HomeMy WebLinkAboutPermit Electrical 2014-1-27 •
• SPRINGFIELD.. 225 Fifth St
t CITY OF SPRINGFIELD Springfield,OR 97477
_�,`i-i°i Phone: 541-726-3753
°RBCON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01443 •
www.springfield-or.gov penticenter(gspringfield-or.gov
•
PROJECT STATUS: Issued ISSUED: 01/27/2014 EXPIRES: 07/26/2014
STATUS DATE: 01/27/2014 APPLIED: 06/27/2013
SITE ADDRESS: 5211 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702283400900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ELE-New SFD-Lot 1 Thurston PI
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 10104/2015 541-741-1499
Plumbing Contractor JOHNS PRECISION PLUMBING LLC CCB 158279 02104/2014 541-736-8690
General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-666-6294
Mechanical Contractor SUNSET HEATING 8 AIR INC CCB 171706 08/18/2014 541-554-2604
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INSPECTIONS REQUIRED
Inspections
4000 Temporary Power Service
4120 UFER Ground
4225 Service or Feeder
4500 Rough Electrical Rough Electric: Prior to Cover
4550 Limited Energy
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.
NOTICE: ATTENTION: Oregon law re u' o
1 11n r,�ns.,,-r ., C:17 ,,,rr, r T t Ity,l(c%brutes adopted b/the q Tres y u to
s .f 111 r. ,1„ Inullucation Center. Those rules agre Utility
OwneiorgContrac`oj ti .atgrie THIS PERMIT IS NOT Date OAR 952-001-0010 through OAR 952-001h
COMMENCED 01 IS ABANDONED FOR 0090. You may obtain copies of the rules by
ANY-180 DAY PERIOD. number for the ter. (Note' the.telephone
Oregon Utility Notification
Center is 1-800-332-2344),
Springfield Building Permit 1/27/2014 1:20:55PM Page I of 1
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+ SPRINGFIELD CITY OF SPRINGFIELD
<1-� (``+...` 225 Fifth St
y" REGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S P R2013-01443
www.springfield-or.gov 5211 HIGH BANKS RD permitcenter @springfield-or.gov
RECEIPT NO: 2014000172 RECORD NO:811-SPR2013-01443 DATE:01/27/2014
DESCRIPTION _., . - - ACC O UNTCODE/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 I
Check CUMMINS INVESTMENTS LLC 285.48
•
1036
TOTAL PAID: 285.48
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Electrical Permit Application DEPARTMENT USE ONLY
SPRIRGRIELG - '
CFTAY Q PRING ittiWWOREC 513 • /N y 3
A ;ice �a ? .r^ �i '. �,*., Permit no..
. .M N"Q 'ss
225 Fifth Street•Springfield,OR 97477•PA(541)726-3753.FAX(541)726-3689
Date: & (Z1/ (
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; GOILERNMENT-APPROVAL , ,- r _, , :'FEE SCHEDULE
Zoning approval verified? 0 Yes ❑No Number ofnspectmns per item O . Qty Cost Total
-CATEGORY: OF CONSTRUCTION „ =?a cost r.
�/ Residential,per unit,service included:
Uv Residential ❑ Government ❑Commercial 3'
JOB'SITE JNFORMATION rAND LOCATION t 1,000 sq.R or less(4) . ' $147.50 V47
Each additional 500 sq.ft.or portion
Job site address: /
5211 µi6N g,4,vr. R./- thereof $ 27.50 $ 2,p)
City: 5pR *FlUn0 State; OR ZIP: '7M Limited energy(2) $ 35.00 $
Reference: /TQ'L ZS 3 9 Taxiot.: ' %J6 Each manufactured home or modular _
1 5 _ dwelling service or feeder(2) $ 69.00 $
_ „�=DESCRIPTION'OF=WORK,:] ,
Services or feeders:installation, alteration,relocation
i/Bw SF 200 amps or less(2) $ 89.00 $
- ,$ROPERTY_QWNER _ a- 201 to 400 amps(2) . $ 104.50 $ - -
Name: CUMMIS IN t. 401 to 600 amps(2) $174.00 $
N ✓• C-
Address: 3 1221 057P1-1 Rd. 601 to 1,000 amps(2) $225.50 $
City: LESA/vio/ State: OR ZIP: 973SS Over 1,000 amps or volts(2) $516.00 $
Phone:.Syi 2.5-43 ZLSo Fax: - Reconnect only(2) $ 69.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
�j,Ecum,4,NS e comas?- . NIT
This installation is being made on residential or farm property 200 amps or less(2) / $ 69.00 $‘9
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) $138.50 $
Signature: - Over 600 amps or 1,000 volts,see services or feeders section above
_ , IICONTRACTOR-INSTALLATION:` _ Branch circuits:new alteration, extension per panel
Business name: EA snob E E L F.c 7 zit Doc . a Fee for branch circuits with purchase of a service or feeder fee:
Address: 3$2S-5 8oscA4E LN. - Each branch circuit $ x.50 $
City: 5 pet..c.F,st n State: o2 ZIP: 979-7s b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:29 6 9/S 98Z S Fax: - - First branch circuit(2) . $ 60.50 $
E-mail: /to it i 9G i e yA the o, Co.,,. Each additional branch circuit $ 6.50 $
CCB license no.: 1r-7-no BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: `I 7T7 S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: Q o`FJC k iro fr Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: n,,, '' Signal circuit or a limited-energy panel, $ 80.00 $
91 gig P Ir t yi'i' alteration,or extension(2)
Each additional inspection:(1) $80.00 $
l i i t"M e A`RPLICANT;USE ``
(A) Enter subtotal of above fees ,�d
$
(Minimum Permit Fee$80.00) . eft/
(B)Enter 12%surcharge(.12 x[A]) - $ 0
0
(C)Technology Fee(5%of[A)) $ I? ' r
TOTAL fees and surcharges(A through C): $
440-2584-1(4/012013/COM)