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Home My WebLink AboutPermit Electrical 2014-3-17 • • SPRINGFIELD— 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 v �f" Phone: 541-726-3753 • OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00562 www.springfield-or.gov perm itcenter@springfieltl-or.gov • PROJECT STATUS: Issued ISSUED: 03/17/2014 EXPIRES: 09/13/2014 STATUS DATE: 03/17/2014 APPLIED: 03/17/2014 SITE ADDRESS: 2244 19TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703252101100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rewire house and service OWNER: O'ROURKE MICHAEL Phone Number: ADDRESS: 2244 19th • SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections 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. dieeuxiLL di7d 4l 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 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 3/17/2014 2:09:51PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St Seat,. TRANSACTION RECEIPT Springfield,OR97477 " OREGON • 541-726-3753 811-S P R2014-00562 www.springfield-or.gov 2244 19TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014000573 RECORD NO:811-SPR2014-00562 DATE:03/17/2014 i.DESCRIPTION_ _ AC.C.OUNT CODE/TRANS.CODE____ Each added 500 sq.ft. or portion 224-00000-426102 1004 27.50 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 21.00 Technology fee(5%of permit total) . 100-00000-425605 2099 8.75 TOTAL DUE: 204.75 I_PAYMENTTYPE '.'-PAYOR_ CASHIER CCARPENTER _ _ COMMENTS; _.:71_ - AMOUNT PAID j Credit Card O'ROURKE MICHAEL 204.75 042052 TOTAL PAID: 204.75 • • Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I►'• ,J/A I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or rfi II I will be performing work on property I own, a residence that I reside in, or a residence that I will • reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand.the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. 51-2-; O /11-9—. Print Name of Permit Applicant • Signat of Permit Dat 2/ • ffie Permit#: Z o F • Address: w? • :Fiat—�._ i . O N . • Issued by -t5 Date: J//77/ ( vas g • This Copy for Permit Offices • Electrical Permit Application DEPARTMENT USE ONLY SPNINGFIELO a.L id: �"•z'° `�, °,+J: a -�iYC.*E,7" -?- �# h'4' "+s"� r +^ ti,k'Y �:, CITVOF SPRINGFIELD,MREG-ON - x, "+: s a.,.,.., ss' "-.n, ., � r .,t.`x �r.,n—•-�.x.;' 'n' Permit no.:s/e 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 Date: ,V777/V 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. A. k;?:ILgCALi:,,GQVERNMENTx,4PPROVAL, sue:;; ,., ' ,y *,lii;,E ';[1:1W)F,EMSCFIEpULE'„f::�,'°i,,sitgri• k,.,, 3;`M Zoning approval verified? ❑ Yes ❑No b } -. S '' ,y ” r"' 4L --...3 Total ¢ Number ofinspections per tern O11` Qty , ,yea , C..-cost !(1 40ATEGORY.*OF':CCONSTRUCT,ION ? ,'r':= F ., Residential,per unit,service included: "W,Residential ❑Government ❑Commercial 1,000 sq.ft. or less(4) $147.50 $lf-75-0 .JOB SITE„JNF.ORMATION''AND"LO CATION%, , / Each additional 500 sq.ft.or portion Job site address: 22. l/y N //tit $r thereof / $ 27.50 $2?SO City:i;01?)nfIie I'd State: bit_ ZIP:'i7 C(7 7 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular 4:x;, .t,trIDESORIP.TION OFt WORK;a- y)t:t t74-4;:i dwelling service or feeder(2) . $ 69.00 $ t) Wi✓� `5� Services or feeders: installation, alteration, relocation f`� 200 amps or less(2) $ 89.00 $ .:u4t, , 3)„6i°s t ;.PROPERTY!.,OINNER -,:F,ti =,,, ,,,,.,`,U:V.S;l' 201 to 400 amps(2) $ 104.50 $ ,�/ L" 401 to 600 amps(2) $174.00 $ Name: 9,A/it/tad (�/'lourr� Address: Z2_9i4 N /ft”- S6--- 601 to 1,000 amps(2) $225.50 $ City fie(CSC State: et ZIP: 97/77 Over 1,000 amps or volts(2) $516.00 $ Phone:./- /1 r( Fax: - Reconnect only(2) $ 69.00 $ pp ^1 Temporary services or feeders: installation, alteration, relocation E-mail: M (*t x 3 /@q/7notr/•LO✓--- 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 479.5400)and 479.5600). i • 401 to 600 amps(2) $138.50 $ Signature. j�!(.-�_ Over 600 amps or 1,000 volts,see services or feeders section above of;yam I''=t VjCO TRACTOR INSTAL"L'AT,ION r `f',r°' u tr, .t§' Branch circuits:new alteration, extension per panel Business name:/�2"-- a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: . Miscellaneous fees:service or feeder not included 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 $ Signature of signing supervisor: Signal circuit or alimited-energy panel, $ 80.00 $ alteration,or extension(2) • Each additional inspection:(I) $80.00 $ " zygg '.` sIgic.APPLICANTj.USE W;' 'a.'',kA.<sMt (A) Enter subtotal of above fees ,.— � (Minimum Permit Fee$80.00) 73 (B)Enter 12%surcharge(.12 x[A]) $ ( (C)Technology Fee(5%of[A]) - $ i•] r TOTAL fees and surcharges(A through C): $7eCi7 440-2584-1(4/01/2013/COM)