HomeMy WebLinkAboutPermit Electrical 2014-3-27 •
SPRINGFIELD — t
'A ' - CITY OF SPRINGFIELD 225 SpringfeldFifth S,OR97477
' � Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2014-00647
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/27/2014 EXPIRES: 09123/2014
STATUS DATE: 03/27/2014 APPLIED: 03/27/2014 .
SITE ADDRESS: 344 WOODLANE DR,Springfield, OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703262200223 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Circuit for hot ub
OWNER: JONES DEBRA ANN - - Phone Number:
ADDRESS: 344 WOODLANE DR
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION .
Contractor Type Contractor Name Lic Type Lic No • Lic Exp Phone
Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB . 45129 04/24/2016 541-746-4656
INSPECTIONS REQUIRED
Inspections .•
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical Final Electric: When all electrical work is complete.
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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 .
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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
COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by
calling the center: (Note: the telephone
number for the Oregon Utility Notification
. • . Center is 1-800-332.2344).
•
•
Springfield Building Permit 3/27/2014 12:29:03PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
r OREGON 541-726-3753
811-SPR2014-00647
viwwspringfield-or.gov 344 WOODLANE DR permitcenter @spdngfield-or.gov
RECEIPT NO: 2014000665 RECORD NO: 811-SPR2014-00647 DATE: 03/27/2014
e — '--1- 01 :ii00 —rF�.iti, urn 444 a}!t ..I"".`#�rlfiSMiileACCOUNT CODE TRANS CODE itiftaiMPAMOONT DUE.
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
F"PAYMENT P.E PAY.OR cngNlE°"°� asoN. COMMENTS AMOUNT�PQID "'
Credit Card JK GUCKENBERGER ELECTRIC INC 93.60
035924
TOTAL PAID: 93.60
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FROM -WC El eciri4 Inc. (THU)MAR 27 2014 11 : 13/ST. 11 : 12/No. 7600000904 P l
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Electrical Permit Application I DEPARTMENT USE ONLY
SPKINGFIELO
44IllY QF SPRINC.FIE.GL), Q.REcON- i ?ern, no.: Pf(lol a(7,c:
S Dlrll,Sal rr,Spriugfield.OR 97417*PHI>41)726- 753*FA\(141172(3689 +$'kS. OlUGOel
Date: 3/2,7 Ael •
This permit is issued under OAR 918-3119-11000. Permits are nontransferable. Permits expire if work is not started within 181)
days of issuance or if work is suspended for 180 clays.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE _ I
Lulling approval verified?` ❑ Yes ❑ No Number of inspections per item O Qty. Cost Total
ca. cost
CATEGORY OF CONSTRUCTION -
-.. _.___.....-___- ._- _-.._._.. - Re gilill, her stud(,service included:
Resi(lemial 1❑ Government ❑Conunerclal -'-- --
JOB SITE INFORMATION AND LOCATION
1,000 �_R nr Icss pl) $147.60 5;
_l
/ y� Each addihunal 5110 sq. I1.ur ponioll -- -
$ 27 50 $Job site address: '7j tit/ _.�Vmdc9pk/C. Y/QTh thereof
C Ir\ .yp�j /p/ Si ale: O'1 71P: 9 797) 1.unilcd cnu'ey (2) S 35.00 5
Re Terence: Taxiol.: Each manufactured home nr modular S 69.00 $
-..—_.—_ — dwelling service nr leader(2)
I DESCRIPTION O ' WORK —
1--- — Services Or feeders: instollntion,alteration,rrlocntfun
. _- 1Ks ?h'( .eirc_u .t ,r -6 — -..— __...
.._ - - -' --- 00 amp,or less 1=) $ 89.00 S
PROPERTY OWNER 201 to 400 amps(2) S 104_60 -
.._ 401 in 600 amps(2) $174.00
Nome: �� �j , �/1.4� $
Address: i9 601 In 1,11110 amps(2) $225.50 S
Over 1,000 amps or volts 5516.00 $
City: State: OK I7-1P: —
CB_- --
Reconnect only(2) ---.-_... T 69.00 $
Temporary services or feeders:installation.alteration,, re ucmiun
Gnmilt •
-__....-.— zoo amps or less(2) I
_, This installation is being made on residential or farm property _,__ $ 60.00 S •
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 S
property is not intended for sale, exchange, lease, or rent. OAR _—___...__....__. __....—_.—..___.___.._....
479.540(1)and 479.560(1). 401 to 600 amps(2) 5138.50 S
Signature: -Over 600 amps Of 1,00(1 volts,see services or feeders scelion above
i CONTRACTOR INSTALLATION Branch circuits: neu{ alteration.extension per panel
a.Fee for hraneh circuits with;purehuse of a service or feed'toe:
11a51n CSS name!__.JL�1� -v
Address: Lt CJ1 —Do st Lath beach circuit 1 - $ 6.50 $
City', State: ZIP: 474-"ri b. Fee Ihr branch circuits without purchase of a service or feeder lee:
1'4x: Firm branch circuit(2) S 60.50 S
[12-moil: t7•D\v 3 1((,S C. CZJYY) .._-._ 1I ._Fach additional branch circuit S 6.50 S__ .._._.
% (L9 ' Mi.scellaneolls fees:service amfed"110/tneh llni
CCft license no.: e J BCD license Nnu.: 71) `2l IL _._..
Signing supervisor's visol s license no: ACre . - J- Each pump or irrigation circle(2) S 69.00 S
_ ____ ..-___-- 7 $ 69.00 S
brim mine ulsi nm sirpenis ll � �(�6-a 1 , Each sign or nulliue lighting(_)
. _ �t Signal clreu0 or n hunted-energy panel. $ 80.00 $
I• Si_nnluue of siemng supervisor: alteration.or extension(2)
• Each additional inspection:(I) $80.00 $
APPLICANT USE
(A) timer subtotal nrabnve lees 5
(Minimum Permit Fee$80.00)
(fl)Cuter 12%surcharge(.12 a Al) S
(C)Technology Fcc(5%,of[Al) _S
aau-�5Y4-1(.unv�n Uir'O60 TOTAL fees and surcharges(A through CC_):..`-„__Sr1-; .
of l
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