HomeMy WebLinkAboutPermit Electrical 2014-2-19 SPRINGFIELD 225 Fifth St
` - CITY OF SPRINGFIELD 225
97477
It f�i� Phone:541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00359
www.springfield-or gay permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/19/2014 EXPIRES: 08/18/2014
STATUS DATE: 02/19/2014 APPLIED: 02/18/2014
SITE ADDRESS: 1065 N ST,Springfield,OR 97477 - SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703264401600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-Laundry room and carport addition,re-plumb and rewire existing house
OWNER: PROPERTY PLUS INVESTMENTS LLC Phone Number:,
ADDRESS: 1207 OLYMPIC ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
•
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor LYNNS ELECTRIC CO CCB 102316 10/14/2015 541-726-7895
Plumbing Contractor JACK()PLUMBING INC CCB 169047 03/14/2014 541-683-7535
General Contractor PROPERTY PLUS CONSTRUCTION LLC COB 198578 12/21/2014 307-690-2830
Mechanical Contractor PROPERTY PLUS CONSTRUCTION LLC CCB 198578 12/21/2014 307-690-2830
INSPECTIONS REQUIRED
Inspections
•
4220 Electrical-Service ,
4500 Rough Electrical Rough Electric: Prior to Cover •
4999 Final Electrical Final Electric: When all electrical work is complete.
4000 Temporary Power Service
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
)//6//1`i
Owner or C tractor Signature Date
ATTENTION: Oregon law requires you to
foilow rules adopted by the Oregon Utility NOTICE:
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 2/19/2014 9:28:27AM Page 1 of 1
SPRINGFIELD ' CITY OF SPRINGFIELD
kif�... 225 Fikh$t
el TRANSACTION RECEIPT Springfierd,OR 97477
OREGON 541-726-3753
811-SPR2014-00359
www.springfield-or.gov 1065 N ST permitcenter @springfield-or.gav
RECEIPT NO: 2014000348 RECORD NO: 811-SPR2014-00359 DATE:02/19/2014
LDESCRIPTION • . . , _ _, ._ _' . -• ACCOUNT CODE/TRANS CODE - . ___AMOUNTDUE__!
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 25.98
Technology fee(5%of permit total) 100-00000-425605 2099 • 10.83
Temp services 200 amps or less 224-00000-426102 . 1003 69.00
TOTAL DUE: 253.31
LPAYMENT TYPE • .•PAYOR ' CASHIER:CCARPENTER COMMENTS - .. :: :• AMOUNT PAID- c ' ` "_.•Credit Card PROPERTY PLUS INVESTMENTS LLL —V-_�-� 253.31
05366c
TOTAL PAID: 253.31
•
•
Electrical Permit Application , tDEPARTIIIIENTAISEIONLY.
y�y� $PRINGPIELD �
fn. e' -Irtr«` uva.4,. ism °:w,S3 "�. 't .. 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.
ent-vLOCAE GOVERNMEN7R9ARPROVAL v a' r- ;; ,a ;'t'>i}`-, .F.EE' SCNEDUL''E '`_5, a ",
Zoning approval verified? Yes No ff' '8" ,> -A?n-` `.,,: Q Coif; �-iTotat5
g pp ❑ ❑ Number of mspectfons pgAT,1 O 2 ty -ilt ' cost
- s : CATEGORY,-OFSCONSTRUCTION* ` '" s; ��a.,t.a K •�
-- Residential,per unit,service included:
❑Residential ❑Government ❑Commercial / 1j
JOB SITE INFORMATION AND`-LOCATION 1,000 sq. ft.or less(4) / 00 5 ,%
(� Al 5 7 thereof additional 500 sq. ft.or portion
Job site address: /0 $ 25.00 $
City: State: ZIP: -Limited energy(2) $ 32.00 $
Reference: Taxlot.: Each manufactured home or modular $ 63.00 $
>DESCRIPTION'OF 'WORK,: . dwelling service or feeder(2)
sQp - p &--tviL fv/54(L Services or feeders: installation, alteration, relocation
r 1 I�- lr ! - 200 amps or less(2) $ 81.00 $
w x,5 -.'FROP,ERTY,`ONNER4 *1" :`W 201 to 400 amps(2) $ 95.00 $
Name: 401 to 600 amps(2) $158.00 $
Address: 601 to 1,000 amps(2) $205.00 $
City: State: ZIP: 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) $ 63.00 $
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
479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
n :.',CONTRACTOR1INST AL`LATION !t :T Branch circuits:new, alteration, extension per panel
Business name: LU NN 's- El/£c-"7 e i C-- a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 1j p t, 4_ Each branch circuit $ 6.00 $
City: F.4.1 l eo 1t State: 0 ie. ZIP: 97 y go b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:stn-7cj-le 95--- Fax;9/-7q4-72.f2- First branch circuit(2) $ 55.00 $
E-mail: Litt.4/'c-S 2t- 0 j4.( r-f .C-rwt Each additional branch circuit $ 6.00 $
CCB license no.:it)Z 31 (o BCD license no.: ju-13i --C.- Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: '3 c 7 -S Each pump or irrigation circle(2) $ 63.00 $
i=
-.Each sign or outline lighting(2) $ 63.00 $
Print name of signing supervisor: „ i•re; Z NN r"'wr
Signature of signing supervisor: e / Signal circuit or a limited-energy panel, $ 63.00 $
Bn g g p / / alteration,or extension(2)
Each additional inspection:(1) $58.00 $
.e- . '` r3, APPLICANT{USE "j ® -...es .' m
(A) Enter subtotal of above fees
(Minimum Permit Fee 558.00) /172P --
(B)Enter 12%surcharge(.12 x[Al) $ / -7 70
(C)Technology Fee(5%of[Al) . $ —7 34Y
TOTAL fees and surcharges(A through C): 5/ 7Z
440-2584-J(9IO8ICOM)