HomeMy WebLinkAboutPermit Electrical 2013-7-15 SPRINGFIELD 225 Fifth St
` CITY OF SPRINGFIELD Springfield,OR 97477
�C� Phone: 541-726-3753
.OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01597
www.springtield-or.gov pe rmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/15/2013 EXPIRES: 01/10/2014
STATUS DATE: 07/15/2013 APPLIED: 07/15/2013
SITE ADDRESS: 1040 7TH ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703351203400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New Service replace existing
OWNER: CHAURAN RICHARD C 8 JULIA P Phone Number:
ADDRESS: 1040 7TH ST
SPRINGFIELD OR 97477
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r CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor LIVEWIRE ELECTRIC INC CCB 56697 05/16/2014 541-344-4928
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 to -ted at the front of the property, and the approved set of plans will remain on the site at all times during
constructio r.
��i iifV ► IS D
Owner or Contrac r nature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility ..
Notification Center. Those rules are set forth NOTICE:
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the teleph:,hc: COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY COMMENCED
DAY PERIOD.
Center is 1-800-332-2344). .
Springfield Building Permit 7/15/2013 2:04:54PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
r 225 Fifth St
`O REGON TRANSACTION RECEIPT Springfield,OR 97477
O 541-726-3753
811-SPR2013-01597
www.springfield-or.gov 1040 7TH ST pennitcenter @ spdngfield-or.gov
RECEIPT NO: 2013001531 RECORD NO:811-SPR2013-01597 DATE:07/15/2013
DESCRIPTION __;,_ :,� •
2,. - __•,,__._.—,. r 'IS- .....,::_v ..___ .?CCOUNTiCQDEITRANS CODE- • ' _AMOUNT,DUE,
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68
Technology fee(5%of permit total) 100-00000-425605 2099 4.45
• TOTAL DUE: 104.13
N ' AMOUNT PAID', - __
I`'PAYMENT_TYPE PAYOR .`caswER:.ILarsSON� -.- . COMMENTS`. .
Check LIVEWIRE ELECTRIC INC ________ 104.13
014699
TOTAL PAID: 104.13
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.Electrical Permit Application •. DEPARTMENT USE ONLY
. ;r ,� SPRINGFIELD
CITY OF' SPRINGFIELD OREGON 4
�` Permit no.:21t Z9(3 0(59)
225 Fifth StreeI,Springfield.OR 97477.PH(541)726-3753+1 [-\(541)726-3689 OREGON
Date: 745/3
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
(lays 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 Total
ea, cost
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
ckf Residential ❑Government ❑Commercial
JOB SITE INFORMATION AND LOCATION
1M00 sq. ii.or less(4) I $147.60
Each additional 500 sq.ft.or portion
Job site address: Jaye 121 57- thereof S 27.50 $
City: 5fra State: 44 I ZIP:91y77 Limited energy(2) 7 $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular S 69.00
DESCRIPTION OF WORK duelling service or feeder(2)
jlv S-�y/�-jj- + N' / �.'sG ,G 5Aq✓/c! Services or feeders:installation. alteration,relocation
/0 /Wince—R+ua/574/6- ✓N�- •C� 200 amps or less(2) ! s 89.00 s �
/, PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $
Name: R is lrlf ('� N 401 to 600 amps(2) $174.00 $
�. ' 601 to 1,000 amps(2) $225.50 $
Address: LC/�Y� ?`�
City: 51c/0 State: ZIP:
Over 1,000 amps or volts(2) i $516.00 $
Phone: - - Fax: - - Reconnect only(2) $ 69.00 $
Tern floral' services or feeders:installation, alteration,relocation
E-mail:
This installation is being made on residential or farm property 200 map;or less(2) I $ 69.00 $
owned by me or a member of my immediate family.This 201 to 400 amps(2) I $ 96.00 S
property is not intended for sale,exchange, lease,or rent.OAR
479.540(1)and 479.560(1). 401 to 600 amps(2) I 5138.50 S
signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: newt alteration,extension per panel
Business name: L/alifi t /Ca fit/G7 /lve a.Fee for branch circuits with purchase of a service or feeder fee:
Address: PC 0X a ( 1p(D Each branch circuit $ 6.50 $
City: £ue, t ''ii. State: 0g ZIP: 974/I/Q b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:3y/ 3W- yyzg Fax5y/-3Ly--173Z First branch circuit(2) 5 60.50 S
E-mail: jc -pia.L[UPr..Wiltc. EV6441.-r turvl Each additional branch circuit S 6.50 S
CCD license no.: 56697 BCD license no.: 20°97C Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 3313 5 Each pump or irrigation circle(2) S 69.00 S
Print name of signing supervisor: -j' , ( p'Z/� Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: ��,
Signal circuit of a limited-cnn'gy panel. $ 80.00 $
?/ � Signal or extension(2)
Each additional inspection;(I) $80.00 $
APPLICANT USE
(A) Enter subtotal of above lees
(Minimum $tm Permit Fee$80.00) f/—
(B)Enter 12%surcharge(.12 x[A]) S JD.✓,$
(C)Technology Fee.(5%of[Al) S 11,g5
440-2584-1(4/012013/COM) TOTAL fees and surcharges(A through C): $ 04i
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