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HomeMy WebLinkAboutPermit Electrical 2014-5-30 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR974c77 tJ± Phone:541-726- 753' j jf,.k 7:� v OREGON Building / Residential Permit Inspection Phon�nsa'47?ti643769'� 1"F Fax: 541-726-3676 i1,1 5ggyv PERMIT NO: 811-SPR2014-01168 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: • Issued ISSUED: 05/30/2014 EXPIRES: 11/25/2014 STATUS DATE: 05/30/2014 APPLIED: 05/29/2014 SITE ADDRESS: 2620 31ST ST, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702193200602 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: water well pump install OWNER: BRANCH JAMES A &VIRGINIA L Phone Number: ADDRESS: 2620 N 31ST ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor RAINBOW PUMP CO INC CCB 38493 12/02/2014 541-726-1394 INSPECTIONS REQUIRED Inspections 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. Owner or Contractor Signature Date NOTICE: • • ATTENTION:Oregon law requlrea 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 15 5je:i number for the Oregon Utility Notification Center is 1-800-332-2344 • v/V- i Springfield Building Permit 5/30/2014 8:07:05AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 4 t .-43„- 225 Fifth St It Sc �GON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SP R2014-01168 www.springfield-or.gov 2620 31ST ST permitcenter @springfield-or cgov RECEIPT NO: 2014001175 RECORD NO: 811-SPR2014-01168 DATE: 05/30/2014 ;DESCRIPTION^ _ . ,_,__'ACCOUNT CODE/TRANS_CODE ,___ AMOUNT,DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 18.00 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 62.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 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: 96.10 _PAYMENT TYPE PAYOR-_ CASHIER:.LARSON COMMENTS_-Li ,-,. :_ , AMOUNT PAID _ __ iI Credit Card Rainbow Pump Co. 61:16- 6 10 005477 TOTAL PAID: 96.10 • May 28 14 12:51p CaseyJonesWD/Rainbow Pump 541-747-6602 p.1 Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD,•OREGON jy Permitno::rn/Z77..e../t4 t0ll(-045 • 225 Fifth Street•Springfield,OR 97477 tPH(541)726-3753•FAX(54t)726-3689 C aEGON Date: /30 A N • 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 ❑No Number of inspections per item () Qty. Cost Total ea, cost CATEGORY OF CONSTRUCTION • Residential,per unit,service included: N Residential ❑Government ❑Commercial • JOB SITE INFORMATION AND LOCATION 000 sq. fl.or le s(I) $147.50 $ Each additional 500 sq. R.or portion S 27.50 S Job site address: ,R 6,aC N' 3/ s'f. thereof City: So it,/ c/d State: 0,4 z1P:g7y77 Limited energy(2)• S 35.00 $ Reference: 01702-,1 '. 32 Taxlot.: 00002 Each manufactured home or modular S 69.00 S DESCRIPTION OF WORK dwelling service nr feeder(2) v�1�1 Services or feeders: installation, alteration,relocation • (/J eJ�'C r- we [( I)t'L-'_ !' ( ''^g�� 200 amps or less(2.) S 89.00 $ PROPERTY ,OWNER 201 to 400 amps(2) 5104.50 S .• Name: ,J4 nsx .$ -t I�(✓ I.Vt 1 Cv Si.Ij tat PVC 401 to 600 amps(2) $174.00 $ i• Address: a(, 20 Al, 3 h--(- S!' 601 to 1,000 amps(2) 5225.50 5 City: .Sf7Sri e,5-6e lei State: Oj� ZIP:/.797/ Over 1.000 amps or volts(2) $516.00 S I l! J Reconnect only(2) $ 89.00 S Phone: - - Fax: - - i E-mail' Temporary services or feeders: installation. alteration,relocation 200 amps or less(2) $ 69,00 $ This installation is being made coresidentis! or farm property owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 95.00 $ property is not intended for sale,exchange, lease,or rent. OAR 4 79.540(1)and 479.560(1). 401 to 600 amps(2) 5138.50 $ Signature: Over 600 amps or 1,000 volts,sec services or feeders section above • • • CONTRACTOR INSTALLATION Branch circuits:new alteration, extension per panel ��--rr [3 a. Fee for branch circuits with purchase of a service or feeder fee: Business name: ye�l n�W rkNA/7 CO . �11 C '. Address: {'�C `,37G S (7 1 Each branch circuit I I S 6.50 City: 2 kS'aa f /i it( Stale: 6t I ZIP: 9795-C b. Fee for branch circuits without purchase of a service or feeder fee: • Phone:$31/-7Z- (f39'6f Fars-7v - (a 6r1Z First branch circuit(2) $ 60.50 $ E-mail: . ra.j r. [01.07 uwYJ e a.rIOO. or^ Each additional branch circuit S 6.50 $ CCB license no.: ,39 913 BCD Iic nse no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 7-i yr'j'C fDT Each pump or irrigation circle(2) / $ 69.00 $19I Each sign or outline lighting(2) $ 69.00 $ Print name of signing supervisor: ahr�–J iS�� Signal circuit or a limited-energy panel, s 80.00 $ Signature of signing supervisor: 'on,or extension(2) Each additional inspection:(I) $60.00 S ✓!/ APPLICANT USE J (A) Enter subtotal of above fees $�'r ?fear; e ^ � n ? Al ' /1 (Minimum Permit Fee$80.00) LF�� �y /l5/�fi^V-�!/- V ' (B)Enter 12%surcharge(.12 x[A]) $ n�d oAd / pi , (C)Technology Fee(5%of[AD $ 3, y'S— 440--25844(4/01/2013/00x4) 4 TOTAL fees.and surcharges(A through C): s"-e-c rJ„At v 7 0