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
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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