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HomeMy WebLinkAboutPermit Electrical 2013-4- 1 SPRINGFIELD 225 Fifth St +,"- 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-SPR2013-00851 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/30/2013 EXPIRES: 10/27/2013 STATUS DATE: 04/30/2013 APPLIED: 04/30/2013 SITE ADDRESS: 3919 PINYON ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802061409200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: electrical to heat pump OWNER: LISTER DONALD D&FAY L Phone Number: ADDRESS: 3919 PINYON SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor TRITON ELECTRIC INC CCB 164857 05/25/2015 541-484-9800 INSPECTIONS REQUIRED Inspections 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. Owner or Contra or Signature Date Oregon law requires you to ATTENTION: dopt NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK obtain copies of the rules by iUTHORIZED UNDER THIS PERMIT IS NOT 0090i1ing the c. You may nter. (Note: the telephone 'OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Y 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/30/2013 1:0131PM Page 1 of 1 SPRINGFIELD- . CITY OF SPRINGFIELD ;t, ..M__ 225 Fifth St tie TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811—SPR2013-00851 www.springtield-or.gov 3919 PINYON ST pennitcenter @springfield-or.gov RECEIPT NO: 2013000840 RECORD NO: 811-SPR2013-00851 DATE:04/30/2013 ;DESCRIPTION_ ,R _ `. -, ,• . ACCOUNTCODE/TRANS.CODE ',...:__�AMOUNT.DUE.'_'I Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 19.50 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 LPAYMENT "` ' - ' AMOUNT PAID': _TYPE. �_ PAYOR ca__..._�iriRSOR ';'�; COMMENTS `-,are - - . ,„„„._,,,.,..... Credit Card TRITON ELECTRIC INC 93.60 005160 TOTAL PAID: 93.60 Electrical Permit Application DEPARTMENT USE ONLY , SCEOSPIUN t4IF IELD,--„97REGON ',.. t • ...... Permit no.: ef I 7_0 li, Co B51 . , , ' ii4; , a 225 Fiftlt Streer•Springfield.OR 97477*P11(541)726-3753•PAX(541)726-3689 ‘'L 5:5,v '‘ OREGON 1 / ---S0 7/ l.• This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started within ISO days of issuance or if work is suspended for ISO days. LOCAL GOVERNMENT APPROVAL L FEE SCHEDULE Zoning approval verified? rEl Yes El No I Number or inspections per item() Qty. Cost Total -1 ea. cost CATEGORY OF CONSTRUCTION 1 Residential,per unit,service included: N...Residential 0 Government 0 C0111111a6211 ' 1.000 sq. R.or less(4) S147.50 S JOB SITE INFORMATION AND LOCATION 1./1C11 i.Kiditional 500 sq rt at portiell Job site address:.....3ell............. istscoist ST. thereof S 27.50 S -- ---- _____ City: spa4p4.6.E.L6a_a I State: c,(7 ZIP: wit limited energy(2) $ 35.00 $ Reference: llaxlot.: Each manufactured home or modular S 69.00 5 DESCRIPTION OF WORK dv.e1111111 service or feeder(2) Services or feeders: bIstallation, ethereelion.re°cation —E-1-0-c-rst-tOzwi—lto____Firtar_PC_IMR 200 amps or less(2) $ 89.00 5 PROPERTY OWNER 201 ro 400 amps(2) 5 104.50 S _ _ Th '101 to 600 001[>5(2) $174.00 5 Name: s,e4 , s 3-Ittst- , 601 to 1.000 amps(2) 5225.50 $ AddreSS: s& pis,_pre:$.5.1E._ ............. _ _ ... City: State: ZIP: i Over 1.000 amps or volts(2) 5516.00 $ , 1 I Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail Temporary services or Reders: inSildiatiOn. f herelf ion, relocation : .... ... ............. i .... This installation is being made on residential or farm pt.operty $ 69.00 I C owned by me or a member of mv immediate family. This 201 (0 11)0 amps(2) $ 96.00 S property is not intended for sale,exchange, lease,or rent. OAR 479.540(1)and 479.560(1). 401 to 6(10 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above • CONTRACTOR INSTALLATION Branch circuits: otell, alteration extension per motel . Business name: f t _t a. Fee for branch circuits with purchase of a service or feeder tee: rg.,1-.2„ c itk C. Address: z ortA ...0 Gics....arca Dfirs Each branch circuit L s 6.50 I $ City: , . € L53(ole: t ez... /JP: 4,...z... b. Fee Our branch circuits without purchase of a service or Rode! fee: , Phone: SsAIL-:4T-1/4-q't o t$C I( Fax: SLIA-4 4 1 51/4-L M First branch cir coil (2) ‘ $ 60.50 s40,5t, E-mail: AA 4...„,.A,A-;c_6 Co reejs,s4-. ver Each additional branch circuit $ 6.50 $ GCB license no.: tf,40-vis S I BCD license no.: 6lisrellancous fees:service or feeder Ito included Each pump or irrigation circle(2) $ 69.00 S Signing supervisor's license no.:....1/4Annso Print name of signing supervisor: %ton- Each sign or outline lighting(2) S 69.00 5 Signal circu or a limiral-euergy panel. $ 80.00 $ Signature of signing supervisor: Srea.ce1)- oe,sor... alteration.or it extension(2) — - . Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees S t3o,a (Minimum Permit Fee$80.00) (11)Eruct 12%surcharge(.12 x[Al) S ckdOc5 (C)Teclmolo5y Fee(5%of[Al) $ .i40-2581.J(4/01/2013/C050 T DTA L fees mid surcharges(A through C): S