The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2011-5-31 DEPARTMENT USE ONLY f 20 225 Fifth Streett Springfield, OR 97477tPH(541)726-3753+FAX(541)726-3689 , Dale: S ~5/-(/ This permit ~'J~~~918-8~IS are nontra~sferable. Permits expire if work is notstarted within 180 days of issuance or if work is suspended for 180 days. , . 'tOCAL:GOVERNMENT APPROVAG'f""" 6"', Zoning approval verified? 0 Yes 0 No ,,' ,,""CATEGORy,:(jF~CONSTRUCTION? ",:, Residential 0 Government 0 Commercial ~1"w.l~!J:OEliSITE" JNFOR.MATfoNi"AND~itQc'A;r10N~~~f;;if~: H Job site address: '-.0 '^' '- G, City: ; oR. ZIP:'i'1'111? City: Phone:~I)-'t}1- DsH E-mail: This installation is being made on residential or farm property owned by, me or a member of my immediate family, This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1), Signature: ~7'1?g Signing supervisor's license no.: Print name of signing supervisor: t)' ~.~\\rJ \o~tJ.V \j 440-2584-J (9/08/COM) :'~'- r.~':{~A;;_~:)~.i'fq~f:~~~?'~ ~EE~.SCH E_DJJEE{~{;?~r;'jf.~r{~~%~?\tl'f~~~~+~~ . ",', .. ,Cost Total . ' ,Nu~~er' of.}nspe,:tio'~s pe.r ,i.t~.f!1' (.) Qty. . ., ,,' .' ,-- ."'. .. .~ , ea.', c,Ost Residential, per unit, service included: 1,000 sq, ft, or less (4) $134,00 $ Each additional 500 sq, ft, or portion $ 25,00 $ thereof Limited energy (2) , , 0,,00 $ Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63,00 $ 201 to 400 amps (2) $ 87,00 $ 401 to 600 amps (2) $126,00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55:00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63,00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, I $ 63,00 $03 alteration, or extension (2) Each additional inspection: (I) $58,00 $ '-~~jr,.{{~!t4~~~~Wi~;~~~AReticANttYt.JS'Et;r;,~<' ~/;~1,,~;,;::tfk:~.~d~:;:' '. (A) Enter subtotal of above fees ~ J.. ;r{) (Minimum Permit Fee $58,00) $ (B) Enter 12% surcharge (.12 x [Al) $ 7."5 I-- (C) Technology Fee (5% offAl) $ 5.1-- TOTAL rees and surcharges (A through C): $ 75. 7/ e;>-J . , SP~liN._ ~.LD ~"( ilb ',',' ~ : ?A.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01214 IVR Number: 811107021278 www.ci.springfield.or.U5 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0,00 SITE ADDRESS: 6095 GRAYSTONE LOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702343303400 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low Voltage - Central Vacuum Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name MICHAEL STEPHEN SMITH JR Lic Type CCB # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 175546 Lic Exp 04/13/2013 Phone 541-431-3962 Lot Size: Sq Ftlst Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information , Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard,Ar~: "VIJlft Retaining, W~": . SOilSAMhoh ~~8Jimj:SHALL EXPIRE IF THE UTHORIZED UNO WORK COMMENCED OR I~~~~~ PERMIT IS NOT ANY 180 DAY PERIOD DONED FOR ATTENTION: Oregon law requires youto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/3112011 10:45:53AM Page 1 of 3 , . SP.RIN.G.FIE~ .~ ....~ ~~~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01214 IVR Number: 811107021278 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0.00 SITE ADDRESS: 6095 GRAYSTONE lOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702343303400 SCOPE: Electrical Only WORK INVOLVED: New . TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Low Voltage. Central Vacuum DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: / PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Amount Paid State of Oregon Surcharge (12% of applicable fees) $7.56 Other Limited Energy $63.00 Tecii;;;iogy-f;;e(5oi;~permiitOtaii----------$i15 Total Amount Paid $73.71 Date Paid 05/31/2011 05/31/2011 -.---, 05/31/2011 Reciot # 2011001355 2011001355 ".------.".- ----- 2011001355 Springfield Building Permit 5/31/2011 10:45:53AM Page 2 of 3 . SP.RI,N G :E~~ ~~. .~~ il:f; . i.> -\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01214 IVR Number: 811107021278 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield,or.us . PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0.00 SITE ADDRESS: 6095 GRAYSTONE LOOP. Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702343303400 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low Voltage - Central Vacuum Plan Review ~ DeDartment Application Acceptance Received Due Date 05/31/2011 05/31/2011 Comoleted 05/31/2011 Result Over the Counter Reviewer Nancy Machado Perma rssuanceii~", ~,V. . ~"." :.::~"~j~,.,~, ~ ~~;~~~ ~".--i05/~~L~9'1:r '~;Qi~~/~q~~,{,~05!~~2.01l:i;\~ ISSU~}~~~.._, -":c't, '. .".';.;~':2.,_ '~,; J);ht:;S"~;- ;"..4.:~..... 1''- ""#'_<) ~''''~~J:' ' ..,;i~. ......r >0.....7>.., Electrical Review 05/31/2011 05/31/2011 05/31/2011 Not Required Nancy Machado Comments: Over the counter permit !Initial Review .:-~-:- " . 05/31/2011 05/31/201V. 05/3.1/2011. ;,;Overt.he.Counter .". Nancy Machado I ~~~~~~~~~~~~~~.E-~~~3~.2_~~~~:::~i~~_~'___~;~';:.~_,~_~S~'~~___:~ ~~ _' ~.____ _~ __,___ I INSPECTIONS REQUIRED ~ Inspections 4550 limited Energy By signature, I state and agree, that I have carefully examined Ihe 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. -/Jr-vL/ fl S 51 II ( Oate I I Owner or Contractor Signature Springfield Building Permit 5/31/2011 10:45:53AM Page 3 of 3 SP~~N. :':E~~ 111:;< ,~ __:'i' OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01214 6095 GRAYSTONE lOOP pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2011001355 lDESCRlIlJION_:.-.c..~ ._ _ ..other Limited .!=nerg.L.___ ___S!at':.~!..~egon Surchar!)e (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011.01214 DATE: 05/31/2011 I PAYMENT TYPE Credit Card 011237 :PAYOR .:CASHIER:NMACHADO MICHAEL SMITH . -' ~ ~OMMENTS- ACCOUNT-CODE'.' ~ " AMOUNT~DUE' 224-00000-426102 63,00 821-00000.215004 7.56 100-00000-425605 3.15 TOTAL DUE: 73.71 . ~-; AMO.UNT PAID , 73,71 TOTAL PAID: 73.71