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HomeMy WebLinkAboutPermit Electrical 2014-3-31 • SPRINGFIELD -225 Fifth St CITY OF SPRINGFIELD. springfield,oR97477 �i Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00689 www.springfield-or.gov permitcenter@spnngfleld-or.gov • PROJECT STATUS: Issued ISSUED: 03/31/2014 EXPIRES: 09/27/2014 STATUS DATE: 03/31/2014 APPLIED: 03/31/2014 SITE ADDRESS: 1171 1/2 HARLOW RD 1,Springfield,OR 97477 SCOPE: Electrical Only • ASSESOR'S PARCEL NO: 1703272200600 TYPE OF STRUCTURE: Residential .PROJECT DESCRIPTION: two circuits OWNER: BAKER MICHAEL P Phone Number: • ADDRESS: 2920 COUNTY FARM RD EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor CHRIS MILLERS ELECTRIC INC CCB 62377 01/07/2016 541-895-3660 _ 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 construction. 3/ /tine.' / 5� Owner or Contractor Signature Date ATTENTION: Oregon-law requires you to follow rules adopted by the Oregon Utility _ Notification Center. Those rules are set forth NOTICE: • in OAR 952-001-0010 through OAR 952-001- THIS AUT PERMIT ORIZED UNDER SHALL EXPIRE FHIS IF PERMIT THE WORK NO 0090. You may obtain copies-of the rules by calling the center. (Note: the telephone Ii IS number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR• Center is 1-800-332-2344). ANY ?80 DAY PERIOD. • • Springfield Building Permit 3/31/2014 3:04:28PM Page 1 of 1 • • • • SPRINGFIELD_ —. CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 { "" - 541-726-3753 OREGON 811-SPR2014-00689 www.springfieldor.gov 1171 1/2 HARLOW RD 1 permitcenter©springfield-or.gov RECEIPT NO: 2014000696 RECORD NO:811-SPR2014-00689 DATE:03/31/2014 )o]X.1.0 • [mj;k .za:t.,;F'+n_ 0 SS± L:S s..tai'.�. t gACCOUNT•CODEITRANStCODE 3:; 4a.2;e AMOUNT4DUE F: Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 13.00 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 6.50 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 PF'AY,MENT#TYRE -@AYOR casNIER:uuRSON COMMENTS ro rM AMOUNTIE.AID Credit Card CHRIS MILLERS ELECTRIC INC 93.60 08529C TOTAL PAID: 93.60 • • • • • Electrical Permit Application 5PwiwanE, DEPARTMENTIUSE ONLY CITY1OFS S P RING F I EL+ D UREG-O N ' kLt g' n . . • ,..z ad „c_ , -,kv .niwr . -- e5,. 0 Permit no 5fig7v/k 'OCe6 1 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: —5/3/1/ t/ 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. .,±S(LOCAL, COMERNMENTSAPPROVAL,-y °1:11,, , ,',,t -s ,t.^, tV5,, :=FEESCHEDULE ;•, ak;,, y `' „5y) Zoning approval verified? ❑ Yes ❑No '1* i 4 �A *- � z {_Cost ,� w Total m ]Number ifinspeettons-per item O Qty -tiea s. _P.t.4 ;ps ' J.n r,CATEGORX,ROF„CONSTRUCTION wrxM., _ �'�,`., l Residential,per unit,service included: 'Residential I ❑Government I ❑Commercial „,, .. ., z r 1,000 sq. ft. or less(4) $147.50 $ w, JOB SITE,INFORMATION °AN��D//`L'OCATION:;g :4 Job site address: // 7/ WA/el-OW LO2✓ /� hereof additional 500 sq.ft.or portion $ 27.50 $ City: S,4 71/__Lb I State: e K I ZIP: Limited energy(2) $ 35.00 $ Reference:1 I Taxlot.: Each manufactured home or modular . ,, W IDESCRIPTION 5OF4,WORK!;^ ,l ; r:? � dwelling service or feeder(2) $ 69.00 $ Z d-i(c7.>” Services or feeders: installation,alteration, relocation 200 amps or less(2) $ 89.00 $ ig ° "P1` aPROPERTI! WNER-�%v -'lit :ir]4 201 to 400 amps(2) $ 104.50 $ Name: At /E, 4:51,Qr 401 to 600 amps(2) $174.00 $ Address: 601 to 1,000 amps(2) $225.50 $ City: I State: I ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: - - I Fax: - - Reconnect only(2) $ 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 4:raft*I CONTRACTOR iINSTALLATION t - tiler i t`; rt Branch circuits:new alteration,extension per panel Business names 'sj/�t/9 Al/L,c-c, 42cee 2/G a.Fee for branch circuits with purchase of a service or feeder fee: •Address: 3 R 33 Q /Ac-LL W ), /e aa Each branch circuit $ 6.50 $ City��2IS.y¢L•L State: O,,C ZIP: 9 7 K. b.Fee for branch circuits without purchase of a service or feeder fee: Phoney/ - 71',—_345-o Fax: - - First branch circuit(2) / $ 60.50 $ E-mail: `q .�"L 4/ /Z er .'/JD/ •['E3/t.L Each additional branch circuit / $ 6.50 $ CCB license no.: 623 77 BCD license no.: 20-2Z/G Miscellaneous fees:service or feeder not included Signing supervisor's license no.: F2_2 c- ' r�,, Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisordkoe/�je7Jy,�,r///� /t,,14 -ash sign or outline lighting(2) $ 69.00 $ Signature of signing supervvLtur Z "� Signal circuit or a extension panel, $ 80.00 $ alteration,or extension 2 Each additional inspection:(1) $80.00 $ Wati r.I ITO,Cl ANT_',USE"iagi ZaaalZ (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): $ 73 440-2584-J(4/01/2013/COM)