HomeMy WebLinkAboutPermit Electrical 2014-3-24 •
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SPRINGFIELD 225 Fifth St
II lCITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00557
www.springfeld-or.gov permitcenter @springfeld-or.gov
PROJECT STATUS: Issued ISSUED: 03/24/2014 EXPIRES: 09/20/2014
STATUS DATE: 03/24/2014 APPLIED: 03/14/2014 •
SITE ADDRESS: 2664 CASTLE DR,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703233303100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Raise Mast for Patio Cover Paddle Fan Connect
OWNER: MCCAULEY ALFRED J &JEANNE Phone Number: •
ADDRESS: 2664 CASTLE DR • •
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION 1
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2016 541-687-5770
• INSPECTIONS REQUIRED I
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
pe 't card is located at the front of the property, and the approved set of plans will remain on the site at all times during
31020y
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to . NOTICE:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IE WORK
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT THE
IS NOT
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 3/24/2014 10:06:19AM . Page 1 of 1
SPRINGFIELD-- CITY OF SPRINGFIELD
4 �,., ,� 225 Fifth St
`OREGON TRANSACTION RECEIPT Spnnfth St 477
541-726-3753
811-SPR2014-00557
•
www.spnngtieldor.gov 2664 CASTLE DR permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000620 RECORD NO:811-SPR2014-00557 DATE:03/24/2014
DESCRIPTION I;i,'e` 3 _ 'ri`fF !r""M_t` °-T`_. ,tEr?vACCOUNT,CODE/TRi4NS(CODE°re"'i,ItAMOUNT"DUE,'
Branch circuits with service or feeder each circuit 224-00000-426102 1004 - 6.50
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.46
Technology fee(5%of permit total) 100-00000-425605 2099 4.78
TOTAL DUE: 111.74
PAYMENTATYP.E .P.AYOR cASi4ER:MI SON; - .COMMENT"S a,�aI "AMOUNTOA1D. -
Check JB ELECTRIC INC 111.74
124269
TOTAL PAID: 111.74
Electrical Permit Application - DEPARTMENT USE ONLY:
SPNINGPIELO ,
a4CI IrCIF SPRINGFIELD OREGON- ' ` - Permit •no.: 504 Z - oos5
225 Fifth Street♦Springfield,OR 97477.PR(541)726-3753•FAX(541)726-3689
Date: �7/zY/1 `/
5 ff /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.
uz; IfQCAL;GOUERNMENTiAFTPRQVAL- W3} `,- ° ± , 084W.'e FEE SCHEDULE? 4 `t1%.. 15.1
Zoning approval verified? ❑Yes ❑No Number of n p c1on p lr(') Q' �` ' 'Petal
er .-, r�._.P9 ,. t-. iz,.. �f .t.ea,. .._ cost:1
,�CATEGOR Oaxi CpySTRUCT,[tiVA�� `�f "a`,.,
' Residential,per unit,service included:
esidential ❑Government ❑Commercial
1,000 sq.ft.or less(4) $147.50 $
t ;JQE,xSITE,INFOF2atfe rANDwLOCAT,ION ll.
Each additional 500 sq.ft.or portion - $ 27.50 $
Job site address: /a.66/./ Cas l �-L thereof
City: tror .c4/. State: AC._ ZIP: Limited energy(2) $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular $ 69.00 $
1,, it ItitalkieforkelSoniatvartik dwelling service or feeder(2)
rr MAST'. /' r. ?cc-4w 6` Services or feeders: installation, alteration,relocation
�-G 1 9' Y 200 amps or less(2) - f $ 89.00 $
Z T C r
r i. �avilRRN INR,1 s 201 to 400 amps(2) $ 104.50 $
Name: /1.-beira /?-7LCa✓/,— .401 to 600 amps(2) $174.00 $
r 601 to 1,000 amps(2) $225.50 $
Address: 2.667 y (.a_r e/-G
City: 901--/2 State: ZIP: Over 1,000 amps or volts(2) $516.00 $
Phone: - - Fax: - -
Reconnect only(2) 4 $ 69.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
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
479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
•'v ' r''"- ---Y F u . .:° Branch circuits:new, alteration,extension per panel
,:�,; ,, CONT►2ACT,QOR�INSSt;CLLATI�N,� ,� 1"�.'° n n
Business name: 36 jie L a.Fee for branch circuits with purchase of a service or feeder fee:
Address: itg,C .LS0.4teie, C7< Each branch circuit $ 6.50 $
City: (1.e jt e_ State: c9,c_ ZIP:970(A. _ b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:5q,—E ,S77o Fax:,.&—.97-30,2—&.2.9ic„ First branch circuit(2) $ 60.50 $
E-mail: �o/t.t��c�P� ine-� ea-„1- Each additional branch circuit / $ 6.50 $
CCB license no.: foggaq BCD license no.:37.61516.- Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: see, .5 / ,� Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervi r: ..vry'- -A ilZes2•j�� ._ Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor.
Signal circuit or a limited-energy panel, $ 80.00 $
gn Bn g P alteration,or extension(2)
Each additional inspection:(I) $80.00 $
' . . ' ; ;t. 4-APPL CANT. USE n .` .'
(A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): $//j 2-&-_
440-2584-3(4/012013/COM) - - // ^ , /