HomeMy WebLinkAboutPermit Electrical 2014-4-9 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
1 -`y( ( Phone: 541-726-3753
\OREGON Building / Residential Permit Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00747
www.springfield-or.gov - permitcenter @springtield-or.gov •
PROJECT STATUS: Issued ISSUED: 04/09/2014 EXPIRES: 10/06/2014
STATUS DATE: 04/09/2014 APPLIED: 04/08/2014
SITE ADDRESS: 875 57TH ST,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702331100700 TYPE OF STRUCTURE: Residential .
PROJECT DESCRIPTION: E-Permits for addition built by prior owner without permits
OWNER: SMITH JUDITH L Phone Number: •
ADDRESS: 875 57TH ST •
SPRINGFIELD OR 97478 .
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor REVOLUTION ELECTRIC INC • CCB 179066 10/30/2015 541-505-8351
General Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016 541-554-9465
Mechanical Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016. 541-554-9465
Plumbing Contractor DUSTIN JACK DAWSON CCB 194394 06/28/2015 541-953-8760
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 usedfon 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.
tsi.--------a 47
Owner o—at•ntractor Signature Da -
ATTENTION: Oregon law requires you to
NOTICE: 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
calling the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Springfield Building Permit 4/9/2014 11:07:42AM Center is 1-800-332-2344). page 1 of 1
SPRINGFIELD CI'T'Y OF SPRINGFIELD
1 .... :.(�" 225 Fifth$t
`« _ TRANSACTION RECEIPT 225 Fifth
97477
OREGON 541-726-3753
811-SPR2014-00747
www.springfield-or.gov i 875 57TH ST permitcenter@springfield-or.gov
RECEIPT NO: 2014000763 RECORD NO:811-SPR2014-00747 DATE:04/09/2014
iDESCRIPTION ` ___ _' ACCOUNT�CODE/TRANS CODE_ _,_ AMOUNT DUE ._
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
,_ PAYMENT TYPE w PAYOR; CASHIER:CCARPENTER COMMENTS, :,;!_ .; - AMOUNT PAID -I :: t
Credit Card KAMINSKI CONSTRUCTION LLC 93.60
05366j
' TOTAL PAID: 93.60
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revolution
electric
RE; 875 57th St. Springfield
3/28/14
To whom it may concern,
The above referenced property (Master Bedroom) has been inspected by Revolution
Electric, Inc. Revolution Electric, Inc inspected the work that was accessible and
visible. Revolution Electric, Inc made necessary repairs. The wiring within the walls
was not inspected. It is our opinion that the installation is now code compliant& safe
but we do not take any responsibility for the installation as a complete system.
Revolution Electric, Inc
CCB #179066
Signing Supervisor
Matt Schultz
#5247S
revolutionelectric.net I Springfield, OR I phone 541.505.8351 I fax 541.505.8454
_'S%'%.L11VM1 J. rl lllli (a,1 r" - %LA 11
SPRINGFIELD / /(/'
c
CITY OF SPRINGFIELD, OREGON permit no.: ✓ d° 79-7 _
225 Fifth Street•Springfield,OR 97477•PH(54t)726-3753•FAX(541)726-3689 = OREGON �,r
Date: ii N /
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. Cost Total
0 p ea. cost
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
[(Residential ❑Government ❑Commercial
JOB SITE INFORMATION AND LOCATION 1,000 sq. ft.or less(4) $147.50 $
875 57th Each additional 500 sq. 0.or portion $ 27.50 $
Job site address: thereof
City: Springfield State: OR ZIP: 97477 Limited energy(2) $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular $ 69.00 $
DESCRIPTION OF WORK dwelling service or feeder(2)
Inspect/wire master bedroom/bath Services or feeders:installation.alteration.relocation
200 amps or less(2) $ 89.00 $
PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $
Name: Judy Smith 401 to 600 amps(2) $174.00 $
Address: 875 57th St 601 to 1,000 amps(2) $225.50 $
City: Springfield State: OR ZIP: 97477 Over 1,000 amps or volts(2) $516.00 $
Phone: - - 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 479.5600). 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:new alteration, extension per panel
Business name: Revolution Electric Inc a. Fcc for branch circuits with purchase of a service or feeder fee:
Address: 480 Shelley St Ste. B Each branch circuit $ 6.50 $
City: Springfield State: OR ZIP: 97477 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone: 541-505-8351 Fax: 541-505-8454 First branch circuit(2) 1 $ 60.50 $
E-mail: revolutionelectric @comcast.net Each additional branch circuit 2 $ 6.5o $
CCB license no.: 179066 BCD license no.: C354 Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 5247S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: Matt Schultz Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: Matt SthatZ Signal circuit or a limited-energy panel $ 80.00 $
alteration,or extension(2)
Each additional inspection:(I) $80.00 $
APPLICANT USE . •
(A) Enter subtotal of above fees $ ^�,p
(Minimum Permit Fee$80.00) ovd
(B)Enter 12%surcharge(.12 x[A]) $ 1 0j
(C)Technology Fee(5%of[A]) $ !(j
440-2584-J(4/01R0t3/COM) TOTAL fees and surcharges(A through C): $ 9g%