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HomeMy WebLinkAboutPermit Electrical 2014-1-13 • SPRINGFIELD --- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 GREG°" Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00086 www.springfield-or.gov perm itcentergspringfield-or.gov PROJECT STATUS: Issued ISSUED: 01113/2014 EXPIRES: 07/12/2014 STATUS DATE: 01/13/2014 APPLIED: 01/13/2014 SITE ADDRESS: 1370 5TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703263101900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 200A service OWNER: GREEN DAVID A 8 SHARRON E Phone Number: ADDRESS: 1370 N 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BOB FISHER ELECTRIC INC CCB 96275 01/25/2014 541-689-7973 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 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 follow rules adopted by the Oregon Utility +OTICE: " "'`' ' . Notification Center. Those rules are set forth THIS PERMIT SHALL. EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT :s: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR .; ''`, number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 1/13/2014 2:49:50PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD =f q .__ 225 Fifth St ra,; ; TRANSACTION RECEIPT Springfield,OR 97477 -:: ` OREGON 541-726-3753 811-SPR2014-00086 www.springtield-or.gov 1370 5TH ST permitcenter @springfield-ocgov RECEIPT NO: 2014000074 RECORD NO: 811-SPR2014-00086 DATE:01/13/2014 ?DESCRIPTION__________ __ ____ - _ . __. - _ __ACCOUNTCODE/TRANS_CODE:_ _ AMOUNT-DUE ' Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68 Technology fee(5%of permit total) 100-00000-425605 2099 4.45 TOTAL DUE: 104.13 „PAYMENT TYPE - PAYOR - CASHIER:CCARPENTER' . , - COMMENTS_;,- ' -` AMOUNT!._AID_ - ..1 Cash BOB FISHER ELECTRIC INC '104.13 TOTAL PAID: 104.13 Electrical Permit Application DEPARTMENT.USE ONLY $PRINGGIELO -' 1C GCITYOF SPRINGIEP ORE -t tt-,r .,, _ •o a. Si . ' ' _ Permit no.:57(1-`79/Z2F x .,_ 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ! / Date: //j 3/7 y 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. t-, . „ .LOCAL, GOVERNMENT:APPROVAL° 3 , , „ ' ° t„ , € s ' ,;EEJSCHEOULE 4„ u_ r , v; ! Zoning approval verified? ❑ Yes h �'`cr a t, s,� +'x ` rl r "-..x,;Cost n'',Totl ❑No .Number of mspecbons per:dem O_ 4"Qty a .w cost, .' ' 4`" .CATEGORY,OF„t ONSTRUCTION , o} ly; 'y, „ -" "`:tc'w Residential, per unit,service included: 12-Residential ❑ Government ❑Commercial ,�:, 1,000 sq.ft. or less(4) $147.50 $ r.d JOB+SITEaINF-O.RMATION AND; OCATIpON;i w; , Job site address: / 3?O late" Each additional 500 sq.ft.or portion thereof $ 27.50 $ City: GeV/ fi rz@ State:Uh_- ZIP: Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular .: 3 4 , zl�„ r dwelling service or feeder(2) $ 69.00 $ ag? '1DESCRIP_„TION' OF. WORK', TM c ,r , vim;;. Services or feeders: installation, alteration,relocation /g. 5-nct IVew mop t1f� 200 amps or less(2) / $ 89.00 �{ .' et,Z.' f,`,}"F` ?P.,ROPERTY; OWNERr,°; II 201 to 400 amps(2) ( $ 104.50 $$�� ` Name: nu v d- G. l e..r,_ 401 to 600 amps(2) $174.00 $ Address: /17 70 5-117- 601 to 1,000 amps(2) $225.50 $ City: 02!l/�jn p \ ` State: ZIP: Over 1,000 amps or volts(2). $516.00 $ Phone: -/_ - 7,` ' - 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 $ 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 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above _ . , , ;+�*�GONTR///A777C;TOR?rINSTAL'LATION , =°,'�,�c �' Branch circuits: new alteration, extension per panel -Business name: /�o t f f S ken/ 2e7y` ',_ a. Fee for branch circuits with purchase of a service or feeder fee: Address: /50 �l /-{c S h jel\A/ Each branch circuit $ 6.50 $ City: g I c7 tp y I State: 01,6. . ZIP: _ b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 5-N ) - i713 7cj73 Fax:- - - First branch circuit(2) $ 60.50 $ E-mail: // - Each additional branch circuit $ 6.50 $ CCB license no.: Sly/15 BCD license no.: ' -35u.„ Miscellaneous fees:service or feeder not included Signing supervisor's license no.: -3 /75-5 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: 6 9 6,w .D (2--;S 14, Each sign or outline lighting(2) $ 69.00 - $ Signal circuit or a limited-energy panel, • Signature of signing supervisor: L. —� .. � alteration,or extension(2) $ 80.00 $ Each additional inspection:(1) $80.00 $ "_a zl S; 'o ';itAPP,LICANT k-Oti l ;; Xw” °'Ca+ F: (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) - $ 474 (C)Technology Fee(5%of[A]) $ [ % TOTAL fees and surcharges (A through C): $/G! g I? 440-2584-J(4/012013/C0M) •