HomeMy WebLinkAboutPermit Electrical 2014-2-27 •
•
•
•
SPRINGFIELD-4—a 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
hat—. �i
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00236
www.springfield-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: 5187 B ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702333107900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-new single family residence. Alex Acres lot 5
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 (5)Electrician,Ge 5725S 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.
•
Z47/f
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
• Notification Center. Those rules are set forth NOTICE: ••
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by • AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). ANY 180 DAY PERIOD.
•
Springfield Building Permit 2/27/2014 11:00:02AM Page 1 of 1
SPRINGFIELD — CITY OF SPRINGFIELD
•
225 Fifth St
Net,
TRANSACTION RECEIPT Springfield,OR 97477
LA 541-726-3753
OREGON 811_SPR2014-00236
•
www.springfieldor.gov 5187 B ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000444 RECORD NO:811-SPR2014-00236 - DATE:02/27/2014
DESCRIPTION 7 '` 'ate` � ter_- ,:i2Mai ACCOUNT:CODE/TRANS:CODE is ?>AMOUNT-DUE°',•;I
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 less 224-00000-426102 1003 69.00
TOTAL DUE: 317.66
� ?PAYMENT TYPE }:a:�P.AYOR .:_� .tarT.-COMMENTS a— , 4- .:: ..,E43s OUN,-PAID, `
Check CRESCENT HOMES INC 317.66
4074
• TOTAL PAID: 317.66
•
•
•
•
•
•
Electrical Permit Application SPRINGFIELD- DEPARTMENT USE ONLY
CTY OF SPRNGFIED OREGON= - —
- Permit S�`� '2�‘
,,: ,tit :r y c
225 Fifth Street♦Springfield OR 97477,PH(541)726 3753•FAX(541)726-3689
Date: 2-7/c7( •
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 'i `:.. _' ' FEE;SCHEDULE
Zoning approval verified? ❑ Yes ❑No Number of inspections per item•() .. Qty. Cost - Total
ea. . cost
CATEGORY OF CONSTRUCTION Residential, per unit,service included:
0-Residential ❑ Government ❑ Commercial �.4-
1,000 sq ft. or less(4) ,,$324700 $(�5
J.OB;SITE' INFORMATION;AND LOCATION . /
n Each additional 500 sq.ft. or portion 2,$ $ 5
Job site address: 47 S T thereof
City: 5PFa-1\ State:v ZIP: F/5/2d' Limited energy(2) $ 32.00 $
Reference: /7e5 2 -)/ Taxlot.: 1776D Each manufactured home or modular $ 63.00 $
:: dwelling service or.feeder(2)
DESCRIPTION OF WORK
S _ ,r�CuJ2. Services or feeders: installation, alteration,relocation
W// / � 7-.A. 200 amps or less(2) $ 81.00 $
PROPERTY OWNER / , " 201 to 400 amps(2) $ 95.00 $
Name: -� rC,E-�vi /�/�+n.t�/�jJ�/-rl//,tJ�r/ //lam[/ 401 to 600 amps(2) $158.00 $
Address: j/-57-71/497/ /�el/v 724 601 to 1,000 amps(2) $205.00 $
City / r--" State: ZIP: Over 1,000 amps or volts(2) ' $469.00 $
i
Reconnect only(2) $ 63.00 $
Phone: - - Fax: - -
E-mail: Temporary services or feeders: installation, alteratiyr1,.-relocat�n
. 200 amps or less(2) $ ifire7/_7 $ ?
This installation is being made on residential or farm property �+�u
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
479.5400)and 479.560(1). 401 to 600 amps(2) $126.00 -$
Over 600 amps or 1,000 volts,see services or feeders section above
Signature:
CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel .
Business name: SIT OE f 1t U c K- a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 19,Q,1;OK 7/36( Each branch circuit $ 6.00 $
City: COQ State: Q)Z ZIIP:: y /O 1 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:S41 -•fit- -Zie[,L1S, Fax:5`(1- - (-�I - ]OBS First branch circuit(2) $ 55.00 $
E-mail: 5IE(J� . //rlU " come!1Sr . NAT Each additional branch circuit $ 6.00 $
CCB license no.: Ii476/8 BCD license no.: 2o-y77� Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 3.57 7$ Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: .5 j )}nod;
a— Each sign or outline lighting(2) $ 63.00 $
/ _ Signal circuit or a limited-energy panel, $ 63.00 $
Signature of signing supervisor: „jri{� (/ p�, alteration,or extension(2)
Each additional inspection: (1) $58.00 $
g.r ;APPLICANT•,USE ,_ 1-
(A) Enter subtotal of above fees $ cli
(Minimum Permit Fee$58.00) 77(
(B)Enter 12%surcharge(.12 x[A]) $ 32 Si
(C)Technology Fee(5%of[A]) $ /7 51
TOTAL fees and surcharges(A through C): $ JJ7 ti-.
440-2584-1(9/08/COM)