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HomeMy WebLinkAboutPermit Electrical 2013-8-28 ' SPRINGFIELD 225 Fifth St 3 , a. CITY OF SPRINGFIELD Springfield,OR 97477 ':. 1 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01944 . www.springfield-or.gov permilcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/28/2013 EXPIRES: 02/23/2014 STATUS DATE: 08/28/2013 APPLIED: 08/28/2013 SITE ADDRESS: 2510 16TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703243400110 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Electrical for Installation of 3 port ductless heat pump OWNER: MOFIELD KATHRYN M Phone Number: ADDRESS: 1580 YOLANDA ST SPRINGFIELD OR 97477 • L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor HARDING ELECTRIC INC CCB 132089 02/01/2014 541-688-5006 I, 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 • 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 telephone• COMMENCED OR IS ABANDONED FOR number Center is 1-Bgo0-332 Utility 4otification ANY 180 DAY PERIOD. • Springfield Building Permit 8/28/2013 2:43:44PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD - 225 Fiflh St CC«; TRANSACTION RECEIPT SpringtiJoR97477 _______...gti " OkEGON 541-726-3753 811-SP R2013-01944 www.spnngfield-or.gov 2510 16TH ST permitcenter @springtield-or.gov RECEIPT NO: 2013001913 RECORD NO: 611-SPR2013-01944 DATE:08/28/2013 [DESCRIPTION ' �ACCOUNT_CODE/TRANS CODE :, • AMOUNT DUE_J Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 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 AMOUNT PAID PAYMENT TYPE._. ._PAYOR _CASHIER:ccaRPERTER _ COMMENTS I Credit Card HARDING ELECTRIC INC 93.60 07910d TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENT. USE ONLY » ,s szk = t ` :.1z, 4,_.>74FY ..vegrt a:nIs t%, SPF y f ITYt0ESPRINGIIELDOREGRN - ` Perito : S � — I_�Y y ; di a -- :5s , w ;2vR xri b mn . 225 Fifth StreeNSpnngfield,OR 97477♦PH(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. ',i?A:NStP.DzEOPALIGOVE RNMENT rQFPROVAL4 f- .::;1 , 's, s. tWjFEEl SCAEDULE , ""at T Zoning approval verified? ❑ Yes ❑No +si p rAai X4 ` ' ` ` sii Tot I Number of mspections.peritem O Qty: e a -bs , Y CATEGORYµOF vCONSTRUCTION 4ti x " - Residential, per unit,service included: Pfftesidential ❑ Government ❑Commercial 1,000 sq. fr. or less(4) $147.50 $ ;�, , JOB>SITE ;INF.ORMATION':;AND MOCATION,;' ti, . Each additional 500 sq.ft.or portion Job site address: ,71510 /Cp*r irral- 7 thereof - $ 27.60 $ City:.p()nf, F'(k;IcL, State: 01 ZIP: 97977 •Limited energy(2) $ 35.00 $ Reference: JJ Taxlot.: Each manufactured home or modular $ 69.00 $ .cll:13:l7:Mllfrit DESCRIPTION„OORK s.. Mint , ; dwelling service or feeder(2) N(;.✓ �ue,4 I£55 f't n ,`r Services or feeders: installation, alteration,relocation 200 amps or less(2) $ 89.00 $ a t, g= ,My CP.,ROPERThlOWNER , ,- ; ,. ,`,": ': 201 to 400 amps(2) $ 104.50 $ Name: MO f J e/CL 401 to 600 amps(2) $174.00 $ Address:6--6,--0 Y©Z.97-p/1-- 601 to 1,000 amps(2) $225.50 $ City: F.�b �— 5`7 ?% ' Over 1,000 amps or volts(2) $516.00 $ Ci State: ZIP: / /cY Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation 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 $ 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 volts,see services or feeders section above ? r ire' ;°L.+jct„cQNTRACTOR- INSTALLATION , ,1'1N)Y*' .„