HomeMy WebLinkAboutPermit Electrical 2014-1-22 SPRINGFIELD 225 Fifth St
` CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building 1 Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00139
www.spnngfield-or gcv permitcenter @springfield-or goy
PROJECT STATUS: Issued ISSUED: 01!22/2014 EXPIRES: 07/21/2014
STATUS DATE: 01/22/2014 APPLIED: 01/22/2014
SITE ADDRESS: 2542 35TH ST, Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702194200400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Circuit for prior Mini Split Installation 512.1478-contractor letter attached to documents
OWNER: LODE BEN RAYMOND Phone Number:
ADDRESS: 2542 35TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
ALLAN E STROMING (J)Electncian.Gel 17595J 10/01/2015 541-726-4142
Mechanical Contractor SALVATORE PAUL AZZATO JR CCB 195422 11/09/2015 541-654-4232
LINSPECTIONS REQUIRED
Inspections
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.
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Owner or Contractor Signature Date
''TcCE:
-, PERMIT SHALL EXPIRE IF THE WORK
""r"?ED UNDER THIS PERMIT IS NOT
r--, no lc ..•.Inr.)NED FOR
Spnngfield Building Permit 1/22/2014 1•07:07PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
•
225 Fifth 3t
1111IL, & TRANSACTION RECEIPT 225FithSt Springfield,OR 97477
OREGON 541-726-3753
811-S PR2014-00139
www spnngfield-or.gay 2542 35TH ST permncenter @springfield-or goy
RECEIPT NO: 2014000137 RECORD NO: 811-SPR2014-00139 DATE: 01/22/2014
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 DU E: 93.60 0
Credit Card LODE BEN RAYMOND 9160
665054
TOTAL PAID: 93.60
Electrical Permit Application SPRINGFIELD DEPARTMENT USE ONLY
'
CITY OF SPRINGFIELD, OREGON=
Permit no.:
Y
225 Fifth Street4 Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
Date: 07 I (4(
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
I
Zoning approval verified? ❑ Yes ❑No Number of inspections per item() Qty. east Total
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
tf Residential ❑ Government ❑Commercial
1,000 sq.ft.or less(4) $147.50 $
JOB SITE INFORMATION AND LOCATION'. .
Each
Job site address:A9 5-1. 3'S j greet thereof additional 500 sq.ft.or portion
Q $ 27.50 $
City: 47r-1;17/5 e a State: C I ZIP: !3 r?- Limited energy(2) $ 35.00 $
Reference: !'70 7 IGIGVZ Taxlot.eey619 Each manufactured home or modular
DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $
l!>'S/1t c. fi 0 e7?l n I 5fi lsr-t /1P Services or feeders: installation,alteration,relocation
/ 200 amps or less(2) $ 89.00 $
fu g/
PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $
Name: L�,�, irtv, l 401 to 600 amps(2) $174.00 $
Address:2T-`/Z '3 SW 5}'✓' 601 to 1,000 amps(2) 5225.50 $
City:_ip red/:tic.,(_ State: a< ZIP: e 9 Over 1,000 amps or volts(2) $516.00 $
Phone:cY/ 9-y t( 3 ti Fax: - Reconnect only(2) $ 69.00 S
G4 �' '], Cry Temporary services or feeders:installation alteration,relocation
E-mail: Ja�.,i l-� L
This installation 46eing 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 479.560(1). 401 to 600 amps(2) 5138.50 $
Signature: / oL Z Over 600 amps or 1,000 volts,see services or feeders section above
CONTRA virs R INSTALLATION Branch circuits:new, alteration,extension per panel
Business name: � Z.z. "G a.Fee for branch circuits with purchase of a service or feeder fee:
Address: Each branch circuit S 6.50 $
City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: - - Fax: - - First branch circuit(2) $ so.5o S
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: 1'7'' 75)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 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: alteration,or extension(2) $ 50.00 S
Each additional inspection:(1) $80.00 $
APPLICANT USE
(A) Enter subtotal of above fees $ p ex)
(Minimum Permit Fee$80.00) �r
(B)Enter 12%surcharge(.12 x[A]) $ S
(C)Technology Fee(5%of(Al) $ yd`!
fi
TOTAL fees and surcharges(A through C): $ Gii- -
440-2584-1(4/01/2013/C0M)
K & K Electric
Date: December 29, 2013
RE: mini split ductless heat pump installed at Ben Lodes house
To whom it may concern:
I Allan Stroming have inspected this installation and found it to comply with all electrical codes. All wire,
breaker, and fuse sizes are what they are required to be. All work was done in a neat workmanlike manner as I
would have done.
Allan Stroming general journeyman electrician license# 17595J owner of K&K Electric.
Contractors license #C971
If you have any questions please feel free to call.
Sincerely
eg),
Allan Stroming
6601 C Street,Springfield,Oregon 97478 541-954-8687