HomeMy WebLinkAboutPermit Electrical 2014-1-9 •
SPRINGFIELD 225 Fifth St
r CITY OF SPRINGFIELD Springfield,OR 97477
4,,„.7k' ` eOREGON Phone: 541-726-3753
Building I Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676 •
PERMIT NO: 811-SPR2013-02752
www.springfield-or.gov permitcenter @springfield-or.gov
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PROJECT STATUS: Issued ISSUED: 01/09/2014 EXPIRES: 07/08/2014
STATUS DATE: • 01/09/2014 APPLIED: 12/30/2013 '
SITE ADDRESS: 6137 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1802032204700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ELE-New SFD MtGate West Lt 76-SAMEAS 6196 Graystone
OWNER: BRUCE WIECHERT CUSTOM HOMES INC Phone Number:
ADDRESS: 3073 SKYVIEW LN
EUGENE OR 97405
CONTRACTOR INFORMATION
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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
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
L 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
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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- w` >•
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 the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). ANY 180 DAY PERIOD,
Spdngfield'Building Permit 1/9/2014 8:45:29AM Page 1 of 1
SPRINGFIELD—~ CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
` OREGON 811-SPR2013-02752
www 5pr:199991d-or gov 6137 Graystone LOOP permitcenter@spnngfield-orgov
RECEIPT NO: 2014000038 RECORD NO: 811-SPR2013-02752 DATE:01/09/2014
1:DESCRIPTION , batith.(aNs - 7---AmoOkt DUE-
Each added 500 sq.ft. or portion 224-00000-426102 1004 137.50
Residence wiring 1,000 sq.ft or less 224-00000-426102 1004 147.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 42.48
Technology fee(5%of permit total) . 100-00000-425605 2099 17.70
Temp services 200 amps or less 224-00000-426102 1003 69.00
' TOTAL DUE: 414.18
j PAYMENT TYPE - PAYOR CASHIER:CCARPENIER COMMENTS AMOUNTcpAID
Check BRUCE WIECHERT CUSTOM HOME: 414.18
23483 INC
TOTAL PAID: 414.18
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Electrical Permit Application 9PNIMCFlRG 7I DEPARTMENTsUSE ONLY?r '
, Sn ¢tom V re 0 e °� m,
C rtj OEAS R�NGF�LD QRE O 4.. Permit no.:
513-0z 7J Z
225 Fifth Street•Springfeld,OR974774PR(541)726-37534FAX(541)726-3689 �
Date: / ,//6
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.
eaii 'n, ;LOCAL A°GOVERNMENT•;:APPROVALitri' Tii x':!t.,,.. # 4 ,7FXx"'3, 'tx NFEE;SCHEOULEW EZV . s Sfa
❑No ;Number of insp ctio per item() r Qty'` Costs l `Total-
Zoning approval verified? ❑Yes yea , ,,,cast:
•-°t'.4,rt CATEGORYs;OF:4CONSTRUCTION;. i sv'1`"a Residential,per unit,service included. tr (f
❑Residential ❑Government ❑Commercial �'E 7 N�rC()
.s„i N , nt 1,000 sq. or less(4) Mari $/T/,_
JOB;,SITEINF.ORMAIION=AND,LOCAT,IONi _
Each additional 500 sq.ft,or portion
Job site address: 6j 7j-2 h yCi S-FOv.4.---7 thereof S $ • $i;z3,
City: J /� State: d`}— ZIP4 7Z/7f Limited energy(2) $ 32.00 $
Reference: /02_ Dy'ZZ Taxlot.:S 979p Each manufactured home or modular $ 63.00 $
>?`'s`;4:1I: ,-_u'LQ.NADESCRIPTION OF>,WORKaaAliT*Filagl dwelling service or feeder(2)
, //gamy } 7F-544/9 rskvK— Services or feeders: installation,alteration,relocation
N `F 200 amps or less(2) $ 81.00 S
nn",; ,' n,.P,R1OPERTY`rOWNERt- t',:� tHt sv ' 201 to 400 amps(2) S 95.00 $
Name: (y),r J « Wry ecl•,e-k CJ$ }avu [ryvq Tv C, 401 to 600 amps(2) $158.00 $
Address: 3 O 7 3 S ky fe vJ )IJ 601 to 1,000 amps(2) $205.00 $
City: E J5 ewt t 1 State: 0 IL ZIP: 9 71 o r Over 1,000 amps or volts(2) $469.00 $
Pbone:3V I-J&Ir- 9 y S$ Par. -34 Y 3 3 6 L Reconnect only(2) $ 63.00 $
E-mail: W e�1.e„a-h o w�5 H/ Co MC c,>1 , ry e 4- Temporary services or feeders: installation,alteration relocation
This installation is being made on residential or farm property 200 amps or less(2) $ $�/
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
'iZ ' CONTRACTOR iINSTAL"L''ATIONki ]o 4 a7 _ , ?;= Branch circuits:new alteration,extension per panel
Business name: .{- E El ec4,'- C_ a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 7 Z ;3 "Tor\tS Acres Each branch circuit $ 6.00 $
City:5p\z State()L ZIP: 9 7 y 7 3 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:5-1) -5.A 1 t^] IS o Fax6-I/- g-33 2 S-9 Z First branch circuit(2) $ 55.00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: 1 0 S y7s- BCD license no.: 3-83i, Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: !a/7 y - S- Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: Ea... De p.>L e r�
Each sign or outline lighting(2) $ 63.00 $
Signal circuit or a limited-energy panel,
__.(
Signature of signing supervisor: (�\ ( {,� Q,(A alteration,or extension(2) S 63.00 S
Each additional inspection:(1) $58.00 $
7.1,, arAPP.LICANTkti§tai.'� '`7, ..`: .
(A) Enter subtotal of above fees
(Minimum Permit Fee$58.00) $ ?SY
NI---1-127 (B)Enter 12%surcharge(.12 x[A]) $ 4/7 14-
(C)Technology Fee(5%of[A]) $ /722-
TOTAL fees and surcharges(A through C): $ (i!�((1�
�/ n
440-2584-3(9/08/COM)