Loading...
HomeMy WebLinkAboutPermit Electrical 2014-1-8 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 hr. r Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00038 viww.springfield-orgov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/08/2014 EXPIRES: 07/07/2014 STATUS DATE: 01/08/2014 APPLIED: 01/08/2014 SITE ADDRESS: 847 S 31ST PL,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802062110900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ri.=-l.—'t'tT-fit* afrN 1'7'ng OWNER: THOMAS TODD Phone Number: ADDRESS: 847 S 31ST PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor ONMER CCB 000000 08/01/2025 Mechanical Contractor THERMAL RESOURCES INC CCB 161946 10/29/2014 541-343-1131 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. ' zol� Owner or Contractor Signature Date • • .... .. F Oregon law requires you to NOTICE: ATTENTION QYeted by the Oregon Utility THIS PERMIT SNAG EXPIRE IF THE WORK follow rules adop through OAR 952 001- 1$ ABANDONED FOR Notiiication Center. Those rules are setforth AUTHORIZED UNDER THIS PERMIT IS NOT es of the rules by COMMENCED OR in OAR 0. Vou may obtain ophone ANY 180 DAY PERIOD. 0090. the center. Note: the woof Springfield Building Permit • 1/8/2014 2:07:26PM calling pre o Utility Notification number fen the 9 Center Is 1-8001332_243M,1 of 1 SPRINGFIELDaa CITY OF SPRINGFIELD 'k_ `m�,:_„.,,,, 225 Fifth St ~( OREGON TRANSACTION RECEIPT • Spdngrield,OR 67477 541-726-3753 811-SPR2014-00038 www.springfieldor.gov 847 S 31ST PL permitcenter @springfeldor.gov RECEIPT NO: 2014000033 RECORD NO:811SPR2014-00038 DATE:01/08/2014 oI:II�Itl[0. LCAL-ke:'_aal; °_ N. fa WACCOUNTICODE/TRANS CODE:12.11<uirrillt44 Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 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 TOTAL DUE: 93.60 t. . •''sP� T ':er P '_ AYORitca_ - =�7.:;-:`_COMMENTSI 4,' v �.' 1 .°AMOUNT'PAID _ 1Sta'_ • Credit Card THOMAS TODD 93.60 107199 TOTAL PAID: 93.60 • • • • . , . , , , - ... • . • Electrical Permit Application sPniNdrIELnr. .--, DEI:!ARTMENTUSE ONLY ';':'.; - csar:,,yagstpzariant;-,stli,t,,Q3:11;iLanyntmier.r5ig:a;-4c),;474-av; , igefliVOESPRINGFIELWOREGONits& -. -- -'-'4':' k rmit no . $/t/ .5*:pis3/4tEliaeht-vtmc:incsmarizg.:4Ak&,,,,,:ifii*,:iimititz: .,74,:iN at, .F.-,i, Pe 225 Fifth Street+Springfield,OR 97477*PH(541)726-3753•FAX(541)726-3689 Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work i.;not started within 180 days of issuance or if work is suspended for 180 days. i-;:•;:t*,,,LOtAL:LePVERNMENtORPROVAL'Iaii!IIV'ggi : '1.4±.':;:':';13::4110 ;11:0F E EIS C.H EDULEWAregfn,*:.1.74W2:':j Zoning approval verified? 111 Yes E No tai-CY-tgE.,E1 .7:We1Q-.INP'is..--.4:•ntS1tttli AI.COtVi III)ITOtalIII apiumberoftnipections periteaveKi, : 2M7'.,I.:(ikeiI7tIltIIIIetiSt::11( h-,,• _.:::,0;Z:,= 1CATEGOIM:O.E.,:iCONSTRI:JQT101),Ivg;ta;:.Atig ': ''“''''r— Residential, per unit,service included: Et Residential 0 Government 0 Commercial — , 1'000 sq. ft. or less(4) $147.50 $ Each additional 500 sq.ft.or portion Job site address: V-17 3/54 pi... thereof $ 27.50 $ City: cpricis1/41(4 State: AZ ZIP: '77'f7 ' Limited energy(2) $ 35.00 $ Reference: /yb 2.. 624-92, Taxloy.O2 Co Each manufactured home or modular $ 69.00 $ .2ITITZ6tInII:IMI.DESCRIPTION,''''P REWO RK :f,:-;,-,•,,ta.:::/ ts-,,A, dwelling service or feeder(2) etertcd cot L/ Services or feeders: installation, alteration,relocation a, et- 200 amps or less(2) $ 89.00 $ WIIII(;$411.M74.4:(IsII/P 130 PERTtY10,WNER;a9,Ii*:.4*.:3;k1;:a7 201 to 400 amps(2) $ 104.50 $ Name: —T0c4c,f tn Orkr,t 401 to 600 amps(2) $174.00 $ 9 Address: 54-17 5 / 5' PL 601 to 1,000 amps(2) $225.50 $ City: 4pr r...., IC- lc./I State: OK ZIP: 9 iLi m- 5 (e Over 1,000 amps or volts(2) i $516.00 $ Reconnect only(2) $ 69.00 $ Phone: SIN -(Li 5-57.-10 Fax: - - E-mail: Odd g ors22 C Temporary services or feeders: installation, alteration, relocation 1 esir, or-\ 200 amps or less(2) This installation is being made on residential or farm property • $ 69.00 $ 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 479.540(1)and 479.560(1). ,..,_ 401 to 600 amps(2) $138.50 $ Signature: .--"' r --- ---------- Over 600 amps or 1,000 volts,see services or feeders section above 'llltliill'IrigPrileONTiOCTORDISISTALLATION,11;i:lHiWIii,i'l!ira Branch circuits:new alteration, extension per panel Business name: (2)74/X/tit-- 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:(I) $80.00 $ t.;flar4I274I:57t7011:11116 AT4-131-0 t ElIWW:la'jia4StAilNi (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ (B)Enter 12%surcharge(.12 x[AD $ • (C)Technology Fee(5%of[A]) $ QI00 TOTAL fees and surcharges (A through C): $ 440-2584-i(4/01/2013/COM) Property Owner Statement Regarding Construction:Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) • This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date • I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or • 4 I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. 10x-0 ( tOrnu5 — Print Name of Permit Applicant Signature of Permit Applicant Date • Permit#: SICI '(067 „--or Address: U / 7 S 3( ^^ l : %tea;. • Gfhn 'Qv�:Ty9: Issued by: Date: 1/7/�v �1e 5 9 This Copy for Permit Offices •