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HomeMy WebLinkAboutPermit Electrical 2014-5-2 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 #S Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00970 www-springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/02/2014 EXPIRES: 10/29/2014 STATUS DATE: 05/02/2014 APPLIED: 05/01/2014 SITE ADDRESS: 7486 B ST, Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702354100100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: E-New Single Family Residence-Crossway Estates lot 1 OWNER: MIKE BLANKENSHIP CORPORATION Phone Number: ADDRESS: 8063 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor LYNNS ELECTRIC CO CCB 102316 10/14/2015 541-726-7895 Plumbing Contractor DOUGS PLUMBING INC CCB 110163 11/24/2015 541-688-3385 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 General Contractor BLANKENSHIP CORP CCB 78966 01/09/2016 541-746-0194 I, INSPECTIONS REQUIRED Inspections 4000 Temporary Power Service 4500 Rough Electrical Rough Electric: Prior to Cover 4550 Limited Energy 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. Owner 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: '' rry" In OAR 952.001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note:the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Center Is 1-800-332-2344). ANY 180 DAY PERIOD. 134. Springfield Building Permit 5/2/2014 9:00:23AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00970 www.springfield-or.gov 7486 B ST permitcenter @springfield-or.gov RECEIPT NO: 2014000978 RECORD NO: 811-SPR2014-00970 DATE: 05/02/2014 !DESCRIPTION___ _ i__ACCOUNTCODE/TRANSCODE=-____,;__AMOUNTDUE• Each added 500 sq.ft. or portion 224-00000-426102 1004 55.00 Limited energy, residential (with above sq ft) 224-00000-426102 1004 35.00 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 36.78 Technology fee (5%of permit total) 100-00000-425605 2099 15.33 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 358.61 I - AMOUNT PAID- " tt_PAYMENT TYPE, .' PAYOR CASHIER: � r - COMMENTS >�� ' `' ° Credit Card LYNNS ELECTRIC CO 358.61 ` 84338J TOTAL PAID: 358.61 • Electrical Permit A s s lication „ee,,,e,ae. . DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON link do _Permit no.:5PcgaiY_OO`77o 225 Fifth Street•Spriegfekl,on 77477•FH(541)726.3753.1rAX(541)726-3669 Date: C/Z//y Ibis 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. ....LOCAL.-GOVERNMENT APPROVAL FEE SCHEDULE • _ Zoning approval verified? ©Yes ❑No Number of inspections per item O !Qty.' Cost Total CATEGORY OF CONSTRUCTION ea cost / Residential,per unit,service included: _ kesidontial I ❑Government I ❑Commercial JOB SITE INFORMATION AND LOCATION 1,000 aq,ft or less(4) 1 $134.00 $ i3 Job site address: q rr Each additional 500 sq.R.or portion $ 25.00 $ (� \Q �p CI-11-11S thereof 2- S-O City:sf)nv l9-\e\a I State: 0� ZIP: Limited energy(2) 1 $ 32.00 $ 3 2. Reference: I Taxlot: Each manufactured home or modular $ 83.00 S • t V1� DM DESCRIPTION OF WORK 0.1.'3 dwelling eerviec or fcodor(2) \9.. �,p CiSW) Services or feeders:installation, alteration, relocation "Tew\9 c\e ♦Z ( OVV51YL1 Cfis"n • 200 amps or lass(2) $ x1.00 $ PROPERTY OWNER 20) to 400 amps(2) $ 05.00 $ i�11�e_ �C U\4\ (P 401 to 600 amps(2) $156.00 $ Name: 601 to 1,000 amps(2) $205.00 $ Address;` Y . City: m,7in �'p I State: 611-4I ZIP: 411 L 17 Over 1,000 amps or volts(2) $469.00 $ Phone:5-H-H 1 1 12 4 5T52,1 Fax: - - Reconnect only(2) $ 83.00 S Email: Temporary services or feeders:installation,alteration.relocation This installation is being made on residential or farm property 200 amps or less(2) 1 $ 83.00 S(O 3 owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $1 MAO $ • Signature: Over 600 amps or 1,000 volts,ace services or feeders section above CONTIRACTOR INSTALLATION Branch circuits:new,alteration, extension per penal Business name: L--�},�N-�!S E'k P G� (�. a.Fee for branch circuits with purchase of a service or feeder fee: ' Address: \•0,/''A(�x.y,Y Ac r�,,pp --a I Each branch circuit I $ 8.00 $ City: V\ l `\al 1�1 Stat&)� I ZfP r ry 3U, b.Fce for branch circuits without purchase of a service or feeder fee: Phone 1 . C1---114`)_) - I Paxf.�-H-I [p 1-72, First branch circuit(2) $ 55.00 $ • E-mail: �-.yN N 5-c.. 4 e C.- a t(• @ Ctv1ncast.rtf Each additional branch circuit $ 6.00 $ CCB license no.: 10131 L. I BCD license no.: Miscellaneous Res:service or feeder not included Signing supervisor's license no' 2, S Each pump or irrigation circle(2) $ 63.00 S Print name of signing supervisor: ?pc(te Each sign or outline lighting(2) $ 63.00 S Signature of signing supe 'or: Signal circuit or a limited-energy panel, $ 8J 00 $ B Bn nB Pe _ alteration,or extension(2) Each additional Inspection:(I) $58.00 $ t.c C�y 1 APPLICANT USE 6 (A) Enter subtotal of above fees $ ^�9 (Minimum Permit Fee$58.00) d "I 5)-11 359 - 7 ' (B)Enter l2%surcharge(12x[A]) $ 33,48" C r e d e 1-T Cm v v1 (c)Technology Fee(W of[A]) • $ J 3.eic $ TOTAL fees and surcharges(A through C): • we_ rnth.ve perm( Gvl- \e . 3, 0,z-1.3 440-25644(9/ta4/UOM) T /1 "a9Vd S8LO1799TV9 ariaMaI Nd LS VO VTOZ "TO 'AEN