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HomeMy WebLinkAboutPermit Electrical 2014-3-4 • r . SPRINGFIELD- � _.1 225 Fifth St CITY OF SPRINGFIELD 225 St R97477 -`yu Phone: 541-726-3753 OREGON Building / Residential Permit ' Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00474 www.springfield-or.gov permitcenter©spdngfield-er.gov PROJECT STATUS: Issued ISSUED: 03/04/2014 EXPIRES: 08/31/2014 STATUS DATE: . 03/04/2014 APPLIED: 03/04/2014 SITE ADDRESS: 462 35TH ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702312411200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace Meter Base - • OWNER: OLSON CRAIG J&LINDA S Phone Number: ADDRESS: 462 N 35TH SPRINGFIELD OR 97477 CONTRACTOR INFORMATION , Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor CAMP CREEK ELECTRIC LLC CCB 164877 06/09/2015 541-746-1471 INSPECTIONS REQUIRED 9• Inspections 4500 Rough Electrical Rough Electric: Prior to Cover , - 4999 Final Electrical Final Electric: When all electrical work is complete. • 4225 Service or Feeder • 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 constr •on. /^I Flu bq 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 COMMENCED OR IS ABANDONED FOR In OAR 952-001-0010 through OAR 952-001- � 180 DAY PERIOD. 0090. You may obtain copies of the rules by `( calling the center. (Note: the telephone • number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit 3/4/2014 1:30:26PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD • r 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 h�OREGON 541-726-3753 811-S PR2014-00474 www.springfieldor.gov 462 35TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014000487 RECORD NO: 811 SPR2014-00474 DATE:03/04/2014 1a. DESCRIPTIONS,r sz=3 -�K��a�..,_ ;r��nr.�m �a��:�" AC000NTCODE/TRANS'CODE ". : g.�, '_ bAMOUNTiDUE•W Services 200 amps or less- 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68 • Technology fee(5%of permit total) 100-00000-425605 2099 4.45 TOTAL DUE: 104.13 ':PAVh1ENT=TYPE rrl P-AYOR Stag gR.iuRSON!An't RAT, �:i• r fi Credit Card CAMP CREEK ELECTRIC LLC 104.13 406795 TOTAL PAID: 104.13 • • • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD OREGON �i_ ( � Permit no.: SV(&'ZOL`{— coin 9 t 225 Fifth Street Springfield,OR 97477•PH(541)726-3753•FAC(541)726-3689 \OREGON Date: 3/Al/ Y (f r This permit is issued under OAR 918-309-0000. Permits are nontransferabie.Permits expire if work is not started within 180 i days of issuance or if work is suspended for 180 days. ' LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes iP'No Number of inspections per item() Q Qty. Ceaost Total cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: esidential ❑Government ❑Commercial 1,000 sq.ft.or less(4) $147.50 $ JOB SITE INFORMATION AND LOCATION ��Z ,Each additional 500 sq. 0.or portion $ 27.50 $ '' Job site address: thereof City: 5 pr-/!) State: 9 r ZIP:4774/7e Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular dwelling service or feeder(2) $ 69.00 $ i DESCRIPTION OF WORK r e ( (�N �� c,--1-- ' (P pia Services or feeders:installation,alteration,relocation 'n A t-. fr 676e.� 200 amps or less(2) / $ 89.00 $ II"l PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ 1 Name: 0 ra l( / 1.--i [fag� 0 I COI& 401 to 600 amps(2) $174.00 $ Addressss:rt ' sfV� 601 to 1.000 amps(2) $225.50 $ City: 9F [ io�State)fL. ZIP:q '7 q y v Over 1.000 amps or volts(2) $516.00 $ Phone: 1 - - Fax: - - AA Reconnect only(2) $ 69.00 t-%J ` • r E-mail: Temporary services or feeders:installation. alteration, relocation i ' 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 $ : owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange,lease,or rent.OAR 479.540(1)and 479.5600). 401 to 600 amps(2) $138.50 $ 1 Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:nett.alteration.extension per panel Business name: G,4-psi,/P L(Ce/L e/ecfct c a. Fee for branch circuits with purchase of a service or feeder fee: Address: '3i/T T�1 te' 5-g Each branch circuit $ 6.50 $ City: E a 6 e-.s.( State: B--e" ZIP:9 7f 5 b. Fee for branch circuits without purchase of a service or feeder fee: Phone:9l -7Y4-/'/7 / Fax:5VJ-7fr/1- (, L o$ First branch circuit(2) $ 60.60 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: /`y$7 7 I BCD license no.: C 8/ Miscellaneous fees:service or feeder not included ' Signing supervisor's license no.: 'S\0 23 GS Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor:el)4441t. ` /-e/C/SGrJ Each sign or outline lighting(2) $ 69.00 $ Signature of signing su erviso Signal circuit or a limited-energy panel, $ 80.00 $ g g e P /) alteration,or extension(2) Each additional inspection:(i) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) L./b� $ i (B)Enter 12%surcharge(.12 x(A]) $ 9t6D (C)Technology Fee(5%of[A]) $ 4 D o 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): �/w /01/2"--- 1