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Home My WebLink AboutPermit Electrical 2014-4-1 • SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 OREGON Phone: 541-726-3753 ' Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00693 www.springfield-or.gov permitcenter@ springfield-or.gay PROJECT STATUS: Issued ISSUED: 04/01/2014 EXPIRES: 09/28/2014 STATUS DATE: 04/01/2014 APPLIED: 04/01/2014 SITE ADDRESS: 5172 D ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702332403900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Electrical corrections and completion for expired permit 52011-00345 OWNER: DELGADO SALVADOR CARLOS • Phone Number: ADDRESS: 5172 D ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone 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. 5er II/ac/r/v (-71/ "13' G(°l / 9 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 IS PERMIT SHALL EXPIRE IF THE WOR in OAR 952-001"obtain c pees ofthe ulesOby iTF-IORIZED UNDER THIS PERMIT IS NO 0090. You may calling the center. ��°tUtilhy Notifpcatioll ;MERGED OR IS ABANDONED FOR number for the Oregon ,,.Y 180 DAY PERIOD. Center is 1-800-332"2344). Springfield Building Permit 4/1/2014 9:29:05AM Page 1 of 1 SPRINGFIELD—, CITY OF SPRINGFIELD k,r,..Pa_ 225 Fifth St - `O EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S P R2014-00693 • www.springfield-or.gov • 5172 D ST permrtcenter©springfield-or.gov RECEIPT NO: 2014000701 RECORD NO:811-SPR2014-00693 DATE:04/01/2014 (DESCRIPTION .. _ •- ` ; _ ACCOUNT_CODE/TRANS-CODE_- - __ AMOUNTDUE _1 Branch circuits with service or feeder each circuit 224-00000-426102 1004 32.50 Services 200 amps or less 224-00000-426102 1004 178.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.26 Technology fee(5%of permit total) 100-00000-425605 2099 10.53 TOTAL DUE: 246.29 L PAYMENT TYPE _PAYOR_ CASHIER:CCARPENTER COMMENTS Li T` 'AMO_UNTPAID, '- Cash DELGADO SALVADOR CARLOS 246.29`y TOTAL PAID: 246.29 • • • Electrical Permit Application i. . DEPARTMENTUSE ONLY •- SPNINGFIELO „C T Y�4 S PRI NG FIE L pUR g� �1k, . , �.......�� Pt cu -45,,,,, ,,,,,, ,,. . c; „W..2rP7 „i «Y..„' ., ,, r � ermln0 : 225 Fifth Street•Springfield,OR 97477•PH(541)726-37539 FAX(541)726-3689 Date: Ili///Gl 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. "' ti 11004L:;GOVERNMENTTAPPROVAL, f` :��, �tt'A ' F '+' "r =� _, _sn�.:s3_ ?<..<.�F.EE SCHEDULE;�:.��;;�,�e .�<,V,=g.;`,- 7 i_" v.ehs}t ='u A,i^[s .� +� y-} r o� f,t Zoning approval verified. ❑ Yes ❑No PNumbel'ofmspectlons perirtem(t) Qty t east " ostl 111 ; CATEGORY. ;OF„CONSTRUCTION U x^Ir ,4 - `Residential,per unit,service included: Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) $147.50 $ JOB;SIT.E.:INFORMATION-AND 'LOCATION„,;+ , r /I��1 ) _ Each additional 500 sq.ft.or portion Job site address: `) i ( Z. 1 ) Sr- 1 thereof $ 27.50 $ City: C P2`r�06,Fm State: 01 e_ ZIP: Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular „5,,, a T$?T=, �, dwelling service or feeder(2) . $ 69.00 $ ,*PIC:IDESCRIPTION340F WORle , .g. m,t;;, e 77�e.— L�x/'//2t h �^_t_r St 1 - Ter_ Services or feeders: installation, alteration, relocation (•O�"'� 200 amps or less(2) $ 89.00 $ /'fir wig t w ,.lt ' ' i.p..ROPERTaptA/Nu ,{ 1 :1:W1WelF3 201 to 400 amps(2) $ 104.50 $ Name: C.4R-Ll15 SA 1-03-001Z. DELL 0-00 401 to 600 amps(2) $174.00 $ Address: ,5-1 72. D - _ 601 to 1,000 amps(2) $225.50 $ City: S'-A'F A) State: ZIP: 977,k Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, re location 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:„Safi/0 joy ('ay/OS - ' Over 600 amps or 1,000 volts,see services or feeders section above i—IN _, *}r.+ 1 T,R 100NACT,OR„INSTALIZAT ION N ” r `n;::?4 v :' Branch circuits:new, alteration, extension per panel Business name: )'f...,./ -- to Fee for branch circuits with purchase of a service or feeder fee: Address: s Each branch circuit 5 $ 6.50 $ '29) 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 $ • ;a tat WWyARPLICANT;'USE `yifilt ill'' 3'a'`�„a (A) Enter subtotal of above fees ,,�7 Pty` ` (Minimum Permit Fee$80.00) $ 2101' S N-G� (B)Enter 12%surcharge(.12 x[A]) $ 2s 4 CC-14-0-C?- .we ) r (C)Technology Fee(5%of[A]) $ (pery TOTAL fees and surcharges(A through C): $ 44,v, 2 440-2584-1(4/01,2013/C0M) ...... . Electrical Permit Application SPRINGFIELD •■ - DEF?ARTMENT-USEONL:t :'':.1-: z."47.. ..terasilit-atcrts.q...:::L-.4, 6-fz*...N.,;.:4-wtx.r ...arsaxaaRyttit7T- t f;---CITWORSPRINGFTEED4ORECON,D-4 i fiti,h,-4-„tictsls:Jars,..52:0z-i- v.g.rafi.7)5p,,,,,...y.T.,),,, A3.,..z1t; fr.--, as Permit no.: iettL4'- 225 Fifth Street•Springfield,OR 97477*N-1(541)726-3753•FAX(541)726-3689 W . Date: 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. ',=.: 12:4LOcALlf•:0121/51RNMENTAPPBOVALVKati?Mil .t ;.--FllilagtfraMEEE=SCHEDUIZEWS:49143 Zoning approval verified? 0 Yes 0 No ''''■. - tTAMVIAtrl'IT,',:: :1Wicrt"'2414 ‘Cbiel4'IllTolifi }1'.-.Nulibef"LiilMql?Ig10.$6teW. .931=;h.-es:J.6' ca' 1/29 DATEGORY4410,E,:ii,CONSTRUCTIEINtiNt ' to§t4 "- ''' '--•-''''''''''''' - '''''''' '' :1 '''''''''- Residential,per unit,service included: ErResidential ID Government 'D Commercial .. 1'000 sq.rt.or less(4) $147.50 $ "All,ft:t.1013ciSITEINFORMATIOWANIZLOCATION:11.)aki Each additional 500 sq.ft.or portion Job site address: ..c / 7r2 17 S r thereof - $ 27.50 $ City:S pRix}wci& 1 0 State: 08 ZIP:g 7q 7a Limited energy(2) $ 35,00 $ Reference: 1 Taxlot.: Each manufactured home or modular IT .-t,.,TWW.-‘4L-,r1ID ES C RI P4T.10 N tIOKWORK '','ic,t1,&,1?cif tit55 dwelling service or feeder(2) /$ 69.00 $ Services or feeders: installation, alteration,relocation ae2-0C el 76— t2e--7-bQ_,ilie45--E-- 200 amps or less(2) / $ 89.00 $ne90 clacillWAlTZIaPRO URI-At:A:MN E12.1XMAll ,":.l"lalig 201 to 400 amps(2) $ 104.50 $ Name: 9 rn.0 dr -r rri -y/0s 401 td 600 amps(2) $17400 $ .4•... Address: ci'7,2 a s 2— 601 to 1,000 amps(2) $225.50 $ City:5 a)4,677 g i ry State: eiR. ZIP:9' 74/7 g Over 1,000 amps or volts(2) • $516.00 $ Phone: 5--177- 79/1‘7V7I Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Ai TernOorary services or feeders: installation, alteration, relocation _47 . This installation is being made on residential or farm property -4200 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). 401 to 600 amps(2) $138.50 $ Signature: _sat bade v c4y/os 10' Over 600 amps or 1,000 volts,see services or feeders section above ..L-i.t.43.acifil,CONIERACT,ORDNSIALEAT:101st.ti[,)-2;,.V['-012ati: Branch circuits:new alteration extension per panel Business name:a Nit/L-7A.._ 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 $ CGS 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 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: $ 80.00 . $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ r$.304(0410:t.1.71A15.4EICAM-51g EIRK.RISCIMNi (A) Enter subtotal of above fees • (Minimum Permit Fee$80.00) $ 5 729 (B)Enter 12%surcharge(.12 x[Al) $ /0 g- dY (C)Technology Fee(5%of[A]) $ 1/9-5- TOTAL fees and surcharges(A through C): $ /01//3 440-2584-1(4/01/2013/COM) , .