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HomeMy WebLinkAboutPermit Electrical 2013-9-12 • •SPRINGFIELD 225 Fifth St t ° CITY OF SPRINGFIELD Springfield,OR 97477 __,.ii (\ Phone: 541-726-3753 ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02055 wvrx.springfield-or.gov permitcenter@springfield-or.gov I PROJECT STATUS: Issued ISSUED: 09/12/2013 EXPIRES: 03/11/2014 STATUS DATE: 09/12/2013 APPLIED: 09/12/2013 • SITE ADDRESS: 1125 DELROSE DR,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703234404300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Two Circuts OWNER: ROY LESLIE Phone Number: • ADDRESS: 1125 DELROSE DR 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 INSPECTIONS REQUIRED 1 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 const coon. I • or Contractor 'Ignature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE' Notification Center. Those rules are set forth 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 4:.0"ih,1 th9 "1:` r ohol'e COMMENCED OR IS ABANDONED FOR ^IY 180 DAY PERIOD. Springfield Building Permit 9/12/2013 1:08:23PM Page 1 of 1 • • r SPRINGFIELD CITY OF SPRINGFIELD m. ,. . TRANSACTION RECEIPT Sp ingfield,ORs7477 541-726-3753 OREGON 811-SPR2013-02055 www.springfield-or.gov 1125 DELROSE DR permitcenter©springfield-or.gov RECEIPT NO: 2013002017 RECORD NO:811-SPR2013-02055 DATE:09/12/2013 ,DESCRIPTION_ � '•ACCOUNT CODE/TRANS,CODE _.,_, : :AMOUNtDUE-_ 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 L PAYMENT TYPE _PAYOR CASHIER:JLARSON COMMENTS AMOUNT-PAID Credit Card HARDING ELECTRIC INC 93.60 05290D TOTAL PAID: 93.60 • • Electrical Permit Application DEPARTMENTUSE ONLY SPRINGFIELD--vmw...+d� pITilY OF SPItLNG lEL~D OR,�EG` Nom; Pertr;it na.:g( ( Lc 13 o-z S 225 Fifth Streets Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Date: Sit 2//-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. 4' watTiz iLtOCAL"GOVERNMENnAPPROVALs 'r;; ,'„ ? . , G.K :3,;,, ,5 , 'FEEeSCHEDULEk;, "' '4 to Zoning approval verified? ❑ Yes ❑No it:'" `` ` R:ap: '1 r rf f-€;, ^:Cost ti.,-,T661,-;: numbevrofaspecttonsspermem O Qty dr a + ,cost-,; `ss',$ , T F Ci4TEGOOYAOr.ACONSTRUCTION, `., -, tv??-„ " " Residential,per unit,service included: ❑Residential ❑Government ❑Commercial 1,000 s ft.or less 4 ,eC?s' `JOB iSITE'INFORIOTION',AND,„LOCATION ; t} ,, F 9' (4) $147.50 $ Each additional 500 sq. ft.or portion Job site address: thereof $ 27.50 $ City: State: ZIP: Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ '' ".= y6glejltMDESGRIPTION„*,,OF,,Ov0 a °+t:cli y; dwelling service or feeder(2) - NLW Catej it".- 5 CV?tom-�( 3 ct'f f ,f Services or feeders: installation, alteration,relocation 200 amps or less(2) $ 89.00 $ +'S [irM i;".",f' Tl7 '•;BPROP,ERT,gY QwNERr; „s+ s n N Ma 201 to 400 amps(2) $ 104.50 $ Name: 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 the 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 479.5600). 401 to 600 amps(2) $136.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ''m`elli.'4S CON�T/RA/CT,ORIIINSTAL'LA'TjION Y} .gtk A(&4•q Branch circuits: new, alteration, extension per panel Business name: /(Gt b j9(' ,Jec.tIII b. •--nG a. Fee for branch circuits with purchase of a service or feeder fee: Address: 7, 0 . '5o ( 261.2_3 Each branch circuit $ 6.50 $ City: 5(-� t State: ( ?( ZIP: 979c2_ b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 94Jr - 953 -b,/E54J Fax: - - _ _ First branch circuit(2) / $ 60.50 $ E-mail:��-co a?211c/cltn e telit C, I Coi� Each additional branch circuit 1 $ 6.50 $ CCB license no.: /3„A0 J' BCD license no.:go -4137C, Miscellaneous fees:service or feeder not included Signing supervisor's license no.: J 7 y 9b Each pump or irrigation circle(2) $ 69.00 $ Print name of signing superviso atne 115.76:11;1 Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: grApea,3 I ,/ Signal circuit or a limited-energy panel, $ 80.00 $ Ech additional alteration, inspection:ti Each adtnal inspection (1) $80.00 $ is. , , .;t? id2:- ,' `AP.:P,LICANT?USE-pcm i ui (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $93 440-2584-1(4/012013/C0M)