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HomeMy WebLinkAboutPermit Electrical 2013-10-14 • 6PRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 }ca Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02296 wvrw.springfield-or.gov permitcenter©spdngfield-ar.gov PROJECT STATUS: Issued ISSUED: 10/14/2013 EXPIRES: 04/12/2014 STATUS DATE: 10/14/2013 APPLIED: 10/14/2013 SITE ADDRESS: 6780 D CT,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702341402900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Circuit for DHP OWNER: BEBOUT STEVEN F 8 CARRIE A Phone Number: ADDRESS: 39601 MCKENZIE HWY SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION • Contractor Type Contractor Name LicType Lic No Lic Exp Phone 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. 10 —I4- l3 Owner or Contractor Signature Date • • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS 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 to You may obtain copies of the rules by calling the center. (Note: the telephone .NY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/14/201 3:36:16PM Page 1 of 1 • • •SPRINGFIELD---- CITY OF SPRINGFIELD ILL 225 Fifth St io EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-02296 www.springfield-or.gov 6780 D CT permitcenter©springfield-orgov RECEIPT NO: 2013002276 RECORD NO:811-SPR2013-02296 DATE: 10/14/2013 ]o7n-Ioi9121tl[ult „-4 z . _ ue _ . ACEOUNTgCODE/TRANS.CODE >' d,, ' 01 `JIsi11UE'r, Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 19.50 Branch circuits without service or feeder-1st circuit 224-00000-426102 1004 60.50 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 + OP.AYMEN7aTYP.E' =P,AYORIIEFIIVLARSOR. COMMENTS AMQUNvT AID i Credit Card BEBOUT STEVEN F&CARRIE A 93.60 074318 TOTAL PAID: 93.60 • • • • Electrical Permit Application DEPARTMENT USE ONLY "a 4b �y� SPNINGFtELCI `'O1°"^4 i k'"". 9}./fir`<GT4..:Fa P+t+r?"C'iy --,' Ariwzt'" t. -.t tv£ns+"" t� IIIT OFi SPRINGFIELD�'ORE`G-Ol - ;,' 4 '2/ 4 a�� Permit no.: Z) � Zo/3 0229 n5 Fifth Streets Springfield,OR 97477♦P11(541)726-3753♦FAX(541)726-3689 Date: (49/4 664 ) 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. - b, LOCAU,GOVERNMENTIAPPROVAlS ,a. ';s a5, * TFEE„SCHEDULE ikt i.ra . -a Zoning approval verified? ❑ Yes ❑No r}°n "' h1 {tfr ?7t4 C Total Number of fnspeetmns per wx & Qty eei cost l 1CATEGORY;OF:wCONSTRUCTION ig` " " -.__''.,. — w,=. ,;,x -,, z Residential,per unit,service included: Residential ❑Government ❑ Commercial 1,000 sq.fr.or less(4) $147.50 $ .JOB SITE 1NFO13 MAT ION AND,„LOCATION_', ,, a Job site address: //� rn ,�- Each additional 500 sq.ft.or portion $ 27 50 $ C57€o t CO U V thereof City: < '(iscA.CC)... State: c ZIP: 0_,--7 q -a Limited energy(2) $ 35.00 $ Reference: Taxlot Each manufactured home or modular $ 69.00 $ -7 F.W „g ;iDESCRIP_1TION-; OF,tWORK e-A?. ttiV dwelling service or feeder(2) �— Services or feeders: installation,alteration, relocation T)\SCO v\tr.e.�304 Zlp ea t l t kAS lea 200 amps or less(2) $ 89.00 $ C!ovv,PF-S— 1SA7-/P Aod-lees P ,' ',r,(:c �„ ,-, j,;e %PROPERTY.;OWNER/,*`„]+ �` s �s,,