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HomeMy WebLinkAboutPermit Electrical 2013-10-25 • SPRINGFIELD ' - 225 Fifth St '' ',. CITY OF SPRINGFIELD Springfield,OR 97477 Imir.‘ Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02381 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/25/2013 EXPIRES: 04/23/2014 STATUS DATE: 10/25/2013 APPLIED: 10/25/2013 SITE ADDRESS: 4887 E ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702332302300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: adding service and 8 circuits to garage OWNER: MCCLAUGHRY JASON D 8 JULIA M Phone Number: ADDRESS: 4887 E ST SPRINGFIELD OR 97478 - L CONTRACTOR INFORMATION 1. Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 • INSPECTIONS REQUIRED Inspections • 4220 Electrical-Service 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. Al`•-ar /04 � c 7 . • •wner or Contractor Signature / ' Date • • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: 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 Center is 1-800-332-2344). ANY 180 DAY PERIOD. • • • • Springfield Building Permit 10/25/201 7:59:19AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD hit 225 Fifth St t TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-02381 www.spnngfieldor,gov 4887 E ST permitcenter©spdngfield-or.gav RECEIPT NO: 2013002355 RECORD NO:811-SPR2013-02381 DATE: 10/25/2013 lo(41g1 [ol 1„it 7ZERt ELV.' f;.2.a+. F ° l:aIli':- ACCOUNT CODE/TRANS.`CODE j4r ,+ "AMOUNT:DU ti Branch circuits with service or feeder each circuit 224-00000-426102 1004 52.00 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.92 Technology fee(5%of permit total) 100-00000-425605 2099 7.05 TOTAL DUE: 164.97 WAYMENT TtYPE PAYOR cnSNIER:.JUnRSON_.. .COMMENTS AMOUNTee ilD.P€,r"�f1'�"r>,�.'�wriSi Credit Card MCCLAUGHRY JASON D&JULIA M 164.97 386812 TOTAL PAID: 164.97 Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY,OF SPRINGFIELD, OREGON Permit no.: e// Zo/3 Oz381 225 Fifth Si eet*Sp infield,OR 97477•PII(541 726-3753•FAX 54t)726-3689 kr F . Date: /e/zs/i3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 Clays 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 en. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: 'Residential ❑Government ❑Commercial . JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) $.147.50 S s' Each additional 500 sq. ft.or portion g 27.50 $ Job site address: k 887 i thereof City: S3prin5 lit Id Stale: OR I ZIP: q ?K76 Limited energy(2) S 35.00 $ Reference: Tax lot.: Each manufactured house or nodular $ 69.00 $ DESCRIPTION OF WORK dwelling service or leerier(2) Services or feeders: installation,alteration.relocation 200 amps or less(2) / 5 89.00 $ PROPERTY OWNER 201 to 400 amps(2) 5 104.50 $ Name: 3c..$ovt 4krh 3✓Iic /4-c..-C14.-09 Art 401 to 600 amps(2) $174.00 $ Address: q ZY pj 7 (; 5% 601 to 1.000 amps(2) $225.50 $ City:5pti^5 -fr e tot. State: q/Z ZIP: Over I (100 amps or volt;(2) $516.00 $ Reconnect only(2) 5 69.00 $ Phone:541 -968 02-07 Fax: - - Temporary services or feeders: instnllaiinn,alteration.relncatinn E-mail: -Fay imJk,0 hofimai1, ar, 200 amps or less(2) This installation is beine made on residential or farm property $ 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(I)and 479.560(1). 40I to 600 amps(2) $138.50 $ _ _ Signature:/,�(///���`,'.,,C OR Over 600 amps or 1.000 volts.see services or feeders section above OK; NTIZACTOR I AvL TION Branch circuits:neat alteration,erten.sinn per panel Business name: a. Fee for branch circuits with purchase ofa service or feeder lee: Address: Each branch circuit 0 $ 6.50 $ City: State: ZIP: h.Fee for branch circuits without purchase of a service or feeder Ice: Phone: - - Fax: - - First branch circuit(2) 5 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 5 Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel. $ 80.00 $ Signature of signing supervisor: altemlion,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 IAI) $ (C)'technology Fee(5%or(A)) $ 440-2584-3(4/0l/2013/CONI) TOTAL fees and surcharges(A through C): $Wy iLt