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Permit Electrical 2013-12-19
• • +; • SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ' Phone: 541-726-3753 OREG°" Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02712 www.springfield-or.gov - permitcenter @springfield-orgov PROJECT STATUS: Issued ISSUED: 12/19/2013 EXPIRES: 06/17/2014 STATUS DATE: 12/19/2013 APPLIED: 12/19/2013 SITE ADDRESS: 6545 E ST,Springfield,OR 97478 SCOPE: Electrical Only • ASSESOR'S PARCEL NO: 1702341300324 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Subpanel and Circuit for ducties heater OWNER: ANDERSEN ERIC J&SHERIANNE M Phone Number: ADDRESS: 6545 EST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor HARDING ELECTRIC INC CCB 132089 02/01/2014 541-688-5006 INSPECTIONS REQUIRED Inspections • 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 THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT 1S NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of-the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification • Center is 1-800-332-2344). • • Springfield Building Permit 12/19/201 3:01:28PM Page 1 of 1 • SPRINGFIELD-- CITY OF SPRINGFIELD hpr TRANSACTION RECEIPT spy ggfieid,OR97477 i `.QREGON 541-726-3753 811-SPR2013-02712 wwwspringfield-ar.gov 6545 E ST permitcenter@springfield-or.gov RECEIPT NO: 2013002713 RECORD NO:811-SPR2013.02712 DATE: 12/19/2013 lof4.'C1;7sllop7`i "lr t1 i ..___•r Q f �. ,,.. irACCOUNT CODEITRANStCODE ,:,'`r ''AMOUNT DUE "Ii Branch circuits with service or feeder each circuit . 224-00000-426102 1004 6.50 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.46 Technology fee(5%of permit total) 100-00000-425605 2099 4.78 TOTAL DUE: 111.74 PAYMENTirTkWE P,AYOR cas gii7FATI rttER; COMMENTS AMOUNTgP.AID Credit Card HARDING ELECTRIC INC 111.74 00481d TOTAL PAID: 111.74 • • • • Electrical Permit Application DEPARTMENT USE ONLY H. .lt_Lu7s1 -. g.-Sm. 74#4-nE .-'f,icm teku, Zro: sww t a3-- yv NINO ' .i w = ITwY'©F SPRINGFiELD^ OREG6N . P . S' 3 -2? CZ t i :, :< '?: a' , irA6.4r?j aI ksc ermn0. 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Date: 7Z((9(/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. r,Nei tit;oCAU;;GOVERNMENTi APPROVAL: , '" :i;.'<M"„ ' ,;;w3. ,4: ` vgFEE£SCHEDULE+„s 3itwf ,,k Zoning approval verified? Yes ❑No ' ' , 7 °°` r ' - .s Gost +% Tota1:, g PP ❑ Number of rnspecuons per item O g Qty lea , ? ., eost _ T.,- .'.:, ''. t, r CATEGORY 'OF-„CONSTRUCTION , ti ,t ;., Residential,per unit,service included: es[dential ❑Government ❑Commercial ,' y z`JOB iiSITE:J N F.O RMATIO N! AND,=L'OCATION N, (; 1,000 sq.ft.or less(4) $147.50 $ Each Job site address: >`7 5 r ( thereof additional 500 sq.ft.or portion $ 27.50 $ City: (—Z� (1) State ZIP: C27(/j Limited energy(2) $ 35.00 $ Reference: /70 2— U > Taxlot 5932 t-( Each manufactured home or modular ,. . y yw , ,;, a .NS,I, dwelling service or feeder(2) 69.00 $ w�pr, ' 110ESCwanN„OR wORK_., t ; ? ;xgC- g ( ) 3(xb pa n e I G.n d, flux.,+ 1 Gb5 C i/- Services or feeders: installation, alteration, relocation 200 amps or less(2) / $ 89.00 $ci5c1 fi "i'"�3,:47 r, tt$.]iPRORERTXYCQINNER+ :f5° ° ,i `vnOOi 201 to 400 amps(2) $ 104.50 $ Name: cJ/1e_f 1 ,fl ndi('ooti, 401 to 600 amps(2) $174.00 $ Address: Cob-L.95 E. 3-frecf 601 to 1,000 amps(2) $225.50 $ City: State: ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 WI owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ',a`a` &'tTM'- CONTRACTOR;INSTALLATION t ,r*i ',';= lig,�,' Branch circuits:new alteration, extension per panel Business name: 666arc,1 I I L 1 Q�-1-n � a. Fee for branch circuits with purchase of a service or feeder fee: ' Address: O3 9 W)q creel( Each branch circuit 1 $ 6.50 $ 6s-z9 City: L_D,,c e nU State: or ZIP: 971-1o2 b.Fee for branch circuits without purchase of a service or feeder fee: Phone: L - Fax: - - First branch circuit(2) i $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: /320%"9 BCD license no.: a„70 • /37C. Miscellaneous fees:service or feeder not included Signing supervisor's license no.: ,N1 79 T Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor. fa te,5 Flare()a Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: .4 Signal circuit or a limited-energy panel, $ 80.00 $ 1 � alteration,or extension(2) Each additional inspection:(1) $80.00 $ S. r, e icl'It CANT FUSE'as `nte:-S, wa (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) - $ , t((/ �/ (C)Technology Fee(5%of[A]) $ ( /J� TOTAL fees and surcharges(A through C): Si i 1 i 440-2584-3(4/012013/COM) - '