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HomeMy WebLinkAboutPermit Electrical 2014-5-15 SPRINGFIELD 225 Fifth St • t CITY OF SPRINGFIELD Springfield,OR 97477 f,Leo Phone: 541-726-3753 n, OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01064 www.springfield-or.gov permitcenter @Springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/15/2014 EXPIRES: 11/10/2014 STATUS DATE: 05/15/2014 APPLIED: 05/15/2014 SITE ADDRESS: 925 HARLOW RD, Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703223300100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: HVAC controls and wiring OWNER: SELCO COMMUNITY CREDIT UNION Phone Number: ADDRESS: PO BOX 7487 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED Inspections • 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work is complete. 4550 Limited Energy • 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 61141'1 Springfield Building Permit 5/15/2014 8:08:56AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St OEGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 -x 811-SPR2014-01064 925 HARLOW RD wvnvsprin9feld-or.gov permitcenter @spring0eltl-or.gov RECEIPT NO: 2014001055 RECORD NO: 811-SPR2014-01064 DATE: 05/15/2014 (DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT-DUE HVAC 224-00000-426102 1004 80.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.60 Technology fee (5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 ;_ PAYMENT TYPE.;,_"_ _PAYOR CASHIER:JLARSON 7;`- v ,COMMENTS , AMOUNT PAID Credit Card COMFORT FLOW HEATING CO 93.60 01243J TOTAL PAID: 93.60 MRY-14-2814 11:45 From:COMFORT FLOW HERTING 15419889954 To:54172636E19 P. 1,'1 • • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.; 511(Zofy -v(p(o 22S Firth Street•Springfield,OR 97477•714(541)726-3753•FAX(S41)726.3689 ORe6ON Date: 5 //57/Y • This permit is issued under OAR 918309.0000. Permits are nontransferable. Permits expire if work is nut started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? N%A ❑ Yes ❑No Number of inspections per item () Qty- Cost Total CATEGORY OF CONSTRUCTION ca. cost Residential,per unit,service Included: D Residential ❑Government © Commercial 1,000 sq.ft or less(4) 5147,60 ` $ JOB SITE INFORMATION AND LOCATION lob site address:925 I Iarlow Rd Each additional 500 sq.ft.or portion thereof 5 27.50 $ City:Springfield I State:OR ZIP: 97477 Limited energy(2) 1 $ 35,00 $35.00 Reference: Taxlot: Each manufactured home nr modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or[ceder(2) Limited Energy IIVAC controls!§wiring Services or feeders:installation.alteration.relocation Controls upgrade at SELCO 200 amps or less(2) $ 69.00 2 • PROPERTY OWNER 201 l0 400 amps(2) $ 104.60 $ Name: SELCO Community Credit.Union 401 l0 600 amps(2) $174.00 $ Address: PO Sox 7487 601 to 1,000 amps(2) 5225.50 S City:Springfield I State:OR ZIP: 97475 Over 1,000 amps or volts(2) 5516.00 $ Phone:541- H6-5326 I. Fax: 541-686-5326 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 omps or less(2) S 69.00 $ owned by me or a member of my immediate family.This 201 Io 400 amps(2) S 96.00 $ property is not intended for sale,exchange,lease,or rent. OAR 479.540(1)and 479.560(l). 401 to 600 amps(2) 5138.60 S Signature:have signed contract wit)[SELCO Over 600 amps or 1,000 volts,sec services or feeders section above CONTRACTOR INSTALLATION - Branch circuits:new.. alerntion,extension per panel • Business name: Comfort Flow Heating a.Fee for branch circuits with purchase of a scrvicc or feeder fee: Address: 1951 Dan St Each branch circuit I $ 6.50 I 5 City:Springfield State;OR ZIP: 97477 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:541-72o-010U Fax: 541-988-9954 First branch circuit(2) $ 60.60 $ E-mail: mclany@comfortflow.com Each additional branch circuit $ 6.60 $ CCB license no.;•460 BCD license no.:20-431 CRE Miscellaneous fees:service or feeder not Included Signing supervisor's license no.: Each pump or irrigation circle(2) $ $9.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, If 80.00 $ Signature of signing supervisor: nil file alteration,or extension(2) — Each additional Inspection:(1) $80.00 S APPLICANT USE • • (A) Enter subtotal of above fees Ptomain Permit Fee 560. 580.00 — (B)Enter 12%surcharge(.12 x IA)) $9.60 (C)Technology Fee(5%of[A]) $4,00 ++0-2591 1 14/01b.0 I 3/COM) TOTAL,fees nod surcharges(A through C): $93.60 •