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HomeMy WebLinkAboutPermit Electrical 2014-2-27 • SPRINGFIELD r 225 Fifth St "' ,„ ° - CITY OF SPRINGFIELD Springfield,OR 97477 Phone:Phone: 541-726-3753• Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00237 www.spnngfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/27/2014 EXPIRES: 08/26/2014 STATUS DATE: 02/27/2014 APPLIED: 02/05/2014 SITE ADDRESS: 5181 B ST,Springfield,OR 97477 - SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702333107700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: E-New SFD-Lot 3 Alex Acres OWNER: NORTHVIEW INVESTMENTS INC • Phone Number: ADDRESS: 33855 VAN DUYN RD . • . EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name ' Lic Type ” Lic No Lic Exp Phone General Contractor CRESCENT HOMES INC CCB 132267 11/28/2014 541-954-1372 STEVE E HAUCK.II (S)Electrician,Ge 57255 10/01/2016 541-221-2665 INSPECTIONS REQUIRED Inspections • 4000 Temporary Power Service 4225 Service or Feeder 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. j t . 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. Those 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 2/27/2014 10:48:17AM - Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD > a 225 Fifth St TRANSACTION RECEIPT Spdngeeld,OR 97477 'r' 541-726-3753 - `.OREGON 811-SPR2014-00237 www.spnngfeldor.gov 5181 B ST pennitcenter©springfield-or.gov RECEIPT NO: 2014000439 RECORD NO:811-SPR2014-00237 DATE:02/27/2014 R - ON..717 :$:f -i;?k. ri _ P'ri'g' ACCOUNT CODELTRANS CODE W -,�-;_�-:AMOUNT,DUE`- Each added 500 sq.ft. or portion 224-00000-426102 1004 55.00 Residence wiring 1,000 sq.ft. or less, 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 32.58 Technology fee(5%of permit total) 100-00000-425605 2099 13.58 Temp services 200 amps or Tess 224-00000-426102 1003 69.00 TOTAL DUE: 317.66 leatMENTpTNPE P.AY,OR. casN=ER:=:ccARP.Et . COMMENTS _ -- AMOUNTP,$ID Check CRESCENT HOMES INC 317.66 4075 TOTAL PAID: 317.66 • • • t Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD"_'�1, fit_ CEr OF SPRINGFIELD, OREGON: :, Permit no.: S�G�. 2 225 Fifth Streets Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 Date: i�, r' / y 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? ❑ Yes ❑No Number of inspections per'tern() Qty Cost Total ea.. • cost 'CATEGORY OF CONSTRUCTION ' Residential,per unit,service included: �?� �Residenttal ❑Government ❑ Commercial 1,000 sq. ft. or less(4) / 3K,00 $l(/ • JOB-SITE-INFORMATIOW AND LOCATION `•` y72 Each additional 500 sq.ft. or portion p5.00 $ lob site address: • X7 j> S- thereof y$ Sr City.�'fa"^��� " State: I ZIP: q7/97rLimited energy(2) $ 32.00 $ Reference: / 7/2 3 3 1 Taxiot.: /•/Q Q Each manufactured home or modular $ 63.00 • $ dwelling service or feeder(2) DESCRIPTION OE WORK G, S ePCL�Z Services or feeders: installation, alteration, relocation W12c' 17�V L `� ' 200 amps or less(2) - $ 81.00 $ PROPERTY OWNER / 201 to 400 amps(2) $ 95.00 $ Name: , -Scty ' />4tirn.t�/� -r///A2,/ //✓t/ 40I to 600 amps(2) - $158.00 $ Address: 55 r // 7 j'J 72.4 601 to 1,000 amps(2) $205.00 $ City674( y,,—� Stater ZIP: 97iiv� Over 1,000 amps or volts(2) $469.00 $ Reconnect only(2) $ 63.00 $ Phone: - - Fax: - - E-mail: Temporary services or feeders: installation, alteration elocation This installation is being made on residential or farm property 200 amps or less(2) / I g l, 0 $ �� 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 479.5600). 401 to 600 amps(2) $126.00 -$ Signature: Over 600 amps or 1,000 volts,see services or feeders section above _CONTRACTOR INSTALLATION Branch circuits:new, alteration, extension per panel . Business name: STEVE Jk}fl UcKL a. Fee for branch circuits with purchase of a service or feeder fee: Address: 19,0,Box T)3(1 Each branch circuit $ 6.00 I $ City: GOB State: QJZ ZIP: VI-10 1 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:S4' --al- ZGv11Snn Fax:S`(I- - 7''ll - 10x$ First branch circuit(2) $ 55.00 $ E-mail: ST F4) • APO E GOrn44sr , tubT Each additional branch circuit $ 6.00 $ CCB license no.: 187618 BCD license no.: 2o-'{?zc. Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 3s 7_5 Each pump or irrigation circle(2) $ 63.00 $ • Print name of signing supervisor: 5- JE 1}Jj-t;ck. Each sign or outline lighting(2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ Signature of signing supervisor: P2/ alteration,or extension(2) Each additional inspection: (1) $58.00 $ Z. : A ; _ APPLICANT-USE (A) Enter subtotal of above fees $�2'7 (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $ Z . (C)Technology Fee(5%of[A]) $ 7e•�- TOTAL fees and surcharges (A through C): $ �( ,„. 440-2584-)(9/08/COM)