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HomeMy WebLinkAboutPermit Electrical 2014-2-21 SPRINGFIELD �,-. 225 Fifth St -''t - CITY OF SPRINGFIELD Springfield,OR 97477 .Irk Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00384 www.springfield-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 02/21/2014 EXPIRES: 08/20/2014 STATUS DATE: 02/21/2014 APPLIED: ` 02/21/2014 SITE ADDRESS: 464 W M ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703274410100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reconnect due storm damage OWNER: BARKER STEVEN V Phone Number: ADDRESS: 464 W M ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED D 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. L_ • S • hAAP (a�1Jl- Z / . 1 / 14 Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK . follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. These rules are set forth in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 2/21/2014 8:46:33AM Page 1 of 1 • SPRINGFIELD'� - - CITY OF SPRINGFIELD � 225 Fifth St TRANSACTION RECEIPT Spdngfield.OR 97477 � "� 541-726-3753 • OREGON 811-SPR2014-00384 www.springfield-cr.gov 464 W M ST permitcenter @spdngfield-or.gov RECEIPT NO: 2014000372 RECORD NO: 611SPR2014-00384 - DATE: 02/21/2014 . - , - NS R- l�x.�o1��;,fl�Col�t' ',�,'' -" _., ,`u �°'���z,,, v '`ACCOUNTCODERRANSCODE__ �eac,.;_:AMOUNTdDUE '�?c 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 frA A I T TxYP,E .., PAYOR. .gcASHIEa:: �nasof - COMMENTS) :, AMOUNTdPAID Credit Card BARKER STEVEN V 93.60 - 145533 TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENT USE ONLY spa»-'M s'ptyG-" 4, 3&•z; SYRINGFIELO C O °SMIN = Il✓MI\UREGO 1 r -`-a-4 Permit no e(( - ?."1,-( —005(1 225 Fifth SUcet•Springfietd Oft 97477,PIf(541)726-3753.1 X(54t)726-3689 '� _ + .oaEGON Date: Z /Z 7 // t 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? 0 Yes ❑ No Number of inspections per item () Qty. C To ea ost cost tal CATEGORY OF CONSTRUCTION Residential, per unit,service included: jj?'Residential ❑ Government ❑Commercial JOB SITE INFORMATION AND LOCATION 000 sq. ft. or less PI) $147.50 $ Each additional 500 sq. fl. or portion $ 27.50 $ Job site address: 1 (<� thereof CilySpr a$ • _ State: 6 ZIP: •' 9•71 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK - dwelling service or feeder(2) g q _ Services or feeders: installation. alteration.relocation "+ �� - s — 200 amps or less(2) $ 89.00 $ On CU PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: Sri-tv 401 to 600 amps(2) $174.00 $ Address: t�� I" t rt.,-�- 601 to 1,000 amps(2) $225.60 $ /? Over 1,0(10 amps or volts(2) $516.00 $ City: ``�f ib! pJ pi �1 State: or ZIP: 9 7i(7' Pltonee% V I'ax: - - Reconnect only(2) n $ 69,00 $ 5i l zps- y Temporary services or feeders: installation. alteration. relocation F--mail: '1-his installation is being made on residential or farm property 2(10 amps or less(2) S 69.00 $ owned by me or a member of my immediate family. This 201 to-100 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease. or rent. OAR — 479.540(1)and r4—�79.560(1) 401 to 6(1(0 amps(2) $138.50 $ Signature: � �/�/// Over 600 amps or 1.000 volts,see services or feeders section above CONTRACT INSTALLATION Branch circuits: new alteration. extension per panel Business name: a. Pee for hranch circuits with purchase of a service or feeder lee: Address: Each branch circuit $ 6.50 $ City: Late: ZIP: b. Fee for branch circuits without purchase ofa service or feeder fee. Phone: - - Fax: - - first branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 S CCB license no.: BCD license no.: Miscellaneous fees:.service of;feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, $ 80.00 $ Signature of signing supervisor: alteration,or extension(2) Each additional inspection:(I) $80.00 $ - -� APPLICANT USE • (A) Enter subtotal'n fabuve fees (Minimum Permit Fee$80.00) (131 Enter 12%surcharge(.12 x IA I) $ (C)Technology Fee(5%of IAI) $ 440-2584-1 wl01/20 11rcoNq TOTAL fees and surcharges(A through C): 5.73