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HomeMy WebLinkAboutPermit Electrical 2014-5-21 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477•cot, Phone: 541-726-3753 `ir`'°aEc°N Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00910 www.springfield-or.goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/21/2014 EXPIRES: 11/16/2014 STATUS DATE: 05/21/2014 APPLIED: 04/25/2014 SITE ADDRESS: 3654 VITUS LN,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702301204200 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: E-New SFD Lot 50 River Hts OWNER: BREEDEN BROS INC Phone Number: ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic-No Lic Exp Phone Electrical Contractor THORNTON ELECTRIC INC COB 116329 08/21/2014 541-686-1628 BREEDEN BROS INC COB 27 12/04/2014 541-686-9431 L 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. ryr 5Al()9 O er or Contractor Signature ' Date, NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR • 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone • number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 5/21/2014 10:32:01AM Page 1 of 1 • SPRINGFIELD --- CITY OF SPRINGFIELD hi,;,;,�,„- "..-`O EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-00910 www.spnngfield-ar.gov 3654 VITUS LN perrnitcenter©springfield-ocgov RECEIPT NO: 2014001119 RECORD NO:811-SPR2014-00910 • DATE:05/21/2014 Tl .thi1gtlfo1; LIA,c.. „k a ,,rke.L:.r , __r° k,,.iACCOUNT.CODE/TRANS CODE ' ,-"`11:4 -AMOUNTtDUEi.'_i 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 P.AIMEISW E ,PAYOOR ASwER�� F7ErNreR - " - ,rCOMMENTS AMOUNTlP,AID Check John Thompson 382.01 3762 TOTAL PAID: 382.01 • • • • • • Electrical Permit Applcation DEPARTMENT USE ONLY SPfi1NGF1ELO 3 -; .,.caw at-- : c 'ece' > •� '-i ,C.� SPRINGli-" LD;,OREG-OM - S y =v r-Aret,k' a.-. = ii.. 'a: ] Permit no.: 9,0 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 _,.�` - /1/057 �./ Date: / 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 ` -.-:7-:H::: +,:.i.FEE, SCHEDULE ..-':'--.7: Zoning approval verified? ❑Yes ❑No Number of Inspections per Item O j Qty Cost - -" ri hst -- _. . '. : _ ;:.�. .:e- _ -: . cost,,,;- CATEGORY '.OF CONSTRUCTION Residential,per unit,service included: RI/Residential I ❑Government I ❑ Commercial j Y� 1,000 sq.ft.or less(4) j $147.50 $(y 7 / JOB;;SITE :INFORMATION 4,ND10CATION - Each additional 500 sq.ft.or portion / Job site address: 36 S c{ Jt thereof - y $ 27.50 $ /([7 City: C5u r`-'r' State:e ZIP: ! /270 Limited energy(2) $ 35.00 $ Reference /ex)7 31/2/2_ Taxlot 2cD Each manufactured home or modular dwelling service or feeder(2) $ 69.00 $ .;,DESCRIPTION'OF WORK ;= C1J1 ..t A `v r T i n R.w Services or feeders: installation, alteration,relocation 200 amps or less(2) $ 89.00 $ e. PROPERTY;0INNER, 201 to 400 amps(2) $ 104.50 $ Name: c __;1^p�"� .> 401 to 600 amps(2) $174.00 $ Address. 6,6, er- ifs/s- 601 to 1,000 amps(2) $225.50 $ _ City: 0J1 , State: UK-- ZIP: g7Y61` 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 $6,7 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 479.560(1). 401 to 600 amps(2) 5138.50 I $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above _ ,,,;CONTRACTOR INSTALLATION:.°-� Branch circuits:new alteration, extension per panel Business name: 7219/0 .7 ti -ET2fc a Fee for branch circuits with purchase of a service or feeder fee: Address: /16 u3� s--0 0 Y Each branch circuit I $ 8.50 I $ City: f L4 c Stater/2 ZIP:5'720( b.Fee for branch circuits without purchase of a service or feeder fee: Phone: 54-/( - 5-3_co&'7 Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: (/6 3)9 I BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: '36/7 s Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: T e t o r Y i ' p s Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor. d /j Signal circuit or extension limited-energy panel, $ 80.00 $ �_ =— „i„ L alteration,or extension(2) ' Each additional inspection:(1) $80.00 $ ^i r,IM A-PPLICANT'_USE :- '= (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ 3Af (B)Enter 12%surcharge(.12 x[A]) - CO /S (C)Technology Fee(5%of[A]) $ '1/�% TOTAL fees and surcharges (A through C): $e7 7ioi 440-2584-3(4/012013/C0M)