HomeMy WebLinkAboutPermit Electrical 2014-2-21 SPRINGFIELD- - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
hfr
icte.„
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00182
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued • ISSUED: 02/21/2014 EXPIRES: 08/20/2014
STATUS DATE: 02/21/2014 • APPLIED: 01/29/2014
SITE ADDRESS: 6991 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1802032204200 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-New single family residence.Mt Gate lot 71.SAME AS 6231 Graystone
OWNER: SUNTRUST LAND CO LLC Phone Number:
ADDRESS: 963 SW SIMPSON AVE STE 110
BEND OR 97702 •
• CONTRACTORINFORMATION •
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 03/30/2016 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
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. t0
teQ0tC go\.0\it i y
. ,r , 0 Ote se, 2 ....--z,l I I
(,LTh .. _ ,mth ,_,, a1e5 _ nm..
Owner or Contractor Signatbre tet, T trroU9r,Of�y 1ol•BS b 7 Date
do 1 ' 0 o the re
1,100ca GoP1e es tetePh°don•in OPH 952 p0 obtain •0 fnay o _ (wpt`1G1ttyNOtittc- 1FTHENNORK
p09 Yo the ce AA), EXPIRE ►T IS NOT ,
calltn9 tot the•Q1 g0o 3 'Z.23 ilOTl�E' IT S\Oka
n�mbefGentel 1s THIS PEN ED °B IS A A%DONE FOR
. AUTHORIZED ODE
AN I�80 DAY PERIOD.
Springfield Building Permit 2/21/2014 8:33:59AM Page 1 Of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
•
` OREGON TRANSACTION RECEIPT Springfeld,OR 97477
541-726-3753
811-SPR2014-00182
www.springfieldor.gov 6191 Graystone LOOP permitcenter @springfield-or.gov
RECEIPT NO: 2014000369 RECORD NO:811-SPR2014-00182 DATE:02/21/2014
`',11 uR tip _. .--ACCOUNTCODE/TRANS_CODE ` . - ."''E'=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
P,AYMENTiTYPE P,AYOR CaS uER.,`D3607.gr COMMENTS ;' AMOUNTjPAID
'Credit Card BRUCE WIECHERT CUSTOM HOME: . . • 382.01
035954 INC
TOTAL PAID: 382.01
•
•
Electrical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD=ISDN;;
c,CIT<Y OF-SPRINGFIELD LOREGON = 2—
»842471,t �-.. r ", .*1s_. ' .TA� .x-:s . ,. :9: "' 3 i Permit no.: 57� `∎�
225 Fif th Street•Springfield,OR 97477♦PH(541)726-37534 FAX(541)726-3689 ///
Date: t 2 Cj / 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.
LOCAL- GOVERNMENT APPROVAL ''-' r , - -:FEE?:SCHEDULE li . .. .;r't(
Zoning approval verified? ❑ Yes ❑No Number Of inspections per item O. , Qty, Cost Total-
. .. -. .. .. . ...
CATEGORY;:OF CONSTRUCTION
g-
Residential, per unit,service included:
stdential ID Government ❑Commercial 1% N So
1,000 s ft. or less(4) / $
(';�x"* ;JOB:;SITE�INFQRMATION�°AND�LOCATION q ,� -�
Each additional 500 sq. ft. or portion r $ -$ - it
Job site address:7;0/0 44-1< c thereof
City: yff°/(a, State: /FL. ZIP: f- 7 2 Limited energy(2) $ 32.00 $ F
Reference: //Zz d S 21--.. Taxlot.: Zc/iJ Each manufactured home or modular
DESCRIPTION OF WORK 'P dwelling service or feeder(2) $ 63.00 $
i iy ri /e„I / /7 r �_ Services or feeders: installation, alteration, relocation
/N �<-G 'T//7^9� 200 amps or less(2) $ 81.00 $
. PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $
Name: &L./ LN" 401 to 600 amps(2) $158.00 $
Address: 3 4't4/(/t t -`✓ 601 to 1,000 amps(2) $205.00 $
City: ��/L< State: -ZIP:51790 5— Over 1,000 amps or volts(2) $469.00 $
Phone: (�6.0--321)- Fax: - - Reconnect only(2) I $ 63.00 $
E-mail: Temporary services or feeders: installation, alterati n, relocation
This installation is being made on residential or farm property 200 amps or less(2) $ (/'e
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 479.5600). 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: ‘___€:
,_f C b_ ...c.k -I C a. Fee for branch circuits with purchase of a service or feeder fee:
Address: 41 a€33 .1 pwL¢S f t' PS Each branch circuit $ 6.00 $
c3
City: Sp Q- State:'( c-C s
ZIP: 55-o8 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone{ g3.3 _ is c, Fax:51 1( 999 -2S8 First branch circuit(2) $ 55.00 5
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: I C 2-(15 BCD license no.:rj(7-3(33 C Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: —1( -7 Lk- 5 Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: EC.. '01 Q J C_VQ-„\ Each sign or outline lighting(2) $ 63.00 $
Signature of signing supervisor: (� Signal circuit or a limited-energy panel, $ 63.00 $
_j alteration,or extension(2)
Each additional inspection: (1) $58.00 1 $
l 2 := APPLICANT:;IJSE
(A) Enter subtotal of above fees �/
(Minimum Permit Fee$58.00) I Ada yr
• (B)Enter 12%surcharge(.12 x[A]) $ , r 4 / ,;3
(C)Technology Fee(5%of[A]) $ J /
TOTAL fees and surcharges (A through C): $ 9 Vol
440-2584-J(9/08/COM)