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HomeMy WebLinkAboutPermit Electrical 2014-8-3 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 r�; Phone: 541-726-3753 E' -OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00224 www.springfeld-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued • ISSUED: 02/04/2014 EXPIRES: 08/03/2014 STATUS DATE: 02/04/2014 APPLIED: 02/04/2014 SITE ADDRESS: 5839 G ST,Springfield,OR 97478 • SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702342200414 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Bathroom and kitchen remodel OWNER: FRIEZE SHERRYL LYNN Phone Number: ADDRESS: 5839 G ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER COB 000000 08/01/2025 Mechanical Contractor OWNER COB 000000 08/01/2025 Electrical Contractor OWNER COB 000000 08/01/2025 Plumbing Contractor OWNER COB 000000 08/01/2025 _ INSPECTIONS REQUIRED • Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Anal 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. • 2 ?`u/A( Owner or Contractor Signature Date NOTICE: THIS PERMITSHALL EXPIRE IF THE ATTENTION: Oregon law requires you to COM UNDER THIS P HE WORK • follow rules adopted by the Oregon Utility MENCED OR IS PER IS NOT Notification Center. Those rules are set forth ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- NY 180 DA PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit 2/4/2014 3:14:00PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 7{ zzs Fifth St TRANSACTION RECEIPT 2ield.o R97477 541-726-3753 o E ON 811-S PR2014-00224 www.springfieldar.gov _ 5839 G ST permitcenter©spdngfeld-or.gov RECEIPT NO: 2014000227 RECORD NO:811 SPR2014-00224 DATE:02/04/2014 h .lk.fflai. • ` d` ACCOUNT CODE/TRANS,CODE "-i P AMOUNTThIITh :! Branch circuits with service or feeder each circuit 224-00000-426102 1004 19.50 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.02 Technology fee(5%of permit total) 100-00000-425605 2099 ,5.43 TOTAL DUE: 126.95 L PAYMENT TYPE isattPAYORtatiSkif COMMENTS C=vw,.�.,,21.e.V12:r si.rAMOUNRPAlO` l._4 rwrAl Credit Card CHELSEA QUESADA 126.95 03510b TOTAL PAID: 126.95 .Electrical Permit Application DEPARTMENT"USE ONLY SPRINGFIELD aasv CIT,Y9OF,SPRINGI!1IIP D,;OREG`-Olt. S/t( �2 2 V ; --a ., .r 3 ': ? L a R1/474--4,N a Petmit no.: 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 Date: l y / / `"( 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. i°; ; iEocAL;;GQVERNMENVAPPROVAL, _;`: :' "MACO A;- EEEwSCHEDULE."ii H ' ''j Zoning approval verified? Yes No ' 1 `t+ti ia- ' '` { ` ° x;,Cost Tota1;< pP ❑ ❑ 'Number of tnspechons p;erpttem O , Qty pry¢a :,eost,,%. ^}��„ C..;CATEGORY1OF:tCONSTRUCTION , . ')?, 4 , ,,, '''''''•' "` `r Residential,per unit,service included: 2esidential ❑ Government ❑ Commercial ,. JOBrxSITEMNFORMATION-:ANO`LCCATION':r 1,000 sq. ft.or less(4) $14zso $ Job site address: �7jG[ 6-1— Each additional 500 sq.ft.or portion thereof $ 27.50 $ City:sa[ F[a-am State: ZIP: q.74-Th Limited energy(2) $ 35.00 $ - Reference: Taxlot Each manufactured home or modular $ 69.00 $ r?�; +v , x a dwelling service or feeder(2) -1 „$1„P4 i DESCRIPTION„OFx`WORK ,? W , n;, ``�� Services or feeders: installation, alteration, relocation e\tOks,'CAI 16DC. uP ant 0, 1 nan I\c3W- , 200 amps or less(2) j $ 89.00 $°�' °/ (ReC'Ph 2.2Z P�.I,I O) • J NeilA =±;xrns s,-°',f,' •rfP..RQPERTOOWNER iii *x C 201 to 400 amps(2) $ 104.50 $ Name: j• -A QV '� 401 to 600 amps(2) $174.00 $ Address:ciligtio ts'& % bck. 601 to 1,000 amps(2) $225.50 $ City: C zji ,Fteit, State: ZIP:g74725 Over 1,000 amps or volts(2) $516.00 $ Phone: Fax: - - Reconnect only(2) $ 69.00 $ . E-mail: V�('p(y Temporary services or feeders: installation, alteration, relocation -�1,utt G . L � 200 amps or less(2) This installation is being made on residential or farm eroperty $ 69.00 , $ owned by me or a member of my immediate family. Th. 201 to 400 amps(2) $ 96.00 $ property is not intended for sale exchange, lease,or rent. OAR 479.5400)a94 479.5.0( . 401 to 600 amps(2) $138.50 $ Signature: / j/, Over 600 amps or 1,000 volts,see services or feeders section above "-' ' "s ` CO NT;RACTOR=INSTALLAT;ION \ , Branch circuits:new alteration, extension per panel Business name:ye//,/ {— Vim. a. Fee for branch circuits with purchase of a service or feeder fee: (1"'.' � Address: Each branch circuit $ 6.50 $('CI - City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: 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 $ Signature of siening supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ -=5 .fits r,4PLICANT USE2."_4 EK.E ri r#. (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ g 1 (C)Technology Fee(5%of[A]) $ 5—�>r TOTAL fees and surcharges (A through C): $ /24 °7 440-2584-1(4/01/2013/COM) '