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Home My WebLink AboutPermit Electrical 2014-4-16 in SPRINGFIELD • 225 Fifth St ' ' CITY OF SPRINGFIELD Springfield,OR 97477 ai ,i\« Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00832 www.springfield-or.gov permitcenter@springfield-or.goy PROJECT STATUS: Issued ISSUED: 04/16/2014 EXPIRES: 10113/2014 STATUS DATE: 04116/2014 APPLIED: 04/16/2014 SITE ADDRESS: 1747 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703363106600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New services and circuits for fire damage repairs etc Units 17-20 OWNER: YU EDWARD 8 SU Phone Number: ADDRESS: 3121 KEVINGTON AVE EUGENE OR 97405 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor WILLIAM A GRAY JR CCB 21351 04/28/2016 541-485-3954 • 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. 6 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 NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/16/2014 2:59:43PM Page 1 of 1 • SPRINGFIELD i CITY OF SPRINGFIELD • .: i 225 Fifth St eta TRANSACTION RECEIPT Springfield,OR 97477 • OREGON 541-726-3757 811-SPR2014-00832 www.springfield-or.gov 1747 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2014000836 RECORD NO: 811-SPR2014.00832 DATE:04/16/2014 ;DESCRIPTION_ _-_ _ _ . . _ .. ACCOUNT CODE/TRANS CODE _ _ -,AMOUNT DUE _- Branch circuits with service or feeder each circuit 224-00000-426102 1004 13.00 Services 200 amps or less 224-00000-426102 1004 445.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 54.96 Technology fee(5%of permit total) 100-00000-425605 2099 22.90 -- -- -------- ----.T._-_- TOTAL DUE: 535.86 PAYMENTTYPE, PAYOR„cASNiER:ccARPENTERR. '' COMMENTS • : _._ , - AMOIUNTPAID i . Credit Card Anand Patel 535 86 016657 TOTAL PAID: 535.86 • • • • ]Electrical Permit Application DEPARTMENT USE ONLY V; �J�-_L�_ G ) i 1 x t! Dr'f<INUrIELO I, 0R GO ., q3 tt . , e 71- . .2E�L ur: Er , i> Permit no.: Spy- O Z 225 Fifth Street/Springfield.OR 97477•PI1(541)726-3753•F\x(54I)7263689 # n-., OREGON �/ [/� Date: //1(///l This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within I80 days of issuance or if work is suspended for I80 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? 0 Yes ❑ No O Cost Total ea. Number of inspections per item Qty. cost CATEGORY OF CONSTRUCTION _ ❑ Residential -. Residential,per unit,service included: ❑Government {Commercial 1.000 sq. ft. or less(4) I $147.50 JOB SITE INFORMATION AND LOCATION Job site address: /7 77 4 a ,r i„ 1 5-7- Each addilionnl 500 sq. 0. or portion mil! / thereof $ 27.50. 5 City: ,vr r Tate: ZIP: 7177 Pr / �� 9 � � Limitrcl energy(?) $ 35.00 $ Referen e:vy;r 1/7 (2 19 .).Q Ta.xIot.: Each manufactured honk or nodular DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.0o S • 44 r v j Services Or feeders: installation. alrermlon. relocation Cfl<'0- 200 amps or less(?) _5 $ 69.00 $214(5 PROPERTY OWNER 201 to 400 amps(2) S 104.50 5 Name: J ¢( y'— -r 401 to 600 amps(2) — . $174.00 S Address: ��7 _ 601 to 1.000 maps(2) 5225.50 S City: . (_- ` ; p� State: Qg, I ZIP:9 74/77 Over 1,000 amps or tolls(2) $516.00 I S Phone:$tfl-7 two./ Fax: - - Reconnect only(2) .$ 69.00 I $ y6 E-mail: Temporary services or feeders: installation. alteration. re/nation This installation is being male on residential or farm property 20(1:umps or less(2) S 69.00 5 owned by toe or a member of my immediate family. This 7 property is not intended for sale,exchange; lease. or rent. OAR 01 to-100 amps(2) $ 96.00 5 479.540(I)and 479.560(1). 401 to 6(10 amps(2) 5138.50 $ 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: �Bi S - / C I r• e a. Fee for branch circuits with purchase ofa service or feeder lee: Address: x 7 15 0 1PJ ,..,..--4/ T✓ I !) J S 6.50 I .S IS�i Each branch circuit v-� City: v6)f L Stale: (j ZIP:q J 1 o b. Fee for branch circuits tvithout purchase ofa service or feeder fee: PhoneSsf .%'c 1 5 4• .S O I Fax;S 1/F ,34/) (3 53 First branch circuit(2) - 5 60.50 5 E-mail: Each additional branch circuit $ 6.50 S CCB license no.: 1.1 3 •c / BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: y g n S Each pump or irrigation circle(2) S 69.00 5 Print name of signing supervisor: ` it / Each sign or outline lighting(2) S 69.00 5 fir L s,: Signature of signing supervi Y ..�! Signal circuit or a limited-energy panel. $ 80.00 5 alteration.or etension(Zp Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee.$80.00) (B) Enter 12%surcharge(.12 x VI) $ Sy (C)Technology Fee(5%of Al)I 5 22 g 2 _ 440-2584-1(4/01/2013/COM) TOTAL, fees and surcharges (A through C): S 53,51 -..