HomeMy WebLinkAboutPermit Electrical 2014-4-16 SPRINGFIELD 225 Fifth St
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CITY OF SPRINGFIELD Springfield,OR 97477
`C� Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00825 .
www.s pringfiel d-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/16/2014 EXPIRES: 10/13/2014
STATUS DATE: 04/16/2014 APPLIED: 04/16/2014
SITE ADDRESS: 1285 E ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703351405200 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Rewire entire house and service
OWNER: FULLERTON JUANITA K Phone Number:
•
ADDRESS: 1285 E ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone •
Electrical Contractor CUTTING EDGE ELECTRIC LLC CCB 200160 06/12/2015 541-514-8856
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. ////J
7 Ge. "'i/ (�— 4,/ /G — /17
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Owner or Contractor Signature Date .
ATTENTION: Oregon law requires you to
ner gNotif cat on Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090.InYou may obtain copjes of the rules by
COMMENCED OR IS ABANDONED FOR g 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 11:55:13AM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD
k 225 Fifth SI
�`OREGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-SPR2014-00825
www.springfield-or.gov 1285 E ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000829 RECORD NO: 811-SPR2014-00825 DATE:04/16/2014
DESCRIPTION _ ' . _ 'ACCOUNT CODE/TRANS CODE, - _4-;AMOUNT DUE__)
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 17.70
Technology fee(5%of permit total) 100-00000-425605 2099 7.38
TOTAL DUE: 172.58
(_PAYMENT TYPE =PAYOR.:,..'CASHIER:ccARFENTER COMMENTS _,_„„. . ,AMOUNT PAID .: '
_ CUTTING EDGE ELECTRIC LLC iT 172.5
Credit Card 8
328060
TOTAL PAID: 172.58
• Electrical Permit Application DEPARTMENT USE ONLY
Virrt s _�,. .r„s -.- -� • . + v 5Y RING FIELD
CI SPRINGFIEaLD OR i G®,N A -= . y _ gZS�
Dh Permit no.:
225 Fifth Si eel•S n m field,OR 97477,P1f 541 726 3753•f x\(541 726-3689 - ~
( �, ( ) ) ` OREGON �//41// '
Date:
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? t Yes ❑ No Number of inspections per item ( ) Qty. Cost . Total
ea. cost
CATEGORY OF CONSTRUCTION
Residential, per unit,service included: •
I
%Residential ❑Government ❑Commercial
JOB SITE INFORMATION AND LOCATION 1,000 sq. It. or less I I) ( $147.50 $ �.�
Each additional 5(10 sq. 0. or portion
Job site address: /Z£eS �, 5-4-cc II hereof $ 27.50
City: See,; n-d - Stat
�. e: Gee, ZIP:974/77 Limited energy(2) $ 35.00 $
Reference: I Taxlot.: Each manufactured home or modular $ 69.00 $
dwelling service or feeder(2)
DESCRIPTION OF WORK
Services or feeders: installation, n0eraliat'. relocation
dec L.-IC-At c. £• C' 5 era r'CC
200 amps or less(2) 4 $ 89.00 $
PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $
Name: m7/,' M'rnt 7 401 to 600 amps(2) $174.00 $
Address: /2g5 /� F. S,4-re,/ 601 to 1;000 amps(2) $225.50 $
City: Sloe,:.-irel Stae: O. ZIP:?/e777 Over 1.000 amps or volts(2) $516.00 • Si
Phone$2//-72j- /33/ Fax: - - ^'A
Reconnect only(2) $ 69.00 $
E-mail: Ala_ Temporary services or feeders: installation. alteration. relacatlan
This installation is being made on residential 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 5
property is not intended for sale, exchange, lease. or rent. OAR
479.540(l) and 479.560(1) b 401 to 600 amps(2) $138.50 $
• Signature: �� jofi Over 600 amps or 1.000 voles. see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: new alteration, extension per panel
Business name: (--- -- ;.3 Core SZcc rvt LCD' a. Pee for branch circuits)cith purchase of a service or licder fee:
Address: Pe• ea x 2171 Each branch circuit cif $ 6.50 Si
City: EL...:rc State : Pte. ZIP: 97v37 h. Pee for branch circuits without purchase ofa service or Rieder ice:
PhoneS-4l-spy- &SS'S J Fax: /1/44 - First branch circuit(2) $ 60.50 S
E-mail 0 w4,3et,‘,e/c•ke 6) y.:14c r,. Cep Each additional branch circuit S 6.50 S ------
Ni is l aneo us fees:service or feeder rto!included
CCB license no.: z2a!^i/�O BCD license no.:��j6.S- �
Signing supervisor's license no.: 37765 Each pump or irrigation circle(2) 5 69.00 5
Print name of signing supervisor: v.,�.... .G',u<k,r' Each sign or outline lighting(2) _ $ 69.00 $
Signal circuit or a limited-energy panel.
Signature of signing supervisor: alteration,or extension(2) $ 80.00 $
Each additional inspection: (I) $80.00 S
APPLICANT USE
(A) Enter subtotal of above fees �J
.
(Minimum Permit Fee$80.00) S( ( ?CV
(B)Enter 12'%.surcharge(.12xAl) $ / 7 '7,—
(C)Technology Fee(5%of l Al) $ 77a-
TOTAL fees d.._.__..___.__ S7
440-2581-1 U/01/_0131CObp and surcharges (A through C): $ /72
(s /) 72 (' - 3749 (�`1 A,z)