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HomeMy WebLinkAboutPermit Electrical 2014-6-2 SPRINGFIELD 225 Fifth St ,t CITY OF SPRINGFIELD Springfield,OR 97477 i$ Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01191 www.springfield-or.gov permitcenter©springfield-ar.gov PROJECT STATUS: Issued ISSUED: 06/02/2014 EXPIRES: 11/2812014 STATUS DATE: 06/02/2014 APPLIED: 06/02/2014 SITE ADDRESS: 627 CASCADE DR,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702353303200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: E-Remove interior bearing wall-engineering provided OWNER: BROOKS RYAN DAVID&TAMZA COX Phone Number: ADDRESS: 627 CASCADE DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JFI CONSTRUCTION INC COB 180043 01/09/2016 541-607-6670 Electrical Contractor PACIFIC ELECTRIC LLC COB 199661 04/22/2015 541-206-7700 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.1 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: 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 COMMENCED OR IS ABANDONED FOR Notification Center. Those rules are set forth ANY 180 DAY PERIOD. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 6/2/2014 1:43.11PM Page 1 of 1 • SPRINGFIELD CI FY OF SI'RINGFIIELD 4 y 225 Fifth St "Steati TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811-S PR2014-01191 www.springfield-or.gay 627 CASCADE DR permitcenter@springfield-or.gov RECEIPT NO: 2014001201 RECORD NO:811-SPR2014-01191 DATE:06/02/2014 [DESCRIPTION = ACCOUNT CODEJTRANS CODE- '— AMOUNT DUE_ 1 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 82.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 ' _ PAYMENT,TYPE,: PAYOR ,CASHIER:CCARPENTER-.' ,; ; COMMENTS, g' ;%AMOUNT PAID Credit Card JFI CONSTRUCTION INC 98.44 06193G TOTAL PAID: 98.44 • 'Electrical Permit Application DEPARTMENT USE ONLY :a SPRINGFIELD -++e..� _ [t GIT�Y OFSPRINGFIELD 7OREGONie ' ° q 7.to . . .-.h�:......�e2';; r._.,r. zr '`4r.._,s."r, .�rr �., It 5'?_. ,,• .mss Permit no.: J(r( — �� 225 Fifth Street•Spnngfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 °" `'i8P Date: /Z.(/ Z/ 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=APP.ROVAL , ;)+ , '.`,, _ ,; , „ `:FEE SCHEDULE ` i.: Zoning approval verified? ❑ Yes ns ° xr Cost .1 ,Total -" ❑ No ;=Number of inspections.`per item O�+ Qty ; s,,.vACATEGORY OF CONSTRUCTION S-...'r `+,. Residential,per unit,service included: 'Residential I ❑Government I ❑ Commercial �eL€JOB _SITE' INFORMATION 'ANDX0OATION; }r 1,000 sq. ft. or less(4) $tst.00 $• Job site address: /n� Each additional 500 sq. ft.or portion L77 a S t0.d`E_ 1` thereof $ 28.00 $• City:5fi ej� State: O� I ZIP: 97t.f7CC Limited energy(2) $ 36.00 $ Reference: JJ I Taxlot.: Each manufactured home or modular $ 71.00 $ ;,,4; ' j'ijkl )DESCRIPTION`:OF`-'WORK; _t' -4S . dwelling service or feeder(2) n f ` ���c �� n _ Services or feeders: installation,alteration,relocation tT``CC `t '(Cu'/ 200 amps or less(2) • $ 91.00 $ v'{= ,`T , ,;tg:',PROPERTY,,=OWNER.',' '.7-A .`,:...;:173:f 201 to 400 amps(2) $106.00 _ $ Name: � o 401 to 600 amps(2) : $178.00 $ Address: 02 7 c c i� ,ri � 601 to 1,000 amps(2) $230.00 $ � City: S/ O I State: V v I ZIP: -7g7J Over 1,000 amps or volts(2) $527.00 $ Phone: - - I Fax: - - Reconnect only(2) $ 71.00 $ E-mail: Temporary services or feeders: installation, alteration,relocation • This installation is being made on residential-or farm property - 200a:.ps.or-less(2) -- - $ 71:00 --$ - -- owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 98.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.560(1). 401 to 600 amps(2) $142.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above -.iJ,yWL: y'=4CONTRACTOR,?INSTALLATION eta? M: .:e'i Branch circuits:new,alteration,extension per panel Business name: {Pat 1 ti.C 6.f.C-j rt C- f a.Fee for branch circuits with purchase of a service or feeder fee: Address: SI335 F.( l4 ci-te. F-c1 Each branch circuit I I $ 7.00 I $ City: State:Or_ ZIP:9'71(0Z b. Fee for branch circuits without purchase of a service or feeder fee: PhoneS7. ZOn`-770 b Fax: - - First branch circuit(2) ( $ 62.00 $ E-mail:P& t'f 1Lqq__/e/k fr,( .\Nei-rne-i l_ Ca Pe— Each additional branch circuit $ 7.00 $ CCB license no.: / /(o(O/ I BCD license no.: C- Z Miscellaneous fees:service or feeder not included Signing supervisor's license no.: T(O©S i % Eachlpump or irrigation circle(2) $ 71.00 $ Print name of signing supervisor- Each sign or outline lighting(2) $ 71.00 $ g g P ...tit 0. !•♦ Signature of signing su ervisoir �1�IS , Signal'circuit or a limited-energy panel, $ 82.00 $ Signature g g P �� . �-�L t • -ration,or extension(2) Each additional inspection:(I) $82.00 $ s<>u3w°CAs gi ':APPLICANT USE0XM F, (A) Enter subtotal of above fees $/� (Minimum Permit Fee$82.00) aL (B)Enter 12%surcharge(.12 x[A]) $ °/ Ci//, (C)Technology Fee(5%of[A]) $ if 12- (D)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through D): $ ?V U---- 440-2584-1(5/21/2014/COM) •