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HomeMy WebLinkAboutPermit Electrical 2014-2-12 SPRINGFIELD 225 Fifth St hr CITY OF SPRINGFIELD Springfield,OR97477 i Phone: 541-726-3753 . OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00315 www.springfield-or.gov permitcenter©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: 5884 G ST, Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702342200411 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Repair-Storm • OWNER: WILSON SANDRA L Phone Number: ADDRESS: 889 S 45TH PL SPRINGFIELD OR 97478 CONTRACTOR INFORMATION II 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 ATTENTION: Oregon law requires you to NOTICE: ... ' ` s. / • follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK . Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR . , 0090. You may obtain copies of the rules by calling the center. (Note: the telephone • ANY 180 DAY PERIOD. - L — 4 . number for the Oregon Utility Notification �t) - e,-/“"�5 �� Center is 1-800-332-2344). • ce Springfield Building Permit 2/12/2014 1:11:17PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • A 4. ..4r,,.... 225 Fifth St ., <<. , TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SP R2014-00315 www.springfield-or.gov 5884 G ST permitcenter@aspringfield-or.gov RECEIPT NO: 2014000298 RECORD NO: 811-SPR2014-00315 DATE: 02/12/2014 [DESCRIPTION_'. _ _ :._ _ _._, : __._.ACCOUNT CODE/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 I _ , AMOUNT PAID ._ PAYMENT TYPE � PAYOR. : CASHIER:dLARSON �-. COMMENTS ...�-- '' �' . .2; Credit Card JK GUCKENBERGER ELECTRIC INC 93.60 005465 TOTAL PAID: 93.60 • • FROM JKO Electric Inc. <WED)FEB 12 2014 10:21/5T. 10:21/MO. 7600000740 P 1 --•••�,••• •• :.I,•, nup:uwww.ci.spnngnela.or.usI osu lowlaing/unraryIblectncalFernu 12_. , 'Electrical Permit Application I DEPARTMENT USE ONLY T sl aiNGFiELD CIT OF SPRINGFIELD,OREGON .9 pemiilno.:p(( zotV—oc2 i5 r_S Idlh Slrrel•Sprmgleld,oft 97477$PH(.I I)7263757$L.\\(541)72613689 '''' "Att- OaUGON SfM'"tivl \.7,)n I S o1\/ Date: a j o* t/ This permit is issued under OAR 918-309-0000. Permits are nontransferable.Permits expire if work is tint started within ISO 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 () Qly, 0051 TOtal ---- ---- ca, cast CATEGORY OF CONSTRUCTION -- - ------------- - Residential,per unit,service included: ❑Residential ❑Government ❑Commercial - - -'- --- JOB SITE INFORMATION AND LOCATION IA_-___ fr.or less hp $147.50 $ r - Each additional 500 sq. A.or portion .lob site address: GG Sg \• R i" Iheitof S nsn $ • Si Cliy1S9v1,05410 Stale: CV ZIP:q L )S Limited energy(2) $ 35.00 S Relerenec. I Tax let._ ,__--_ Each manufactured home or modular S 69.00 .$ DESCRIPTION OF WORK dwelling service or Icedur(?) Ian �( C 1 n LU C€ I r y,P ,^ia •t Services or feeders: instal/anon, rdler'oliror.relacnlion L_ ll VCLL�LS/ /Y ' Z -- 2(10 amps or less 2) D� l� $ 89.00 ------- 201 10 400 amps(2) $ 104.50 r $ PROPERTY OWNER _, __— Name: - ----------.—_. •101 to 600 amps(2) • $174.00 S ------------ ----- Address 601 to 1.000 amps(2) 5225.50 5 City: Slate: ZIP: Over 1.000 mops or volts(2) 5516.00 $ Phone: - - Fax: _ - Reconnect only(2) ( $ 69.00 $ (p t-1-- r. __.._........_...._.--.___... -- E-mail: Temporary services or feeders:imsmllathm. alteration. relocaiun 'this insta l lntion is being made on residential or farm property 200 unip>or less(2) _ I $ 69.00 S — owned by rue or a member of my immediate family.This 201 10.100 amps(2) S 96.00 S property is not intended for sale,exchange, lease. or rent. OAR ------ --------... 179.540(I)and 479.560(1). 401 to 600 amps(2) 5138.50 $ Signature: Over 600 amps or 1,000 volts,see services ur feeders section above CONTRACTOR INSTALLATION Brunch cl rcults:min; al/maim,extension per panel Business name:314 (•,Qt)rt t(J a. Fee for branch circuits with purchase of a service or feeder Ice: Address: 2-151 —pc ST L'ach branch circuit S 6.50 1 S Cu) 110 ,-4 12 id .1 State:© r I ZIP: 4 -ri b. Fee for branch circuits without purchase nfa service 4W Feeder lee: Phone: 5144 - 14 .46561 fax:$µ} -144-31g5.5 First branch circuit(2) 5 60.50 S L6-mail: y C 5Ktoet.4vc--Garn E,ach:ItIdiniunxl brunch circuit S 6.50 S CCt license no 451,Z FBCD license no.: L.D-Z..(-(C Miscellaneous lees:service or 1eeder nun included Signing supervisor's license no.: ri S- S--- Each pump ur irrigation circle(2) S 69.00 S ___ , Each sign or outline lighting(2) 5 69.00 $ Print llirrrrl' of signing supervisor: r ik $ r SignnUlrr. 01 si�ning supervisor: S Signal circuit ora limited-energy[nowt. $ 80.00 s I _ nlierntion,or extension(2) --- Ench additional inspection:(I) $80.00 $ _._. . APPLICANT USE (A) Finer subtotal or above lees $ _-- (Minimum Permit Fee S80.00) (II)Enter 12^/surcharge(.12 x IAl) —_-- $ • (C)Technology Fcc(6%of[A]) S — 440 s4-i al�olnulUCOhb TOTAL fees and surcharges(A through C): S E - P . t 1-1-1 0 6-2 • of 1 4/8/2013 11:38 AM