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HomeMy WebLinkAboutPermit Electrical 2014-4-28 (4) • SPRINGFIELD—, 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 `vo EGON Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00934 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 04/28/2014 EXPIRES: 10/25/2014 STATUS DATE: 04/28/2014 APPLIED: 04/28/2014 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 31&32 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 •r �f 4225 Service or Feeder `,-•n42Qa 4500 Rough Electrical Rough`,Electtt2': Prior to Cover •4999 Final Electrical Finai•Betric: 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. Owner or Contractor Signature Date uires you to Oregon la the Oregon Utility pTTENTION�. ted by follow rules Center' Those rules AR g52.001- NOTICE: Notification Center. ies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952 001-0010 throng hone 0090• You may obtain cop AUTHORIZED UNDER THIS PERMIT FOR NOT calling the Cen eregon Ut way Notification number lot the ANY COMMENCE 130 DAY OR IS BANDONED FO Center is 1 800 332_2344). Springfield Building Permit 4/28/2014 214:40PM Page 1 of 1 SPRINGFIELD OF SPRINGFIELD Vi. r_� 225 Fifth R St ` ; TRANSACTION RECEIPT Springfield.OR97477 OREGON 541-726-3753 811-SPR2014-00931 www.springfield-or.gov 1747 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2014000942 RECORD NO:811-SPR2014-00931 DATE:04/28/2014 (DES.CRIPTION___.` .- __ _-___x_; A000UNTCODE/TRANS CODE__ I AMOUNT DUE_ -_ Branch circuits with service or feeder each circuit 224-00000-426102 1004 19.50 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.02 Technology fee(5%of permit total) 100-00000-425605 2099 5.43 TOTAL DUE: 126.95 I_PAYMENTTYPE—_PAYOR - CASHIER:CCARPENTER : `COMMENTS_ :_.-,.„� ,AMOUNT PAID ;;;L:':•;;":"... Credit Card YU EDWARD&SU �� 126.95 028113 Credit Card YU EDWARD&SU 126.95 028113 Credit Card YU EDWARD&SU 231.08 028113 Credit Card YU EDWARD& SU 231.08 028113 TOTAL PAID: 716.06 • Electrical Permit Application DEPARTMENT USE ONLY S INGRELU C ingtoespRII GREEDpoRE U� N `-el Permit no.:Of 1— ;0rz0l 1'- o073 ,( 225 Fifth SUCet♦Spamgtield,OR 97477eP11(541)726-3753•IAA(541)726-3689 'K- OREGON ,,p Date: '�jZ/-gAr 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 clays. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item ( ) Qty. Cost Tot ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government ❑ Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. h. or less(d) $947.50 --- Each additional 500 sq. 6. or portion Job site address:/77/ ' et; s' r thereof $ 27.50 City'`/, J,& jfAlco State: A ZIP: 77V7`7 ' I..imited energy(2) $ 35.00 $ R j4A *r 3/ -t 3 d- Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION°OF WORK dwelling service or feeder(2) r Services or feeders: installation, alteration. relocation CI 200 amps or less(2) +_ $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) S 104.50 $ Name: e 6 ,tiyycca,�iy�y,c,,,,z 401 to 600 amps(2) $174.00 S �9 6011n 1,000 amps(2) $225.50 $ Address: ( 7y7 i �, i — �_ City:. x,41.4 .z ' State: 0/ ZIP:�79'7� Over 1,(100 amps nr volts(2) $516.00 $ Phonet557/_796, '/ q -/ Pax: Reconnect only(2) $ 69.00 $ E-mail: r----- Temporary services or feeders: installation, aeration. 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 Gamily. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479560(1). 401 to 600 amps(2) 5130.50 $ Signature: Over 600 amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: near. alteration, exlensian per panel Business name: 1. ( ('S F /y ,...1- ,; C a. Pee lbr branch circuits with purchase ofa service or feeder fee: Address: T77 r 0 fiettinv - LeT D r Each branch circuit 3 S 6.50 $ City: Fa 7 State: Jr® I ZIP: 97ya 1. b. Fee for branch circuits without purchase of a service or Feeder fee: Phone:,5Y/ So( 5 6 So Fax: - - First branch circuit(2) $ 60.50 $ f;mail: Each additional branch circuit $ 6.50 $ CCB license no.: a 035 / BCD license no.: Miscellaneous lees:service orJiec/er not included Signing supervisor's license no.: 9 0 Q S Each pump or irrigation circle(2) _1 $ 69.00 $ Print name of signing supervisor: ;U G r ek . t.- Each sign or outline lighting(2) $ 69.00 $ , Signal circuit or a limited-energy panel. Signature of signing supea �v,C� �y alteration.or extension(2) S 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above lees $ (Minimum Permit Fee 580.00) (B)Enter 1T%surcharge(.12sIAll $ (C)Technology Fee(5%of IA I) $ 440-2584-1(4101/2013/COM) TOTAL fees and surcharges(A through C): $"ZZjI