HomeMy WebLinkAboutPermit Electrical 2014-2-11 SPRINGFIELD 225 Fifth St
rt t a CITY OF SPRINGFIELD Springfield,OR 97477
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tt Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00282
www.springfield-or.gov permitcenter @springtield-or.gov
PROJECT STATUS: Issued ISSUED: 02/11/2014 EXPIRES: 08/10/2014
STATUS DATE: 02/11/2014 APPLIED: 02/11/2014
SITE ADDRESS: 3594 RIVER HEIGHTS DR,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702301200600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-Finish basement and add sink,vent fan and wall heaters
OWNER: BREEDEN BROS INC Phone Number:
ADDRESS: 366 E 40TH AVE STE 250
EUGENE OR 97405
CONTRACTOR INFORMATION II
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-686-1628
Mechanical Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 •
Plumbing Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431
General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431
I, INSPECTIONS REQUIRED
Inspections
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.
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Owner or Con ractor Signature Date
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COMMENCED OR IS ABANDONED FOR #0° ass ado 46noay#o#oo I oo ass abo Lit
ANY 180 DAY PERIOD. 4#ao{#as aae sap)aso41 •aa#ua0 UOUe°111#oLi
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Springfield Building Permit 2/11/2014 10:41:43AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 FAth St
.nn OREGON TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-SPR2014-00282
w-v .springfield-or.gov 3594 RIVER HEIGHTS DR perrnitcenler @springfield-or.gov
RECEIPT NO: 2014000268 RECORD NO:811-SPR2014-00282 DATE:02/11/2014
(DESCRIPTION,; _ ACCOUNT CODE/TRANS CODE :_., . -_.. `AMOUNT DUE-
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 DUE: 93.60
PAYMENT_TYPE -`PAYOR" CASHIER:CCARPENTER° '°..COMMENTS_' - I .`- , - AMOUNT PAID J
Credit Card BREEDEN BROS INC M 93.60
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TOTAL PAID: 93.60
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Electrical Permit Application DEPARTMENT USE ONLY: II II
SPR�NGFIEL3]�-_-_.. -
°C r ECIFISPRITGNIEED' DREG 1� - S/V— 2Yz
a r , .. ca_er.: ,-_., IS ,.}. -3 , Permit no.:
225 Fifth Street•Springfield,OR 974774PH(541)726-37534,FAX(541)726-3689 - -'--- '
Date: 2 �-7
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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;_GOVERNME MIA PPROVAL FEE'"SCHEDULE -
Zoning approval verified? ❑Yes ❑No Number of rds ections ev item Cost Total
. . _._.._P P . O Qty: ea . . ...:_coshil-:.II'II CATEGORY?:OF, CONSTRUCTION
Residential,per unit,service included:
El-Residential I ❑ Government I ❑ Commercial
JOB;[SIT.E .INFORMATION*AND' LOCATION" 1,000 sq. fr.or less(4) $14250 $•
Each additional 500 sq.ft.or portion
Job site address:ys- Ir /2(//L S-- thereof -
$ 27.50 $
City: s(/kp I State: n..... I ZIP: 'j7t(7z5 Limited energy(2) $ 35.00 $
Reference: / /c) Z (7c), y I Taxlot.: (o Each manufactured home or modular $ 69.00 $
y F ,�?DESCRIPTION OF D s WOR :_ dwelling service or feeder(2)
/u� t rf ,Q- - j/t k^^ . Services or feeders: installation, alteration,relocation
CL `� 200 amps or less(2) $ 89.00 $
4'1W-tiNPROPERTY" OWNER, x,F; 201 to 400 amps(2) $ 104.50 $
Name: aQe&-n 7\f /9-1225-r 401 to 600 amps(2) $174.00 $
Address:76,, 6 4f2 it- crE 2 y-O 601 to 1,000 amps(2) $225.50 $
City: f`2v-C, I State: 911 I ZIP: 57.10c Over 1,000 amps or volts(2) $516.00 $
jy3/ I Fax: Reconnect only(2) $ 69.00 $
Phone:. - -
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation is being 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 479.5600). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
-„`q3 ?'- CONTRACTOR 1NSTALLATION.t[ _, ; ,it Branch circuits:new alteration estensionper panel
Business name: / b,\ "'-' l c-4e-Ei2/c a.Fee for branch circuits with purchase of a service or feeder fee:
Address: b t/ s Q Li y Each branch circuit $ 6.50 $
City: (--c.-(=. State:0/Z ZIP:5'74100 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: 241 - ?153_6,01-I Fax: - - First branch circuit(2) /$ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: (/6 3).9 I BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: "&/7 j' Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: /7c o�i�!'0 Each sign or outline lighting(2) $ 69.00 $
Signature of signing su ervis Signal circuit or a limited-energy panel, $ 80.00 $
Bn �g P �`K -�1� alteration,or extension(2)
e
Each additional inspection:(1) $80.00 $
n4 .4 _$.,r .n ,A0PP,LIGANT'USE. . '
(A) Enter subtotal of above fees
(Minimum Permit Fee$80.00) $ D029
(B)Enter 12%surcharge(.12 x[A]) • $ SGo
(C)Technology Fee(5%of[A]) $ y�
TOTAL fees and surcharges (A through C): $ C905-9—
0i
440-2584 1(4/012013/C0M)