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HomeMy WebLinkAboutPermit Electrical 2013-9-9 SPRINGFIELD - - 225 Fifth St t-t _ CITY OF SPRINGFIELD Springfield,OR 97477 Lai/ 'Phone: 541-726-3753 - - • % OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02028 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/09/2013 EXPIRES:. 03/07/2014 STATUS DATE: 09/09/2013 APPLIED: 09/09/2013 SITE ADDRESS: 1368 WIMBLEDON PL,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703342200805 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Branch circuit for detached structure OWNER: CRAWFORD RONALD HOWARD&DEBORAH J Phone Number: ADDRESS: 1368 WIMBLEDON PL SPRINGFIELD OR 97477 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 . • 4140 Underground Electric Underground Electric: Prior to cover 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: Wien 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 on law requires you to 'ICE: : 'WORK ATTENTION: Ore Oregon by the Oregon Utility PERMIT SHALL EXPIRE IF THE OT follow rules ado pP,IZED UNDER THIS PERMIT is N Notification Center. Those rules OAR 952-001- fn OAR g52 001-001 0 through DAY PERIOD. es of the rules by 4 LACED OR IS ABANDONED FOR . 0090. You may obtain cop telephone calling the center. (Note: the telep number for the Oregon Utility Notification Center is 1-80 0-332-2344). Springfield Building Permit 9/9/2013 11:13:46AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ,• TRANSACTION RECEIPT Springfield,OR 97477• OREGON 541-726-3759 811-SPR2013-02028 www.springfield-ar,gov 1368 WIMBLEDON PL permitcenter©springfield-or.gov RECEIPT NO: 2013001987 RECORD NO: 811-5PR2013-02028 DATE:09/09/2013 'DESCRIPTION ACCOUNT CODE/TRANS CODE __ __AMOUNT DUE: , 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 PAYMENT TYPE_____PAYOR_ CASHIER:ccARpENTER_ AMOUNT PAID - _ " ."COMMENTS .._.- --------_ -"`__-_.-- --- ----- "---} Check LIVEWIRE ELECTRIC INC 93.60 14756 TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENT IJSE ONLY ; SPNINGPIELD i�w..mry yl ' r` t,�{,°` ?"�'°�#Px �, },zv`�4. .��,ns y.tT-`r+YR4rk.d rcF�°�',e'�r7txt�"- 7 �CITY7-® SI !GULL!REGOltr: a Let:" °... Permit no.: �7-�1�G 0 t" °sL.b' 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 a �j Date: (/ I �- 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.xi i ,w ;y,. . : ,: rgi { ='FEE::,3SCHEDULE:,x cx ,,il ` "J :.' '" ∎:∎? ,".£ yr„gpa xa r ,a'"_, k 31 r x ' .... k Zoning approval verified? ❑ Yes ❑No '`.Number of inspecttons;penttem O t Qty Cost F k Total , :CCATEGORYtOECONSTRUCTION 4 ,:Sts'Kt'Cr, 4 saw!, ea „ cost :,; Residential,per unit,service included: Residential ❑ Government ❑ Commercial 1,000 sq. ft. or less(4) $147.50 $ JOB;SITE;"INFORMATION' AND=LOCATIOM',t± 1, Job site address: '3j4 S Rh PIAW Pi Each additional 500 sq.ft.or portion $ 27.50 $ ^n 7 thereof City: SPRIn��c�� State: La__ ZIP: 97 y7 ( Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ '2 {-1, ,„z-}:S,3DESCRIPTION[OF ,WORKt`':�.;�,2 ;.prat'''- „ dwelling service or feeder(2) 7J � c,c /.ULr p CSI a�,n Services or feeders: installation, alteration, relocation -us--f vg"— L7 �I7`{J 200 amps or less(2) $ 89.00 $ v!.e 5 =,,",:f' `_J:PROPERTY4QWNER fi' '°?'"t.,: la+�',i 201 to 400 amps(2) $ 104.50 $ Name: eft/q'Y✓. L) 401 to 600 amps(2) $174.00 $ Address: 601 to 1,000 amps(2) $225.50 $ City: State: ZIP: Over 1,000 amps or volts(2) $516.00 $ 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 479.540(1)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 aCONTRACTOR7INSTALLATION c fa`,px?. "';�t'I Branch circuits:new alteration, extension per panel Business name: /..-I l[S-t J 4C— -L( jy2(C t //VG, a.Fee for branch circuits with purchase of a service or feeder fee: Address: 'PO 3cx I I'704, Each branch circuit $ 6.50 $ City: $.{J3QA(!L State: at_ ZIP:?7yyo b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 6L71/1 i 9'-y9z5 �1 Fax: - - First branch circuit(2) ' $ 60.50 $�(� E-mail:. titer- /-(utvJlrZt ztr.4ACt cop-] _ Each additional branch circuit $ 6.50 $ CCB license no.: ,j cn BCD license no.: 20 tj G Miscellaneous fees:service or feeder not included Signing supervisor's license no.: `j2 13 - 5 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: ...1 - (y7a(-6L Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: ,� / / alteration,or extension(2) $ 80.00 $ Each additional inspection:(1) $80.00 $ ' m1 -iTAkPLICANT.r USE "'; ``"°' s" -au" t (A) Enter subtotal of above fees $ l (Minimum Permit Fee$80.00) �W%1 i (B)Enter 12%surcharge(.12 x[A]) - - $C'0j (C)Technology Fee(5%of[A]) $ ct TOTAL fees and surcharges(A through C): $ 5:i j-' - 440-2584-J(4/01/2013/COM)