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HomeMy WebLinkAboutPermit Building 2013-5-20 (2) . ,y. : 1 PRINGELD 225 Fifth St 1.4 ' FI CITY OF SPRINGFIELD Springfield,OR 97477 it* 541-726-3753 '-...` OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00957 www.springfield-or.gov per mitcenter@springfield-or.gav PROJECT STATUS: Issued ISSUED: 05120/2013 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 L 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 FUTURpEgB INC p�/ CCB 36499 05/18/2014 541-744-2660 Mechanical ContracttkrFNTIQN' (Sp�"•O�PIIT��Fiayq f tAT S9ou to CCB 460 06/27/2013 541-726-0100 Electrical Contract r 4l&llf�I�feg On Utility CCB 99579 06/25/2014 .541.935-5303 YollOW rules a••• 93 ;5 Notification Center. Those rule^ ICE; In OAR 952-001-0010 through AR CINSFEC.TIONS REQUIREDTN I PERMIT SHALL EXPIRE IF THE WORK . Inspections 0090. You may obtain copies o the rules oy AUTHORIZED UNDER THIS PERMIT IS NOT ccalLng the cot (N fhn Inlnnl- ,r 4220 Electrical�OSIe IGg for the Oregon Utility Notification CUMN1ENGLU OH IS ABANDONED FOR 4500-Rough Electrical Center is 1-tSUU-Ui -Rotighl Electric: Prior to Cover f11 l I�0 DAY PCRIOD. 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. -c cc , ��o I 'K . Owner or Contractor Signature Date • Springfield Building Permit 5/20/2013 1:19:29PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St c ( TRANSACTION RECEIPT Spdngfieid,OR 97477 OREGON 541-726-3753 811-SPR2013-00957 www.springfield-or.gov 1590 KELLOGG RD permitcenter @springfield-or.gov RECEIPT NO: 2013000991 RECORD NO:811-SPR2013.00957 DATE:05/20/2013 (DESCRIPTION ACCOUNT,CODE/TRANS_CODE .L _AMOUNTDUE.:_J 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 _..._.._._.. ._.____-. ....-.___.�_�_�..�.v_.._......_ TOTAL DUE: 204.75 °°_..AMOUNT.PAID ,PAYMENT T.Y. cnsrllER:.IURSOR ,. COMMENTS_ --, Credit Card DEANS ELECTRIC INC 204.75 01145G TOTAL PAID: 204.75 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ..,,,s_tei I. r: TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 oaecor+ $11-SPR2013-00957 www.springfield-or.gov 1590 KELLOGG RD permitcenter©springfield-or.gov RECEIPT NO: 2013001149 RECORD NO:811-SPR2013-00957 DATE:06/06/2013 'DESCRIPTION �., : — ,ACCOUNT CODE/TRANS CODE -- AMOUNT DUE_J Each added 500 sq. ft. or portion 224-00000-426102 1004 55.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 6.60 Technology fee(5%of permit total) 100-00000-425605 2099 2.75 TOTAL DUE: 64.35 _ _PAYMENT TYPE - PAYOR::-cnsHieR:.ILalisoN _ _ COMMENTS , � -. = . AMOUNT PAID ' -- � . I Credit Card Dane Butler 64.35 05323D TOTAL PAID: 64.35 • ZON ' CITY'OF SPRINGFIELD, OREGONr; , ;, INITIALS 1 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH (541)726-3753 FAX:(541)726-3689 DATE '' SOURCE ELECTRICAL PERMIT APPLICATION 7 City Job Number 43112o(3 00 IC) Date kr/7 3 I. (LOCATION OF'INSTALIMrIONI r+"" N 3 COMPLETE FEE SCHED JIS BELOW rarer ' ;f` L: f S /river 6-, OI L LEGAL DESCRIPTION: A //670 C .��O`L A New Residential 1Smgle o l ulti Family perdwelling uniLL - -t6I�A / Gm. /y A )!r/ehC t Q Service Included JOB DESCRIPTION: 1000 sq. ft.or less / $117.00 Each additional 500 sq. ft. or 67C. portion thereof 3 $21.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder $55.00 CONTRACTOR INSTALLATION ONLY,' B 'Serilicces or Feeders evInsfallation`A'lteration`s'rRelocation.; 2. :.A5 -u„-sx ,.v.R 4.r;r. Wa-� ter.-.I ar.._: . w.'?.:«pa r;d Electrical Contractor .44 it 5 5/e G /‘/a 200 Amps or less $ 70.00 (J O 201 Amps to 400 Amps $ 83.00 Address I U}C :2 r 401 Amps to 600 Amps $138.00 r / 601 Amps to 1000 Amps $180.00 City / / a 9 Phone S V/- 5) 0 Over 1000 Amps/Volts $413.00 Reconnect Only $55.00 Supervisor License Number a0 —3 11 L C Tem ra Semces or Feeders rt j tt , 3gta5 Expiration Date Installation,Alteration or Relocation 9 9 7 g 200 Amps or less $55.00 Constr. Contr.Number - 201 Amps to 400 Amps $ 76.00. / 401 Amps to 600 Amps $110.00 Expiration Date 4l/aZ V/y Over 600 Amps or 1000 Volts see"B”above. 'aNV ir hx:. ilt " .a 1 °`' } ! 3Lf yfi -a Signa e of Supervising E ectrician D I Ilrailch Circuits e r A _ . w A 0 ,,• New Alteration or Extension Per Panel r c....._.-----— r One Circuit $48.00 Each Additional Circuit or with Service or Feeder Permit $ 4.00 Owners Name Ja/I r] f Y(J' u.f Address /(gyp l/m L/Q L Ace__ ,Miscellaneous= Ser"vlce/feeder not Included ""Each Inslalla conk / / 1� l'V/ V /1 / �CC. -a-a-rte � °'a=.:.=F-....., � -riY �'F-. . City Sir,i 6./2 Phone SW-9S3 -6 7Y a Pump or irrigation $55.00 Sign/Outline Lighting $55.00 OWNER INSTALLATION Limited Energy/Residential $28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is$50.00+Surcharges Owners Signature: 4 SUBTOTAL OFABOVE2. : V a ¥ , 12%State Surcharge 10%Administrative Fee 5%Technology Fee Inspection Request: 726-3769 TOTAL 267 t--ca Shared Drive(T)Building Forms/Electrical Permit Application I-08.doc