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HomeMy WebLinkAboutPermit Electrical 2013-10-21 PRINGFIELD 225 Fifth St , . .. CITY OF SPRINGFIELD Springfield,OR 97477 ''f Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02331 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/21/2013 EXPIRES: 04/19/2014 STATUS DATE: 10/21/2013 APPLIED: 10/21/2013 SITE ADDRESS: 584 CITY VIEW BLVD,Springfield,OR 97477 - SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703341405900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Adding two circuits for AC OWNER: ANDRUS LARON CRAIG&JULIE J Phone Number: ADDRESS: 584 CITY VIEW BLVD SPRINGFIELD OR 97477 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 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. . i iv -, i - /3 . O - •r Contractor Signature t 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 calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). . Springfield Building Permit 10/21/201 10:14:46AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 4 4, - 225 Fifth St TRANSACTION RECEIPT Springfie 1c1,06 97477 t. tTh\OREGON N . 811-SPR2013-02331 641-726-3753 www spnngfield-or gov 584 CITY VIEW BLVD permacenter©spnngfield-or gov RECEIPT NO: 2013002313 RECORD NO: 811-SPR2013-02331 DATE: 10/21/2013 _DESCRIPTIONLc. — • %- • - ACCOUN1iCODEITRANS.CODE AMOUNT,DUE . 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 KPAYMENt WOE tc FAVOR ''CAS-HIEli;JLARSOil = obiAMEi4TS1 ,'--,::AMOUNT PAID ' Credit Card HARDING ELECTRIC INC 93.60 03634D TOTAL PAID: 93.60 • • Electrical Permit Application DEPAR^ TMENT USE ONLY d Vs .u� 25 o e - 'rJ C t5*,,,:: r3,Y6va+ 00,.`.;:c ,.: $ ,. . G�IT�Y OF SPRINGFIELD UREG61� a 87/ 20 3 0x33 i''i:fwd +s..-:':-..Q ...""5..£v..3t-"_ ' slir.1s7e4* . .t??-.+t L'e .2 s r..•«"r Permit n0.: 225 Fifth Streets Spri ngfeld,OR 97477♦PH(o41)726-3753♦FAX(541)726-3689 f Date: /O/ 2/J /`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. ;':[ _t; ,itoCAL' :GOVERNMENVAPPROVAL, } : , ''',MN-.F.k r. "+AVF.EE4;SCHEDU13 E N4 ,; ik,,' ,. M; Zoning approval verified? ❑ Yes No "" _' ` z " ` ' i tCot Total` , e i 7Q y yea'-'' ''itt""ost � if4 CATEGORY°OFCONSTRUCTION ? ' Resident al perunit,service included: �. ❑Residential ❑Government ❑Commercial 1,000 sq.ft. or less(4) $147.50 $ JOB 'SITE:INFORMATION';ANO:LOCATION ',ri ,, ,. ' 1/ Each additional 500 sq.ft.or portion $ 27.50 $ Job site address:C SlI`]t' Ci l y i fcyi ziil ot, thereof City:6.7(. 3f'Pil(X State: Or ZIP: 9-7247r Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ ,.,„ , , , :*5• i .7a,t dwelling service or feeder(2) M°�;. ;� ; , ��?',$DESCRIPTION�OF:WORK``; „„�,, ,s>a NLv� A, e„. LI(cul + CX'I en.(U Lci.., t Services or feeders: installation, alteration,relocation and. rec.vn,� 1 200 amps or less(2) $ 89.00 $ Elf �'u�n4t-� 3' rsi,'"r .,,.` )'.," 4 tPROPERIW ;OWNERFI .' ,;.tip x^i. 201 to 400 amps(2) $ 104.50 $ Name:A_,,,,,,..., Lo„, C✓, V t-, S.-,1- 401 to 600 amps(2) $174.00 $ Address: C' °r e,`, l, , ' 601 to 1,000 amps(2) $225.50 $ City: 571C/L State: ek 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 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 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above igi'2.+ i CONTFtACTClEtTINSTAL'LAT;IOls ;,`s?`' -"�a.F Branch circuits:new alteration, extension per panel 4d.41f�4L S...K Business name: 1-f arcL I nG GI E.C4f 5 C, C-. a. Fee for branch circuits with purchase of a service or feeder fee: Address: F,0, 3U 4 c J 2(0 0.3 Each branch circuit $ 6.50 $ City:j.[;C 116 State: V( ZIP: 9746 Z . b.Fee for branch circuits without purchase of a service or feeder fee: Phones`IJJQJ 3 - /3/ 55Ila Fax:gqi - 1.05 3 • 9/3(� First branch circuit(2) ' $ 60.50 $ E-mail: _in fO 0 r!6/of C/Cain'. • C ott- _ Each additional branch circuit $ 6.50 $ CCB license no.: /3,2019 . BCD license no.:d3'9.37t Miscellaneous fees:service or feeder not included Signing supervisor's license no.: . 7 9 59 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Cret/r i t' Hardin Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: , /t 7 /� Signal circuit or abinned-energy panel $ 80.00 $ g g g P Each additional ti nal inspection:ti Each additional inspection (1) $80.00 $ Minalgrgetrag LICANT rUSERA '.`„ r,r"rii1V (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): $ 9 3_4,5-- 440-2584-1(4/01/2013/COM)