HomeMy WebLinkAboutPermit Electrical 2014-5-2 SPRINGFIELD 225 Fifth St
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t 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-SPR2014-00942
www.springfield-or.gov perm itcenter @springfield-or.gay
PROJECT STATUS: Issued ISSUED: 05/02/2014 EXPIRES: 10/29/2014
STATUS DATE: 05/02/2014 APPLIED: 04/29/2014
SITE ADDRESS: 6143 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1802032204600 TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION: New SFD lot 75 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 03/30/2016 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 - __11
Inspections
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 fro of the property, and the approved set of plans will remain on the site at all times during
constructi n. /
•e ���ryryry�1f,� 5- 2 - P I�
Owner or Contra g1` oi: Or•gon law requires you to Date
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- t<E)TPE:
SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by THIS PERMIT
calling
the r. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification
Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 5/2/2014 8:24:14AM Page 1 of 1
__est
SPRINGFIELD
CITY OF SPRINGFIELD
.4 k ........ 225 Fdth St
TRANSACTION RECEIPT Springfield,OR 97477
,:ic ea 541-726-3753
OREGON
811-SPR2014-00942
www springfield-ongov 6143 Graystone LOOP perrnitcenter@springfteld-or.gov
RECEIPT NO: 2014000975 RECORD NO: 811-SPR2014-00942 DATE: 05/02/2014
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tl DESCRIPTION. ' .___ '___ ACCOUNT COSTRANS 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 34.20
Technology fee(5%of permit total) 100-00000-425605 2099 14.25
TOTAL DUE: 333.45
L PAYMENTITYpt z: PATOR_ CASHIER:CCARPENTER t:_:,y„CPMMENTS:1_4, _, I .2 _, ,flAI1/41PPYT. PAID :„.....: .,:....: .,I•
Credit Card iiiiiidwiieITEFi-r-dijef6M-i-IDME; — — ------- — - — 333.45 - - —
015896 • INC
• TOTAL PAID: 33345
•
Electrical Permit Application . DEPARTMENTUSE ONLY. .
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*,P % 4 Permit no..
225 Fifth Street•Spri ngtield,OR 97477*PH(541)726-3753*FAX(541)726-3689
Date: lit.- 7/ i V
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.
=';1g5'.'iii[t1,4,410,CALi.IGOVEITtNMEINItii7AF,'.P.R-0.VA1311.ha7W,::.''' ::.:17.;:iY:;*-W044.,'WF.E 4'5..SPHEDULEiwakiim,5:-)
Zoning approval verified? 0 Yes 0 No :/s ,; f: ,M7;;W-afi.;2-.[;&:„,,./.. ,:a 7.;.rz - :iricage.,;;,ai.T6iip
l■himberof inspections,PeritemI;): , Qty: ,!,,A-- ..=‘\,,-,:..
*.'±4.i..''. .::=;DATEGORY.:44F71::J.PONSTRUCTION:g:A.!W::::.
Residential,per unit,service included:
ecidential 0 Government 0 Commercial
N :t1? 1,000 sq.ft.or less(4) / $147.50 VC/7->
t::".f.;O:VJOWISIT.E1hIFORMATIOSt:ANDOCATIO =;;A,,.
Each additional 500 sq.ft.or portion
-.< Sb
Job site address: (0/Y3 6rati 5f0 lit, thereof . 5 $ 27.50 y
City: SITIO State: O7 ZIP:9 71(71 Limited energy(2) - $ 35.00 $
Reference: /,Y07„.. , ,TO 2— Taxlot.:69-5009 Each manufactured home or modular
!01.:r-]4allb ESC RIETIONSii0 F-IONORK: 1';]',1]i,•::XG5:4 dwelling service or feeder(2) $ 69.00 $
ge ,At7/1-/ SC-7.0 Services or feeders: installation, alteration,relocation
200 amps or less(2) $ 89.00 $
7;;;ZgaQ,.01:41$:4013.0.REFOVLOWNEFe.q.i.:i.67:::tiVa 201 to 400 amps(2) $ 104.50 $ ..
Name: 2,r v cc, LA) ; e ck en,4- G..,‘4.n v,... 1-4-D(he 5 401 to 600 amps(2) $174.00 $ ..
Address: 3 0 7 616/ VI etc) 1 i"--) 601 to 1,000 amps(2) $225.50 $
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City: 6, ,,,,,,,,...,„ State:O n-- ZIP:q 7 y or Over 1,000 amps or volts(2) _ $516.00 $
Phone:SW-1 a 6 9 ci 5 3 Fax: - - . Reconnect only(2) $ 69.00 $
E-mail: bk_Rec.k.- !fl el-
Temporary services or feeders: installation, alteration, relocation
....11.4oej a, Co vhcc-S 4- , rg
200 amps or less(2)
This installation is being made on residential or farm property $ 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
:fffi']Sfet;T(XWTC-_(jNirRict0.,T,QFtf,INSTAl]LtATJONCE.A']]!g]W Branch circuits:new alteration, extension per panel
Business name: it.z. F e G-LcC.797-ek C. a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 4 ;163 3 S-jts-S NC"es 1.14-. Each branch circuit $ 6.50 $
' City: F, ,,..;f,i6 I State: 0 if-C ZIP:e.'7t-r1 6 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:54l-Ct 33-?SI.iii Fax:514 I-9-53 -2-S-9 9 First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit . $ 6.50 $
CCB license no.: t 051-i i 5 BCD license no.: 7 0-3€33 Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: i-4 [ -1 4--S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: .r._ 03 Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: 619.1S(24 joolti-V1
y
Signal circuit or a limithd-energy panel,
alteration,or extension(2) $ 80.00 $
Each additional inspection:(1) $80.00 $
zawayamArgin-c-4-tmostteAganizakit
(A) Enter subtotal of above fees
0 --re fr, r (Minimum Permit Fee$80.00) $ ?.TV
(B)Enter 12%surcharge(.12 x[A]) $
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): $ 3373 .-11
440-2584-1(4/01/2013/C0M)