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Home My WebLink AboutPermit Electrical 2014-4-15 - - 225 Fifth St &A CITY OF SPRINGFIELD Springfield,OR 97477 ft— SPRINGFIELD -(aL' Phone: 541-726-3753 r. .OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00790 www.springfield-or.gov permitcenter @springreld-or.gov PROJECT STATUS: Issued ISSUED: 04/15/2014 EXPIRES: 10/12/2014 STATUS DATE: 04/15/2014 APPLIED: 04/14/2014 SITE ADDRESS: 340 66TH ST,Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702344200201 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace Service • OWNER: MUELLER THOMAS D&MICHELLE Phone Number: ADDRESS: 340 N 66TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 • 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. Owner or Contractor Signature Date . J v _ 0Nfts •e._ Il! r 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 Center is 1-600-332-2344). Springfield Building Permit 4/15/2014 8:35:21AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD Wfr_____,.> d : 225 Fifth St ``S TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 ' 811-SPR2014-00790 www.springfield-or.gov 340 66TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014000803 RECORD NO: 811-SPR2014-00790 - DATE: 04/15/2014 • - - _ i (DESCRIPTION = ACCOUNTnCODEfTRANS CODE.. , - AMOUNT DUE_ Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68 Technology fee(5%of permit total) 100-00000-425605 2099 4.45 —��_ — --- — — -- — —� TOTAL DUE: 104.13 - - 'a ___...._.:.___ ..AMOUNT PAID „1- " . ),—PAYMENT TYPE '- PAYOR__CASHIER:��nasoN_; ,_L _COMMENTS : �.;...._-,__........v_._. _ .-- _ I Credit Card MUELLER THOMAS-D& MICHELLE 104.13 03626B TOTAL PAID: 104.13 • 04/14/2014 11 : 27 FAX f>fj 001 Electrical Permit Application • DEPARTMENT USE ONLY j II SPRINGFIELD n CITY OF SPRINGFIELD, OREGON Permit no.5QWZO/ Li -tO7yc i I 225 FInh Strrer.S rin field.OR 97477.PH541726-3753 aFAX(541726-3689 / • P R ( I ) OREGON c/ t %/ V Date: i This permit is issued under OAk 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? E Yes ❑No Number of inspections per item O �fY-.__ Cost „ _ ,-.' - 1.t �,., m .. CATEGORY OF CONSTRUCTION - Reajdeotial,per unit, in service Included: eO )yS, Residcetial ❑Government 0 Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq.R.or less(4) 5147.60 5 �1 Each additional 500 sq. R.or portion --- :Job site address: �j'f Za t 6 ' 5+/-.._v.-ft thereof 5 27.60 $ City: 5 v'PO4L. -t d State: 9t2 Z[P:9 747W Limited energy(2) $ 36,00 $ ! Refcrcnce: /2- 01- 3'(-4/z- OOto( TaxloL: Each manufactured home or modular 5 69.00 S dwelling service or feeder(2) . DESCRIPTION OF WORK I • O /�{_ /r__ - t4/1 _ rr Services or feeders:Instal/anon,allerarion,i'elocarlon \,, 'f�- ( 7 4:+aJ�� {yp, G'r+4'{' 200 amps or less(2) $ a9.00 E eat, JZVJ1 Ge PROPERTY OWNER 201 to 400 amps(2) $ 104.60 5 Name: T104Mt/•s /4 ig_ tin. E - 401 to 600 amps(2) $174.00 $ Address: 3'-f 0 (y(p jamJ" 5�� 601 to 1,000 amps(2) 5226.60 5 City:. rr -CaJ.1 I Stater - ZIP:17'-(7$ Over 1,000 amps or volts(2) 5616.00 $ � Reconnect only(2) S 69.00 S Phone s-�p9'O I(.0 I Fax: - - r E-mail: ��(41 1A tiler r�_� �,� L 'T_.rCt - Teeorra y services orfeedere:invatlariaq a/rerariom reloralan i .1 1 200 amps or less(2) $ 69.00 $ {PI This installation is being made on residential or farm property owned by me or a member of my immediate family.This 201 to 400 amps(2) S 96.00 $ property is not intended for sale,exchange, lease, or rent.OAR --- Signat0(1)andg79.560(Ifi Over 600 amps $138.ec $ Signature: /Jl/lV]�YALLr If�YI/ Over 600 amps m• 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:new thermion. extension per panel Business name: a. Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit I S 6.60 $ • ICity: State: ZIP: b.Fee for brunch circuits withow purchase or ti service or feeder fcc: Phone: - i Fax: - - First branch circuit(2) 5 60.60 5 ' • E-mail: Each additional branch circuit S 8.50 S CCB license no,: BCD license no ; Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) S 69.00 5 i Prim name of signing supervisor Each sign or outline lighting(2) S 69.00 S —.- - —6i S°atu1L JNi�In�u� t"rsa alteration.or teexrta en+s%stioan t e(d2-) - - Each additional inspection:(I) 580.00 $ APPLICANT USE • (A) Enter Subtotal of above fees (Minimum Permit Fee$80.00) 5 g9/'��r�/ (B)Enter 12%surcharge(.12 x[A)) 4 /O. )pp (C)Technology Fee(6%of[A]) $ 9.it 440-2584.1(4/01/2013/C0M) TOTAL fees and surcharges(A through C): $/0(1.15 • .