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Home My WebLink AboutPermit Electrical 2014-4-16 SPRINGFIELD 225 Fifth St t _ CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00829 www.springfield-or.gov permitcenter@sprin gfield-or.goy PROJECT STATUS: Issued ISSUED: 04/16/2014 EXPIRES: 10/13/2014 STATUS DATE: 04/16/2014 APPLIED: 04/16/2014 SITE ADDRESS: 650 SWAN CT,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703221309500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: El-Enlarge opening in interior bearing wall OWNER: MICHEL AARON J Phone Number: ADDRESS: 650 SWAN CRT SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Mechanical 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. /.✓�i�/ t/4�/� / Owner or Contractor Signature gate NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR p 90 RYou2may obtain c pees ofthe ides by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility No Center is 1-500-332-2344). Springfield Building Permit 4/16/2014 2:17:52PM Page 1 of 1 SPRINGFIELD • CITY OF SPRINGFIELD ?]e .ft e...... ' 225 Fifth St - « -„ TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811—SPR2014-00829 www.springfield-or.gov 650 SWAN CT permitcenter @springfield-or.gov RECEIPT NO: 2014000833 RECORD NO:811-SPR2014-00829 DATE:04/16/2014 tDESCRIPTION _ :__ _ ACCOUNT CODE/TRANS CODE S AMOUNT DUE-, 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 19.50 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 L>.PAYMENT TYPE„;-,�PAYOR CASHIER:CCARPENTER ;COMMENTS,_- • . . AMOUNT PAID. � -_:.1 Credit Card MICHEL AARON J rt �^ 93.60 091117 TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD C Y' YO�F*S 'RIN G EL ),O`REG® f* a *.:zA ik;j.� . ,;, .&, ''rasW . Permit no.:WZ-oriy- 0°SZ9 t 225 Fifth Street•Springfield.Olt 97477•PH(541)726-3753*F A.\(441)7263689 OREGON I Date: Y/61/0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within ISO 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() I t y Ceaos t Total cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: %Residential I ❑Government I ❑Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq.0.or less(4) $147.50 $ Each additional 500 sq.A.or portion S 27.50 $ Job site address: /5c) LA.,.fs'-' �/- thereof City: <2/wp/,2 4 I Slate: a, I ZIP: 7/777 Limited energy(2) $ 35.00 $ Reference: // I Taxlot.: ! Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or frrder(2) Services or feeders:installation.alteration.relocation 200 amps or less(2) ` $ 89.00 $ PROPERTY /OWNER 201 to 400 amps(2) 5 104.50 S Name: ��rp,,/ /1-7; /e/ 401 to 6011 amps(2) $174.00 $ Address: S am,y �� 601 to 1,000 amps(2) $225.50 $ 657 City: 9,1/,v 44/ I State: Coe I ZIP: 9,797, Over 1.000 amps or volts(2) $516.00 $ PhonetJ6�t/f72 I Fax: - - Reconnect only(2) $ 69.00 S E-mail: Temporary services or feeders:installation,alteration,relocation s4 Ayer' u�t.�.2403eJ yq/,ee,core This installations be g made on residentidl 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 S property is not intended for sale,exchange, lease,or rent.OAR 479.540(1)and 479 60(1). r 401 to 600 amps(2) 5138.50 S Signature::fli p Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:nett,alteration,extension per panel Business name: O.✓Nh 7 a.Fee for branch circuits with purchase Ma service or feeder fee: Address: Each branch circuit I I $ 6.50 I $ City: I State: I ZIP: b.Fee for branch circuits without purchase of a service or feeder lee: Phone: - - I Fax: - - First branch circuit(2) 'I $ 60.50 S E-mail: Each additional branch circuit 3 $ 6.50 $ CCB license no.: I BCD license nu.: 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 oullinc.lighling(2) $ 69.00 S Signature of signing supervisor: Signal circuit a alimited-energy panel. $ 80.00 $ bn' g P alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (13)Enter 12%surcharge(.12 x IA)) S (C)'technology Fcc(5%of(Al) S 440-2584-i 14/012013/COM) TOTAL fees and surcharges(A through C): $ 73 _I