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HomeMy WebLinkAboutPermit Electrical 2013-9-11 SPRINGFIELD 225 Fifth St i _ _. .. CITY OF SPRINGFIELD Springfeld,OR 97477 -` `GREG ON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02047 www.springfieltlar.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/11/2013 EXPIRES: 03/10/2014 STATUS DATE: 09/11/2013 APPLIED: 09/11/2013 SITE ADDRESS: 3667 S E ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702314304005 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Kitchen remodel OWNER: GARY&KAREN DAVIS REVOCABLE TRUST Phone Number: ADDRESS: 3667 S E ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor L&E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 General Contractor RAINBOW VALLEY DESIGN&CONST INC CCB 56107 04/04/2014 541-342-4871 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.//®f)�j,/ O •-r or Contactor Signature Date /� • ATTENTION: Oregon law requires you to follow rules adopted by three he Oregon Utility n OfAR 952-001-00 10 through ules are set OAR 952-001 .T UTICE: 0090. You may obtain copies of the rulese by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telep number for the Oregon Utility Notification Springfield Al�idH�RIZED UNDER THIS PERMIT IS NOT Center is 1-8 00-332-2344). COMMENCED OR IS ABANDONED FOR 9/11/2013 1:21:00pM Page 1 of 1 • ANY 180 DAY PERIOD. . • SPRINGFIELD CITY OF SPRINGFIELD ht: 225 Fifth St TRANSACTION RECEIPT 225 FihlSORg7477 OREGON 541-726-3753 811-SPR2013-02047 www.springfieid-or.gav 3667 S E ST permitcenter©springfield-or.gov RECEIPT NO: 2013002010 RECORD NO: 811SPR2013-02047 DATE:09/11/2013 �o7 . ws lainta L, .:.' .. z0 : i'th f:4-:,, .!:'ACCOUNT CODE/TRANS:CODE r AMOUNT DUE 5s1 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 32.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.16 Technology fee(5%of permit total) 100-00000-425605 2099 4.65 TOTAL DUE: 108.81 • �P.AYMENTiTYPE P.AY.OR cgsNieR:.ccgReexrER COMMENTS AMOUNT... AID t Credit Card RAINBOW VALLEY DESIGN&CONS- _ 108.81 01983g INC TOTAL PAID: 108.81 • • • • • • Electrical Permit Application. DEPARTMENT USE ONLY '- --; snuwnnau -.. .r. .., 'CITY OF,SPRL_NGFIELD, OREG--ON }_ i° � Permit no.: f -- —261(7 225 Fifth Street•Springfield,OR 91477•P13(541)726-3753.FAX(541)726-3689 q Date: //// /! 3 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. ?r°i' LOCAL aGOVERNMENtTAPPROVAL z``'' 4 tE FEE SCHEDULE t,,'^,.tom r r Zoning approval verified? ❑Yes ❑No #Number of tnspecbons per dem O'* tZtyiJ ' ,Totil c y.. ,. ^';<< i�_ CA1 EGORY,rOF'nCONSTRUCTION w: - Residential,per unit,service included: , Residential ❑Government ❑Commercial .t r w4 J OBgSITE.JNFORMATION-"AND9-OCATION _.," = 1,000 sq.ft or less(4) $14x50 $ Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: '3'4$i s. E ,e thereof City:iprt��e(.D State: D'}---. ZIP:77y'� Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ ' FizSta'._nt.DESCRIP.,TION�,OF WORK, _` ; i, dwelling service or feeder(2) Services or feeders:installation, alteration,relocation K i t t kvwt Reart i4 200 amps or less(2) $ 89.00 $ r. . Z, x, , 201 to 400 amps(2) $ 104.50 $ s?; i,�:;,r3.„,tF$�ar;Pf2QPERTY,.,FOWNER _ _� �: Name: &Ar-v 'r(r)e, 401 to 600 amps(2) $174.00 $ . Address: SjAy*/e_ 4., Q'3jJ� 601 to 1,000 amps(2) $225.50 $ City: State: ZIP: Over 1,000 amps or volts(2) $516.00 $ Phoi '-72.4 ?girl Fax: - - Reconnect only(2) . $ 69.00 $ E-mail: Temporary services or feeders:installation,alteration,relocation d�U ST1wt7.,e_r e A d, . Caen. 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 5 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 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above i l aK OOliTIRA.C.TOFtitINSIALLATION';'.11 ::l'elfr*.10.-4:-It. Branch circuit:new alteration, extension per panel Business name: L... 1 i Electric— a.Fee for branch circuits with purchase of a service or feeder fee: a Address: (Z87, --Z- ct At ir e7 -R-r> Each branch circuit I $ 6.50 $j)3?- City: ('q. t A State: 07., ZIP:97 c/Ina b.Fee for branch circuits without purchase of a service or feeder fee: Phon (-51..4 -. Y'?b Fax: f 933- 2-5qg First branch circuit(2) / $ 60.50 t� �.e E-mail: rgJt4 y oa t, c..,,c (. ( Each additional branch circuit t $ 6.50 $ CCB license no.: /0547J BCD license no.: 20-ley Miscellaneous fees:service or feeder not included Signing supervisor's license no.: q(7 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: ehoJ ye ti Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: �L_jp..i �-�...�• l circuit or extension r a l (2)energy panel, alteration, $ 80.00 $ Each additional inspection:(I) $80.00 $ pv rs �, r"tat�: a ,::.,s ...TAY �;>. `�AP_PLICANT,; USES (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ /J _ (B)Enter 12%surcharge(.12 x[A]) - $ // /G (C)Technology Fee(5%of[Al) $ L//,I TOTAL fees and surcharges(A through C): 5/5,7 r 440-2584-1(4/012013IC0M)