Loading...
HomeMy WebLinkAboutPermit Electrical 2014-1-14 SPRINGFIELD 225 Fifth St 44 • CITY OF SPRINGFIELD Springfeld,OR 97477 y Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02768 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/14/2014 EXPIRES: 07/13/2014 STATUS DATE: 01/14/2014 APPLIED: 12/31/2013 • SITE ADDRESS: 815 Mountaingate DR,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802032100400 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: ELE-New single family residence-Mt Gate West lot 105 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 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 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 1 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 require. inspections are requested at the proper time,that each address is readable from the street,that the permit car. is locat-d - t-e front of the property, and the approved set of plans will remain on the site at all times during construe..n / it - Owner tor Signature Date follow ENTION: Oregon•law Nofiticahon s adopted by theeprere$ You:br o Of OOla3d Abp 081 I Nd ;n OAR 962 o enter. Those rules a e set fth dOJ �3NOoNVBH SI >jO a3ON3N16!103 0090 you m Y ���0 tco ugh OAR gg0t ft v'V113HI1 AI 3HIdX311VHS 1I JH3c1 IHl uali`ng the center. (Note: the teie rules number'for. fhe Ore phone Y :33110 N Center is Oregon Uti/ity Notification 7-800-332-2344), Springfield Building Permit 1/14/2014 1:12:13PM Page 1 of 1 - SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St I -- 'AA- TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-02768 www.springfield-or.gov 815 Mountainuate DR permitcenter©springfield-or.gov RECEIPT NO: 2014000087 RECORD NO: 811-SPR2013-02768 DATE:01/14/2014 ;DESCRIPTION ,.,_..: a . — _. .ACCOUNT CODE/TRANS CODE__ ,_. _._ . ._AMOUNT 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 IL PAYMENT TYPE _;PAYOR CASHIER:CCARPENTE_R COMMENTS • - AMOUNT PAID _-,.:::_j Credit Card BRUCE WIECHERT CUSTOM HOME; 414:18 015765 INC TOTAL PAID: 414.18 • • • • • Electrical Permit Application sPAr��rrE�o�a,___ DEPARTMENT USE ONLY CITY OF SPRINGFIELD,f.OREGONAz-:. -#R"-A--"rte 'f permitno.:5l�-2���� Cr.,".iYi.-5k,, ..n `_,Cet ie.. � '°n,i_5. 6t .w.ak: ,..., '�" 225 Fifth Street•Springfield,OR 974774 PH(541)726-3753 F FAX(541)726-3689 o Date: /zf Y/ /i3 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. LOCAL. GOVERNMENT APPROVAL :.' ` ' r rtsq. FEE SCHEDULE ' ;• ' Zoning approval verified? ❑ Yes ❑No Number of ins ections.per item Cost `:, Total P P O,..;.. Qty :•ea. cost .. CATEGORY:0F CONSTRUCTION ' ' . Residential, per unit,service included: Sfl Residential ❑ Government x ❑Commercial 1,000 sq ft. or less(4) .00 $575= F, ;'JOB;SITE'i1NFORMATION'AND .L'OCATION s``1 '.. Each additional 500 sq. ft.or portion 2...2slf $/y7�o Job site address: X/5--- l int�- / thereof City: /t i) State: ZIP: n7r2 Limited energy(2) $ 32.00 $ Reference: /J2 Z- 02 a/ Taxlot. CO 3/4h) Each manufactured home or modular $.63.00 $ DESCRIPTION OF WORK ' dwelling service or feeder(2) ti("2-&-- /-&r, dO � hI7 p <., Services or feeders: installation, alteration, relocation *---‘ti 200 amps or less(2) $ 81.00 $ • PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $ Name: X -- "f A 401 to 600 amps(2) S158.00) $ Address: .. �) Cai4Q'E-t." �` 601 to 1,000 amps(2) $205.00 $ City: �7 State: d� ZIP: >^7r o-i Over 1,000 amps or volts(2) $469.00 $ Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation E-mail: S This installation is being made on residential or farm property 200 amps or less(2) - - I $ "$�7 owned by me or a member of my immediate family. This 201 to 400 amps(2) t $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.5600). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel Business name: l,_f g jcci-c( C_ a. Fee for branch circuits with purchase of a service or feeder fee: Address: 9-?,-€53 3 (vip S Ac{?` P.6, Each branch circuit $ 6.00 $ City: Sp q(cs I Stater (...0 I ZIP: L LIL1?8 b.Fee for branch circuits without purchase of a service or feeder fee: Phone-q33 - 2.3-9 g Fax:51-t'( q32 .-ZS (E? First branch circuit(2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I CV:475 BCD license no.:,2°-3433... Miscellaneous fees:service or feeder not included Signing supervisor's license no.: I--{1 7 us- 5 Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: �.^c3 v1 O Ja.Q„� Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: 7��� Q Signal circuit or a limit(d)energy panel, $ 63.00 $ g g P (_ C.U��-� alteration,or extension 2 _ Each additional inspection: (1) $58.00 $ j APPLICANT'USE , _ , (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $tog_ (C)Technology Fee.(5%of[A]) $ 1794,3....- • TOTAL fees and surcharges(A through C): $ t/(Lf(� 440-2584-1(9/08/COM) t