HomeMy WebLinkAboutPermit Electrical 2014-1-24 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
11111Epil P hone: 541-726-3753
REGON Building / Residential Permit Inspection Phone. 541-726-3769
Fax. 541-726-3676
PERMIT NO: 811-SPR2013-01463
www.spnngfi eld-or.gov permdcenter@springfield-or goy
PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014
STATUS DATE: 01/24/2014 APPLIED: 06/2812013
SITE ADDRESS: 3524 VITUS LN,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1702301203800 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: ELE -New single family residence
OWNER: BREEDEN BROS INC Phone Number: 541-686-9431
ADDRESS: 366 E 40TH AVE STE 250
EUGENE OR 97405
CONTRACTOR INFORMATION
II
Contractor Type Contractor Name Lic Type Lic No Lit Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08121/2014 541-666.1628
General Contractor BREEDEN BROS INC CCB 27 12,04/2014 541-686-9431
INSPECTIONS REQUIRED
Inspections
4000 Temporary Power Service
4225 Service or Feeder
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.
-�; r— i l Z 1/ I 1
O jer or Contractor Signature Date
''1 I (-1LIires you to
NOTICE: OrGnon Utility
THIS PERMfT SHALL EXPIRE IF THE WORK f_I' are set forth
J°,t�952001-
AUTHORIZED UNDER THIS PERMIT 1S NOT of +,he rules by
COMMENCED OR IS ABANDONED FOR - :- > '.,.1?i}hone
ANY 180 DAY PERIOD. °:cation
- L.;.44).
Springfield Building Permit 1/24/2014 10 27 34AM Pape 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
Frt
,.* 225; TRANSACTION RECEIPT 225Fftth St
Springfield tR97477
541-726-3753
• OREGON 811-SPR2013-01463
www.springfield-or.gov 3524 VITUS LN permitcentei@..spring6eid-or goy
RECEIPT NO: 2014000151 RECORD NO: 811-SPR2013-01463 DATE: 01/2412014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Each added 500 sq. ft. or portion 224-00000-426102 1004 192.50
Residence wiring 1.000 sq. ft. or less 224-00000-426102 1004 147.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 49.08
Technology fee(5%of permit total) 100-00000-425605 2099 20.45
Temp services 200 amps or less 224-00000-426102 1003 69 00
TOTAL DUE: 478.53
PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID
Check BREEDEN BROS INC 478.53
3706
TOTAL PAID: 478.53
Electrical Permit Application DEPARTMENT USE ONLY
a t
CITY OF SPRINGFIELD, OREGON--_ Permit no.: /3 -"/
225 Fifth StreetNSpringfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 "-
Date: ; Z . /
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.
LOCAL GOVERNMENT APPROVAL- "-?;=._ FEE SCHEDULE _ ' . _
Zoning approval verified? Yes No Number of ins ections per item Cost Total
Zoning PP ❑ P p O I Qry 1 ea. cosh :
- =-CATEGORY OF CONSTRUCTION -
Residential,per unit,service included:
13 n.Residential ❑Government (=1 Commercial
...Residential sq.ft.or less(4) / $147.50 $ /1/
' JO8:SI ..E INFORMATION AND LOCATION ,- -
Each additional 500 sq.ft_or portion 1115 Job site address: 1(Z*�/ ii! S thereof 7 S 27.50 $/92
City: S t I State_ ZIP:' ? ii 7 7 Limited energy (2) $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular $ 69.00 $
DESCRIPTION 'OF WORK ?" - dwelling service or feeder(2)
l( az g c Z L 1� ' ri-- Services or feeders: installation,alteration,relocation
200 amps or less(2) $ 89.00 $
.- -i 61 PROPERTY=OWNER -' f:.s.;; - .- 201 to 400 amps(2) $ 104.50 $
Name: 7;:at '7€J-) 401 to 600 amps(2) $174.00 $
Address: 34, e-- tie) it S"r 601 to 1,000 amps(2) $225.50 $
City:t.1^, 5 State: ZIP: Tifor Over 1,000 amps or volts(2) $516.00 $
Phone: Fax: - Reconnect only(2) S 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) I $ 69.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 I, $
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: Over 600 amps or 1,000 volts, see services or feeders section above
`, ;1 ,t . CONT.RACTOR•1NSTALLATION ;?i "'sEfq Branch circuits:new alteration, extension per panel
Business name: 7745,,,. .i-p5jr__..) c c-E��t- a.Fee for branch circuits with purchase of a service or feeder fee:
Address: /(9 f ey� s Q q / Each branch circuit I $ 6.50 $
City: , i-- Stater/2- ZIP:S'1Q_sr-- b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: Si--)/ - -QQ/7 Fax: - - First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.:(6 3)g 1 BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: ' 1:5,/7 S' Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: ,Te •J . Each sign or outline lighting(2) $ 59.00 $
Signature of signing supervisor's Signal circuit or a limited-energy panel, S 80.00 5
�� `� : , / _ alteration,or extension(2)
Each additional inspection:(1) 560.00 $
(A) Enter subtotal of above fees
(Minimum Permit Fee$80.00) $ h(41
(B)Enter 12%surcharge(.12 x[A]) • $ 115 6
(C)Technology Fee(5%of[A]) $ 2a YS
TOTAL fees and surcharges (A through C): $ Y7317
440-2584-1(4/012013/C0M)