone: 541-726-3753 • Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02524 www.springfield-or.gov permitcenter @spdngfield-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. W j7- 16-I0 G Owner or Contractor Signature Date • • • • • Springfield Building Permit 12/16/201 1:28:07PM Page 2 of 2 t SPRINGFIELD-- CITY OF SPRINGFIELD IlWr 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-02524 www.spnngfield-or.gov 6215 Graystone LOOP permitcenter @spnngfeld-or.gov RECEIPT NO: 2013002673 RECORD NO:811-SPR2013-02524 DATE: 12/16/2013 O t Yq , t.r..Wiiil fio_ p _ gr t_a rga 0 0 0 : : 0 0 s tr G ..ij E _. :10 .-,. ,� a.L_ ..__.:�r-�� �:.� - � � _a._AMOt1NT, , Overwidth/Second Driveway 201-00000-428060 1144 54.00 SDC: Improvement-Transportation SDC 447-00000-448027 1174 1,962.23 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,445.79 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 1,559.46 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 3,995.04 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 1,072.40 Second Permit Discount 201-00000-428060 1148 67.00 Sidewalk up though 90 Feet 201-00000-428060 1142 102.00 TOTAL DUE: 10,796.33 P,AYMENTi E PAWA atrgRWoN COMMENTS AMOUNitP.AID , Check BRUCE WECHERT CUSTOM HOME 10,796.33 23407 INC TOTAL PAID: 10,796.33 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fdth St ,,;,,i�,�• - TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SP R2013-02524 www.springfeld-or.gov 6215 Graystone LOOP permitcenter @springfieId-or.gov RECEIPT NO: 2013002673 RECORD NO: 811 SPR2013-02524 DATE: 12/16/2013 ACCOUNTiCODE/TRANS CODE`.-k'-- 'i'4;''AMOUNT DUE;_=: Overwidth/Second Driveway 201-00000-428060 1144 54.00 SDC: Improvement-Transportation SDC 447-00000-448027 1174 - 1,962.23 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,445.79 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 1,559.46 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 3,995.04 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 1,072.40 Second Permit Discount 201-00000-428060 1148 67.00 Sidewalk up though 90 Feet 201-00000-428060 1142 102.00 TOTAL DUE: 10,796.33 PAYMENT @TifPE .,7.PAYOd cASHIeR:�juRSON: ;COMMENTS AMOUNT{PAID Check BRUCE WECHERT CUSTOM HOME: 10,796.33 23407 INC TOTAL PAID: 10,796.33 • • • • SPRINGFIELD CITY OF SPRINGFIELD vl,I 225 Fifth St Y-- . TRANSACTION RECEIPT Springfield,OR97477 ft. _4,{ lJ-; 541-726-3753 .a OREGON 811-SPR2013-02524 www.springfield-orgov 6215 Graystone LOOP pennitcenter©springheld-or.gov RECEIPT NO: 2013002515 RECORD NO: 611-SPR2013-02524 DATE: 11/18/2013 #DESCRIPTION .:e ACCOUNT CODE/TRANSCODE „ AMOUNT-DUEJJ Same as Plan Review Submittal 224-00000-425602 1060 275.00 . . —'--�. ---- — —�"-----T— '—�—TOTAL DUE: 275.00 ,i - .. AMOUNT PAID�P.AYMENT.TYPE =�_,-PAYOR:;. cnsNieR:ccnRPey7eR _ _: . .-. �_„COMMENTS ,.;_,; __ -.. �. _,.,v_._mYa Credit Card BRUCE WIECHERT CUSTOM HOME: 275.00 045277 INC TOTAL PAID: 275.00 Page 1 of 1 SET ID:6215 GRAYSTONE Menu Pay Help Set Members: 4 Terminal#: All Fees Paid: 0 - Cashier ID: CCARPENTER Valuation: 5277,801 70 Date: 12/13/2013 Total Fee Assessed: 520,571.33 Total Fee Invoiced: 520,571.33 Payments: 5275.00 Balance: 520,296.33 Transactions Date Amount Receipt# Cashier ID Method Status Transaction Code 0 record(s)found • https://ay.prod.oregon.accela.com/portlets/fee/setPaymentLi st.do?mode=list&module=Bu... 12/13/2013 S A,r\z A S s 7 z r"-+-5 v9- Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY'OF SPRINGFIELD OREGON .: ti ---r _�"h -% Permit no.: 13-��Z�• 225 Fifth Street•Springfield,OR 97477♦P11(541)726-3753•I AX(541)726 3689 OREGON / Date: // /To 3' 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1.Valuation information Signature: Date: _ (a)Job description: 5g /� 4-4,.....4 £65.4&' - This project has DEQ approval. Occupancy R,3 Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type: v JJJ / Property is within flood plain: ❑ Yes ❑No Square feet: Z 270 /777 /t 11 ' - CATEGORY OF CONSTRUCTION - • Cost per square foot: // �Itesidential El Government ❑Commercial Other information: VV JOB SITE INFORMATION AND LOCATION 'Type of Ileat: Job site address: 6Z1 5 4✓� 5+bv4G Energy Path: City: 560#1 5-m it) I State: I ZIP: 7 74( ip *new ['alteration ❑addition Subdivision: pY1A+ q Alt kie.9- Lot no.: by (b)Foundation-only permit? ❑ Y•s k ° 7Q Reference:/O t Z. 03 Z Z TaxloC 03 SO O Total valuation: 27 7 0101 ,PROPERTY OWNER - 2. Building fees '` Name: 6w ct-4 (a) Permit fee(use valuation table): $ /S Lti�'1 Address: 3 0 7 3 S c V l.d (b)Investigative fee(equal to[2a1): $ City: E'bt.otlier State: ZIP: (c) Reinspection($ per hour): $ Phone: Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x 12a+26-12e1): $ iititi (c)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees (a) Plan review(65%x permit fee 12a U:� `' Sign here: 1'�`� (b)Fire and life safety(40%x permit fee 12x1): $ ID This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 36): $ me or a member of my immediate family,and is exempt from licensing 4. Miscellaneous fees , . requirements under ORS 701,010. (a) Seismic fee, 1%(.01 x permit fee 12a1): $ • CONTRACTOR INSTALLATION U7 (b)Technology fee.5%(.05 x permit feel 2a1): $ /i 1 Business name: W C 1-r -Ir.JL �/y 3 C�y TOTAL fees and surcharges(2e+3c+4a+4b): $(07 'y Address: ,307 J u; �'^a city: C 5c- - State: Or2 ZIP:9 7:-/or- Phone: - J- Fax: - - 0 L. L_n^ E-mail: ' P CC13 license no.: !b1 71-1 - z $96 Print name: C L a 5% Signature: (..../t.,,, - l,,^• L S1? ' t.5- 1,. -. SUBCONTRACTOR INFORMATION,' , • . - Y!•�,G e c 3 - Z S I S Name CCB License tt Phone Number /2L — Electrical I L4— L Plumbing tw Cica- plop, mechanical • SPRINGFIELD _. 225 Fifth St = ---- CITY OF SPRINGFIELD Spnngfield,OR97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02597 www.springfield-or.gov perm itcenterQspringfield-or.gov PROJECT STATUS: Issued - ISSUED: 12/16/2013 EXPIRES: 06/14/2014 - STATUS DATE: 12/16/2013 APPLIED: 12/03/2013 • SITE ADDRESS: 6215 Graystone LOOP,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802032203500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New SFD lot 64 MtGate West • 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 Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 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 pr perty,and the approved set of plans will remain on the site at all times during construction. 3 Owner or Contractor Signature~) I CAI I wr1: uregon law.requiresp tt to ',DHOW rules adopted by the Oregon utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 1 -.7,E: 0090: You may obtain copies of the rules by PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone Springfield Building Permit number for the Oregon U,vas/201)ti1;2452PM / HORIZED UNDER THIS PERMIT IS NO Center is 1-800-332-2344). AMMENCED OR IS ABANDi�I@ 1ptDR 1Y 180 DAY PERIOD. • SPRINGFIELD`- CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth 97477 541-726-3753 OREGON 811-SPR2013-02597 www.springfieldor.gov 6215 Graystone LOOP permitcenter @spdngfield-or.gov RECEIPT NO: 2013002674 RECORD NO:811-SPR2013-02597 DATE: 12/16/2013 o ON J�3`= _1: °�_r.._ r a :'-ACCOf1NT'CODE/TRANS'CODEs_,;,. :- __€ _-AMOUNT DUE t` r 5 r- u'-° T4° '1 Air conditioner 224-00000-425604 1006 18.50 First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 - 10.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 . Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room! 224-00000-425604 1006 40.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 23.76 Technology fee(5%of permit total) 100-00000-425605 2099 9.90 TOTAL DUE: 231.66 PAYMENTmTWOE't,! PAY,OR CASNIER°JLARSON _ COMMENTS, ANIOUNIFIAID Credit Card BRUCE WECHERT CUSTOM HOME: 231.66 025509 INC TOTAL PAID: 231.66 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ti to . _ Phone: 541-726-3753 `OREGON Building./ Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02598 www.springfield-or.gov pennitcenterQspringfield-or.gov PROJECT STATUS: Issued ISSUED: 12/16/2013 EXPIRES: 06/14/2014 STATUS DATE: • 12/16/2013 APPLIED: 12/03/2013 SITE ADDRESS: 6215 Graystone LOOP,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802032203500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New SFD lot 64 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 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 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 ca-d is located at t 1�.frynt.of the ptoperty,sand tth§_approved set of plans will remain on the site at all times during ",:'::;• trll=r..IV I vii n... .. construc n. follov rules ar' ,ted by the Oregon Utility N _.• Notifi.iation Cr ar. Those rules are set forth THIS PERMIT SHALL EXPIRE 1F THE WORK in 0/.R 952-0 -0010 through OAR 952-001- . . .•- AUTHORIZED UNDER THIS PERMIT 1S NO uuL'Si na ur owner or con a „1nter . ( . ephone Date COfV VItIVGtU OR IS ABANDONED F number for the Oregon Utility Notification . ANY 180 DAY PERIOD. Center is 1-800-332-2344). • • Springfield Building Permit 12/16/201 1:22:50PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St . TRANSACTION RECEIPT Springfield,OR97477 t ;t 541-726-3753 OREGON 811-SPR2013-02598 www.springfield-oi.gov 6215 Graystone LOOP permitcenter©springfield-cr.gov RECEIPT NO: 2013002676 RECORD NO: 811SPR2013-02598 DATE: 12/16/2013 x :.'- F"s"'- '- -4_ -L iZACCOUNTICODELTRANS'CODE.a.�,. 4..°AMOUNT•DUE4:::"l Io1�'(ef:71:Ae[of;P' ��.i,...s�-r,�,r;'�u_r..�,r�z�r.�_ 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 AYMENT41Xp.E P,AYOR CASNieR:7I ON _ COMMENTS : AMOUNTjP,AID Credit Card BRUCE WIECHERT CUSTOM HOME: 480.87 025509 INC TOTAL PAID: 480.87 • • • • • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 �., t Phone: 541-726-3753 "�` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02596 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 12/16/2013 EXPIRES: 06/14/2014 STATUS DATE: 12/16/2013 APPLIED: 12/03/2013 SITE ADDRESS: 6215 Graystone LOOP,Springfield,OR 97478 SCOPE: Electrical Only • ASSESOR'S PARCEL NO: 1802032203500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD lot 64 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 CCB 101717 09/16/2014 541-686-9458 Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED II 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 proved set of plans will remain on the site at all times during construction. • /2—/c1 2 • Owner or Contractor Signature Date ATTENTION: Oregon lar^! requires you to follow rules adopted by the Oregon Utility i�QFICE.THORIZ Notification Center. Those rules are set forth • in OAR 952-001-0010 through OAR THIS PERMED IT SH UNDER THIS PERMIT IS NOT 0090. You may obtain collies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for th Orgon Utility Not is 1-800-332-234411fication • Springfield Building Permit 12/16/201 1:19:43PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 1 -fin+: 225 Fifth St { TRANSACTION RECEIPT Splingfield,OR 97477 541-725-3753 OREGON 811-SPR2013-02596 www.springfieldor.gov 6215 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013002675 RECORD NO: 811SPR2013-02596 DATE: 12/16/2013 DESCRIPTION m:2_ tig-ATIMP2ACCOUNT-CODELTRANSYCODE i r E_1-AMOUNT DUE Li 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 ;i' PAYOR a.--.CASNTER:.JLARSON t':`. + °.COMMENTS?L.,7i ,- °r1= `fit AMOUNT Credit Card BRUCE WIECHERT CUSTOM HOME; 414.18 025509 INC TOTAL PAID: 414.18 • • DEPARTMENT USE ONLY, Electrical Permit Application sa„,„er,m.o _..___ �.�� ,:,Yd � , .� ti CI 'sOffSE GFI liD OREGONTW; ” - . •Permit n¢.: S 13 —UZ S 9 6 225 Fifth StreetsSpringfield,OR 974774 PH(541)726-37534FAX(541)726-3689 Date: I ((i1 (/7 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. fit °LOCALIGOVERNMENT(APPROVAL°ung7Z--L. s S alit`"`iliFEE.SCHEDULEnr . i e Zoning approval verified? ❑Yes +� % "rte `Ai3= `'a" ''�'`:'' s' "t,i....__=$,,,,t - Costr ;Total'; ❑No ,Number ofri¢spaaeoss:.per them() , ,sea sixr 1.costi ,., `:as(CATEGORY;OF, CONSTRUCTION ,z,,.:'` `l ;",�'. Residential,per unit,service included: ❑Residential ❑Government ❑Commercial ,x l j ,,,, 1,000 sq.ft.or less(4) ' $134.00 $Or iU „.JOB,,SITE INFORMATION(AND L'OCATION;�Ax r ,°s€ 6 1•11.--&-) Each additional 500 sq.ft.or portion L $ 25.00 $ II Job site address: Z I P $;-b�� o thereof 7 City: 5 et to State: �� ZIP9 f 11 7` Limited energy(2) $ 32.00 $ Reference: // 0 Z.G 3 Z Z TaxltA 3',fl a Each manufactured home or modular $ 63.00 $ j ,t�,..�. y -`a , ,: „ dwelling service or feeder(2) . el., , ?i :s:DESCRIP_TION:'OF:,WORK `ra ' -:r , r':i Si-2 Services or feeders:installation,alteration,relocation 200 amps or less(2) $ 81.00 $ -x. 1`,,,,, Y 1g:P/R1OPERTY OWNERi ?PII;, �"u.'* i 201 to 400 amps(2) $ 95.00 $ Name: (3,r 0 ct, Li; e c L e4- C i 5 hw l-h7 Tv c- 401 to 600 amps(2) $158.00 $ Address: 3 0 7 .3 S i. 46 )r,, Got to 1,000 amps(2) $205.00 $ City: t1/4,5c we State: O Yl. ZIP: 9 7y DS'-- Over 1,000 amps or volts(2) $469.00 $ PhoneSv)-01,- '7 Li S-$ Fax;$4(-34Y 3 3 to 7.-., Reconnect only(2) $ 63.00 $ E-mail: �e„�- o y Temporary services or feeders:installation,alteration,relocation W , e v h 4 t,5 P- C&MC c> . IA)c'1- 200 amps or less(2) ( This installation is being made on residential or farm property $ 63.00 $ 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 11tait CONTR,4CTORffINSTALLATION sta at"*e ve` Branch circuits:new, alteration, extension per panel Business name: L- 4. ' C)eG-krt!, a.Fee for branch circuits with purchase of a service or feeder fee: Address: 7Z g ;3 "3'ovve,S Acves Each branch circuit $ 6.00 $ City:5cC\a State() ZIP: 9 '7 y 7$ b.Fee for branch circuits without purchase of a service or feeder fee: Phone:Sij -52,\ l-I i 5 `a Fax6'1/- 9'-33 2S-9Z First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: i 17 S 975' BCD license no.: 7j 33L- Miscellaneous fees:service or feeder not included Signing supervisor's license no.: tin 7 `i - S- Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: E De p...en. Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor. Signal circuit or a limited-energy panel, $ 63.00 $ gn g g P ,�-\ 1�,1-<;�Q,P/\ alteration,or extensio¢(2) Each additional inspection:(1) $58.00 $ a' APP,LICANTfUSE1 i41 (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) l (B)Enter 12%surcharge(.12 x[A]) $�7 Y0 s, (C)Technology Fee(5%of[A]) $ L' ) O� / TOTAL fees and surcharges(A through C): $ t l/ 1- 440-2584-1(9/08/COM) 111l