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HomeMy WebLinkAboutPermit Electrical 2014-4-3 SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 ..,. ft.;. • Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 . Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00721 www.springfield-or.gov - permitcenter @spnngfeld-or.gov PROJECT STATUS: Issued ISSUED: 04/03/2014 EXPIRES: 09/30/2014 STATUS DATE: 04/03/2014 APPLIED: 04/03/2014 • SITE ADDRESS: 7169 B ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702353103300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: E-Heat purnp and air handler,one for each duplex unit OWNER: DUTSON CORY J Phone Number: ADDRESS: 7169 B ST SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 • 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. �A-pr lY Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility • THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT 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 4/3/2014 1:50:15PM Page 1 of 1 • • • SPRINGFIELD — CITY OF SPRINGFIELD • 225 Fifth St TRANSACTION RECEIPT Spnngneld,OR97477 OREGON 541-726-3753 811-SPR2014-00721 www.spnngfleld-or.gov 7169 B ST permitcenter @spnngfield-or.goy RECEIPT NO: 2014000727 RECORD NO: 811-SPR2014-00721 DATE:04/03/2014 D IIO' 7;" ` '„ iti-_Fa;t ili'i.`_ 'R �+- 'j E ACCOUNTCODE/TRANSICODE.Eat 4_AMOUNVDUE Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 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 uPAVMENTuTYPE i PAY,OR cnsHlE"�R.,ccgRgENiER Cash DUTSON CORY J 93.60 TOTAL PAID: 93.60 • • • • • • • • • • • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD hit CITY OF SPRINGFIELD, OREGON Permitno.: SIli - 721 225 Fifth Street•Springfield,OR 974 77•PH(540726-3753•FAX(541)726-3689 OREGON Date: G/ Z 73 , / 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item Qty. Ceoast Total cost CATEGORY OF CONSTRUCTION - - - Residential,per unit,service included: a Residential ❑Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq. ft. or less(4) $147.50 $ Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: 7 I (o 9 B S- thereof City: SgrinTli eld State: OR ZIP: 9747$ Limited energy(2) $ 35.00 $ Reference: `7o2 3 57 / 11 Taxlot.:170Z35;103300 Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK L dwelling service or feeder(2) Services or feeders:installation, alteration, relocation In$'1all Zx Z.ZUv linef [ i on rack paMI) 200 amps or less(2) $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: (Ji{ D Jt ioA 401 to 600 amps(2) $174.00 $ { Address: 7 l Gq 5 ' 601 to 1,000 amps(2) $225.50 $City: Serif-n(1-4 State: OR. ZIP: '11471 Over 1,000 amps or volts(2) $516.00 $ Phone:503-91 O-S 563 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 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: neat alteration,extension per panel Business name: ee' 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 a limited-energy panel, $ 80.00 $ o g g P alteration,or extension(2) Each additional inspection:(I) $80.00 $ hi APPLICANT USE. (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ i (B)Enter 12%surcharge(.12 x[A)) $ C}G C2 (C)Technology Fee(5%of[A)) $ (foc) 440-2584-i(4/01/2013/COM) TOTAL fees and surcharges(A through C): $ G?IPA.