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HomeMy WebLinkAboutPermit Electrical 2013-12-3 SPRINGFIELD - - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 „.' �i��{- Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02595 wvnv.springfield-or gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 12/03/2013 EXPIRES: 06/01/2014 STATUS DATE: 12/03/2013 APPLIED: 12/03/2013 SITE ADDRESS: 655 G ST, Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351209800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Heat Pump and Furnace OWNER: FINDAL PETER Phone Number: ADDRESS: 655 G ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656 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 (CIDate J,. ATTENTION: Oregon law renuirns yr 'r follow rules adopted by tho -, • Notification Center. Those r'I r r . 1 .NT OAR 952-001-0010 !Mat THIS TICE:PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain c AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. L_ : number for the Cre. COMMENCED OR IS ABANDONED FOR Center is 1-o ANY 180 DAY PERIOD. • Springfield Building Permit 12/3/2013 3:11:45PM Page 1 of 1 FROM JKO EI ecS,^IC Inc. CT YE)DEC 3 2013 9:23/ST. 9:22/No. 7900000429 P 1 -- --- - ••••--•- rte• nnp:nwww.ci.springtaeld.or.us/dsd/bu ldmp/Library/ElectricalPermit2_. Electrical Permit A 1 placation 1. (✓t $Q �� Y DEPARTMENT USE ONLY -' SFIliNGFIELD CITY OF SPRINGFIELD, OREC ON Permit nd.; lt t 2013 Oz s/s - ���L� _ 215 Fifth GrteS i n d,OR 47377 a PR 531)776-7?534 1\(5411776-3689 DRAGON 8 D Date: /Z/ .//3 • • Th 1' . oder OAR 918-309-0000. Permits are nontransferable. Permits expire if work Is not started within ISO days of issuance or if work is suspended for 180 days. _ LOCAL GOVERNMENT APPROVAL FEE SCHEDULE -Zunine approval verified? ❑ Yes •Li No Number of inspections per item() Qty. en51 Total CATEGORY OF CONSTRUCTION _._-. Residential,per unit,service included: [' Residential ❑Government Q Conunercial --------- JOB SITE INFORMATION AND LOCATION u)_fi.or less(I) $147,50 $ —`— Each additional 500 sq. fl.or portion $ 27.50 Job site address: r7_�j &t `3i- Ihemof City: Spy-ic_ (,� State: fly ZIP: q1 7�) Limited energy(2) 5 35,00 $ __ Reference: . I Taxlot.: Each manufactured home or modular S 69.00 S dwelling service or feeder(2) DESCRIPTION OF WORK _,._ • Services or feeders: insmllation.alteration.relocation )y c'_ . c -.-.—. mo &1 d, 1 -- _.. 200 amps or less(2) $ 89,00 . S _........-_.__.--.._-._ -.___..___...� PROPERTY OWNER 201 to 400 amps(2) 5 104.60 S ____ Name: 401 In 600 amps(2) 5174.00 S Add rest: --_---- 601 In 1,00(1 crops(2).'— 5225.50 S ----- City: State: ZIP: Over 1,000 coops or volts(2) 5516,00 $ Phone: - - -1 Fax: - Reconnect only S x9.00 -$___ L-ntaiL Temporary services or feeders:insrallarinn,alrerariay cc/ere/Won This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 5 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(t)and 479.560(I). 401 to 600 maps(2) 5138.50 S Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:near, alteration.extension per panel Business nantc•3.I LJ a. Fee for branch circuits with purchase ofa service or feeder fee: Address: 2_,1 1/ Syr Each brunch circuit $ 6.50 I S CIS': w-'( State:© ir LIP: 41417 b. Fee for branch circuits without purchase of m.service or feeder lee: Phone: ( J- `-It{/0 .%4.6%,I Fax:5(4 -14.. —3 S First branch circuit(2) _ f 5 60.60 5 L-mail: c� Each additiunal branch circuit I 5 5.50 5 `/ rb a1S��L-tic..-cawi M1liscellaneous lees:SCrriee or feeder not included C'CL4 license no.: �'SIZt( BC:D license no.: Z.O�2.1"i�. f Signing supervisors license nu.: -1 S- J- Each pump or irrigation circle(2) $ 69.00 5 Print name of signing supervisor; r A 1 Each sign or outline lighting(2) S 69.00 5 ja ; •t Signal circuit or n limited-energy panel, $ 80.00 S Signature of signing supervisor: alteration,or extension(2) n�_�,,. Each additional inspection:(I) $60.00 $ / �;�,,Lam' APPLICANT USE - -- (A) Enter subtotal of above Fees S Ar !—,' (Minimum Permit Fee$80.00) - (B)Enter 12%surcharge(.12 s IA]) S L (C)Technology Fee(6%of[Al) 5 440 2554-I(4/OI/2013/CO1dr TOTAL fees nod surcharges(A through C): ---_ . 4o�°\ E - pm 1 -�1c 6 . oil 4/8/2013 11'3R AM SPRINGFIELD - CITY OF SPRINGFIELD iiira....g 225 Fiflh St ���, TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SP R2013-02595 w.wv.springfield-or.goy 655 G ST permitcenter @springfield-or.gov RECEIPT NO: 2013002597 RECORD NO: 811-SPR2013-02595 DATE: 12/03/2013 ' ' •' _ ACCOUNT CODE/TRANS_CODE -' •AMOUNT DUEµ} (DESCRIPTION..= .. �_ �'�•'�_- 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 LPAYMENTTYRE • _P.AYOR cASHIER:JLARSON ,___ COMMENTS_ _ ;AMOUNT PAID- . - ^`_i Credit Card JK GUCKENBERGER ELECTRIC INC 93.60 015799 TOTAL PAID: 93.60