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HomeMy WebLinkAboutPermit Electrical 2014-3-4 SPRINGFIELD 225 Fifth St ' ' -- CITY OF SPRINGFIELD Springfield,OR 97477 -S,..•-•0 • • Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00467 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: 03/04/2014 SITE ADDRESS: 1703 CONCORD AVE,APT#3, Eugene,OR 97403 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703344301800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Repair-Unit 3 OWNER: DAVID VESTAL 8'BARBARA R VIMONT LIV TR Phone Number: ADDRESS: 320 SE SELLS DR SHELTON WA 98584 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BURRELL BROS ENTERPRISES INC CCB 136446 08/20/2015 541-747-2724 I, INSPECTIONS REQUIRED Inspections • 4220 Electrical-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 : sure that all required inspec are requested at the proper time, that each address is readable from the street, that the per'.t card is It ated at the fron.e property, a d the approved set of plans will remain on the site at all times during con •io 1 •Owner o Contractor Signature Date • Springfield Building Permit 3/4/2014 9:24:11AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD it 4 -:'a, - 225 Fifth St t«; TRANSACTION RECEIPT Springfield.OR97477 • OREGON 541-726-3753 811-SPR2014-00467 www.springfieid-or.gov 1703 CONCORD AVE. APT 3 permitcenter©springfieid-or.gov RECEIPT NO: 2014000474 RECORD NO: 611-SPR2014-00467 DATE:03/04/2014 ;DESCRIPTION '; _,. .__ , : • ACCOUNT CODE/TRANS_CODE AMOUNT ," 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 LPAYMENTTYPE - PAYOR=CASHIER:JLARSON _ _ COMMENTS . _ � . .AMOUNT PAID I Credit Card BURRELL BROS ENTERPRISES INC 104.13 035432 TOTAL PAID: 104.13 • • • • • • Electrical Permit Application DEPARTMENT USE ONLY ' _x Y t- r t _ } Sv RINGFIELD OF SPRINGFIELD;OREGON Seezmt3 co 46 7 ,.r - Permit no.: 2',Fifth Stret9$,11n field.OR 97477.111(541)726-3753*F\\('41726-3689 --,C t R I i; ) `-01tEGON 3/Y /( Y Date: 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 item ( ) Qty. Ceoast Total cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: Residential ❑Government I ❑ Commercial JOB SITE INFORMATION AND LOC •TION 1,000 s4. It or less(4) $147.50 $ o — Each additional 500 sq. Ii.or portion Job site address: /7 03 Dl9CO y I ___ thereof ____, $ 27.50 $ — City:5p i f 7.7) i it i 0 State: S V I ZIP:97977 Limited energy(2). _, $ 35.00 $ • Reference: J Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK erdaclling service or feeder(2) /}� Services or feeds: installation. alteration. relocation —SIl >/1(f r ipo1 I 200 amps or less(2) 7 $ 89.00 $ • PROPE-TY OWN R 201 to 400 amps(2) $ 104.50 S Name: Y/0 4(I I to 600 mops(2) $174.60 $ Address: 32-C Se OS Or , 6(11 to 1;000 amps(2) $225.50 $ City: 5&t4 ti-t----, 1 State:W I ZIP: Q gs-°( Over 1,00n amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) - $ 69.00 $ Temporary services or feeders: installation, alteration. relocation E-mail: This installation is being made on residential or farm property 200 amps or less(2) $ 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 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: j Over 600 amps or 1.000 volts. see services or feeders section above CON 14!`CTOR IN ALii ION Branch circuits: new. o/)eratinr. extension per panel Business ma . /{ ./ rj a. Fee for branch circuits■vith purchase of a service or littler fee: Address: D 7= / / Each branch circuit $ 6.50 $ City: iiv)) i Stater 1 / b. Fee for branch circuits without purchase of a service or feeder fee: Phone: Fax: I� First branch circuit(2) $ 60.50 . $ I mail: / Each additional branch circuit $ 6.50 $ CCB license no.'3G(P BCD license no.:�0 ti y4- Miscellaneous fees:service or feeder not included 7f - — 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 supervi: r: • ,{ alteration,or estansian(2) Each additional inspection: (1) $80.00 $ f __ APPLICANT USE • (A) Enter subtotal of above lees $ (Minimum Permit Fee$80.00) . (B)Enter 12%surcharge(.12 x IAl) $ (C)Technology Fee(5%of IAI) $ 440-2584-)(4touzol3tcoNq TOTAL fees and surcharges (A through C): $/oe/ . •