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Home My WebLink AboutPermit Electrical 2014-1-24 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 6t, Phone: 541-726-3753 aaec:ON Building I Residential Permit Inspection Phone: 541-726-3769 Fax. 541-726-3676 PERMIT NO: 811-SPR2013-01440 ww•springfield-or goy permdcenter(@spnngfield-or gov PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014 STATUS DATE: 01/24/2014 APPLIED: 06/27/2013 SITE ADDRESS: 5233 HIGH BANKS RD, Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702283401000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD-Lot 2 Thurston PI SAMEAS 5211 Lot 1 OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 101042015 541-741-1499 Plumbing Contractor JOHNS PRECISION PLUMBING LLC CCB 158279 02/042014 541-736-8690 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 180347 06/14/2014 541-868-6294 Mechanical Contractor SUNSET HEATING 8 AIR INC CCB 171706 08/18/2014 541-554-2604 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, ( 74 f1i Owner or Contractor Signature Date • Springfield Building Permit 1/24/2014 2:00:28PM Page 1 of 1 • SPHiNGFlELD CITY OF SPRINGFIELD hi 225 Frfth St V ,,� TRANSACTION RECEIPT Spnngtield.OR97477 .OREGON 541.726-3753 811-S P R 2013-01440 www.spnngheld-or.gov 5233 HIGH BANKS RD permilcenter @springrield-or gov RECEIPT NO: 2014000161 RECORD NO:811-SPR2013-01440 DATE: 01124/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Each added 500 sq ft or portion 224-00000-426102 1004 27 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 29.28 Technology fee(5%of permit total) 100-00000-425605 2099 12.20 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 285.48 PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS AMOUNT PAID Check CUMMINS INVESTMENTS LLC 285.48 1030 TOTAL PAID: 285.48 Electrical Permit Application DEPARTMENT USE ONLY CITY OF SPRING FIELD, OREGON �. Permitno.: 1� - �� 225 Fifth Streets Springfield,OR 97477•PH(541)726-3753,FAX(541)726-3689 CJ Date: 47(16((i!J 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 - 9 Yes No Number of inspections per item () Qty. Cost Total- i Zoning approval verified. ❑ ❑ P P ea cost CATEGORY f OF-CONSTRUCTION . Residential,per unit,service included: Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) 1 5147.50 $r t,( 5.1-1) JOB_SITE INFORMATION-AND LOCATION Each additional 500 sq.ft or portion Job site address: S 23 3 I-1.1.4 H (3A„uv) R.J. thereof _1 $ 27.50 S•-2970 City: SpRlN6F1 State: p,Q ZIP: q1,1-is Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 S dwelling service or feeder(2) DESCRIPTION OF WORK • - . , Services or feeders: installation, alteration,relocation NEB 5 P R 200 amps or less(2) $ 89.00 5 PROPERTY -O_WNER : ' 201 to 400 amps(2) $ 104.50 $ 401 to 600 amps(2) 5174.00 5 Name: Com.viwS INa• LLL Address: 31Izi 03pfziq Fro(. 601 to 1,000 amps(2) 5225.50 S State: aR ZIP: i735-5- Over 1,000 amps or volts(2) 5516.00 $ City: LESwr►,vor0 5 69.00 $ Reconnect only(2) Phone:51/ 290, Z4 S O Fax: - - Temporary services or feeders: installation, alteration, relocation E-mail: TEclinfdltNS 0 CoM sr . Arty J /� 200 amps or less(2) l $ 69.00 5 iv/ This installation is being made on residential or farm property 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 $ Over 600 amps or 1,000 volts,see services or feeders section above Signature: CONTRACTOR`INSTALLATION Branch circuits:new, alteration, extension per panel Business name: rA STS i b E f LEe i-R< c t a.Fee for branch circuits with purchase of a service or feeder fee: Address: 3 9 2S-5 j3 oxA`E LN. Each branch circuit 5 6.50 S City: rw 5 4.rvp-n State: oft, ZIP: et-r9.7 g b.Fee for branch circuits without purchase of a service or feeder fee: P Phone:91 t 91 r- 9 gz S Fax: - - First branch circuit(2) $ 60.50 $ E-mail: ep k 1 qte 1 e yi4.N-,,o, Co,,,% Each additional branch circuit S 6.50 S CCB license no.: I mil O BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 9 -717 C Each pump or irrigation circle(2) S 69.00 $ Each sign or outline lighting(2) $ 69.00 $ Print name of signing supervisor: re oLEK kiHh n� t� p� . Signal circuit or a limited-energy panel, $ 80.00 $ Signature of signing supervisor: l lC./r alteration,or extension(2) Each additional inspection:(1) 580.00 $ ;