HomeMy WebLinkAboutPermit Electrical 2014-3-4 •
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SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
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o scoN Phone: 541-726-3753
Building / Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00353
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/04/2014 EXPIRES: 08/31/2014
STATUS DATE: 03/04/2014 APPLIED: 02/18/2014
SITE ADDRESS: 5183 B ST,Springfield,OR 97477 ' SCOPE: Electrical Only -
ASSESOR'S PARCEL NO: 1702333107800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-New SFD Lot 4 Alex Acres
OWNER: CRESCENT HOMES INC Phone Number:
ADDRESS: 2210 COMSTOCK AVE
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 5725S 10/01/2016 541-221-2665
INSPECTIONS REQUIRED
Inspections
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.
Owner or Contractor Signature • Date
ATTENTION: Oregon law re
ado quires
follow rules
Notification Centerted by the OregoYou Jtilft
In OAR 952-001-001 throurules are set forth NOTICE:
0090. You gh OAR THIS PERMIT SHALL EXPIRE IF THE WORK
Calling the may obtain copies of the9�es by
numbr rr thenore (Note: the
tele AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1- gon Utility Notif aeon COMMENCED OR IS ABANDONED FOR
aoo-332-2344), - ANY 180 DAY PERIOD.
Springfield Building Permit • 3/4/2014 10:50:03AM - Page 1 of 1
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SPRINGFIELD- - CITY OF SPRINGFIELD
ntl, - 225 Fifth$t
TRANSACTION RECEIPT 225 Fifleld.OR W477
AS-
.OREGON 541-726-3753
811-SPR2014-00353
www.springfield-or.gov 5183 B ST permitcenter@aspringfeld-or.gov
RECEIPT NO: 2014000480 RECORD NO:811-SPR2014-00353 DATE:03/04/2014
+v� .- . id's _�.r"7 -"ht
D .: O ,=,s'1�I_�=?��.)xJ='ice`-.u'`f�'.I'�I.e�;P�-....'..- ;��"`'
�4 ��,� n[sL�.."iACCOUNTdCODEITRANS CODE �::. �t Pt.; AMOUNT DUE'S
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 24.30
Technology fee(5%of permit total) 100-00000-425605 2099 10.13
TOTAL DUE: 236.93
PAYMENT TYPEI AYOR', CASNIER CCARP,ENTERMWreeiMMENSS ., _ANIQUNTiRA,ID . . -, '-"' '
Check CRESCENT HOMES INC 236.93
4078
TOTAL PAID: 236.93
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Electrical Permit ApplcatioII SPNINGFlELO tral DEPARTMENT USE ONLY CITY OF SPRINGFIELDOREGON 44_ , , Permit no.: 9y-- 7 S 3
225 Fifth Street•Springfield,OR 97477,PH(541)726-3753•FAX(541)726-3689
Date: 71/(57/Ct
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 : u. ;' 'FEE':SCHEDULE y fi-: ^"tt;-
Zoning approval verified? ❑ Yes ❑No Number of inspections per item'(j .' Qty, Cost - Total
ea. , cost
CATEGORY OF CONSTRUCTION '
Residential,per unit,service included:
❑ Residential ❑Government ❑ Commercial 1/`7,7- A
1,000 sq.ft.or less(4) / $].34• 5/4/7
4 g JOB,.SITE-INFQRMATIOW AND' LOCATION `" Each additional 500 sq. ft. or portion %
Job site address: 5]13 ,C3 ,Sr / 7 thereof Z $ 0 $5�
City: S�) State:62..t._ ZIP: 9 y2I Limited energy(2) $ 32.00 $
Reference: 7707 ... ??,./. Taxlot.: 7J) Each manufactured home or modular $ 63.00 $
DESCRIPTION OF WORK :'.`
dwelling service or feeder(2)
A� ,y,,1 Services or feeders: installation, alteration,relocation
Lr/� eu-tl� 200 amps or less(2) $ 81.00 $
PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $
Name: (7/O sn/ y--/y4l+-,cam 401 to 600 amps(2) $158.00 $
Address: 2 Z/v "G 601 to 1,000 amps(2) $205.00 $
City: G State:C — ZIP: ?7, , 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) $ 67.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.5400)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 ,4A0G1 4 a. Fee for branch circuits with purchase of a service or feeder fee:
Address: P,Q,J9,01c 7)311 Each branch circuit $ 6.00 $
City: CO,9_ State: OR ZIP: yi/O I b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:S" -2't- Zto(a$ Fax:P-0- - r-�I -108S First branch circuit(2) $ 55.00 $
E-mail: 5i ut? . /7r3t1 "e G0r14 a r , NbT Each additional branch circuit $ 6.00 $
CCB license no.: /L(7,119' BCD license no.: 20-`13'Zc Miscellaneous fees:service or feeder not included .
Signing supervisor's license no.: 3..5-7 Ls Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: 5 T E I-}f vel- Each sign or outline lighting(2) $ 63.00 $
Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 63.00 $
g g P )14- igL alteration,or extension(2)
OO Each additional inspection: (1) $58.00 $
t ' '. _..` ' ARPLICANT`<USE _ .
(A) Enter subtotal of above fees 1
(Minimum Permit Fee$58.00) $ ?Z
(B)Enter 12%surcharge(.12 x[A]) $ c 30
(C)Technology Fee(5%of[A]) $ /OL-
TOTAL fees and surcharges (A through C): $ `L (Oy
440-2584-1(9/08/COM)