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.
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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
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- 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
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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
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