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HomeMy WebLinkAboutPermit Electrical 2014-4-16 (2) SPRINGFIELD x- 225 Fifth St 6rt CITY OF SPRINGFIELD Springfield,OR 97477 ,C C Phone: 541-726-3753 \OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00833 www,springtield-or.gov permitce nter @s pri n gfield-or.gov PROJECT STATUS: Issued ISSUED: 04/1612014 EXPIRES: 10/13/2014 STATUS DATE: 04/16/2014 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 13-16 OWNER: YU EDWARD&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. • ara 4_i4) -ilg Owner or Contractor Signature Date 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- 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/16/2014 2:58:38PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD :IA s.,, 225 Fifth St `��; TRANSACTION RECEIPT Springheld,oR 97477 .OREGON 541-726-3757 811-SPR2014-00833 www.springfield-or,gov 1747 MAIN ST permitcenter @springfield-or.goy RECEIPT NO: 2014000837 RECORD NO: 811-SPR2014-00833 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 TOTAL DUE: 535.86 , PAYMENT T TYPE^LPAYOR CASHIER:ccARPENTER ; COMMENTS „ ' -_ s AMOUNT PAIDii_ - R• Credit Card Anand Patel _� 535.86µ_ 016657 TOTAL PAID: 535.86 • • - Electrical Permit Application DEPARTMENT USE ONLY 1)ic.... , 11- l i � Q !CON. i3e t Permit no 'J b?— (�93 225 Fifth StreetsSpringfield.OR 974770P11(541)726-3753ev x(:Jg726-368') a. :'. �.' 0EEG01° Date: AO(04y This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 clays 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 O Qty. Cost I Total CATEGORY OF CONSTRUCTION y ea cost ❑Residential I Residential, per unit,service included: ❑Government I 'p-Commercial _ JOB SITE INFORMATION AND LOCATION 1,000 5q. ft.or less(4) $147.50 $ Job site address:/he 9 Ina:u S'7- Each additional 500 sq. 0. or portion q thereof $ 27.50. $ City:SPP+Le cwt.()I State: pV ZIP: p7q' y ���y� +� 9 T �/ Limited energy(2) 35.00 $ Red 4,,,1p ' 13 ! JC /4 faxlot.: Each manufactured home or modular DESCRIPTION OF WORK hdwelling service or feeder(2) $ 69.00 S tit iJ S Q • t Services or feeders: installation. alteration. relocation _(/I c A 'F 7 /�nArs __ ree,.,, ` V 200 amps or less(2) 5 S 89.00 t)[t/C PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: „l- ,�di,� 'a 401 to 600 amps(2) $174.00 S Address: 1747 -lt„ l} 601 to 1,000 amps(2) $225.50 S City: Slate:og I ZIP: q 7977 Over 1,000 mnps or volts(2) $516.00 S Phone:911 -Lista I Fax: - - Reconnect only(2) .$ 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) S 69.00 $ owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 201 to 400 amps(2) 5 96.00 $ 479.540(1)and 479.560(1). 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:Heir, alteration. extension per panel Business name:—B; I ' f te C ( r,° e a. Fee for branch circuits with purchase of a service or heeler tic: Address: 1 75G (v litT ' ✓ I I S 6.50 I S .^' / �9 Each branch circuit City': �� / h. I State: 0 I ZIP:9' 103.- b. Fee for branch circuits without purchase or service or feeder Ice: Phonesy 1- Sr v I 5 t, .S G• I Fax:511 34/3 i 3 53 First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit a, .$ 6.50 S/-1 -- CCU license no.: -- - �.( 3 S f BCD license no.: Miscellaneous fees:.service nt_fi•eder not included Signing supervisors license no.: Ca S Each pump or irrigation circle(2) S 69.00 S Print name of signing superviso° ^ ' i! Each sign or outline lighting(2) $ 69.00 5 Signature of signing superviso r `� /_ Signal circuit or a limited-energy panel, $ 80.00 s ! alteration.or extension(2). Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above tees (filininunn Permit Fee$80.00) $ cis-1- (B) laver 12%surcharge(.12 x IAD $ Sryfi (C) Technology Fee(5%of IAI) $ WO 440-2584-1(4/01/2013/COiM1) •TOTAL fees and surcharges (A through C): S gS •