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HomeMy WebLinkAboutPermit Electrical 2013-9-12 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 _(�C '' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02053 www.springfield-ocgov - permitcenter©spri ngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/12/2013 EXPIRES: 03/11/2014 STATUS DATE: 09/12/2013 APPLIED: 09/12/2013 SITE ADDRESS: 705 FLAMINGO AVE,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703223109200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: electrical only-feed to shed OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST • SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone Electrical Contractor JK GUCKENBERGER ELECTRIC INC GCB 45129 04/24/2014 541-746-4656 • INSPECTIONS REQUIRED Inspections 4220 Electrical-Service 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 • • • • • Springfield Building Permit 9/12/2013 3:23:11 PM Page 1 of 1 1, SPRINGFIELD • ...a.„...tii TRANSACTION CITY OF SPRINGFIELD RANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 541-726-3753 • OREGON 811-SPR2013-02053 www.springfield-orgov 705 FLAMINGO AVE permitcenter@spnngfield-or goy RECEIPT NO: 2013002022 RECORD NO:811-SPR2013-02053 DATE:09/12/2013 ill*5ORIRTION7 ,-, 7 Tir 7 . T.,:' .-.7: - :,-'7, ikootill i4i:dii5ElfriAJit cop E, : . =1 - AMOUNT Dui 1 Branch circuits with service or feeder each circuit 224-00000-426102 1004 13.00 . Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.24 Technology fee(5%of permit total) 100-00000-425605 2099 5.10 TOTAL DUE: 119.34 PAYMENT TYPE PAYOR . CASHIER:DBOwLsgy -- ,, . , .,.COMMENTS , 1, ', _ ,; - ; 'AMOUNT PAID ' -.• . 'I Credit Card JK GUCKENBERGER ELECTRIC INC 119.34 - 035647 TOTAL PAID: 119.34 • • FROM JKG El nctrIc Inc. (TUE)SEP 10 2013 0:40/ST. 0:48/Mo. 7600000010 P l .__...__.. .,..,.._....y,... `J(pr 4-Jtyl) 6 uupJ rwww.cl.springtleta.or.us/Osa/OwlCing/LtbrarythIectrl cal Perna 12... Electrical Permit A 6 placation DEPARTMENT USE ONLY CITY OF SPRINGFIELD; 1p OR GON Permit no; 5(7'O Z O37 ii- ∎ . 725 Filth Sired•Springfield,OR 974774PH(5J1)726-3753•1 \l((540726-7689 OREGON ro55 7 0S /mod ' ) p dyt- Date: "Yr . This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within IRO days of issuance or if wosit is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item ( Cost Total —._. P per (1 Qty.[ ca, l cost CATEGORY OF CONSTRUCTION —_ —' — .__.__._.--_._.__ ...__..___ Residential,per unit,service included: ❑ Residential 1 ❑Government ❑Commercial JOB SITE INFORMATION AND L CATION 1,000 w.ft.or less pal $14750 $ --'-" -- Each additional 5011 sq. 0.or portion ` 27.60 $ Job site address: it en A Q thereof' City: ■ $,;414 Stale: R ZIP: 91977 Limited energy(2) $ 35.00 5 Reference: Tat 17-Os-a3-Oo- Each manufactured home or modular S 69.00 $ -��----- p dwelling service or'ceder(2) DESCRIPTIO •F eta;K _ ___L_ nn 1'7' ■ 3 Z Z-3 ( Services nr feeders:installation, n6rrallnn.relocation �X.K(J..__. --.'Q'. 5 .. 200 amps or less(2) I, S 89.00 $gam] PR.PERTY tWNER 0 eta*o �� � 201 to 400 nmps(2) $ 104,50 $ Name: $ 'f - _ _ 'zTVn-�•.-1— 401 to 600 amps(2) 5174.00 $ Addess: 6011n 1,000 amps(2) $225.50 $ City: State: ZIP: Over 1,000 amps or volts 12) $516.00 $ Phone: ---. __._.---- Pax: - - Reconnect only(?) S 69,00 $ L'.-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 s owned by me or a member of my immediate family.This 201 to 400 amps(2) 5 96.00 S property is not intended for sale,exchange, lease.. or rent.OAR —__._.._._._ —_4 479.540(1)and 479.560(1). 401 to 600 amps(2) 5138,60 S 2 Signature: Over 600 amps or 1,000 volts,see services or feeders section above ` / t fG, CONTRACTOR INSTALLATION Branch circuits: mna c/enuioo extension per panel 'IL usiness name_al U __ n. Fee for brunch circuits with purchase of a service or feeder fee: Address: 2•-■Cj-( —DO st Each branch circuit -7 7 $ 6.50 $ City: State. ZIP: -14ri h. Fee for branch circuits without purchase of a service or feeder I e: Phone: - Fax: First branch circuit(2) 5 60.50 S s�+l ��,, .4,Ps� Sw —� cgs - -- --- E-mail: r 4,,60 6 I__GpYY) Each additional branch circuit S 6.50 5 __._._ CCC+ license no.: 45 t2._. BCD license no.: Z,0-1..f1L Miscellaneous fees:Service or feeder not included - - -- 'f/ _, Each pump of irrigation circle(2) _-$ 69.00 S -- Signing supervisor's license nu.: ,, LS- S- ...— �� Each sign or m Eh siarine lighting(2) $ 69.001 Print name of signing supervisor: e ai r gh ; �'_ --_- - ----__ - - -- • Signal circuit or n limited-energy panel ,$ 60.00 Signature of siwcing supervisor:_ Signal circuit or ntensinn(2) Each additional inspcetiou:(I) $60.00 S APPLICANT USE (A) Enter subtotal or above lees 5 w A'�L� �( s LF (Minimum Permit Fee 580.00) I I.. S Y (B)Enter 12%surcharge(.12 s[A]) $ 44 / /S 70 (C)Technology Fee(5%of IA]) S iX 4.111-258-Id t l'01/2013/COhb 7n .- TOTAL tees and surcharges(A through C'): _\$ Pat-Oft OS Meer . af-, - PI Or rn .1 i �= lea \1 U--.X p3 56141 4/R/2013 11 iR AM