HomeMy WebLinkAboutPermit Electrical 2014-4-15 SPRINGFIELD • 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
`( Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00573
www.springfield-or.gov permitcenterli$springfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/15/2014 EXPIRES: 10/12/2014
STATUS DATE: 04/15/2014 APPLIED: 03/18/2014
SITE ADDRESS: 3697 VITUS LN,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702301202900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-New SFD-Lot 34 River Hts
OWNER: BREEDEN BROS INC Phone Number:
ADDRESS: 366 E 40TH AVE STE 250
EUGENE OR 97405
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-686-1628
General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-656-9431
L INSPECTIONS REQUIRED
Inspections
4000 Temporary Power Service
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.
Lg.- 1 ,,�,,, X1)51 I¢
)vner 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
D
AUTHORIZE UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone
AUTH MENZED OR IS ABANDONED FOR number for the Oregon Utility Notification
Center is 1-600-332-2344).
ANY 180 DAY PERIOD.
Springfield Building Permit 4/15/2014 11:41:35AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
4'3 .aa�. Fifth St
kr TRANSACTION RECEIPT 225 field.OR 97477
‘-di 225 Fi
541-726-3759
OREGON 811-SPR2014-00573
www.springfield-ar.gov 3697 VITUS LN permitcenter @springfield-or.gov
RECEIPT NO: 2014000811 RECORD NO: 811-SPR2014-00573 DATE:04/15/2014
[DESCRIPTION -' —_ ACCOUNTCODE/TRANS CODES '
.. AMOUNT DUE .;
Each added 500 sq.ft.or portion 224-00000-426102 1004 110.00
Residence wiring 1,000 sq.ft. or less 224-00000-426102 1004 147.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 39.18
Technology fee (5%of permit total) 100-00000-425605 i 2099 16.33
Temp services 200 amps or less 224-00000-426102 1003 69.00
TOTAL DUE: 382.01
AMOUNT PAID . t
t.�PAYMENT TYPEPAYOR CASHIER: _ _ _..,__.< �
Check John Thompson-BREEDEN BROS IN( 382.01
3737
TOTAL PAID: 382.01
•
•
Electrical Permit Application : OEPARTMENT USE ONLY :: '
SPfi1NGF1ELO -
erE O SPRINGIlED OREG 6 1 l
ter rt t—±7." k.ii:4 — ap - Permit n°1> ( ( - 5 7 5•225 Fifth Streets Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 /
Date: 9'l I
This permit is issued under OAR 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.
=rLOCAL :GOVERN MENT APP ROVAL, °f', .', 'FEE, SCHEDULE ' "
Zoning approval verified? III Yes ❑No 'Number of inspections per item () Qty i eat ..cost
t',--CATEGORY nF, CONSTRUCTION,
Residential,per unit,service included:
[residential I ❑Government I ❑ Commercial
_.., 1,000 sq.ft.or less(4) / $147.50 $/t/7 c0
'! UOB;SIT.E INFORMATION+AND LOCATION
�� 7 Each additional 500 sq.ft.or portion _
Job site address: ✓t'Z—__S f thereof q $ 27.50 $0 c�
City: (>V`t�r.` 1 I State:. o1� ZIP:a?7�r 76 Limited energy(2) $ 35.00 $
Reference: /762 3'o( Z I Taxlot.: 290 v Each manufactured home or modular $ 69.00 $
:'_ti i , ;} DESCRIPTION '0Ei WORK dwelling service or feeder(2)
1)\-0...6., w r `c�. Ten" -P j�, ,.,� Services or feeders: installation, alteration, relocation
1 200 amps or less(2)
"+ PROPERTY 'OWNER *. �'` Fa 201 to 400 amps(2) $ 104.50 $
Name: Fa—e„,--t_ EY 401 to 600 amps(2) $174.00 $
Address: -y66, C K) ?t- ci- 'LSV 601 to 1,000 amps(2) $225.50- $
City: CL—. , I State:-6Z I ZIP: c?car Over 1,000 amps or volts(2) $516.00 $
Phone:. 4, 86 7C(7 / 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) l, / $ 69.00 $ 1p`J
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $
property is not intended for sale, exchange, lease, or rent. OAR
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
s1-i kxCO-NTRACTOR INSTALLATION:``-! r ;t.- Branch circuits:new alteration, extension per panel
Business name: riegyo 5/610 t&E . T 'ic a.Fee for branch circuits with purchase of a service or feeder fee:
Address: y 0q f/ rep L) y Each branch circuit $ 6.50 $
City: c LAL4, State:Q2 ZIP:5'79o( b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: 5:4J f - 3-6427 Fax: - - First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: (/6, 319 I BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 36/7 S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor:pc. ' v/a!'�3 Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor'/ I ltgnal circuit or a limited-energy(2) ergy panel, $ 80.00 $
� alteration,or extension 2
Each additional inspection:(1) $80.00 $
M sr n,ig ,APP,LICANT;USE _ > = ,
(A) Enter subtotal of above fees
$ •
(Minimum Permit Fee$80.00)
• (B)Enter 12%surcharge(.12 x[A]) 5,3 , I ri
(C)Technology Fee(5%of[A]) $ ,(a 15
TOTAL fees and surcharges (A through C): S 7 '
440-2584-J(4/012013/COM) J