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HomeMy WebLinkAboutPermit Electrical 2013-8-13 • ' SPRINGFIELD 225 Fifth St kf CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 oa¢GON - Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01802 www.springfeld-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/13/2013 EXPIRES: 02/08/2014 STATUS DATE: 08/13/2013 APPLIED: 08/13/2013 . SITE ADDRESS: 1071 B ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351419300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hot Tub OWNER: ANDERSON HAROLD L 8 DOLORES G Phone Number: ADDRESS: 1071 B ST SPRINGFIELD OR 97477 OWNER: DRINKARD BUD D Phone Number: ADDRESS: 1071 BST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor SONNY BOGGS COB 155623 05/19/2015 541-441-7900 INSPECTIONS REQUIRED Inspections • 4500 Rough Electrical Rough Electric: Prior to Cover L 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. l/�� /4 i'.��Le'�f/�� e�1��� � Owner or Contractor S/re .fir Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT . 0090. You may obtain copies of the rules by OMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph��s E CED PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). . Springfield Building Permit 8/13/2013 1:59:27PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 5 Fifth St TRANSACTION RECEIPT 22 225ngfield.OR97477 OREGON 541-726-3753 811-SPR2013-01802 • www.springfield-ar.gov 1071 B ST permitcenter @springfield-ar.gov RECEIPT NO: 2013001757 RECORD NO:811SPR2013-01802 DATE:08/13/2013 'o ' • p o ' „.. �ttL.n i,C t:' - ' •--• `,tg,;lt' ,= +1-<<ACCOUNTCODE/TRANS'CODEa!\MOUNT=DUES_+± Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 13.00 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 6.50 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 r`PAYMENT-,TYPEaPAYORt CASHIER`JaRsoN letlX "COMMENTS "`'..&Rff4flUk a�-,.,., .]11.h�A:1.1178 '&fl c C Credit Card SONNY BOGGS 93.60 034523 TOTAL PAID: 93.60 • • • Electrical Permit Application DEPARTMENT USE ONLY rpw t SPRINGFIELD ICITY.OF'SPRINGFIELD;QREGAO ' .j ,- Pe mitno.: J 2t 3 0(8o . 225 Fifth Street•SprmgIicld.OR97477♦PH(541),26-3753.F X(541)726-3689 ';. O+i I OREtON Date: 9 131( 3 t 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? 0 Yes ❑No Number of inspections per item () Qty. Cost Total ea. cost xCATEGORY OF CONSTRUCTION Residential,per unit,service included: t Residential ❑Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq.R.or less(4) $147.50 $ Each additional 500 sq.ft.or portion 1 Job site address; �`-/ ( �� thereof $ 27.50 $ e City: (//t nett// I State:� ZIP: Limited energy(2) 1 $ 35.00 I .$ '! Reference: // . - Taxlot.: - Each manufactured home or modular $ 69.00 $ 1 DESCRIPTION OF WORK dwelling service or Rader(?) /ei - ' -�n�r eLLzi �_ Services or feeders:installation,alteration,relocation (I/� //� �/ 200 amps or less(2) I $ 89.00 S 201 to 400 amps(2) 5 104.50 S P OPERTY OWNER 1 i Name: 401 to 600 amps(2) $174.00 $ Address: - 601 to 1000 amps(2) $225.50 S I City: 1 State: 1 ZIP: Over 1,000 amps or volts(2) $516.00 $ I Phone: - - Fax: - - Reconnect only(2) $ 69.00 S = Temporary services or feeders:installation,alteration,relocation E-mail: 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) $ 96.00 $ - k'k property is not intended for sale,exchange, lease, or rent.OAR 479.5400)and 479.560(1). 401 to 600 amps(2) - $138.50 $ Signature: Over 600 amps or 1,000 volt,see services or Feeders section above CONTRACTOR INSTALLATION Branch circuits:new alteration.extension per panel Business name: A .iGe -keiG a.Fee for branch circuits with purchase of a service or feeder fee: 1 t � Address: / - 40 Each branch circuit S 6.50 $ Ci _aced /111. .� mss State:, / b.Fee for branch circuits without purchase of a service or feeder fee: Phon-, -747a52- A — Fax:/ - - First branch circuit(2) / 5 60.50 $ E-mail: ��L' l/ 1 gy,,,,�� „ ,(�/W Each additional branch circuit / $ 6.50 $ j CCB license o..A Z ' BCD license no: 5772j. Miscellaneous fees:service or feeder not included It Signing supervisor's license no.: 7 / 70,5 Each pump or irrigation circle(2) _ $ 69.00 $ Print name of signing supervisor: .e' ,7./A i Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, { Signature of signing supervisor: /�i/j' $ 80.00 $ 1 //�� ,�� alteratioq or extension(2) V' Each additional inspection:(1) $80.00 $ i APPLICANT USE I (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) 5 i ' (C)Technology Fee(5%of[A]) $ 440-2534-1(4101/2013/COnp , TOTAL fees and surcharges(A through C): $9y— i r