HomeMy WebLinkAboutPermit Electrical 2014-5-14 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
�� '' Phone: 541-726-3753
" OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01060
www.springfield-or.gov permitcenter@springtield-or.gov
PROJECT STATUS: Issued ISSUED: 05/14/2014 EXPIRES: 11/09/2014
STATUS DATE: 05/14/2014 APPLIED: 05/14/2014
SITE ADDRESS: 1380 CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703253307600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: EL-BWOP-See S14-966-Kitchen/bath remodel,no new fixtures, no new covered area.Floor
area added—15 sq-ft under existing roof.
OWNER: KRAMER STEPHEN P Phone Number:
ADDRESS: 42113 DEERHORN RD
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor THINK ELECTRIC WORKER COOP CCB 194352 06/22/2015 541-232-1212
• INSPECTIONS REQUIRED II
Inspections
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.
SAD r AS ---- -�Y-/`F
Ownero Contra r t.r Signature Date
ATTENTION: Oregon law requires you tlo
follow rules adopted by the Oregon Utility NOTICE: ,
Notification Center. Those rules are set forth
In 0090.OAR You may obtain copies of the rules by AUTHORIZED UNDER HIS PERMIT EIS NOT
0090. You may COMMENCED OR IS ABANDONED FOR
•
calling the center. (Note: the telephone
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
•
•
Springfield Building Permit 5/14/2014 1:08:41PM Page 1 of 1
SPRINGFIELD i CITY OF SPRINGFIELD
225 Fifth St
�
` 6GON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-SPR2014-01060
www.springfield-or.gov 1380 CENTENNIAL BLVD permitcenter@springfield-or.gov
RECEIPT NO: • 2014001053 RECORD NO:811-SPR2014-01060 DATE:05/14/2014
tDESCRIPTION - , :- - ACCOUNT CODE/TRANS CODE ; `;.,AMOUNT-DUE—I
Branch circuits without service or feeder- 1st circuit 224-00000-426102 ' 1004 60.50
Branch circuits without service or feeder-each additional 224-00000-426102 1004 32.50
Building Without Electrical Permit Penalty 224-00000-426102 1004 93.00
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 33.00
Technology fee(5%of permit total) 100-00000-425605 2099 13.75
TOTAL DUE: 321.75
•
t PAYMENTTYPE - PAYOR_ CASHIER:CCARPENTER _ , ' COMMENTS _ - - `AMOUNT PAID ;i
Check KRAMER STEPHEN P 321.75
2625
TOTAL PAID: 321.75
•
05/14/14 10 : 26AM PDT ' 5413593065 ' -> 5417263676 Pg 2/2
Electrical Permit Application DEPARTMENT USE ONLY
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ce a-, .x ,-_, .-1.. --j. x:.. }- .,. ,- .-.'` -pa, v-;i; Permit no
225 Fifth StreettSpriagfreld,OR 97477•P11(541)726.3753•FAX(541)7263689 *lO EGON
Date: S) / / e/
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? ❑ Yes Cost Total
❑No Number of inspections per item() Qty ea. cost
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
[' Residential ❑Government ❑Commercial
JOB SITE INFORMATION AND LOCATION 1.000 sq.ti.or less(4) $147.60 $
Job site address: 1380 Centennial Blvd Ereof itionat500 sq.ft.orportion Ihereof $ 27.50 $ -
City: Springfield State:OR ZIP: Limited energy(2) $ 35.00 $
Reference: TaxioL; Each manufactured home or modular
DESCRIPTION OF WORK dwelling service or feeder(2) 5 69.00 $
New 200A Service, Inspect and correct Services or feeders: installation alteration,relncarmn,
200 amps or less(2) 1 $ 89.00 $3
'As built wiring' under enforcement.
PROPERTY OWNER 201 to 400 amps(2) $ 104.50 .S
Name: Stephen Kramer 401 to 600 amps(2) $174.00 $
Address:42113 Deerhorn Rd 601 to 1,000 amps(2) $225.50 $
City: Springfield State: OR ZIP: 97478 Over 1,000 amps or volts(2) $516.00 $
Phone: (5411896-3205 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
479.5400)and 479.560(1). 401 to 600 amps(2) $136.60 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits:rein,alteration,extension per panel
Business name: Think Electric a.Fee for branch circuits with purchase of a service or feeder fee:�L
Address: PO BOX 844 Each branch circuit 115 $ 6.60 a J
City: Eugene State:OR z1P97440 b.Fee for branch circuits without purchase of a servic r ceder fee:
Phone:541 232 1212 Fax:541 .359 3065 First branch circuit(2) I $ 60.50 S
E-mail: info @think-electric.com Each additional branch circuit 5 8.50 $
CCB license no.: 194352 BCD license no.:C763 Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 53825 Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: Ste hen Schmiechen Each Signor outline lighting(2) $ 69.00 $
-
Signal circuit or a limited-energy panel,Si nature of signing supervisor: $ 80.00 $
alteration, extension
Each additional inspection:( ) V'"l 0 $9
>.
.%APPLICANT':USE '
(A) Enter subtotal of above fees S 2`�J 6
1
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $ �'j ec>-
(C)Technology Fee(5%of(AD $ 1.3
440-2584-J(4/0I2013/COM) TOTAL fees and surcharges(A through C): $N2A'ii"---
S/14/14 10 : 26AM PDT ' 5413593065 ' -> 5417263676 Pg 1/2
TO : City Of Springfield Building Safety Counter / Code Enforcement
We are working with Steve Kramer to correct his non permitted electrical at
a rental unit located at 1380 Centennial Blvd that is under Code Enforcement .
The online system does not apply enforcement fees so I am faxing this
permit application so you can calculate the appropriate fees then MR
Kramer can come in an pay.
Thank you
Stephen Schmiechen
Think Electric
541-232-1212
fax 541-359-3065
email info @think-electric . com
Cellular 541-870-9675