HomeMy WebLinkAboutPermit Electrical 2014-5-1 •
SPRINGFIELD- - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
" oaeoor4 Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00969
www.springfieldbcgov permitcenter@springfield-or.gov
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PROJECT STATUS: Issued ISSUED: 05/01/2014 EXPIRES: 10/28/2014
STATUS DATE: 05/01/2014 APPLIED: 05/01/2014
SITE ADDRESS:. 1369 L ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703253306100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Rewire 1000 sgft
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OWNER: ASHIRA LLC Phone Number:
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ADDRESS: 674 W 24TH PL
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor HARDING ELECTRIC INC CCB • 132089 02/01/2016 541-688-5006
INSPECTIONS REQUIRED
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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.
kil-
l.onfaity
40 .
-r or Contractor Signature Date
ATTENTION: Oregon law requires you to NOTICE:
follow rules adopted by the Oregon Utility •
Notification 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
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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).
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Springfield Building Permit 5/1/2014 1:43:49PM 'Page 1 of 1
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SPRINGFIELD'-- CITY OF SPRINGFIELD
r1• 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR97477
n OREGON 541-726-3753
811-SPR2014-00969
www.springfield-or.gav 1369 L ST permitcenter @spnngfeld-or.gov
RECEIPT NO: 2014000970 RECORD NO:811-SPR2014-00969 DATE:05/01/2014
DESCRIPTION' . tt ?="ita;,!247:fg " `nri':' 'ACCOUNT:CODERRANS coDE Di Er2 AMOUNT'DUE .i!
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
:1.g- . -`_ PAYOR�"''CASHIER:;JL'ARSONI _ �; `COMMENTS•' 't` caAk' T_AMOUNT PAIDfaaryg'r_ak,*-._I
Credit Card HARDING ELECTRIC INC 172.58
00911D
TOTAL PAID: 172.58
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Electrical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD �^•�y
i.jVOF�SP R-' 4s G FIEL AD;ORn'44 EGON � •
, „- . r k_ a `a: , ^
Permit no.. ��zd-
l Li -COW
. _ ., .
2,25 Fifth Street•Springfield,OR 97477•PH(541)726-3753♦FAX(541)726-3689
Date: 9 C.,%// [/
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.
. wLOCALt;COVERNMENTIAPR OVAE L _ , ::, _Y llM :,:e` 24 FEE SCHEpUEE_;t,, x#'+M; zytt�
Zoning approval verified? ❑ Yes ❑No r sr.df re ,t Qty e cost':'
CATEGORYnOF,CONSTRUCTION w i i s
Residential,p untservice ncluded:
esidential ❑Government ❑Commercial
`a ' .10WISITE INEORMATION.:AND LOCATION 1c .
1,000 sq. ft.or less(4) T $147.50 $
Job site address: 2/ - Q .c,-i/ Each additional 500 sq.ft.or portion
1 l.3� / sl 1 1 �� y thereof $ 27.50 $
City:_ p()/)�-cj�CL 1State:O( 1 ZIP: 9f �� / Limited energy(2) $ 35.00 $
Reference: Taxlo[ Each manufactured home or modular $ 69.00 $
x' `t? (DESCRIPTION OF±WORK`S v r'f x .;N dwelling service or feeder(2) .
Services or feeders: installation,alteration,relocation
200 amps or less(2) $ 89.00 $
° ailtix`. P.RO PERTY;OWNER M� ,� " 201 to 400 amps(2) $ 104.50 $
Name: /I5 4,r,i GG G 401 to 600 amps(2) $174.00 $
Address: 604/ (/I 2 L/-/- 601 to 1,000 amps(2) $225.50 $
City: C Uy�,-x. State: a2 ZIP: Over.1,000 amps or volts(2) $516.00 $
Phone: - - - 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) $ 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(1)and 479.5600). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
3N'Nli, i' WCONTRACTOR;INSTALL'ATION ;1?-
�y -r- ''s T.f�.:?t, Branch circuits:new alteration,extension per panel
Business name: IlG,rdiO )z Jec't Y1 L _tic a.Fee for branch circuits with purchase of a service or feeder fee:
Address: y, 0,-30 j," (A/).-3 q Each branch circuit $ 6.50 $
City: LL.Lg1 C s1 C State: Or ZIP: 971/65 1/�/65 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: 5 `'r- -9(53 -?(Q5(p Fax?- (c1.5.' - 9/3D - First branch circuit(2) $ 60.50 $
E-mail: 1O f°63 -/Grill/7Q C.l eCiri c •Corn Each additional branch circuit $ 6.50 $
CCB license no: /3209 9 BCD license no.:,20-y37Q. Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: ..... 799-5 Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: jarle;J gGrd. n Each sign or outline lighting(2) $ 69.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: $ 80.00 $
alteration,or extension(2)
Each additional inspection:(1) $80.00 $
riaiskEtAPPLICANT tiiti .ea ' 1
(A) Enter subtotal of above fees , - $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) - $
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): $ 17Z-5---'
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440-2584-1(4/01/2013/COM)