HomeMy WebLinkAboutPermit Electrical 2014-2-12 SPRINGFIELD- - 225 Fifth St
4. - CITY OF SPRINGFIELD Springfield,OR 97477
,ycC Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00306
www.springfield-or.gov pennitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/12/2014 EXPIRES: 08/11/2014
STATUS DATE: 02/12/2014 APPLIED: 02/12/2014
SITE ADDRESS: 1140 PONDEROSA CT,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703273311000 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Service mast repair
OWNER: EPPERSON VICKI L Phone Number:
ADDRESS: 1140 PONDEROSA CRT •
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor EVERYDAY ELECTRICAL SERVICE INC CCB 136371 08/12/2015 541-912-2957
L INSPECTIONS REQUIRED
Inspections
4200 Reconnect 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.
Owner or Contractor Signature Date
NOTICE: '' ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK
in follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are.set forth
COMMENCED OR IS ABANDONED FOR OAR 952-001-0o10 through OAR 952-001-
ANY 180 DAY 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 2/12/2014 936'.09AM Page 1 of 1
, SPRINGFIELD CITY OF SPRINGFIELD
•
- 225 Fifth St
' << TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-S P R2014-00306
www.springfield-orgov 1140 PONDEROSA CT permitcenter @springfield-or.gov
RECEIPT NO: 2014000288 RECORD NO: 811-SPR2014-00306 DATE:02/12/2014
•
iDESCRIPTION - - ACCOUNT CODE/TRANS CODE . . -_,_• AMOUNT DUEJ
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
LPAYM ENT TYPE PAYOR-'CASHIER:ccARPERTER COMMENTS_- . •. ' AMOUNT PAID. _ ;
Credit Card EVERYDAY ELECTRICAL SERVICE II 93.60
452052
TOTAL PAID: 93.60
•
. Electrical Permit Application SPRINGFE�o DEPARTMENTUSE ONLY
..N:. W 'Gs l -CITY OF-aSPRINGFIEL - 's 6nt,- 5> t-(-5 O
,6q r .* *,,s: , �. a- z s, y i r t - i Permit no :
225 Fifth Street•Springfield,OR 97477♦PH(o41)726-3753♦FAX(541)726-3689
Date: 2/7 Z/7y
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.
,(.5g LOCAL:GOVERNMENTiAPPROVAL ill, a, ,. Nf;--„# ;t A.FEEµSCHEDULEltt= th' t�� z,, ,x3
Zoning approval verified? ❑ Yes ❑No Number of mspeet oes per ztemtO Qty *r eat, 'cosh J.' ^) ;!z,`CATEGORYtOFtCONSTRUCTION - yrr, , ..
Residential, per unit,service included:
❑Residential ❑Government ❑Commercial 1,000 sq. ft. or less(4) $147.50 $
:4 JOB SITE'INFORMATION` AND:IdCCATION 4 a
Job site address: '" I" /� .,j Each additional 500 sq.ft.or portion
WO P6t"Q�S&p- I..OVYI thereof 5 27.50 $
City: ��y���y" 7�� t �. State:t9C.. ZIP: Limited energy(2) $ 35.00 $
Reference: /] Taxlot.: Each manufactured home or modular $ 69.00 $
"-t ., %",',?lif D ESC RIPTIOI OP WORK' r', . ,t ;X dwelling service or feeder(2) -
n_ _ Services or feeders: installation,alteration, relocation
�Q�j�.C Q. okn R 200 amps or less(2) $ 89.00 $
401' R..r u P..ROPERT(:4OWNER '..i r y'y'+` .r' r 201 to 400 amps(2) $ 104.50 $
Name: Alin
to 600 amps(2) $174.00 $
Address: yo 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 $‘; 7
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
4795400)and 479.5600). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
.heel d:r.CONTRACTORr?INSTALL''ATIO- N 5"Y'tt,},,:W Branch circuits:new alteration, extension per panel
Business name: ek'C/t t L a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 29 . ---ppp�,,, PI,„� Each branch circuit $ 6.50 $
City�Yt Gft AA C,\!y State: Q ZIP:9i7yyg , b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:541-91/ ZR S Fax:94(- Wit, IOZZ First branch circuit(2) $ 60.50 $
E-mail: Every Da=y El ear(C, 1 85h\oa Ia,�CO m Each additional branch circuit $ 6.50 $
CCB license no.:X36 311 BCD license no.: 2IJ 1UII C Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: y 66 g Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: (AJ&y)i, L j(Atbv\Q.� Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: W/fy„IQI f�S _ Signal circuit or a limited-energy pane!, $ 80.00 $
.`%`. alteration,or extension(2)
Each additional inspection:(I) $80.00 $
"* 'lit t 4 t ArOtLICANT*USE" v=' r
(A) Enter subtotal of above fees $�EP
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $96,U
(C)Technology Fee(5%of[A]) $90(..?
TOTAL fees and surcharges (A through C): $£7 �
440-2584-1(4/01/2013/C0M)