HomeMy WebLinkAboutPermit Electrical 2014-1-31 SPRINGFIELD • 225 Fifth St •
CITY OF SPRINGFIELD Springfield,OR 97477
t.W' • Phone: 541-726-3753
17-'1. OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01467
www.springfield-er.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/31/2014 EXPIRES: 07/30/2014
STATUS DATE: 01/31/2014 APPLIED: 06/28/2013
• SITE ADDRESS: 6428 Dogwood ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702344301100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ELE-Single family residence
OWNER: THOMAS WALTER CUSTOM HOMES LLC Phone Number: 541-683-6355
ADDRESS: 2863 RIVERWALK LOOP
EUGENE OR 97401
CONTRACTOR INFORMATION • •
Contractor Type Contractor Name Lic Type Lic No- Lic Exp Phone
Electrical Contractor STEVEN EDWARD HAUCK II CCB 147618 04/30/2015 541-221-2665
Plumbing Contractor T 8 S PLUMBING INC CCB 186903 06/01/2015 541-915-1000
General Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355
Mechanical Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355
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.
Owner or Contractor Signature Date
ATTENTION'. Oregon law requires you to
follow rules ad°P;ed by the Oregon Utility
NOTICE: Notification Cehter. Those rules AR re set-00th
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-obtain rouasoftheru e5 by
0090. You may obtainN0t . the telephone
AUTHORIZED UNDER THIS PERMIT IS NOT Calling the center. (on Utility Notification
COMMENCED OR IS ABANDONED FOR number for the Oreg
ANY 180 DAY PERIOD. Center is 1-800 332 2344).
Springfield Building Permit 1/31/2014 11:37:58AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR97477
'":OREGON 541-726-3753
811-SPR2013-01467
www.springfield-or.gov 6428 Doawood ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000204 RECORD NO:811-SPR2013.01467 DATE:01/31/2014
DESCRIPTION _a __ ACCOUNT CODEITRANSCODE a" _'.v ti-AMOUNT.DUE'.=`a
Each added 500 sq.ft. or portion 224-00000-426102 1004 137.50
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 42.48
Technology fee(5%of permit total) 100-00000-425605 2099 17.70
Temp services 200 amps or less 224-00000-426102 1003 69.00
TOTAL DUE: 414.18
?MOUNTPAID4 -� =rte, is PAYMENT:TYPE :„_`!IPAYOR,a cnsriiei:174 aENTER _et_:.2COMMENTS
Check THOMAS WALTER CUSTOM HOMES - 414.18
11828
TOTAL PAID: 414.18
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Electrical Permit Application --=t.. f DEPARTMENT USE ONLY
CITY,OF-SPMENGFIELD -OREGON -, jilitcgZia- 1- Permit no.:
225 Fifth Street*Springfield,OR 97477*PH(541)726-3753*FAX(541)726-3689 ,
Date:
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.- •
Zoning approval verified? 0 Yes n No CoSt Total
Number of inspection's per item () Qty. cost
CATEGORY;:0FCONSTRUCTION
Residential,per unit,service included: /r2i,(2.— 147_SO
Eflesidential ID Government 1:1 Commercial
1,000 sq.ft.or less(4) / 1-134er $
ictAtjOBt;,SITE.INF-ORMATIOWANCY-tOCATION . H
Each additional 500 sq. ft.or portion 2 22)
Job site address: 472712.,/ ' /-7,74,43-c./0 thereof J—$ nree— $ /321°
szo
City: C?,,eFLo State: 4\,2_ ZIP:(1/ 7401 Limited energy(2) $ 32.00 $
Reference: /17a 2.. S zit" 7 Taxlot.:eti.7/60 Each manufactured home or modular
$ 63.00 $
i dwelling service or feeder(21
DESCRIPTION. OF WORK ' . ' - ... : dwelling ' '
Services or feeders: installation, alteration, relocation
IMIlir InRiat. ci - T6't71 P1AAL
200 amps or less(2) $ 81.00 $
PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $
Name: 1 tit+
401 to 600 amps(2) $158.00 $
- 4,ti
601 to 1,000 amps(2) $205.00 $
Address: -21-6 I 0 vi Of_hir)-1 i C_ e_vo
City: 1,.,7A.c, State:gl,‘ ZIP:1 7C/07 Over 1,000 amps or volts(2) $469.00 $
Phone: - --- Fax: - -
Reconnect only(2) $ 63.00 $
E-mail: Temporary services or feeders: installation, alteration relocation
This installation is being made on residential or farm property . 200 amps or less(2) a $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.5400)and 479.5600). 401 to 600 amps(2) $126.00 .$
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits:new, alteration, extension per panel
Business name: STEVE 11 A kn- a. Fee for branch circuits with purchase of a service or feeder fee:
Address: 19,(),Bo r .71361 Each branch circuit $ 6.00 $
City: " ."us,_ I State: QjZ I ZIP: 574/0 1 . b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:9-q —. .1_ 2",s Fax:Pii- - 7-41 - I 08S First branch circuit(2) $ 55.00 $
E-mail: c.STFU . H710 E corne.Msr . A2fT Each additional branch circuit $ 6.00 $
CCB license no.: /q Vs I BCD license no.: 20-‘13-24.t. Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 3533$ Each pump or irrigation circle(2) $ 63.00 $
Each sign or outline lighting(2) , $ 63.00 $
Print name of signing supervisor: .5;Eve /-11+00:-.
Signature of signing supervisor: pik 4_,
Signal circuit or a limited-energy panel,
alteration,or extension(2) $ 63.00 $
Each additional inspection: (1) _ $58.00 $
'a;.:Q:f(altkigt:Itz'N.ARKICANT..fUSE:' . , , :.:1,
(A) Enter subtotal of above fees
(Minimum Permit Fee$58.00)
• (B)Enter 12%surcharge(.12 x[Al) $ Li;la
(C)Technology Fee(5%of[Al) $ 0 29--
T 0 T AL fees and surcharges(A through C): $L./7y (2-
440-2584-1(9/08/COM)