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HomeMy WebLinkAboutPermit Electrical 2013-10-24 • • ' SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 liri ` _ Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax:.541-726-3676 PERMIT NO: 811-SPR2013-02368 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 • SITE ADDRESS: 1137 M ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703264404900 • TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Residential Rewire OWNER: BERGLUND FAMILY TRUST Phone Number: ADDRESS: 1311 G ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor WALTER J CANNON CCB 76304 09/09/2015 541-747-0959 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/operty`nd the approved set of plans will remain on the site at all times during construction. 1 .1a . z9 • Owner or Contractor Signature ' Date • • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK . • in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/24/201 10:34:53AM Page 1 of 1 • • SPRINGFIELD'— CITY OF SPRINGFIELD „r. 225 Fifth St ' , '' TRANSACTION RECEIPT Spdneld,OR 97477 .1 541-726-3753 OREGON 811-SPR2013-02368 www.springfield-or.gov 1137 M ST permilcenter©spdngfield-or.gov RECEIPT NO: 2013002341. RECORD NO:811-SPR2013-02368 DATE: 10/24/2013 CODEliRi4NS CODE S,'� ,+'.VAMOUNTE0l4;rtt Each added 500 sq ft. or portion 224-00000-426102 1004 27.50 Residence wiring 1,000 sq.ft, or less 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.00 Technology fee(5%of permit total) 100-00000-425605 2099 8.75 TOTAL DUE: 204.75 P,AYMENTITYPE- P,AYOR acnsxatiLARSOR COMMENTS AMOUNTLRAID . Check WALTER J CANNON 204.75 25976 TOTAL PAID: 204.75 Electrical_Permit Application DEPARTMENT USE ONLY Tit's-.4---,t-MS,.i•r Wt$ceL >5 'i+-. . �4#-.Ig*5°,fix s;,flt n SI SPRINGFIELD CLTYY'OF`SPRINGFI�ELD OREGON 1 — .i> s.<_,. _». t , ie , a,.;.a_wer.....fr- ;vfS. ro . . .�;:k� ,,, t d `a- 1, Penn it no.: L� zU/� OZ 7'�- 225 Firth Street4Springfield,OR 97477•'H(541)726-3753•FA\(541)726-3689 ,� rp;, oaccon Date: /n 1 I ')i—I. 1 I . 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? es ❑No Number of inspections per item() Qty. east Total cost d �� Residential,per unit,service included: CATEGORY OF CONSTRUCTION 131 Residential ❑Government . ❑Commercial 1,000 sq.fi.or less(4) $147.50 S • JOB SITE INFORMATION AND LO ATION • p J - Each additional 500 sq.ft.or portion g 27.50 $ Job site address: U thereof City: 3,, f State •L iWS Limited energy(2) $ 35.00 $ Reference: [ Taxlot.: - Each manufactured home or modular $ 69,00 S dwelling service or feeder(2) DESCRIPTION OF WORK ,ccU nl(fe_ F Q AkaII B l Jil Services or feeders:installation.alteration.relocation / 200 amps or less(2) $ 89.00 ,$ PROPERTY OWNER 201 to 400amps(2) $ 104.60 $ Name: /1 ii � t , � . Ai 401 to 600 amps(2) $174.00 S Address: /--i ii 11q11 601 to 1,000 amps(2) - $225.60 5 rp '4 `f-(' City: State:(1� ZIP:ryh---; Over 1,0(X)amps or volts(2) $516.00 S Phone: - -v 9 /101 J.2 I 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 Tess(2) $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 S property is not intended for sale,exchange,lease,or rent.OAR 479.540(1)and 479.560(I). 401 to 600 amps(2) $138.50 S Signature: - - Over 600 amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTA LATION - Branch circuits:new alteration.extension per panel Business name: . �r � ff/ .u.2 a. Fee for branch circuits with purchase ofa service or feeder fee: Address: 10. , Each branch circuit $ 6.50 $ City: •Y� QIt71 1 Stater, Z1 25 b. Pee for branch circuits without purchase of o service or feeder fay Phone: 742 h95 Fax: - - First branch circuit(2) $ 60.50 $ E-mail: ;1`'� p Each additional branch circuit - $ 6.60 $ CCB license no.:7 . 3(7i I BCD license not 28""JOB C, Miscellaneous fees:service or feeder not included Signing supervisor's license no.: r3.7 79 45^ Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: (/.5 s c PrJ MO Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: ,I„ Signal circuit or a limited-energy panel. $ 80.00 $ nee ', I• � alteration.or extension(2) 6 Each additional inspection:(I) $80.00 $ APPLICANT USE - (A) Enter subtotal of above fees (Minimum Perml �7r Fee$80.00) $ (13)Enter 12%surcharge(.12 x[A]) $ >4 isa (C)Technology Fee(5%of[A]) $ 7J 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): $.ZO