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HomeMy WebLinkAboutPermit Electrical 2013-5-23 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-SPR2013-01033 viww.springfieldar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/23/2013 EXPIRES: 11/18/2013 STATUS DATE: 05/23/2013 APPLIED: 05/23/2013 SITE ADDRESS: 6019 GRAYSTONE LOOP,Springfield,OR 97478 SCOPE: Electrical Only, ASSESOR'S PARCEL NO: 1702343304800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Limited Energy OWNER: COURTNEY LYNNE Phone Number: ADDRESS: 6485 DOGWOOD ST SPRINGFIELD OR 97478 OWNER: HAGEMAN GORDON R Phone Number: ADDRESS: 6485 DOGWOOD ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor WANET OPERATING GROUP INC CCB 65149 07/01/2014 541-389-0015 INSPECTIONS REQUIRED I Inspections 4550 Limited Energy 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 Contractor Signature Date • ATTENTION: Oregon law requires you to 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 • F 0090. You may obtain copies of the rules by calling the curler. (i•lu+.e: .' e telex' \UTHORIZED UNDER THIS PERMIT IS NOT mbr =ar 'hr QMMENCED OR IS ABANDONED FOR �Q ,'L on nAY PERIOD. � r \, cerd- • Springfield Building Permit 5/23/2013 8:52:38AM Page 1 of 1 •SPRINGFIELD -- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 '''C\OREGON 541-726-3753 811-SPR2013-01033 wwws99996eld-orgov 6019 GRAYSTONE LOOP permitcenter©spnngfield-or.gov RECEIPT NO: 2013001026 RECORD NO:811 SPR2013-01033 DATE:05/23/2013 '-_ ?-'11-Jt -..rACCOUNT CODETTRANS.CODE %':A OUNT DUE 'l Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 Data/Telecommunications 224-00000-426102 1004 69.00 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 TOTAL DUE: 93.60 P,AYMENTRTYP_E P.AYOR cASH1ER:JLARSON „ COMMENTS AMQUNT;PAIp Credit Card VYANET OPERATING GROUP INC 93.60 026596 TOTAL PAID: 93.60 • • • • • • Electrical Permit Application DEPARTMENT U$E ONLY SPXINGFlELO S -"^� ' t CITY OF SPRINGFIELD? OREGON E o`er Permit no.:ell W/3 0/033 am, 225 Fifth Streets Springfield,OR 97477,PH(541)726-37535FAX(541)726-3689 y `� � -L Date: c/Z3If3 This permit is issued under OAR 918-309-0000.Permits are nontransferable.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL,GQVERNMENT-AFPROYAI_ ;�. � {.K .- - .. ; d. ,0*: ,Ni FEE:.SCHEDULEAt � . w ;, c:.: Zoning approval verified? ❑Yes ❑No �'hmber of_ft spec 0,9, 8ei'ife it) Qty t$ i cY2'17 ] C&TEGORY,.OF, .CONSTRUCT,ION r - Residential,per unit,service included: ❑'Residential I ❑Government ❑Commercial 1,000 sq.ft.or less(4) $147.50 $ t JOBc'SIT.E..JNFOMOTION AND;LOCATION,',° Each 6 (q G of y h t0 c thereof additional 500 sq.ft.or portion $ 27 50 $ Job site address: t4 - City: J5//ft,9(e(a IrState; Ce ZIP: q7y? Limited energy(2) f $ 35.00 $35... Reference: Taxlot Each manufactured home or modular $ 69.00 $ �, .._ DESGRieTION ;.OF WORK:- t"i_�nx =;' dwelling service orfeedr(2) Services or feeders: installation,alteration,relocation 4 Ow's i /1/152 kite , Se Z j/ zoo amps or less(z) $ 89.00 $ ?;: ; ' Js.+Fh1 g PROPERTtitaiNNER * - `�/`''r',,.;=,iE4 201 to 400 amps(2) $ 104.50 $ Name: h/? --72-tr4/✓ 401 to 600 amps(2) $174.00 $ Address: 5- /)d l ego9ci pJ 601 to 1,000 amps(2) $225.60 $ City: S ! State: ZIP:<2K,JT Over 1,000 amps or volts(2) $516.00 $ Phone:. 7_5-337 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) . 5 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 iP.-C1 ` 5;f E.01.01 0GTORj1N,STALLA.T,1c1 1'i ft !".;" «."„*' Branch circuits:new,alteration, extension per panel Business name: V y,,,e-f {- a.Fee for branch circuits with purchase of a service or feeder fee: Address: q'�S- t h y) 574 cc N i( Z Each branch circuit $ 6.50 $ City:Eu-9�� I State: ac ZIP: li y Oa b.Fee for branch circuits without purchase of a service or feeder fee: Phonejt//-,cyq-4422 c/ Fax: - - First branch circuit(2) $ 60.50 $ E-mail:tick c e✓ya cor"1. Each additional branch circuit I $ 6.50 $ CCB license no.: 631 y% BCD license no.: 20-/o761,C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: \°,a5A Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: C>kcE Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: $ 80.00 $ � leg P ���. � - alteratin,or extension(2) Each additional inspection:(1) $80.00 $ raj O�,er Q °‘.� ;` `r` t riP _LIC'rA1�Z3l SEA' Y;w.= "`_.�`*==_°X -le 2�`� (A) Enter subtotal of above fees 0 T, $(Minimum Permit Fee$80.00) 4 (B)Enter 12%surcharge(.12 x[A]) • $ RGd (C)Technology Fee(6%of[A]) $ (`(00 TOTAL fees and surcharges(A through C): $ 93Q9— 440-25841(4/012013/COM)