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HomeMy WebLinkAboutPermit Electrical 2014-1-16 , SPRINGFIELD 225 Fifth St - CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 i OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: .811-SPR2014-00116 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/16/2014 EXPIRES: 07/15/2014 . STATUS DATE: 01/16/2014 APPLIED: 01/16/2014 SITE ADDRESS: 77 WOODLANE DR,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703262203600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Change , OWNER: RAZ MICHAEL S&WENDY L Phone Number: ADDRESS: 934 MCKENZIE CREST DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2014 541-687-5770 INSPECTIONS REQUIRED Inspections 4210 Service Change 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 per D• - • is located at the front of the property, and the approved set of plans will remain on the site at all times during co ,u tion. //0/y Owner o Contractor Signature Date_ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE if THE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NO calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR iY 180 DAY PERIOD. Center is 1-800-332-2344). number for the Oregon Utility Notification • Springfield Building Permit 1/16/2014 10:21:21AM ' Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngteld,OR 97477 i' `++��,OREGON 541-726-3753 811-SPR2014-00116 www.springfield-ar.gov 77 WOODLANE DR pernitoenter @spnngfield-or.gov RECEIPT NO: 2014000109 RECORD NO:811-SPR2014-00116 DATE:01/16/2014 ldlgc(e ;thi[o1k Y. ,.' ` s�.,"i'- ,..>z.., ._ ACCOUNT CODEILRANSTCODE sd ; AMOUNT.DUE 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 Y,ailgr °7,,." ac'"t'"'""�"„ ANU AMOUNTil P.AYINENTeT,YP.E � PAYORcasNIER:.uLARSOx _ COMMENTS :AID , Check JB ELECTRIC INC 111.74 124132 TOTAL PAID: 111.74 • • • • Electrical Permit Application -Tt SPFINGFIELO Yi.�.^ J DEPARTMENTU-SE ONLY- ' rts,Af."Y+ .�. 2iro26Fvy E`ta'f. v:.e11 ` 4.7-P.icc iScmi.. .er.ta hvR. � I rT�SSPR � jD -O ,K j Vr n Permit no.:p /1 toil Ooft(o 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689 Date: / /C // 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. # ,°, .v; , .LOCAL GOUERNMENV'APPROVAL M ,t 1Wa€, , V;.;FEESCHEDULE3+Mk'+."h i . le';`v{ Zoning approval verified? Z.Yes ❑ No iNumber of inspections perrrtem O Qty"` Cost�j Total'. v i rAa, a .� _,. i ' __ a2� eaai cost CATEGORY;gOFr;CONSTRUCTION ,_, ,p.:'. Residential,per unit,service included: Residential I ❑Government I ❑ Commercial 1,000 sq. ft. or less(4) $147.50 $ rz JOB=SITE INFORMATION;;AND°„LOCATION`,', +i„. Each additional 500 sq.ft.or portion/ Job site address: 77 /� n thereof $ 27.50 $ City: - I ' bkIl/ e State: B/C ZIP: Limited energy(2) $ 35.00 $ Reference: N I Taxlot.: Each manufactured home or modular $ 69.00 $ At 1, e liDESCRIIP'TI/ OF wORK:` :17,1: t I t • dwelling service or feeder(2) -yn er 45—rsic . yU%ce Ct764-50 Services or feeders: installation,alteration,relocation 200 amps or less(2) / $ moo $ ;xzCa",5 rnn G z '-`f&tPROP„„ERTY«E;QVIINER + €[ 5 `t, 201 to 400 amps(2) $ 104.50 $ Name: r/.d L ��� 401 to 600 amps(2) $174.00 $ Address: ✓ 601 to 1,000 amps(2) $225.50 $ City: I State: I ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: - - -I 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 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above . ?f '1ti,L;CON1TRACTORK INSTALLATION N_`!fia* Branch circuits:new alteration, extension per panel Business name:�� �'^[-Pik"J'. a.Fee for branch circuits with purchase of a service or feeder fee: Address: Ors--- , SiT • Each branch circuit ! $ 6.50 $ City: �C State:C/Q-- ZIP.'7y6L_ b.Fee for branch circuits without purchase of a service or feeder fee: Phone: ? - a677.$ X762 Fax: _2^-CnI First branch circuit(2) $ 60.50 $ E-mail: �y jj,yv, i e/., ,47te-14,c- , I�Y L Each additional branch circuit $ 6.50 $ CCB license no.: lQ16/,24, I BCD license no.:37%cet Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 3,1?7,1-.5 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supe 84i,or: ?/42. kfiadw(L Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing superviso-- ,or extension(2) $ 80.00 $• Each additional inspection:(I) $80.00 $ Si x i. t V-IMNA PLICANTnUSE"WM �zw'2"k (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(,12 x[A]) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $/// 2 440-2584-1(4/01/2013/COM)