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HomeMy WebLinkAboutPermit Electrical 2014-2-13 SP.RINGFIELD—i 225 Fifth St ` CITY OF SPRINGFIELD Springfield,OR 97477 • ted Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00326 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/13/2014 EXPIRES: 08/12/2014 STATUS DATE: 02/13/2014 APPLIED: 02/13/2014 SITE ADDRESS: 898 26TH ST,Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703361108500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace Wire In Service Mast OWNER: MOTSINGER KENTON W&KAY Phone Number: ADDRESS: 898 26TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656 INSPECTIONS REQUIRED Inspections • 4200 Reconnect Service 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 NCe cup ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 2/13/2014 12:33:19PM Page 1 of 1 SPRINGFIELD • CITY OF SPRINGFIELD _______iii _t i - 225 Fifth St i 74% ell TRANSACTION RECEIPT .Springfield,OR 97477 OREGON 541-726-3753 811-S PR2014-00326 www.springfield-or.gov 898 26TH ST permitcenter @spdngfeld-or.gov RECEIPT NO: 2014000310 RECORD NO: 811-SPR2014-00326 DATE: 02/13/2014 [DESCRIPTION . - - • ACCOUNTCODE/TRANS CODE;-.;__,-,AMOUNT-DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 Service reconnect only 224-00000-426102 1004 69.00 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:JLARSON COMMENTS i i' ' . .;AMOUNT PAID. a Credit Card 'JK GUCKENBERGER ELECTRIC INC 93.60 035710 TOTAL PAID: 93.60 • • FROM JKO El ectrrc Inc. (Ttiu)FEB 13 2014 9:231ST. 9:22/MO. 71500000752 P l _ •••-•••• -•••^ a •• Vy,ge--Prr• 1 Imp:uwww.cl.sprinpeto.ocustasotDWldlnpf Library/Llecnlcal Pernul2... • Electrical Permit Application I DEPARTMENT USE ONLY .. SVNINGFIELO lCITY OF SPRINGFIELD, OREGON permitno.:(3rl_to,v__o(�u 2_51wtl Snrtl•Spliaq field,OR 97477•PH(Slt)7263753,fAX(541)726-)689 OREGON Date: it 519' . This permit is issued under OAR 918-309-0000. Perntits 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 — __FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item O Qty. ca.t cotal CATEGORY OF CONSTRUCTION —I--' _.....__......_._.....�._.-.__._.._ Residential,per unit,service included: ❑ Residential T❑Government ❑Commercial -...__._.__- JOB SITE INFORMATION AND LOCATION L000 sq. h.or less(•q $147.60 $ Each additional 500 sq. R.or lumina Job site address: S q,Y 2k Si . Thereof $ 27.50 $ City: 5e f-p Stale: (9K- ZIP: 91`f Limited energy(2) $ 35.00 $ Reference: Taslot.: Each nlanuhtelured home or modular S 69.n0 $ DESCRIPTION OF WORK dwcllingscrviccurl'cedcr(2) — _ „i ( rftf– LA-) I.e. _ . L�_S'4V ,P( ctr �'(�rt> " Services or feeders: installation,alteration,relncnlion 200 amps or less(2) $ 89.00 5 PROPERTY OWNER 201 to 400 maps(2) $ 104.50 $ Nmnc: Let pt.( o f-51 N � 101 to 6(10 anips(2) - $174.00 $ Address: - _-"- - 601 to 1,00(1amps(2) ___�._.-_-- --` 5225.50 $ -----_ City: Sane: ZIP: Over 1.000 amps or volts(2) 5516.00 $ Phone: • - - Fax: - Reconnect only(2) . ___ �__ _$ 69.00 _S b`� E-mail'. —-----�' Temporary services or feeders: installation, alteration, relocation "f his insmllarion is being made on residential Or farm property 200 amps or less(2) $ 69.00 5 — owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 S properly is not intended for sale,exchange, lease, or rent. OAR 479,540(I)and 479.560(I). 401 to 600 amps(2) $138.50 $ Signature: Over 611()amps or 1,000 volts, see services or feeders sod ion above - CONTRACTOR INSTALLATION Branch circuits: nint t alteration,extension per petrel Business mane: (J a.Pee for branch circuits with purchase ufa service or feeder ice: Address: 2_ti ST Each branch circuit l r $ 6.50 $ City: ( , I State:© tit ZIP: Q, gkri b. Fee for branch circuits without purchase of a service of feeder lee: Phone: 54( --'�i'4 - H46 I )'ax:54-f -1,t(4ag5,5 First branch circuit(2) 5 60.50 S I::mail: y `� Each additional brunch circuit S 6.50 5 ccil llcenuc no.: .46 iZel BCD license no.: Z.D-1-11C, Ill tseellaneous lee,:sureier nr/i'eder no inch led Signing supervisor's license no.: 4'15 t J- J- Rach pump or irrigation circle(2) _---- $ 69.00 S Print name of signing supervisor-� r ik e r Inch sign or outline lighting(2) $ x0.00 $ ..... .._._ --.--- • II Signal circuit or a limited-energy panel, $ 80.00 5 Signature of signing supervisor: alteration,or extension(2) Each additional inspection:(I) $00.00 $ " _-- - _ APPLICANT USE (A) Enter subtotal of above lees $ (Minimum Permit Pee 580.00) (0)Enter 12%surcharge(.12 x[AI) S (C)Technology Fcc(5%of(Al) $ .taa.,>sa-)NrtnRO13tCUkq I'O'f.AL fees and surcharges(.4 through C): $ 8{rt;f 9.3 • E — Pa he) ti 71C of 1 4/8/2013 11:38 AM