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Home My WebLink AboutPermit Electrical 2013-6-4 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-SPR2013-01153 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/04/2013 EXPIRES: 11/30/2013 STATUS DATE: 06/04/2013 APPLIED: 06/04/2013 • SITE ADDRESS: 1242 LAURA ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703274401800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 3 branch circuts to correct comp notice spr2013-00974 OWNER: NORRIS LAWRENCE G Phone Number: ADDRESS: 86160 HOYA LN EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656 • - 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 I eiront of the piop rtyr,Eaydithsapptotiad set of plans will remain on the site at all times during construction. IV eJ the Ore on Utility NOTICE: follow rules adopted by 9 Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK nA.R n52-001-0010 through OAR 952-001- ho riaeS by AUTHORIZED UNDER THIS PERMIT IS NOT Owner or Contractor Signature ,y;.j,21-• (Mote: the telepr.-eic, Date COMMENCED OR IS ABANDONED FOR . t I;i'..y Ncti icauon ANY 180 DAY PERIOD. -.33 a)• 9- Y- Springfield Building Permit 6/4/2013 12:35:13PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St I �to EGON TRANSACTION.RECEIPT Spnngfield,OR 97477 541-726-3753 811-SPR2013-01153 www.springfieldor.gov 1242 LAURA ST permitcenter@springfield-or.gov RECEIPT NO: 2013001106- RECORD NO: 811-SPR2013-01153 DATE:06/04/2013 1o14.Yo1:712a9fo]Cli, 7 -+Q- r iiti ' tti ^'ta'.: 'ACCOUNT CODE/TRANS.CODE T . .f' '. 'A'0 Ni .o ! Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.50 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00 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 PrP,AYMENTnT:YPE - PAYO-R 'eteHIER,RARSOR. COMMENTS _. a AMOUNTiP„AID Credit Card JK GUCKENBERGER ELECTRIC INC 93.60 035342 TOTAL PAID: 93.60 • • • 1 Electrical Permit Application USEON0Y4 “ 9PPINGPIELD ,f •,Yfl a+,ama9'ito.".N4;vse xt bif k:st F swr...,aSilI' `4°.+Y .L°4's P.r,,,-n4k4��a <rW t d ,ttvA?t � re xis O t Permit no.:B/1 20 i 3 Of IS 3 - 225 Fifth Slree •Springrield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Date: G r//r3 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. 's LOCAL `.GOVERNMENT APPROVALS5. e '.."i: .eF.EE' SCHEDULE„ t `4`"w Ti 'a' 4•V W't ti•N• W 'a•-sat �saa x COSH Total •: Zoning approval verified? ❑ Yes ❑No Numbers fmApecti ns perttteFm(c)y 4;Qty. "Six eaa, vrat'k t ,z i CATEGORY-.OF.=CONSTRUCTION '' " r Residential,per unit,service included: WResidential ❑Government ❑Commercial . JOB SITE INFORMATION AND LOCATION >l 1,000 sq.ft.or less(4) $134.00 $ Each a Job site address: /Z'- t. /Z. La-w _ - thereof dditional 500 sq.ft.or portion $ 25.00 $ City: 9p f f a State: i&� ZIP: ?2 477 Limited energy(2) $ 32.00 $ Reference: Taxlot.: Each manufactured home or modular $ 63.00 $ . S".,DESCRIPTION ;OF.'WORK •;; dwelling service or feeder(2) / rcot,:-I Services or feeders: installation,alteration,relocation -4 sre-ac�'-r ci5 t-ic> rmr'R-c-4- 200 amps or less(2) $ 81.00 $ CO Q A01-1 cc 5R2o1 3 — 0097 lie F*+ i+i+Jf a,inseeiFROPERTY'OWNER¢'& t'dslen: = 201 to 400 amps(2) $ 95,00 $ // 401 to 600 amps(2) $158.00 $ Name: a CO rc.-r 6-a- nor✓I S Address: 86(6D --, 601 to 1,000 amps(2) $205.00 $ I-(�yQ LA City: ncv State: ZIP:77'0 ._. Over 1,000 amps or volts(2) $469.00 $ Phone: - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders:installation,alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) - $ 87,00 $ property is not intended for sale,exchange, lease,or rent.OAR .- 479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $ Signature: ' Over 600 amps or 1,000 volts,see services or feeders section above aIr t!tONTRACTOR-AINST'ALLATIONT'J ;` ' ?f • •f—' Branch circuits:new, alteration,extension per panel Business name: --)e GC1 eLI cc- t21 01/4.1 L a.Fee for branch circuits with purchase of a service or feeder fee: Address:al 5' 'DDLI ST, Each branch circuit $ 6.00 $ C`ty<SPR-`NyFrEt D State: 5 a. ZIP:CI fl'f 77 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:(F. rjy(0- 4(oc(0 Fax:St-l( 71f4, 3"sc First branch circuit(2) / $ 55.00 $ E-mail:-.'C,,lLC1Gv, Each additional branch circuit 'Z. $ 6.00 $ CCB license no.:145 I ri BCD license no.: 20 -217 L Miscellaneous fees:service or feeder not included Signing supervisor's license no.: t '1'/7/ /55 p I Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: , )Tr �cft.p r b p,r/] j..-' Each sign or outline lighting(2) $ 63.00 $ • Signature of signing supervisor: altezationcort extension(2)energy panel, $ 63.00 $ . - Each additional inspection:(1) $58.00 $ a 1 , APPLICANT USEiL MO (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through C): $r,3 6° 440-2584-1(9/08/COM) FROM JKQ Electric Inc. - (TOE)JUN 4 2013 0:38/ST. 3:33/NO.7600000610 P l Electrical Permit Ap 1 lication DEPARTMENT USE ONLY 3PPINf.c,CLO,'..i.. CITY OF SPRINGFIELD, OREGON aR`_a ° s - Permit no.. 225 Fifth Since•Sp4r:ne W,01491477 s PH(541)726-3753.EAX(541)726-3689 Date: 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 GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item() Qty. Cost Teoutrntl CATEGORY OF CONSTRUCTION Residential,per unit service included: sidential I ❑Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq.ft.or less(4) 5134.00 S Each additional 500 sq.ft or portion S 25.00 $ Job site address: 12,42 LaAAifa. thereof City: Jf1X.,e)/( tie IState: 0 IZIP:437411 Limited energy(2) $ 32.00 S Subdivision: Lot no.: Each manufactured home or modular S 63.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) hVal-NC VN cc ry -( _ COvrp } Services or feeders:installation, alteration, relocation -'J'a ['T f TU / /� 200 amps or less(2) S 81.00 S COTO nahck SP R.- OWNER-Odg 7T 201 to 400 amps(2) S 95.00 $ PROPERTY OWNER Name: 401 to 600 amps(2) 5158.00 $ Address: 601 to 1,000 amps(2) $205.00 S City: State: I ZIP: Over 1,000 amps or volts(2) 5489.00 $ Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders:installation, alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuib:new,alteration,extension per panel Business name: j K e.( a.Fee for branch cimuits with purchase of a service or feeder fee: Address:,,Z L'�-,i S\ Each branch circuit I I $ 6.00 $ City: ,�3 V(A Lt.lr I �( state:DU', Zll b.Fee for branch circuits without purchase of a service or feeder fee: Phone: t - ,1�`46 j(o Fax: - -1'46--3 a SS First branch circuit(2) I S 55.00 S 3 K� _( ,r f-/1 - Each additional branch circuit 2 S 6.00 $ E-mail: C� CJ.IGI y CCB license no.: 4{.x5(Z5 - BCD license no.: 71J-211L Miscellaneous fees:service or feeder not included Signing supervisor's license no.: cg-l s S - Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: _ W)f . U Each sign or outline lighting(2) $ 63.00 $ �� --) Signal circuit or alimited-energy panel, $ 63.00 $ Signature of signing supervisor: ' alteration,or extension(2) Each additional inspection:(I) $58.00 S .APP.LICANTpU$E . .. (cr1 - () SSE (A) Enter subtotal of above fees S (Minimum Permit Fee$58.00) (B)Enter 12%sal rcharge(.12 x IA]) $ ri ci -Co ( n C(�O T (3( n (C)Technology Fee(5%of[A]) $ . J v' TOTAL fees and surcharges(A through C): S La ✓rc'f Aldryt S 440-2584-1( /011/COM)