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Home My WebLink AboutPermit Electrical 2014-5-8 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 f` Phone: 541-726-3753 • - -- OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00448 www.springfield-or.gov permitce nter @springfield-or.goy PROJECT STATUS: Issued ISSUED: 05/08/2014 EXPIRES: 11/03/2014 STATUS DATE: 05/08/2014 APPLIED: 02/27/2014 SITE ADDRESS: 6102 Forest Ridge DR,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343403200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: E-New Single family dwelling Lot 21 MtGate OWNER: THOMET KURT Phone Number: ADDRESS: 3003 W 11TH AVE 250 EUGENE OR 97402 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2016 541-343-3702 Mechanical Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2016 541-343-3702 Electrical Contractor MAJESTIC WORKS CONTRACTING&ELECTRICAL LLC CCB 185982 03/19/2015 541-232-5033 Plumbing Contractor GLENN PRO INC CCB 189341 01/21/2016 541-345-2055 INSPECTIONS REQUIRED Inspections 4000 Temporary Power Service 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. 05///087 y - Owner or Contractor Signature Date / NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- • Ll:.. ANY 180 DAY PERIOD. :9090: You may obtain copies of the rules by ca"I"cklifitiherdenfort;rote:the telephone nurny{d ne'tfCo -tH� O"relgdn Utilify'Notifidation tific Center is 1-800-332-2344). Springfield Building Permit 5/8/2014 8:51:21AM Page 1 of 1 SPRINGFIELD `— CITY OF SPRINGFIELD 314 .,e�. - 225 Fitth 5t `�� - >'! TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S PR2014-00448 www.springfield-orgov 6102 Forest Ridge DR permitcenter @springfield-or,gov RECEIPT NO: 2014001008 RECORD NO: 811-SPR2014-00448 DATE:05/08/2014 DESCRIPTION _; r _-. � . ACCOUNT CODE/TRANS CODE_ AMOUNT DUE. Each added 500 sq ft or portion 224-00000-426102 1004 110.00 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 39.18 Technology fee(5%of permit total) 100-00000-425605 2099 16.33 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 382.01 • ;_PAYMENT TYPE` PPAYOR_... CASHIER:CCARPENTER COMMENTS AMOUNT PAID - I Check ARTISAN CONTRACTING LLC 382.01 5307 TOTAL PAID: 382.01 • May 08 14 12:19p Majestic Works 866-372-8007 p.2 • Electrical Permit A 1 1 licatioll a.mwcr rte._ DEPARTMENT USE ONLY CI n O�'.SPCZiNell Ln ORF GON . - a. it Permit m. 7((-- eft( 6 215 Ma StreeN6prtag Saki,OR 974774 M5e1)726-3753•FAX(3ao716 3ta9 ... Date: 21-2111y 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, LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? El Yes 0 N Number of inspections per item() Qty,jj Cr Total CATEGORY OF CONSTRUCTION I L (_ cost C1.Res(detitial Resideadal,per gait,service Included: •O Government I ❑Commercial ( S r JOB SITE INFORMATION AND LOCATION 000 sq.R or less(4) II / M.00 S /1/7 v Job site address:G/Q Z ,, G�G57 tile- t° additional 500 sq,ft.or portion S'7 ots S > XG00 City j ,Dfe7d I State:a, ZtP:g717 Limited energy(2) S 7200 S// Reference:J'3 _ 7p� ,3 5/r t/ I 'i'gxlo,.:03z$0 Each manufactured borne or modulm DESCRIPTION OF WORK dwelling service or feeder(2) S63A0 .S h�s� Services or feeders:Installation.alteration retoration 200 amps or less(2) $ 81.00 $ PROPERTY OWNER 20Iw400 amps(2) S 95.00 $ Name: J j/y/^ r�-�- 401 to 600 amps(2) Etw.00 $ Address: CC,,XC/n1.3 `�&.1 )/ 601 to 1.000 amps(2) $205.00 $ City: pdh I State: zip: 99'7Yi z— Over 1.000 amps or volts a) S469110 $ Phone: - - I Fax: - - Reconnect only(2) S 63.00 S E-mail: Temporary services or feeders:uismflauo;;cfreratlo einet2 ion This installation is being made on residential or farm property 200 amps or less(2) ! S S 65 owned by me or a member of my immediate family.This 201 to 400 amps(2) f . property is not intended for sale,exchange,lease,or rent.OAR - $ aim 5 479.540(1)and 479.560(I). 401 to 600 amps(2) $126.00 S Signature: Over 600 amps or 1,000 volts,are services or feeders section above CONTRACTOR INSTALLATION Branch circuits:new,alteration,eaeerrian per panel Business name;�fA T/6 SG CS r; cm.0p/�trcrnors.Fee for brunch circuits with purchase of a service or feeder fee: Address:? 7d79 Each branch circuit I $ 6.60 I $ City:v aej4endi State:aft I ZIP;971/7.5--- b.Fe:For branch circuits without purchase of a service or feeder fee: Phone' CI.gC 1 Fax -37z eact-7. First branch circuit(2) $ 55.0D $ E-diet` tisPe/Wat . ge."cern Each additional branch circuit S GAO S CCB license no.:/n,5 - BCD license no.: c/`ff Miscellaneous fees:service orferder no imitated Signing supervisor's license no.: SOS a. S Each pmnp or irrigation circle(2) 5 63.00 5 Print name of signing supervisor: Each sign or outline lighting(2) $63.00 $ Signature of signing supervisor: � Signal tine,or ore limited-energy pastel, s 67m $ alterstion,or extension(Z) Each additional inspection:(]) 568.00 $ APPLICANT USE (A) Enter subtotal of above fees t Q (Minimum Permit Tee 368.00) 5 )& • (B)Enter 12%surcharge(.12 x jAj) S y/s (C)Technology Fee(6%of(Aj) S /G3.i I TOTAL fees and surcharges(A through C): $ ,Ly BK 440.2584-1(9/OOM) l