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HomeMy WebLinkAboutPermit Electrical 2014-4-18 _ SPRINGFIELD 225 Fifth St •( aii CITY OF SPRINGFIELD Springfield,OR97477 \o OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00856 www.springfield-or.gov permitcenter(ojspringfield-or.gov PROJECT STATUS: Issued ISSUED: 04/1812014 EXPIRES: 10/15/2014 STATUS DATE: 04/18/2014 APPLIED: 04/18/2014 SITE ADDRESS: 975 6TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: El-Rewire house and cottage connected to main house-no range. OWNER: RINEHOLD NAOMI Phone Number: ADDRESS: PO BOX 1146 CAVE JUNCTION OR 97523 OWNER: SAMUEL HOBBS Phone Number: 458-205-1766 ADDRESS: 975 6th Street SPRINGFIELD OR 97477 • L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections 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. c- 7, 0?d 7 /7/9 • Owner or Contractor Signature Date • follow ATTENTION: Oregon law requires you to rules Notifj at on Cennter. Those rules age 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 number for the Oregon Utility Notificat on COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Center is 1-800-332-23441 Springfield Building Permit 4/18/2014 2:22:57PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD • :1 1 225 Fifth St ____..........itetti �`'oR'E�a4 TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-00856 • www.springfield-or.gov 975 6TH ST permitcenter©springfield-or.gov RECEIPT NO: 2014000865 RECORD NO: 811-SPR2014-00856 DATE:04/18/2014 [DESCRIPTION , .. - - ,.. _ACCOUNTCODE/TRANS.,CODS.;_..,..: _AMOUNT DUE,._; Each added 500 sq.ft. or portion 224-00000-426102 1004 55.00 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 24.30 Technology fee(5%of permit total) 100-00000-425605 2099 10.13 --_-------------------TOTAL DUE: 236.93 1_PAYMENT TYPE -e • FAYORe-_cAsHIER A cCARPENTER ..__. - COMM_ ENTS___ __ __ - . _':'- AMOUNT PAID__. Check SAMUEL HOBBS __ --__—_-- -- _ _- __.__ __236.93 _.-- ___. TOTAL PAID: 236.93 Electrical Permit Application DEPARTMENT USE ONLY •vr A.:1�,1:+-+� v7141fr�`. .,�r. + [,.,1V*,,,q r ,,.., rlts SPRINGFIELD y ®F� Ois$ I' Gm IIF.SLDy ®REG ! c x ^`11 Permit no.: 9y�'FS.--- 225 Fifth Snut*Sp•IingnJd,OR 97477•P11(541)7263753$I AA(541)726-3689 �="� oREGOhi -� Date: y//r71 V . 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 () Qty. Cea ost . TotaI cost CATEGORY OF CONSTRUCTION Residential, per unit,service included: ❑ Residential ❑ Government ❑ Commercial 1 000 sq. R. or less(d) 7 $147.50 $/Y77; JOB SITE INFORMATION AND LOCATION 1 Each additional 500 sq. U. or portion $ 27.50 Job site address: �� y ��4 f/ thereof ---- �i ___ _ City: /v,.yt gld State: Q - ZIP: 77 f7 Limited energy(2) — $ 35.00 $ Reference: -I-axlot.: 7 Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK (Melling service or 1 edcr(2) f��.` //rLe / ,, w'r _ Services or feeders: installation. alteration. reluc•n(ion L T rid / 200 amps or less(2) S 89.00 $ PROPERTY OWNER 201 to 400 amps(2) S 104.50 $ // 401 to 600 amps(2) $174.00 $ Name: 4..7 iglejj,6f Address'. 971- c7477- 601 to 1.000 amps(2) $225.50 S City:,4n1/e-i State:0/i ZIP: .In Over 1.000 imps or volts(2) $516.00 $ Phone:W.-Al / ,j r'ax: - Reconnect only(2) 5 69.00 $ E-mail: x4,0,4 & , .. • �!/� Temporary services or feeders: installation, alteration. relocation This installation is being made on residential or farm property 200 amps or less(2) 5 69.00 $ 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(I)and 47 5600). j 401 to 600 amps(2) $138.50 $ Signature: a i Over 600 amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: net alteration, extension per panel Business named ✓jt/&___ a. Ice for branch circuits with purchase do service or feeder fee: . Address: Each hranch circuit $ 6.50 $ City: State: ZIP: b. Ice for branch circuits without purchase of a service or ceder fee: Phone: - - Fax: - - First branch circuit (2) $ 60.50 5 E-mail: Each additional branch circuit 5 6.50 S CCB license no.: I BCD license no.: Miscellaneous lees:.service or feeder not included Signing supervisors license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) S 69.00 $ Signal circuit or it limited-energy panel, Signature of signing supervisor: altcrmion,or extension(2) s 80.00 $ Each additional inspection: (I) $80.00 $ APPLICANT USE . (A) Enter subtotal of ahove lees $ (Minimum Permit Fee 580.00) (B)Enter 12%surcharge(.12 x IA]) $ -?y3� l i (C)Technology Fee(5%of Al)I .$ id r •440-2584-1(4/01/2013/CObt) TOTAL fees and surcharges(A through C): $? j--