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HomeMy WebLinkAboutPermit Electrical 2014-2-14 SPRINGFIELD..-- 225 Fifth St `4 CITY OF SPRINGFIELD Springfield,OR 97477 �i� Phone: 541-726-3753 - OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02066 www.springfield-or.gov perm itcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/14/2014 EXPIRES: 08/13/2014 STATUS DATE: 02/14/2014 APPLIED: 09/13/2013 SITE ADDRESS: 975 S 56TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802041109100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD Lot 5 Lauren Estates OWNER: RONALD C NELSON REVOCABLE LIVING TRUST Phone Number: ADDRESS: 806 S 57TH ST SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor GALCERAN CONSTRUCTION INC CCB 164708 05/17/2015 541-520-6645 DMH ELECTRIC CO (C)Electrical Cont 20-458C 07/01/2014 541-937-3721 L INSPECTIONS REQUIRED I Inspections 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 adopted by the Oregon Utility Notification Center. Those rules are set forth wOTICE: in OAR 952-001-0010 through OAR 952-001- ..i • 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number Center 1-800-332-2344). ification COMMENCED OR IS ABANDONED FOR ANY'180 DAY PERIOD, Springfield Building Permit 2/14/2014 9:56:21AM Page 1 of 1 SPRINGFIELD i CITY OF SPRINGFIELD h225 Fifth`� , TRANSACTION RECEIPT springftfth St hSt 897477 OREGON 541-726-3753 811-S P 82013-02066 www.springtield-or.gov 975 S 56TH ST permitcenter©springfield-orgov RECEIPT NO: 2014000318 RECORD NO:811-SPR2013-02066 DATE:02/14/2014 1DES.CRIPTION - ACCOUNT CODE/TRANSCODE - ., . AMOUNT DUE,' 1 Each added 500 sq.ft. or portion 224-00000-426102 1004 110.00 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 30.90 Technology fee(5%of permit total) 100-00000-425605 2099 12.88 TOTAL DUE: 301.28 LPAYMENT TYPE- '�- `-PAYOR CASHIER:iCCARPENTER COMMENTS _ _ __-_ AMOUNT PAID __ .1 Check DMH ELECTRIC CO 301.28 1599 TOTAL PAID: 301.28 , • • • • Electrical Permit Application DEPARTMENTiusE ONLY . $PFi1NGF1ELU CI'P '.TiOF S�PF G 1'LD OREGON pFt.- . - 4 7 ,e,* :'zt a ,.i ' s`sigit � + ?�_.Zug zr;:-Eip €vi ik Permit no.: c (� G O6 225 Fifth Street•Spri ngfield,OR 97477.P11(541)726-3753•FAX(541)726-3689 Date2//Y/ / V This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. xtLOCAL;,GOVERNMENVAPPR OVA L,n!FA '" __ _ . 9 y1> t, ,t� T,EEv;$OHEOULE fni "' Zoning approval verified? Oyes ❑ No . ' >ti r�.r>< f`r�' `t''� 740 Cost r'Total ,': Numbere ofinspections,per item Ofr. Qty '(ear "r. y„cost .`:; :[;.4,1N6414Tik,1P CA71EGORY4OF,,o-CONSTRUCTION A.,t;=tF"s Residential,per unit,service included: [WResidential ❑ Government ❑Commercial 1,000 sq.ft.or less(4) ( $147.50 V 4, k^ ,t.- JOB�SITE,IIN+FFORMATION-AND =LOCATIONS , " ki i 1 I S SJ S , hereof additional 500 sq. ft.or portion — Job site address: -C� $ 27.50 $/'p.�-- City: Sior c, e State: OR_ ZIP:R7 q18 Limited energy(2) $ 35.00 $ Reference: J/ Z —b9(( Taxlot o7(O Q Each manufactured home or modular $ 69.00 $ v�'[ ,fit( ''t",:tDESCRIPTION ,OF='.WORKI t , ,r, iI,N0, "r dwelling service or feeder(2) nett, w L v,.... - Services or feeders: installation,alteration,relocation 200 amps or less(2) $ 89.00 $ M, i, a' PROPERT 'OVNERr r J fINi�n 201 to 400 amps(2) $ 104.50 . Name: Roh Gtic ci,•cw, 401 to 600 amps(2) •$174.00 $ Address: 601 to 1,000 amps(2) - $225.50 $ City: . . State: ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 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 ?; , ,'.ry;°'t,CONTRACTOR OINSTAL`L'ATION 'TTY':`'-`'Sn. ,X Branch circuits:new alteration, extension per panel Business name: 1)y>1 4r E k,t,tci?,t L co a. Fee for branch circuits with purchase of a service or feeder fee: Address: I Qtr) � Si •7* Each branch circuit $ 6.50 $ City: �,4� State:d - ZIP: c i e b. Fee for branch circuits without purchase of a service or feeder fee: Phone: 1"7—3051 Fax: - - First branch circuit(2) $ 60.50 $ E-mail: don yy, IN,0,7-�t,.. 6 yyt2._ct . �,ryx Each additional branch circuit $ 6.50 $ CCB license no.: - 1`��'$CD license no.: Miscellaneous fees: service or feeder not included • Signing supervisor's license no.: - Each pump or irrigation circle(2) $ 69.00 $ ,�SsPrint name of signing supervisor.` w.. r✓ Each sign or outline lighting(2) $ 69.00 $ �',Signamre of signing supervisor: `rtln Signal circuit or alimited-energy panel, - $ 80.00 $ �s'Il t^"v OY� alteration,or extension(2) • Each additional inspection:(I) $80.00 $ ".j ` ' '$,.h' in t,.,-"APPLICANT'*US niiI3RE/AMi (A) Enter subtotal of above fees (.Minimum Permit Fee$80.00) $257 (B)Enter 12%surcharge(.12 x[A]) - - $7029.-- (C)Technology Fee(5%of[A]) $i 7 TOTAL fees and surcharges(A through C): $Tq 2% 440-2584-1(4/012013/COM)