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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)