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HomeMy WebLinkAboutPermit Electrical 2013-10-11 SPRINGFIELD 225 Fifth St " CITY OF SPRINGFIELD Springfeld,OR 97477 ,.,t� Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02286 www.springtieldor.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 10/11/2013 EXPIRES: 04/09/2014 STATUS DATE: 10/11/2013 APPLIED: ' 10/11/2013 SITE ADDRESS: 1631 VERA DR,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703243103800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 30A RV Circuit and DHP circuit OWNER: EMMETT JEFF&LEAH Phone Number: • ADDRESS: 1631 VERA DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ` Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 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. 4c7 V7-3. 3 Owner or Contr or Signature - Date • ATTENTION: Oregon law requires you to ATIGE: follow rules adopted by the Oregon Utility 1 HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT • in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit 10/11/201 1:23:56PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 4i hiii 225 Fifth St � ; TRANSACTION RECEIPT Spnngfield,0R97477 OREGON 541-726-3753 811-SPR2013-02286 www.spnngfieldor.gov 1631 VERA DR permitcenter©springfeld-or gov RECEIPT NO: 2013002268 RECORD NO:811-SPR2013-02286 DATE: 10/11/2013 II • -1 to "_ i`-3 t.: a'2i=5t _ ,_ -1 t-.=3jACCOUNTCODEFTRANSCODE_,.'et ;4t'' AMOUNSDUE :J 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 PAYMENTaYPE .,PAYOR casHIER:JL'ARSOR .. COMMENTS AMOUNTO.P;AID Credit Card EMMETT JEFF&LEAH 93.60 202365 TOTAL PAID: 93.60 • • • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.: €3(t 2,9(3 oz2 , 225 Fifth Street•Springt-icld,OR 974774P11(541)7263753•FAX(541)726-3689 OREGON Date: /OA,i( 'j 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 FEE SCHEDULE Zoning approval verified? ❑Yes ❑No Number of inspections per item() Qty. Cost Total CATEGORY OF CONSTRUCTION ea. cost ggg} Residential,per unit,service included: Residential ❑Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1,000 sy.ft.or less(4) $147.50 $ t� �6 31 ✓ERA DR. Each additional 500 sq. 0.or portion $ 27.50 $ Job site address: thereof City: `J' PWLN,VIELD State: OtCZ ZIP: 6171(77 Limited energy(2) $ 35.00 $ ' Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) 30A R1/ cza-coar Services or feeders:installation,alteration,relocation �flt� 1,02 - 200 amps or less(2) $ 89.00 $ SPLan bOCTL S5 bybTem PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: eFI cM M E.[.r 40I to 600 amps(2) $174.00 $ ' Address: /631 Arm(- txz. 601 to 1,000 amps(2) $225.50 $ City:SPtti1f,FjrL> State: Oct ZIP: 07g17 Over 1,000 amps or volts(2) $516.00 $ Phone: 5411 - 8110 5505..LL� Fax: - - Reconnect only(2) $ 69.00 $ E-mail: tct0..ert3tMNAC[f a *IAA 0,...I . C 0Le, 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 4 0(1 - 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:new alteration,extension per panel Business name: a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) - lir$ 60.50 S 60.5D E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ I Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ g g S P alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ go (B)Enter 12%surcharge(.12 x[A]) $ 9 60 (C)Technology Fee(5%of[A]) $ ii OD • TOTAL fees and surcharges(A through C): $ 440-2584-J(4/012013/CUM) g ( g )� 93