HomeMy WebLinkAboutPermit Electrical 2013-5-16 •
• I ,SPRINGFIELD 225 F- St
i' ^� CITY OF SPRINGFIELD Springfeld,OR 97477
�� Phone: 541-726-3753
\.OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676 .
PERMIT NO: 811-SPR2013-00701
www.Springfield-or.gov pe rmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/16/2013 EXPIRES: 11/11/2013
STATUS DATE: 05/16/2013 APPLIED: 04/08/2013
SITE ADDRESS: 3652 River Heights DR,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702301200800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: EL-New Single Family Dwelling
OWNER: BREEDEN BROS INC Phone Number:
ADDRESS: 366 E 40TH AVE STE 250
EUGENE OR 97405
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-565-1628
INSPECTIONS REQUIRED
II
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 front of the property, and the approved set of plans will remain on the site at all times during
construction.
545/13
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or Contractor nature Date ^
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NOTICE: 9- • .
ATTENTION: Oregon law requires you to THIS PERMIT SHAIt EXPIRORK
follow rules adopted by the Oregon Utility
Notification Center. II lose rulcc are set forth \U?HORIZED UNDER THIS PERME IF 7INT E IS W NO
in OAR 952-001-0010 through OAR 952-001- DMfv1ENCED OR IS ABANDONED FOR
0090. You may obtain copies of the rules by " 180 DAY PERIOD•
calling the center. (Note: the telep'
number for the Oregon Utility Notific.., ..n
Center is 1-800-332-2314),
Springfield Building Permit 5/16/2013 1:07:09PM Page 1 of 1
• SPRINGFIELD CITY OF SPRINGFIELD
ft
�' 225 Fifth St
\`
OREGON
TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S PR2013-00701
www.springfield-or.gov 3652 River Heights DR permitcenter @springfield-or.gov
RECEIPT NO: 2013000964 RECORD NO:811-SPR2013-00701 DATE:05/16/2013
LDESCRIpTION______,,___ ____,..-. . ,<... , „ ..- . :_ACCOUNT„CODE/TRANS_C,ODE„_, w ,;,::AMOUNT DUE -J
Each added 500 sq.ft. or portion 224-00000-426102 1004 110.00
Residence wiring 1,000 sq. ft. er less 224-00000-426102 1004 147.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 30.90
Technology fee(5%of permit total) 100-00000-425605 2099 12.88
--- -- -- — --— _--- --- -- - --- — --—--- TOTAL DUE: 301.28
L_PAYMENT TYPE PAYOR. CASHIER:JLARSON ' COMMENTS:- :- . .AMOUNT PAID- . .
Credit Card John Thompson 301.28
005786
TOTAL PAID: 301.28
Electrical Permit Application DEPARTMENT USE ONLY
SPHINGFIELG
' SCITXFO SPRINGI ED;,OREGON,4: l= ,."
sal �.t.74.#.�g .:�:-�.to.s*is y t-� ;:5 e r.._:r,r ,x. t< .,„ L '-Ka Permit no tg/�Zee/3 0070/
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ""'``-- /
Date: S-7C7/3
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.
' LOCALi„GOVERNMENT"APPROVAL FEE.;SCHEDULE ,, t
Zoning approval verified? ❑Yes ❑No ;Number of ins ecttons p er item t 'Cost .Total:
.. . ..' p O is 6737,...:'
Y ,-:e9 -
..
` .i.'CATEGORY;!OF ,CONSTRUCTION .., '
Residential,per unit,service included:
�
tesidential I ❑ Government I ❑ Commercial
` JOB:SITE:JNF.ORMATION'�`ANO LOCATION 1,000 sq.ft.or less(4) $147.50 $
Each additional 500 sq.ft.or portion
Job site address: -1:(45-7_ glv.c✓ [-Ve 45 thereof -L/ $ 27.50 $
City: S),cL/) State: 0< ZIP:97 y,7 Limited energy(2) $ 35.00 $
Reference: I Taxlot.: Each manufactured home or modular $ 69.00 $
ce` `,' r- ;3DESCRIPTION'OF:WORK dwelling service or feeder(2) -
EG - S./) Services or feeders: installation, alteration,relocation
200 amps or less(2) $ 89.00 $
„z,,"n r$lia0;'#s,PRORERTY OWNER a _;_t -. 201 to 400 amps(2) $ 104.50 $
Name: eldl5 �2p S 401 to 600 amps(2) $174.00 $
Address: 366 C clot' A vt STc z.CO 601 to 1,000 amps(2) $225.50 $
City: f' I State:cQ' I ZIP:9'7 yo . Over 1,000 amps or volts(2) $516.00 $
Phone:. - V - I 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 479.5600). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
a;;.; iii F;.•CONTRACTORTINSTALLAT;ION.. .r Branch circuits:new alteration, extension per panel
Business name: /'i"'\1jtg. (.7-�&£ej2lc a.Fee for branch circuits with purchase of a service or feeder fee:
Address: /4, 1/3� Sip 4)(y Each branch circuit I I $ 6.50 I $
City: t�4.1=. Stater/2 ZIP:5' 790<' b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: 5;-1( - 75-5-p c 7 Fax: - - First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: 7/6 319 I BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: "36/7 ,S' - Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: �O . , Each sign or outline lighting(2) $ 69.00 $
Signature of signing superviso • _/� /y/I� Signal circuit or a limited-energy panel, $ 80.00 $
„,,,i,,,,,,//� alteration,or extension(2)
Each additional inspection:(1) $80.00 $
-w :„{, r „^-;'--QPPLICANT ;USE- R " ` .
(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): $ 3o/ Zee'
440-2584-3(4/012013/COM)