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Home My WebLink AboutPermit Electrical 2013-12-18 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-SPR2013-02700 www.springfield-or.gov permitcenter @springfield-or.goy PROJECT STATUS: Issued ISSUED: 12/18/2013 EXPIRES: 06/16/2014 STATUS DATE: 12/18/2013 . APPLIED: 12/18/2013 SITE ADDRESS: 423 D ST,DPLX#,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703352409600 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Temp Power OWNER: DOW DOUGLAS N Phone Number: ADDRESS: 3655 VINE MAPLE DR EUGENE OR 97405 OWNER: DOW GLENN E Phone Number: ADDRESS: 3655 VINE MAPLE DR EUGENE OR 97405 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor RS ELECTRIC LLC CCB 149509 11/02/2015 541-359-1192 L INSPECTIONS REQUIRED Inspections 4000 Temporary Power 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 construc/ 77//2P3— Owner or CdrStrattOTsandatOeagon law requires you to Date follow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE 1F THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1 800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 12/18/201 1:29:48PM Page 1 of 1 • • I SPRINGFIELD CITY OF SPRINGFIELD Iti • _itA 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 n. 811-SPR2013-02700 www.springfield-or.gov 423 D ST, DPLX permitcenter@springfield-or.gov RECEIPT NO: 2013002700 RECORD NO:811-5PR2013-02700 DATE: 12/18/2013 .DESCRIPTION . . ACCOUNT CODE/TRANS CODE AMOUNT DUE , Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 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 Temp services 200 amps or less 224-00000-426102 1003 69.00 --- __---- —_�— __---e___-----'TOTAL DUE: 93.60 .PAYMENT TYPE .-PAYOR _ CASHIER CCARPENTER - __COMMENTS `AMOUNT PAID Credit Card James C. Porter 93.60 121109 TOTAL PAID: 93.60 • Electrical Permit Application .DEPARTMENT USE ONLY �. y -� _3C t-e, r :. ? SPRINGFIELD lCdT oi;:§V�RINGritrii ORECO t ---_ c � ° , . . sr "fir.: 4.h... �` C .. Permit no.: -• 2.�1� 02.7 225 Fi fth Street*Springfield,ml,Reld,OR 97477♦111( 41)726-3753,1 sS(541)726-3689 ,OREGON Date: 12-43/3 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? ID Yes ❑No Number of inspections per item ( ) Qty. Cost Tal ea. cosott CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. It.Or less( ) $147.50 S Each additional 500 sq. ft.or portion $ 27.50 $ Job site address: yz3 Sf F. thereof City: cp Fed State: OR ZIP:c17 4' 77 Limited energy(2) S 35.00 5 Reference: Tax lot.: Each manufactured home or modular S 69.00 $ DESCRIPTION OF WORK d+valling service nr feeder(?) ,i- Services or feeders: installation.alteration.relocation l£/1NotR2Y E+ecreiCAL ,Sre✓1c4- _-_ .__________ 200 amps or less(2) S 89.00 $ PROPERTY OWNER 201 to 400 amps(2) S 104.50 S Name: ,_ ,./KINS Hoy sc... LL C. 401 m000 amps(2) $174.00 $ Address: LF2 3 D 5'i- 601 to 1,000 amps(2) $225.50 $ City: Spe�e/ State: 012 ZIP:97477 Over 1.000 amps or volts(2) 5516.00 S Phone: 511w-4,^�9 _ / 73cs- Fax: - - Reconnect only(2) $ 69.00 $ E-mail: emporary services or feeders: installation, alteration. relocation h0]o4erp Q �AG. , CO CDM 200 amps or less(2) n This installation is being made n residential or farm property S 69.00 $ -( owned by me or a member of my immediate family.This 201 In 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease, or rent. OAR • 479.540(1)and 79.5600) ,,/ 401 to 600 amps(2) $138.50 $ Signature: ll 0L64,71—Al ,,,�, - Over 600 amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nev, alteration. extension per panel Business name: 7? S tr., h.c re l L a, Fee for branch circuits with purchase of a service or feeder fee: Address: Each In circuit $ 6.50 $ City: .;?i[)1::+ E U Co State: Ci ZIP: 9 b. Fee for branch circuits without purchase of a service or feeder fee: Phone:57/ Z'2 8- b 20 o Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit S 6.50 $ CCI3 license no.: Al! yO 9 I BCD license no.: Miscellaneous fees:service or/reticle,'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 Iimiud-energy panel. $ 80.00 $ Signature of signing supervisor: :duration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above lees $ (Minimum Permit Fee$80.00) (B) Enter 12%surcharge(.12 x[A]) $ (C)'technology Fee(6%of[A]) $ 440-2584-1(4/01/2013/COM) • TOTAL tees anti surcharges(A Through C):