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HomeMy WebLinkAboutPermit Electrical 2013-12-23 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 o4- Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811SPR2013-02725 www.springfield-or.gov permitcenterQspnngfeld-ocgov • PROJECT STATUS: Issued ISSUED: 12/23/2013 EXPIRES: 06/21/2014 STATUS DATE: 12/23/2013 APPLIED: 12/23/2013 SITE ADDRESS: 2066 G ST,Springfield,OR 97477 SCOPE: Heating System ASSESOR'S PARCEL NO: 1703361205500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Heat pump and furnace OWNER: ALVAREZ ALEJANDRO ABARCA Phone Number: ADDRESS: 2066 G ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 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 emplo ho are in compliance with ORS 701.005 will be used on this project. I further agree • to ensure that all required inspe :-" •ue -• -t-the proper time, that each address is readable from the street, that the permit card is lo ated - ".• • - property, and the approved set of plans will remain on the site at all times during constructi / - 5 3 Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth . MnTICE. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF 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 12/23/207 1:36:43PM Page 1 of 1 • • SPRINGFIELD --. CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfelef OR 97477 tie, , 541-726-3753 e OREGON 811-SPR2013-02725 www.spnngfield-or.gov 2066 G ST " pennitcenter @springfield-ar.gov RECEIPT NO: 2013002728 RECORD NO:811SPR2013-02725 DATE: 12/23/2013 bESCRIPTION „a= - emu:+ _ TT t��''�'"Y�.='.ACCOUNTiCODE/TRANS'CODE N-C-T L— • Ilo e 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 PAYMENTTaYPE?'.. �WAY,ORt"1Y.cnsrirgi: utr aigeOMMENTS , ;;IAMOURIONID.'z Cash ALVAREZ ALEJANDRO ABARCA 93.60 TOTAL PAID: 93.60 Electrical Permit Application ,,. , btoARTmENT:usEoNLy 7:-,:spnrNarIELo I .:5CIIPle.t.OFSPRINGETELLIVOREGON55. ,„..,.‘ 7-.--“:- :-w.m4.-:' 49%1-tYtitYiti,ii. .141,0 77,1,at:,,i-'77-r-4n41.?1t4itteCtSir4-111-tielattalISZSit&t:41,44::: r‘t- ‘ ";- Permit 11°•:_5/3 - a 11 z sr 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: I 01 /7 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. ;:ciiili4L1:00 CCG OVERN M E NTTA PP R OVA GYAIWA:inf-,t ?::?,...::`,:anW,..c.,-",..A9FEE,:,.3:3CHEDULEtk'Maritett34M.FA Zoning approval verified? 111 Yes n No , ,■9117, 1s4ctr; # aLOGnigt4;VTOtaTc% tc/,9,1109r-14!wfstr!,..:Pcril!ETS-)it:c 9!),/ttcwisi.4k; V ',:;5W:g.CATEGOI3n0FAC.ONSTRUCTIOCalmpa ---- --------' ------''.----7"---- Residential,per unit,service included: dResidential li Government n Commercial 1,000 sq.ft. or less(4) $147.50 $ !A:1;r.nUOB f,SITE:r.1 N F.0 RMATION;AND)'''110,CATICINI;:iht.C:Wci; _ Each additional 500 sq.ft or portion Job site address:26C s 1-- thereof - $ 27.50 $ City: Cy r;rIcci-: e Id State: 0 a_ ZIP: q 7 q 77 Limited energy(2) $ 35.00 $ Reference: 1 70 33 ic, ( 7_ Taxiot.: a sso 0 Each manufactured home or modular $ 69.00 $ Wr1.*11(1144SMIDESCRIPTI 0 N'...',C)EMO RFON6XaVaM dwelling service or feeder(2) - Services or feeders: installation, alteration,relocation 2 13.1r6•- e-Y S 200 amps or less(2) $ 89.00 $ flaigiallatcq§:P ROPERWALOWNERMAINAMICS 201 to 400 amps(2) $ 104.50 $ Name: 4 [ft, c.„ Ay° 6, CA_ A6 ,,, •C 401 to 600 amps(2) $174.00 $ el Address: 70 CC 0 5 4.. 601 to 1,000 amps(2) $225.50 $ State:0a, ZIP: City: Fu 1 Over 1,000 amps or volts(2) $516.00 $ 2 ene 1,7 q?..72 Phone:51-f(5-7q' 1560.S Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation 200 amps or less(2) This installation is being made on residential or farm property I $ 69.00 , $ owned by me or a member of my immediate farriily. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above .RWPIa1sfilicON;TneTp INSTALLATION ,i1,:',.:W;i:00X1L-A Branch circuits:new alteration, extension per panel Business name: 0 toest cr",_ a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - _ — First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ flat„„L. 411,slara-PleEltratTia§ESKitererAl (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) go (B)Enter 12%surcharge(.12 x[A]) $ FiC) (C)Technology Fee(5%of[A]) $ 11 TOTAL fees and surcharges(A through C): S F3 (5 440-2584-1(4/01/2013/COM)