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HomeMy WebLinkAboutPermit Electrical 2013-10-18 ;11 SPRINGFIELD_._. 225 Fifth St -- , CITY OF SPRINGFIELD Springfield,OR 97477 ` { Phone: 541-726-3753 { °R�GON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02326 www.springfield-or.gav - permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 10/18/2013 • EXPIRES: 04/16/2014 STATUS DATE: 10/18/2013 APPLIED: 10/18/2013 SITE ADDRESS: 3822 S F ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702314404100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: relocate service OWNER: MAGEE JAMES E&CYNTHIA J Phone Number: ADDRESS: 3822 S F ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER COB 000000 08/01/2025 INSPECTIONS REQUIRED I Inspections 4210 Service Change 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electridal 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. l Own �� I I r or Contractor Signature Date • • NOTICE: ATTENTION: Oregon law requires you to 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 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 10/18/201 1:42:55PM Page 1 of 1 It SPRINGFIELD — CITY OF SPRINGFIELD 225 Fifth St OREGON TRANSACTION RECEIPT Springfeld,OR 97477 541-726-3753 811-SPR2013-02326 www.springtield-or.gov 3822 S F ST permitcenter©springfield-or.gov RECEIPT NO: - 2013002309 RECORD NO:811-SPR2013-02326 DATE: 10/18/2013 DESCRIPTION f'1 &:°!fi fEr'tR5>aM„e`1..tk, ''idirR Zi i a Y"T''a ACCOUNT:CODE/TRANSCODE°1id.11,-::.; AMOUNTDUE'ti Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68 Technology fee(5%of permit total) 100-00000-425605 2099 4.45 TOTAL DUE: 104.13 PAYMENtiveE s� Pike cnsiliE raRsor COMMEkTC AMQUNAPAID ', Credit Card MAGEE JAMES E&CYNTHIA J 104.13 159616 TOTAL PAID: 104.13 \Electrical Permit Application DEPARTMENT USE ONLY *,So-; - SPRINGFIELD CITY OF SPRINGFIELD,+OREGON (\ Permit no.: Q(/ Zola oz 32-c. 225 Fifth Street•Springfield,OR 974771PFi(541)726-3753•F X(541)7263689 \OREGON Date: /OAS// �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 ea. cost CATEGORY OF CONSTRUCTION �/ Residential,per unit,service included: LEI Residential ❑Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq. 0. or less(4) $147.50 $ � '�3?22 � Each additional 500 sq. Ii.or portion $ 27.50 $ Job site address: �y thereof City:p—tlFit1 State: CE ZIP:9147� Limited energy(2) $ 35.00 $ Reference: JJ"" Taxlot.: Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) DESCRIPTION OF WORK lJ am Services or feeders:installation.alteration,relocation iCd'1U(ate fr l,y+2-_ irFtaly. art IA°U52 200 amps or less(2) ( $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: \«,vies E (/1/�rt app 401 to 600 amps(2) $174.00 $ Address: 3 c('22 co LAS,_ F 601 to 1,000 amps(2) $225.50 $ City: l ci.y(6{ State: ( Q ZIP: 9741? Over 1,000 amps or volts(2) $516.00 $ Phone:54('— (1(4-b71i7 Fax: - - Reconnect only(2) $ 69.00 $ E-mail: 3 ifv�netnEly I g%c&.. R o'CPA& 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, exc •e, lease,or rent. OAR y01 to 600 amps 2 479.540(1) .0(I). P (2) $138.50 $ Signature.err• - - -• Over 600 amps or 1,000 volts,see services or feeders section above ONTRACTOR INSTALLATIO ` Branch circuits:nett. 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) $ 60.50 $ 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 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ g g n P alteration.or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ t 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): Voce'Voce'