Loading...
HomeMy WebLinkAboutPermit Electrical 2013-6-10 • SPRINGFIELD • 225 Fifth Si CITY OF SPRINGFIELD Springfield,OR 97477 'Sys r Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01222 www.springfieldor.gov permilcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013 STATUS DATE: 06/10/2013 APPLIED: 06/10/2013 SITE ADDRESS: 945 N ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703264305500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Capping off upstairs electrical due to fire damage. OWNER: CHARLES E&TREVA J HORINE LIVING TRUST Phone Number: ADDRESS: 945 N ST SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 L 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 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 NOTICE' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- fOMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ""R/1 DAY PERIOD. calling the center. (Note: the teleph.,s-. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 6/10/2013 4:36:01 PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD • 225 Fifth St ` E'9 TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-SPR2013-01222 www.springfield-or.gov 945 N ST permitcenter@spdngfield-or.gov RECEIPT NO: 2013001185 RECORD NO:811SPR2013-01222 DATE:06/10/2013 {e1 1th lJltlfoll __ $ n'_':'° 2i '?r...-: -ACCOUNT.-' o e q..: : . 1 o e Y;= -AMOUNT'iDUE. 1 Branch circuits with service or feeder each circuit 224-00000-426102 1004 19.50 Service reconnect only 224-00000-426102 1004 69.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.62 Technology fee(5%of permit total) 100-00000-425605 2099 4.43 TOTAL DUE: 103.55 _PAYMENT TYPE „-, ;s PAYOR 4 'I - ztk ., S _= ''COMMENTS L re "$ 2 w t AMOUNTPOJD?t'_ _ r,4_ Check CHARLES E&TREVA J HORINE LIVI 103.55 6104 TRUST TOTAL PAID: 103.55 Electrical Permit Application DEPAkTMENT:USE ONLY SPRINGFIELD____ ‘tjCITY5()FSPRINGFIELD.ttOREG-ON II Permit n° Ze (3 t7 1 222- • itlk::1;;,.34,:..•**it2:4:sritr:•;:,:-;fs•th•i•crmrcr4,43,47- it-4::.••::•,€4• 11.4i1 riFt ,: 225 Fifth Streets Springfield,OR 974779P11(541)726-3753•FAX(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. CALCGOVERN M Emu?p ROVAL;;T:tiVAN':,* ::`,ER:ics&I,AlaaltizTEEit:SPHERCICEttglkt:Wc•:Ni Zoning approval verified? E Yes E No 4- , ,, 2rig4t4IP44(V , nettc:c vc25is, Total,";Qty tost PV„:iCATE6ORYSOFis,PONSTRUCTION:7:ktiniM1 - Residential,per unit,service included: 1p Residential 0 Government El Commercial - 1 000 sq. ft. or less(4) $147.50 $ :JOB-2:1SITE:31NEORMATIOWANES5,`LOCATIOWthiOn Each additional 500 sq.ft.or portion Job site address: 9. W thereof - $ 27.50 $ City: Se't State: 6.(' ZIP: 97 hI 77 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular dwelling service or feeder(2) $ 69.00 $ Services or feeders: installation, alteration, relocation Ms°in tr cPcevvietcf, ea) 0.3e2 200 amps or less(2) $ 89.00 $ Czikreftragar:IPIR 0 RE RTlY40-WN E 201 to 400 amps(2) $ 104.50 $ Name: oQ H tn_e. 401 to 600 amps(2) $174.00 $ Ltd, ct Address: 9 tic \ t\j ( st 601 to 1,000 amps(2) $225.50 $ •, Over 1,000 amps or volts(2) $516.00 $ City:Stpci "'tuck 2_10Q I State:(9c, ZIP:q 7-4 7 7 Reconnect Only(2) $ 69.00 $ Phone: ,5--21 M] _ 73-3 Fax: - - E-mail: Temporary services or feeders: installation, alteration, relocation 200 amps or less(2) This installation is being made on residential or farm property $ 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)an 79.560(1 4 401 to 600 amps(2) $138.50 $ Signature: 24..efosz 0 Over 600 amps or 1,000 volts,see services or feeders section above 4.?:.-144,:q6briCONIERACTWINSTALIZATI 0 N 4i Branch circuits:new alteration, extension per panel Business name: a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit 3 $ 6.50 $ City: State: ZIP: 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 : BCD license no.: Miscellaneous fees:service or feeder not included Signin supervisor's license no.: _ Each pump or irrigation circle(2) $ 69.00 $ g Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ ktritieli";i4RWEICOUU:StlieTalleMii (A) Enter subtotal of above fees (Minimum Perm it Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) (C)Technology Fee(5%of[A]) TOTAL fees and surcharges(A through C): $(03 440-2584-1(4/01/2013/C0M)