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HomeMy WebLinkAboutPermit Building 2013-5-20 . SPRINGFIELD - 225 Fifth St ' - CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00957 www.springfield-or.gov pennitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/20/2013 EXPIRES: 11/15/2013 STATUS DATE: 05/20/2013 APPLIED: 05/14/2013 SITE ADDRESS: 1590 KELLOGG RD,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703342208000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-single family residence OWNER: NEPUTE JOHN Phone Number: ADDRESS: 1491 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100 Electrical Contractor DEANS ELECTRIC INC CCB 99579 06/25/2014 541-935-5303 INSPECTIONS REQUIRED Inspections 4220 Electrical-Service 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. < 74(2.,c,' Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utiiity AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth In OAR COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the teleph.. -' number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/20/2013 1:19:29PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD .1 *- 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 r {OREGON 541-726-3753 811-S P R2013-00957 www.springfield-or.gov 1590 KELLOGG RD permitcenter @springfield-or.gov RECEIPT NO: 2013000991 RECORD NO:811-SPR2013-00957 DATE:05/20/2013 (DESCRIPTION ACCOUNTCODE/TRANS CODE AMOUNT DUE Each added 500 sq. ft. or portion 224-00000-426102 1004 27.50 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 21.00 Technology fee(5%of permit total) 100-00000-425605 2099 8.75 TOTAL DUE: 204.75 i_PAYMENTTYPE COMMENTS . : . '; - . .AMOUNLPAID_ Credit Card DEANS ELECTRIC INC 204.75 01145G TOTAL PAID: 204.75 Electrical Permit Application SPRINGGISPRINGFIELD ' DEPARTMENT USE ONLY . t yv..0 el P '?r,*°c-,-5'c.t -aittZ-1r .)71,'4-.0`7.1 'r*d SCE:tai': �11 0F1SPRING LDS;OREGPN ' i4t �' `�caS;','�.i £53rt411eru .'h 1.Pt?Ldhn ! : 1;qi, Permit no S(l ZOl Del S7 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 //Z Date: .5/2—e7 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. )-` ` '?1LOCAL.,GOVERNMENTWAPPROVAIS _ .:: , y„tax r:;?20;'.'.i•,'FEE SCHEDULE,f it t, Zoning approval verified? Yes ❑No *« rn ii N't( c t"�"`t` ` '. i Cost w. Total" x Number of lnspecttons per item O�- Qty „ea Y� ,cost A i 'CATEGORYpOFr,CONSTRUCT,ION w+ -R.t r ! 'Residential ❑Government CI Commercial Residential,per unit,service included: , JOB SITE.:INFORMATION'-AND,;LOCATION gig,*,t,_ 1,000 sq.ft. or less(4) $147.50 $ Job site address: Each additional 500 sq.ft.or portion I $ 27.50 $ �0 (<G�qA Ro, /-- thereof City: S fiCIA G1 F/eLD State: 0 2 ZIP:41 7 If 7a Limited energy(2) $ 35.00 $ Reference: c 22 OgccxD Taxlo[ ( Each manufactured home or modular l7 vs s l $ 69.00 $ "' ,-'i, ",„ 11DESCRIPTIONR OF WORK;:_ 'is;,'.a: dwelling service or feeder(2) Services or feeders: installation, alteration, relocation 200 amps or less(2) $ 89.00 $ ;s• ' 4,i°. x r.�?yj°�t j t,uava,' 201 to 400 amps(2) $ 104.50 $ - P.ROPERT�Y� OWNER ,,r;� Name: Fb-t lJ ez 3 tt0 is"Cr. 401 to 600 amps(2) 5174.00 $ Address: O- Rox 7(ZS 601 to 1,000 amps(2) $225.50 $ City:a/21/04 pra_p State: 0& ZIP:ce71175 ' Over 1,000 amps or volts(2) $516.00 $ Phone: Syl 7yq-266 0 Fax:Se-a--74/4/-o//L Reconnect only(2) $ 69.00 $ Temporary services or feeders: installation, alteration, relocation E-mail: • •■ .ee f: 0 F{pw,e-S,Cot I 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 $ Si_nature: Over 600 amps or 1,000 volts,see services or feeders section above ;?21:14-APaifiebNiERAti3OFOINSTALIZA1110Kkatiilefga Branch circuits:new,alteration, extension per panel Business name: ) ( (.J(S 6-t rt-i i L a. Fee for branch circuits with purchase of a service or feeder fee: Address: ?,.0, 12cx- 2SQ$T Each branch circuit $ 6.50 $ City: EUGgjV6 State: OA. ZIP: /71102_ b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: Miscellaneous fees:service or feeder not included ZCr3l�C. BCD license no.: I Signing supervisor's license no.: .S tic Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisort„,iV W t S Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: � Signal circuit or alimited-energy panel, $ 80.00 $ � al teration,or extension(2) Each additional inspection:(1) $80.00 $ c.,-* Iamoim,,LICA¢NTAUSE ;a[, ,, ora ,`y (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): $ Zet.(')CL 440-25844(4/01/2013/COM)