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Home My WebLink AboutPermit Electrical 2014-3-28 • • SPRINGFIELD.' 225 Fifth St • • ,A CITY OF SPRINGFIELD Springfield,OR 97477 a el Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00675 www.springfieldor.gov permitcenter©springfleld-or.gov PROJECT STATUS: Issued ISSUED: 03/28/2014 EXPIRES: 09/24/2014 STATUS DATE: 03/28/2014 APPLIED: 03/28/2014 SITE ADDRESS: 6845 D ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702352310200 • TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace main breaker OWNER: AMOS RICHARD E Phone Number: ADDRESS: 6845 D ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name LicType Lic No Lic Exp Phone Electrical Contractor OWNER CCB i 000000 08/01/2025 • INSPECTIONS REQUIRED Inspections 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 • truce.n. r✓ z zoly • Owner o Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 3/28/2014 2:39:17PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD *1' 225 Fifth St ., TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811-SPR2014-00675 www.springfield-or.gov 6845 D ST permitcenter @springfield-or.gov RECEIPT NO: 2014000686 RECORD NO:811-SPR2014-00675 • DATE:03/28/2014 • O 144-6.1 adi; -_ -- ?' ` k-ate-.. E2*ACCOUNTRCODE/TRANS`CODE ",c;; 4Z:-Li:AMOUNT.DUE 1 i Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 19.50 Branch circuits without service or feeder-1st circuit 224-00000-426102 1004 60.50 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 P.AY,MENTaTXPES P/TY,,OR cns I DR.Ineovit rS-M sCOMMEN7S' AMOUNTgRAID Check AMOS RICHARD E 93.60 163 • TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENtiLISE ONLY SPRINGFIELD '��+vwy 3-n.,;. CITY of tS iiiKaIta liE o n i a,i Pr #ut em;t no 9 y-O p (7S 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: Yes://4( 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. ,. iriti iE0CAL QOVERNMENT`aAP,RROVAL4_ :" ;F-„ t. '-,s. x;'i '-i1 4 F,EE,4ISCHEWLE:c4- � z,; ;1w. Zoning approval verified? ❑ Yes ❑No Number ofinsp ctlons per<rtem O 1ty't4i; ost a Total �.I, (CATEGORY4OF,:CONSTRUCTION 1, _ ° ;t ' ''`— '"4* r „xea i.' c•ost, , �' ` `- Residential,per unit,service included: ❑Residential ❑Government ❑Commercial 1,000 sq.ft. or less(4) $147.50 . $ Z:•:••• ;JOB'SITE IN FORMATIONs;AND`L'OCATION,',;; Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: �j x66-- D. ST. thereof City t % State:CD ZIP:aDo? Limited energy(2) $ 35.00 $ Reference: DZ. 3 SZ 3 Taxlot /0 Zo b Each manufactured home or modular $ 69.00 $ :ta DESCRIPTIONIOF,,WORK';. t 111 1-:x �a dwelling service or feeder(2) 5 Y} ryry,,..�JJ�� 4l t v 'S.v -.-wt ixypyry jn tc s-h4t f "r4-6 r Services or feeders: installation, alteration, relocation 200 amps or less(2) $ 89.00 $ • ita.ri V{'@�.,7z"K 1+r1~:P.ROFERTY`,:QQINNER�,4:,",: ..'?-4'�e, 201 to 400 amps(2) $ 104.50 $ Name: h,c�. C` Pc 5 401 to 600 amps(2) $174.00 $ Address: (05x4 S _D, ST, 601 to 1,000 amps(2) - $225.50 $ City9at <1 State: Q� ZIP:47U' 13 Over 1,000 amps or volts(2) $516.00 $ Phone: I ^33 5 d Fax: - - Sk1 Reconnect only(2) $ 69.00 $ 1 ` E-mail: t Ira Gq COyN C4 S+. A/eA- Temporary services or feeders: installation, alteration, relocation This installation is being i4 de 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 , 479.5400)a? 4 60(1) 401 to 600 amps(2) $138.50 $ Signature: [KJ J Over 600 amps or 1,000 volts,see services or feeders section above z>, awcoNT • , TOR,:INSTALLATION . +±;ny ?`5 i"g') Branch circuits:new alteration, extension per panel Business name: (�H L in._ a.Fee for branch circuits with purchase of a service or feeder fee: Address: -'f Each branch circuit $ 6.50 $ City: State: i ZIP: b.Fee for branch circuits without purchase of a service or feederr fee:51 Phone: - - Fax: - - First branch circuit(2) / $ 60.50 $p"�O E-mail: j Each additional branch circuit $ 6.50 $ ou to CCB license no.: <n l2 4,BCiY Wcessmotrty Miscellaneous fees:service or feeder not included � gik at the Oi'a lorttl Signin t ajo �t�t��1�?:]..:,rutPS are set Each pump or irrigation circle(2) $ 69.00 $ 001 { ,IOW n h OAS cJ5 l Each sign or outline lighting(2) $ 69.00 $ Print N0}ez gggt F''' -uu l_ ii�..i 0Ples ul tho('hone y Signal circuit or alimited-energy panel, Slgna[pgPig`llfu ey1 (9mP: e, the teleP alteration,or extension 2 $ 80.00 $ 009u• the center. lNDke . ., Neun ,utici, ( > calling tOr the Oregon 3 23441 Each additional inspection:(1) $80.00 $ center is 1-8N-332- -x00 32 t4'*3rv. La APPLICANTaUSE" , _ i ak (A) Enter subtotal of abov (Minimum Permit ee$80.00 $c90 (B)Enter l2° t)r herg\e(.12 x[A]) NOTICE: G t Ttla�,F,. THIS PERMIT SHALL E�('C�re� l �tkee&°{°of[A]) $ If AUTHORIZED UNDER Tripe 4; uA surcharges(A through C): $ 7q COMMENCED OR IS A h,:.JG 73 440-2584-1(4/012013/C0M) ANY 180 DAY PERIOD.