Loading...
HomeMy WebLinkAboutPermit Electrical 2014-3-4 SPRINGFIELD 225 Fifth St ,-.1-k -*°� CITY OF SPRINGFIELD Springfield,OR 97477 it, C t }`? Phone: 541-726-3753 1 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 . Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00473 • www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/04/2014 EXPIRES: 08/31/2014 STATUS DATE: 03104/2014 APPLIED: 03/04/2014 SITE ADDRESS: 1309 F ST, Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351400101 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace Service Mast OWNER: SANDER FAYE M Phone Number: ADDRESS: 1309 F ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ` • 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 Il 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. u -• -c c9 �� /7 Owner or Contractor Signature T'- Date 'T 0� • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility . JOTICE. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952.001-6010 through OAR 952-001- f,,,,n you m a,/ ob,:in copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT - t,-r telephone COMMENCED OR IS ABANDONED FOR ,. 0a'iO ANY 180 DAY PERIOD. LEP'.er is -t.r. Springfield Building Permit 3/4/2014 12:51:26PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT 5pringfied.OR97477 '4 (\` R ` 541-726-3753 OREGON 811-SPR2014-00473 www 661-m9fie1d-or.gov 1309 F ST permitcenter©spnngfield-or.gov RECEIPT NO: 2014000485 RECORD NO: 811-SPR2014-00473 DATE: 03/04/2014 [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 w PAYMENT TYPE - PAYOR CASHIER:JLARSOry .COMMENTS - .AMOUNT PAID __ Credit Card • JK GUCKENBERGER ELECTRIC INC 93.60 055506 TOTAL PAID: 93.60 • FROM JKG Electric Inc. (TUE)MAR 4 2014 12:20/5T. 12:29/No.7600000845 P 1 rUw Lni r-Ol na tee,u.pin nap://www.cl.sprmyt el aor.ms/0sat maim ngi a oraryi bi ecu'wa'venni IA... ) \ 235 r — — Electrical Permit Application DEPARTMENT USE ONLY rit c. ) 5Ma1NGFIELD C[TY OF SPRINGFIELD OitEG()N. ' f .. Permit n0.:SPR �1 1.l - `I 73 225 1•da Street•Spia„Rrld.OR 97477•P11(541)726.3753.1AX(o41)7263689 ?LOkeGUN Date: .- 4//tai This permit is issued tinder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not•slartcd within 180 days of issuance or if work is suspended for 180 days. • LOCAL GOVERNMENT APPROVAL FEE SCHEDULE _ %ovine approval verified? ❑ Yes ❑No Number of inspections per dent() Qty. (eV' Tota CAT I Cca. cost l CATEGORY OF CONSTRUCTION -" -1 ----- ----------e ldential ❑ Government ❑Commercial --"-'----"- - � Residential,per unit,service included:1,000 sq. R or less(4) $147.60 $ _-_- JOB SITE INFORMATION AND LOCATION ------------- ------ Each additional 500 sq. 11.or portion 1 S 27.50 $ Job tills address: �, S l lhcrcal' C it)• */14.6. 1,64..-J State: 61,' ZIP: 0 Li-)7 Limited 5 3500 $ Reference: Taxlot,:" Each manufactured home or modular $ 69.00 ---_......_.._.....-._._-- dwelling service or Feeder(2) • DESCRIPTION OF WORK -- - a -- 1- Services or feeders: installation.alteration,relocation --- - 200 amps or Iris 12) $ 89,00 $ 201 to 400 amps(2) S 104.60 S PROPERTY OWNER /' / ____"_.._.._.__.._._- 401 in 600 amps(2) 5174.00 Name: fG c-IUCV / 4----� Address: t'' l't 21 601 1u !,000 mops(2) $225.50 $ city: Over 1,000 amps or volts(2) $516.00 $ • yr�ij slate: rziP: Phone: - - Fax: _ Reconnect only(2) I $ 69.00 $._ . Li-mail: - Temporary services or feeders: installation.aNera/ivn, rt•lurwiun 200 naps or less(2) $ 69.0(1 S This installation is being made on residential or farm property - -_ owned by me or a member of Inv immediate Family.This 201 to 400 amps(2) $ 96.00 S property is not intended for sale,exchange,lease, or rent. OAR - -- 479.540(1)and 479.560(1). 401 In 600 amps(2) -- 5138.50 S Signature: Over 600 amps nr 1,000 rolls,see.services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nets uheration,extensiau per panel Business mane: a. Fee for branch circuits u'idl purchase of a service or feeder ice: J i Lech L� — - —Address: Z,1 -(� ^' ST Each branch circuit $ 650 $ (b E( id State:© r l LIP: 4.`f Z7 h. Fcc for branch circuits without purchase of a service or feeder Ice: Phone: - Pax:$ -144.-3g5,..5 First branch cirCUit(2) 560.50 1_--mail: trbia A 6 L-Go'rtn _--- Each additional hruwh circuit $ 6.50 $.__."...__ CC[i license no": `-512M . BCD license no.: ZD-2.n C Miscellaneous fees:service or/irate.not ins/n lect Signing supervisor's license no.: 1 J _ S—_-_ _Ruch 0, pump or irrigation circle(2) $ 600 $ Print name or signing supervisor:dr _ • ih • • i Each sign or outline lighting(2) IIr 5 69,00 $ At Signal circuit or it limited-energy panel. $ 80.00 S Signature of sinning Supervisor: a 40, alteration,or extension(2) Each additional inspection:(I) $80.00 $ • APPLICANT USE (A) Enter subtotal ul above lees $ (Minimum Permit Fee 580.00) (6)Enter 12%surcharge(.12 x IAD S (C)Technology Fee.(5%of(A]) S -Ho-25841 l-I 0I/2013/COM1l1 TOTAL fees and surcharges(A through C): _._ $ 7.3.1 •E - p m ---C-'71 0 of l 4/8/2013 11:38 AM