HomeMy WebLinkAboutPermit Electrical 2014-3-21 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Spririgfield,OR 97477'
c OBECON Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541=726-3676
PERMIT NO: 811-SPR2014-00478
www.springfieldor.gov perm itcenterQspringfield-orgov
PROJECT STATUS: Issued ISSUED: - 03/21/2014 EXPIRES: 09/17/2014 •
STATUS DATE: 03/21/2014 APPLIED: 03/04/2014
SITE ADDRESS: 6193 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1802032204100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:. E-New SFD Lot 70 MtGate West-SAME AS 6145 GRAYSTONE
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 03/30/2016 541-933-2598
Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100
Plumbing Contractor STEVEN R JOHNSON CCB 65065 03/12/2016 541-342-3765
INSPECTIONS REQUIRED
Inspections
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4000 Temporary Power Service
4225 Service or Feeder .
4500 Rough Electrical Rough Electric: Prior to Cover
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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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l /� 3 Zl 1�l
Owner or Contractor Sig ture Date •
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ATTENTION: Oregon law requires you to NOTICE:
• follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK •
Notification Center. Those rules are set or AUTHORIZED UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR 952-001-
0090. You may,obtain copies of the rules by COMMENCED OR IS ABANDONED FOR -
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Springfield Building Permilenter is 1-800-332-2344). 3/21/2014 2:10:35PM - Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
r - 225 Fifth St
< ' TRANSACTION RECEIPT Sphngfeld,OR 97477
e, `L.i 541-726-3753
OREGON 811-SPR2014-00478
w„w.spnngeeldacgov 6193 Graystone LOOP permitcenter @springfield-or.gov
RECEIPT NO: 2014000612 RECORD NO:811-SPR2014-00478 DATE:03/21/2014
: ' ACCOUNT CODE/TRANS CODE ;; AMOUNTtUE
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
k TOTAL DUE: 382.01
. AYMENT PE PAYOR 'rimi.dLaRSDN rWCOMMENTS AMOUNT PAID
Check BRUCE WIECHERT CUSTOM HOME 382.01
24107 INC
TOTAL PAID: 382.01
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Electrical Permit Application DEPA,RTMENT USE ONLY
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rCITYTORSPRINGFIELD;EOREG-OPt 1. " sc ,
ii ,-"*,:1:� ; IM_,st„i4SOC..0 , ?-,<,,r it:Y7r -, "z Permit na'.:
225 Fifth StreetsSpringfield,OR 97477.PH(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.
,:,� LOCAL, GOV.ERNMENT`APPROVAL .. ;; '; ax+tl :„ !S SFEE ;SCHEDULE ,t r;'y
Zoning approval verified? Yes ." ,�t,e ' ` 4i '''f ' Cost Total ]:
g pp ❑ ❑No Number of inspections per item ( :-, Qty: -- 3, : ,clst...
R%,; ,CAT EGO RYOF;:CONSTRUCTION f °: .. „
Residential, per unit,service included:
['Residential ❑ Government ❑Commercial
?; JOBZ SITE;:INFORMATION`�AND?'LOCATION,,,:1 t 1,000 sq. ft. or less(4) $147.50 $
Each additional 500sq. ft.or portion
Job site address: 6 / 93 C fwy S-1-.3 w v}v thereof - $ 27.50 $
City: 1 State: ZIP: Limited energy(2) - $ 35.00 $ .
Reference: Taxlot.: Each manufactured home or modular $ 69.00 $
' 7'T r 3`,ke ;XIDESCRIPTION_'OF WORK;` ,, t311.- «, dwelling service or feeder(2)
Services or feeders: installation, alteration,relocation
200 amps or less(2) $ 89.00 $
tali s, gCMIr; f §PROPERTY OVI/NER = 3 e 7 L> it 201 to 400 amps(2) $ 104.50 $
Name: 6 r vto W i e cLe-v CV S4-nr- I-ft ' 5 401 to 600 amps(2) $174.00 $ ,
Address: '307 Slly 0 e\ I N 601 to 1,000 amps(2) $225.50 $
City: £ V%t(,..(, / State:O Y ZIP:9 7 9 t7S' Over 1,000 amps or volts(2) $516.00 $
Phone34/- 36 9 y 58 Fax: - - Reconnect only(2) $ 69.00 $
E-mail; Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.5400)and 479.560(1). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
',tart'-(hCONTRACT,OR„INSTALLATION ” ;.! z, Branch circuits:new alteration, extension per panel
Business name: ]IL F e .g k.c c)-pt C- a.Fee for branch circuits with purchase of a service or feeder fee:
i
Address: C( �.."r33 3 Xi ALs N-c e c 2Q, Each branch circuit $ 6.50 $
City: C, ^i,:r 1 State: 0 if C ZIP:el- 19 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: -41—C[33—2.S'[rd' Fax:54[—{33 -25-9 8 First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: 105—i-(`(5 BCD license no.: ?_,(D--3 ea Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: r—L-] (( -1 L-{--S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: ev .0-2,-J1 n Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: ut. Vl Signal circuit or alimited-energy Panel, $ 80.00 $
alteration,or extension(2)
Each additional inspection:(I) $80.00 $
� APPLIC''ANtaUSE -` :WIT ,_:.;' ;:`E..
(A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): $
440-2584-1(4/01/2013/COM)