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HomeMy WebLinkAboutPermit Electrical 2013-5-20 • SPRINGFIELD=*•ffe 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-SPR2013-00999 %ww.springfeldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/20/2013 . EXPIRES: 11/15/2013 STATUS DATE: 05/20/2013 APPLIED: 05/20/2013 • SITE ADDRESS: 2515 31ST ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702193400400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Temp Power OWNER: BRANDT B J Phone Number: ADDRESS: PO BOX 1312 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 • 541-741-1499 INSPECTIONS REQUIRED • Inspections 4000 Temporary Power Service 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. 1 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. I S - aG - I3 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 Utility I ITHORIZED UNDER THIS PERMIT IS NOT In Notification Center. Those rules are set OAR 952.01 0010 through OAR 952-0 1h M VIENCED OR IS ABANDONED FOR • 0090. You may obtain copies of the rules by n^.V 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 12:25:10PM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD -A, 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 OREGON 811-SPR2013-00999 www.spnngfieldocgov 2515 31ST ST permitcenter©spnngfield-or.gov ' RECEIPT NO: 2013000988 RECORD NO:811-SPR2013-00999 DATE:05/20/2013 ACCOUNTnCODE/LRANS�CODE f-117 ±c AMOUNTIDUEety Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 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 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 93.60 PAYMENT>tTYPE PAYOR cRsRiER JTARSON COMMENTS ¢MOUNT,?PAIU Credit Card EASTSIDE ELECTRIC INC 93.60 06565G TOTAL PAID: 93.60 Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD ... Ctt�I T Y O S FW' G7 r ,•:..aELt+fr DQ'=*R.rtY°rZF"}3OaT`Nk�JksT --�,s Permit no.: L 2 't� ca'9 a a 225 Fifth Streets•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 / Date: c/2c / 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. LOCALGOVERNMENT,APPROVAL FEE.;SCHEDULE Zoning approval verified? ❑Yes ❑No Number of ins'ections per item '�- Cost ; Total'.': p Q:._ O Qty. ',cosY. `. CATEGORY.OF CONSTRUCTION Residential,per unit,service included: ieLResidential ❑ Government ❑ Commercial JOB'SITE INFORMATION`,AND LOCATION' - 1,000 sq. fr. or less(4) $147.50 $ Each additional 500 sq ft.or portion - $ 27.50 $ Job site address: thereof • City: S P F( D State: OK ZIP: 977 7 7 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OFt WORK ; dwelling service or feeder(2) -11, P VO■rtFf( POLE Services or feeders: installation, alteration, relocation 200 amps or less(2) $ 89.00 $ PROPERTY"OWNER ' 201 to 400 amps(2) $ 104.50 $ Name: fRrcc.... .I4— (7. rr 401 to 600 amps(2) $174.00 $ Address: 1' 0 \�v(0 )6 601 to 1,000 amps(2) $225.50 $ City: 5 Of IA State: 0 t� ZIP: Over 1,000 amps or volts(2) $516.00 $ J f Reconnect only(2) $ 69.00 $ Phone: - - Fax: - - E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) t $ 69.00 $ 6q 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 479.540(1) and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ;CONTRACTOR`;INSTALLA.T,ION-. � Branch circuits:new, alteration, extension per panel Business name: GA STS/0 E EC(CTA1C a_Fee for branch circuits with purchase of a service or feeder fee: Address: V6.11-3 pO S C AGE L)f, Each branch circuit $ 6.50 $ City: 5?F C 0 State: 0 ZIP: X77 y7 Yj b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 7 tj/" ( 7q9 �� Fax: 736- /9 ( First branch circuit(2) $ 60.50 $ E-mail: 12.0 Ic ) _/ `b I Y /400 .C 4 OA _ Each additional branch circuit $ 6.50 $ CCB license no.: ) 17770 BCD license no.:a0-V OS'( Miscellaneous fees:service or feeder not included Signing supervisor's license no.: )) 7 Sp Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: /�,0 Cr C!\ fC) N G Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ Si g g p � " alteration,or extension(2) D Each additional inspection:(1) $80.00 $ -,APPLICANT,USE_ - (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ 639, 0() (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $ 7 3 0-0 440-2584-1(4/012013/C0M)