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HomeMy WebLinkAboutPermit Electrical 2013-11-19 SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02538 www.springfield-or.gov pennitcenterQspringfield-or.gov PROJECT STATUS: Issued ISSUED: 11/19/2013 EXPIRES: 05/18/2014 STATUS DATE: 11/19/2013 APPLIED: 11/19/2013 • SITE ADDRESS: 1034 4TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703352104000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 2 Circuits OWNER: STERUP CHRISTOPHER 8 POPPIE Phone Number: ADDRESS: 1034 4TH ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone Electrical Contractor EVERYDAY ELECTRICAL SERVICE INC CCB 136371 08/12/2015 541-912-2957 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility 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 ANY 180 DAY PERIOD. number for the Oregon Utility Notification, ..46, Center is 1-800-332J-344. - p ,i)5‘) • Springfield Building Permit 11/19/201 12:34:18PM Page 1 of 1 .. . Electrical Permit Application SPRINGFIELD DEPARTMENT USE ONLY DZE:t1 CITY OF:SPRINGFIELD ' OREGON:. gkz#-•-, 'Lae- -,0•••:s, Permit• . , 225 Fifth Street•Springfield,OR 97477*N11(541)726-3753o FAX(541)726-3689 Date: 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; '-'' r'' '.' Ti. "."'1;c,-.171Y-sP,FEESCHEDULE -c1.1Z'15.1-:).1\ISA'1;c1 Zoning approval verified? 0 Yes 0 No Number of inspections per item () Qty. ea cost . Residential, per unit,service included: El Residential fil]Government 0 Commercial 1,000 sq.ft.or less(4) $134.00 $ tif4A--,,JOIECSITE` INFORNIATIOWANDI:LOCATIONY:&&1;:'' Each additional 500 sq. ft. or portion lob site address: 473.,/ ci 1% thereof $ 25.00 $ City: 5-ncif State:o< ZIP: Limited energy(2) $ 32.00 $ Reference: Taxlot.: Each manufactured home or modular $ 63.00 $ . , . . dwelling service or feeder(2) DESCRIPTION. OF WORK -'' . • ''.• :2. Services or feeders: installation, alteration, relocation 2- r i vb.; -/- s- 200 amps or less(2) $ 81.00 $ PROPERTY OWNER • 201 to 400 amps(2) $ 95.00 $ Name: e4/7,4 401 to 600 amps(2) $158.00 $ de 54.--,--„," 574 Address: 0 347 601 to 1,000 amps(2) $205.00 $ 7 iii-e, City: cfl/2 State: cVe ZIP: Over 1,000 amps or volts(2) $469.00 $ Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation 200 amps or less(2) This installation is being made on residential or farm property $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.5600). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION , Branch circuits:new, alteration, extension per panel Business name: E.-vea El-ecl f l'(.-- a. Fee for branch circuits with purchase of a service or feeder fee: Address: 21-21-02_ - ccy , PI a cc_ D(/) Each branch circuit $ 6.00 $ City: -0.--UACt1D4 efly State:0 Q ZIP: 9/1W b. Fee for branch circuits without purchase of a service or feeder fee: Phone:Sql-?/2, 2119-7 Fax: - - First branch circuit(2) 2- $ 55.00 $ E-mail: el c<-4 c--0 Each additional branch circuit $ 6.00 $ Tiovl_aC4)-c.si(Li - t "4, , ,, CCB license no.:# i 3(yell BCD license no.: IL0-9,11C, Miscellaneous fees:service or feeder not included Signing supervisor's license no.: zioN$ Each pump or irrigation circle(2) $ 63.00 $ -1-_,,..311 Each sign or outline lighting(2) , $ 63.00 $ Print name of signing supervisor: kick AL- L. At, unit Signature of signing supervisor: avxdatir /A Signal circuit or a limited-energy panel, alteration,or extension(2) $ 63.00 $ Each additional inspection: (I) $58.00 $ APPLiCANT.:USE.t.3- : _. :".',;.2...;;;• ;i:.;-,. , (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $ ... (C)Technology Fee(5%of[A]) $ - TOTAL fees and surcharges (A through C): $ 73 ----- ‘cy 440-2584-1(9/08/COM) SPRINGFIEL<!�D CITY OF SPRINGFIELD • 4: .es., 225 Fifth St OR; TRANSACTION RECEIPT Springfield,OR97477 E60N 541-726-3753 811-SPR2013-02538 www.springfield-or.gov 1034 4TH ST permitcenter©springfield-or.gov RECEIPT NO: 2013002528 RECORD NO:811-SPR2013-02538 DATE: 11/19/2013 IDES.CRIPTION ; - T.ACCOLINfoobEitikAN S_WOE_ _ . AMOUNT QUEjj 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 L.PAYMENT TYPE ,PAYOR . CASHIER:JLARSON. • ... COMMENTS„, `- -- 1. AMOUNT PAID ` , _ . . .1 Credit Card ._, EVERYDAY ELECTRICAL SERVICE II 93.60 424724 TOTAL PAID: 93.60