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HomeMy WebLinkAboutPermit Electrical 2014-3-5 SPRINGFIELD 225 Fifth St • it CITY OF SPRINGFIELD Springfield,OR 97477 C tii-, Phone: 541-726-3753 ` OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00278 wwwspringfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 03105/2014 EXPIRES: 09/01/2014 STATUS DATE: 03/05/2014 APPLIED: 02/11/2014 SITE ADDRESS: 471 Mountaingate DR,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1702343403300 TYPE OF STRUCTURE: PROJECT DESCRIPTION: E-New single family dwelling OWNER: ROBERTSON DAVID C&JULIA A Phone Number: 541-218-2188 • ADDRESS: 33022 VAN DUYN RD EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor EARL JENKINS CONSTRUCTION INC CCB 181699 04/24/2014 541-895-2586 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. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility - THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit - 3/5/2014 1:44:15PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD • F1 > 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 ` OREGON 541-726-3753 811-S PR2014-00278 • www.springfield-or.gov 471 Mountainaate DR permitcenter©springfield-or.gov RECEIPT NO: 2014000496 RECORD NO:811-SPR2014-00278 DATE:03/05/2014 DESCRIPTION • ACCOUNT CODE/TRANS CODE, ,.•AMOUNT DUE_. ; Each added 500 sq.ft. or portion 224-00000-426102 1004 165.00 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 45.78 Technology fee(5%of permit total) 100-00000-425605 2099 19.08 Temp services 200 amps or less 224-00000-426102 1003 69.00 • TOTAL DUE: 446.36 • -PAYMENT TYPE PAYOR CASHIER:JLARSOR COMMENTS• ,;• .-- AMOUNTPAID Check ROBERTSON DAVID C&JULIA A 446.36 6050 TOTAL PAID: 446.36 • • i Elect i I 1 'fermi A '(s ideation DEPARTMENT USE ONLY „?a s x ,L RIG_, c °b R-� < . . .. SWRINGFIELO ,i - _�. /t/- 2 '`CI f $)A SUR .... -n1IIt LD, OItN C()N� �+: Permit no.:�n 225 Fifth ' ee eld,Ott 97 77eP11,.41)726J753•FAX(641)7 -3689 ea' //1//� Date: r This perm • under I AR 9 8-309-0000.Permits re nontransferable.Permits expire if work Is not started within 180 days of ftisn, i if work suspe I ded for 180 days. 1 a CALIGOVER,']lyT[ APPROVAL FEE SCHEDULE f� Cost Total ea.Zoning .p..y al dated? G es ❑N o Number of Inspections per Item() Qty. OS cost I : S•TE!CRY 0' CO STRUCTION i MS Residential,per unit,service included: t: •esident O Go t ❑Comme� 1.000 sq.R.or less(4) i $147.50 0/7 s'���NFORM i TION AND LOCATIa N I= Each additional 500 so,fl,or portion $ 27.50 $010 tereo - lob site ad J�N r 1. 4,r, ��I thereof !Y( Stat. / ZIP:-1 .78 Limited energy(2) $ 36.00 $ City: s S. _... - Refercnc : o2_ Tv ry . • TaxlotO_f_roC) Each manufactured home or modular S 69,00 S dwelling service or feeder(2) DESCRIPTION 0 WORK •- �-rr2 Services or feeders:installation.alteration,relocation Lvim:.'ea.:, / /� Alas 00 amps or less(2) $ 89.00 $ 201 to 400 amps(2) $ 104.50 S PROP "TY O�1(tNER 401 to 600 amps(2) $174.00 $ Nome: *, �• , J r 5226.60 _a� ia2Z r .' yN 2p a 601 to 1,000 amps City: sl ' ■ Over 1,000 amps or voile(2) 5616.00 S City: i - I State: //c. ZIP: $ 69.00 S Reconnect only(2) Phone: '� � Fax:- - - Temporary services or feeders:IrrralfndaL alteration.relocation E-mail: 200 amps or less(2) i s es.o0 0 7 This instal ion is being ma.e on residential or farm property owned 11Y,m or a member of my immediate family.This 201 to 400 amps(2) _ $ 98.00 $ — property Is •t intended for sale,exchange,lease,or rent.OAR 401 to 600 amps(2) $138.50 $ 479.5401[I nd 479.560(0. i Over 600 amps or 1,000 volts',see services or feeders section above SignatuI ONTRACTOR INSTALLATION Branch circuits:nor.alteration,extension per panel ESE : : N N - f SLIt zt e.Fee for branch circuits with purchase of a service or feeder(cc: - ... Each brunch circuit I S 6.60 S Addres : ''f�jo�F����y City: seat ' State: �i 7IP:enVII b.Fee for branch circuits without purchase of a service or feeder fee: y Th 7$f, FaxSVG 744- 125"Z' First branch circuit(2) $ 60.60 $ Phone: '+- .. E-mail: ,.tf.6ivtS to/�� Sri).eat4 Each additional branch circuit S 6.60 S / BCD license no,: 36.93!0 Miscellaneous fees:remits or feeder not Included • CCBlicenseno.��f I. ,2.55'7 5 Each pump or irrigation circle(2) S S9.o0 S Signing supervisor's license no.: 7 Each sign or outline lighting(2) $ 69.00 S Print name of signing supervisor: Le'NNOoat Signal circuit or a limited-energy panel. S 90.00 S _Signature of signing supervisor: /2flm4, p alteration,or extension(2) . /r` Each additional inspection:(I) 580.00 $ APPLICANT USE (A) Enter subtotal of above fees �7�J Sv (Minimum Permit Fee 580.00) 50( (B)Enter 12%surcharge(.12 x[AJ) $ q S r 6 (C)Technology Fee(5%of[A)) $ /y0.) 440.2584.1(4/01/2013(COM) IOTA!.fees and surcharges(A through C): $ i t(45 3 TOO Ill 3RI,LD313 SNNAT ZSZL 9pL TVS XXI 9I:CT nIOZ/PT/Z0