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HomeMy WebLinkAboutPermit Electrical 2013-12-9 SPRINGFIELD -- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 = OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02636 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 12/09/2013 EXPIRES: 06/07/2014 STATUS DATE: 12/09/2013 APPLIED: 12/09/2013 SITE ADDRESS: 732 53RD ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702332103600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rewire after fire-service and circuits OWNER: B Z AGRONS 2002 REVOCABLE TRUST Phone Number: ADDRESS: 3900 TWIN PINES LN • KLAMATH FALLS OR 97603 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor - JEM ELECTRIC INC CCB 161235 09/07/2014 541-729-1074 INSPECTIONS REQUIRED . Inspections • 4225 Service or Feeder 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. ‘o .o.QV.n0PC\os.1cYn1- Owner or Contractor Signature i`p �p5 q' 1e5 Date Gce9ea'olse\ \\-- „\•,e i �o t \1GC\ adoP t -\\-\°r�o�e5 G\ 1e1ep.\Ga�`O o e o ' • • P'S t∎�`ot\G p1 01 a\t`�0\e-.0 ix' � \Ew(p\ \ 1 p�yp�e ell $00 322 �y,Q\ ��N\\�\SR °°°°�`{\`01�Otlret.51 c$Qj�t� M\� s\-\1"EFI�N\NpON�D FO P\\S- NMN�Ep tC) . gyp. • G°M \gO'0F Springfield Building Permit 12/9/2013 11:00:39AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth III I;`• .`-'C h St `CO EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-02636 www.springfield-or.gov 732 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013002629 RECORD NO: 811-SPR2013-02636 DATE: 12/09/2013 DESCRIPTION ACCOUNT CODE/TRANS CODE_. -. __AMOUNT DUE . Each added 500 sq. ft. or portion 224-00000-426102 1004 55.00 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 24.30 Technology fee(5%of permit total) 100-00000-425605 2099 10.13 - TOTAL DUE: 236.93 I__PAYMENT TYPEPAYOR CASHIER:DBOwLSav COMMENTS_-_ _.___ AMOUNT PAID J Credit Card! JEM ELECTRIC INC _ 236.93 368688 . TOTAL PAID: 236.93 Electrical Permit Application DEPARTMENT USE ONLY Nye > ,-: SYRI NGFIELD CI ' OF SPRINGI+ITs: " O,REGO`. ( S/3 —0263 ,i1:2 ;,,,,----7' .--: .. ..;,,'9 i`, 11..aY"s' , ar \�j z Permit n0.: 225 Fifth SaettoSpiingfield,OR 974774 P11(541)726-3753*FAX(541)726-3689 ')` oueeon Q Date: /& . / 3 • 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,l Cosea.t Total cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: tesident ial I 0 Government I ❑Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) i $147.50 S /4 ) Y g o' ! Each additional 500 sq. ti.or ponion $ 27.50 S S''S- ,lob site a '/���jjj thereof City: -- State: Or ZIP: 9 a Limited energy(2) $ 35.00 $ Reference:I7a7 33 Z 1 Taxlot.QS Each manufactured home or modular $ 69.00 $ tt�- DESCRIPTION OF WORK dwelling service or feeder(2) �"• Services or feeders:installation. alteration.relocation �ery . i ] 4(�f es hit 200 amps or less(2) $ 89.00 $ PROPERTY OWNER �T 201 to 400 amps(2) $ 104.50 $ Name: 7 e. 2�5 nT outs I 401 to 600 amps(2)---- -- X174,00 _$ Address: 3 7700 744.4•4 Ave, / 601 to 1.000 amps(2) $225.50 $ Cit : ,j,.4 3L FAILS State it ZIP:P66.2 Over 1,000 amps or volts(2) $516.00 $ • Phone: - • Fax: - - Reconnect only(21 S 69.00 $ E-mail: Fengmrary 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 S property is not intended for sale,exchange, lease, or rent. OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 601)amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nee. alteration. extension per panel Business name: ,J e(,IU f fe-L,.._ a. Fee tier branch citell its with purchase of a service or feeder fee: Address: -3 '5t _3'a. i Each branch circuit $ 6.50 $ City': S Strate:0 f ZIP:97t17g• h.Fee for branch circuits tvithau purchase of a service or feeder fee: Phone: CCCC"''°°°--927 — I6? . 'Fax: - - First branch circuit(2) _ $ 60.50 S E-mail: Each additional branch circuit S 6.50 S•" CCD license no.: BCD license no.: NI iseell:mcous fees:service m fret/er no,included 113V ���a�5 AO SAC �� CI Signing supervisor's license no.: 4/7d6� Each pump or irrigation eircle(2) `q•69\D is \SN Each sin or outline lighting(2) �c S 69100s�t Print name of signing supervisor: OC l ?s 2JJ g - s 1 y�w� �Q` '� / Signal circuit oar o•liiiul d'siren l:`isn�•I 1r\J 1`��O Signature of signing supervisor: I r i.. 1 1 g - 1. \1\'•, p C� $ 4.9- $ aleration.or eclenl. v. l ��, n�1.A {aVd Ct jAeg-c leVAth • Each additimm111u do. th 101 pop {S�t 580.00 $ 01eQeat)) ,Ass ate -5( tN PU�APP,LIGANTQUSE') \ON 60pte ose OPR:35( 3\es ft,�NI. Or'" IN,. • 0\0 cot. kwoogeso{V-% vo� r (Minimum Perm� i.,,vi$a000) $ eaZS� ,6\0\N a{\o o,-0 .,c P tre t\ca V 000\0 g5`Z-° O'pta ��e{e tVAAA t.1et (B) Enter 12%surcharge(.12 x[A]) $ z� 3 0 '0oix ,(OUCOacente0.B o 3z- -3A) (C)Technology Fee(6%of[A]) $ tor7 p90 the (Y 1) 3 p1V\Q the 1 0 TOTAL fees and surcharges(A through C): $ ^� L 440-2584)14 ouo"'oecAke('\S ( 6 ) C-3_`+ ��