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Home My WebLink AboutPermit Electrical 2014-6-10 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 {sm' Phone: 541-726-3753 ° OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01255 www.springfeld-or.gov • permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2014 EXPIRES: 12/06/2014 STATUS DATE: 06/10/2014 APPLIED: 06/10/2014 - SITE ADDRESS: 499 34TH ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702312410702 TYPE OF STRUCTURE: Residential. PROJECT DESCRIPTION: E-Convert garage to living room,_incl prior bedroom conversion. OWNER: OSTERHOFF JEFFERY SD&TINA M _ Phone Number: ADDRESS: 499 34TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER COB 000000 06/01/2025 Electrical Contractor OWNER COB 000000 08/01/2025 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. • �,..0 ..4i1r2Wda - /0-1g Owner or Contractor Signature V 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 j80•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 6/10/2014 10:39:15AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St rc`o'E�oN TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 811-SPR2014-01255 wxw.springfeld-or.gov 499 34TH ST - permitcenter @spnngfield-or.gov RECEIPT NO: 2014001262 RECORD NO:811-SPR2014-01255 DATE:06/10/2014 DESCRIPTIONF€:d"s ES ar:'fit 17;i: , '`1 i_- e',1A- `ACCOUNTCODEITRANSCODEllc'ji P,S1.? AMOUNTDUERis Electrical Continuing Education fee 224-00000-425606 1032 2.50 TOTAL DUE: 2.50 grATMENWEYREPMKRITEWTTNIMINIniarAMOLINAPJAIDIMMISIMI Cash OSTERHOFF JEFFERY SD&TINA M 2.50 TOTAL PAID: 2.50 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 a Le OREGON 541-726-3753 811-SPR2014-01255 www.spnngfieldor.gov 499 34TH ST permitcenter©spnnguield-or gov RECEIPT NO: 2014001259 RECORD NO:811SPR2014-01255 DATE:06/10/2014 at.a. 1:`MrPM -,111;:ela_eigri&liti ' ° ` ':: -ACCOUNT CODE/TRANS?CODE r'ti _ ''�.,AMOUNT-DUE a:.I Balance of Minimum Electrical Permit Fees �N= 224-00000-426102 1004 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: 95.94 P,AYMENTaTXP.E. PAYOR casNteae�a ccaaeeNreR _COMMENT& AMO,UNVAIDitinelatiti Credit Card OSTERHOFF JEFFERY SD 8 TINA M 95.94 05286b TOTAL PAID: 95.94 • • Electrical Permit Application .DEPARTMENT'USE.ONLY. SPRINGFIELD I' °'L$.. ,o+.sna ,i2.rFi..-,3,fit';t;Y, tragic°utzxscipt, 'zc .Y'cft str riwtiattawart aciftVa - �a 4�CI1 OFj,SPRINGUELD1�OREGON,l3 X'r =z$ -' rS/, CI -/ 2 J S ,a tt0.i1%Slia".tais_W.airs:r�'�' r'f a"ic..zMSGG. .<. ,� ,414 WL, .�;I Permit •no.: ' 225 Fifth Street•Springfeld,OR 97477*P1-1(541)726-37534FAX(541)726-3689 -1'-ti�.._'..i,. // 0// Date: y 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 t:' ,''''1,:...f E E.:S C H E ID U I.L.E*1 7 In o. p "Cost :;Tota ,' Zoning approval verified. ❑ Yes ❑No ::Number of inspections per item O ': Qty �?ea 7 "cost-�... t ,_..-5 . .... CATEGORY OF CONSTRUCTION a, - �- Residential,per unit,service included: ( Residential I ❑Government I ❑ Commercial JOB�'SITE"INF,.ORMATION7`ANDL''OCATION 1,000 sq.ft.or less(4) $151.00 $ "" �!, �� - Each additional 500 sq. ft.or portion - Job site address: 4. 7 thereof $ 28.00 $ City: T State: i ZIP: 7s' Limited energy(2) $ 36.00 $ Reference: Each manufactured home or modular�,Q Z Taxlot�f�0'i7i dwelling service or feeder(2) $ 71'00 $ :DESCRIPTION 'OF WORK. - _ �^�-�t, Services or feeders: installation, alteration, relocation - /'— G U' _ v 200 amps or less(2) $ 91.00 $ -" : ,`•PROPERTY `OWNER -: 201 to 400 amps(2) $106.00 $ Name: 3 e_f f -1-1-1,r\Ck , 05 1-t,1/1,01-`1'- 401 to 600 amps(2) $178.00 $ Address: "l9 9 3 y A S+ 601 to 1,000 amps(2) $230.00 $ City: 3.ii m Yte-Lj I State: of__ . I ZIP: c74 ))O Over 1,000 amps or volts(2) $527.00 $ Phone)- 714 ]gg 6( I Fax: - _ Reconnect only(2) $ 71.00 $ E-mail: J e �5+. Temporary services or feeders: installation, alteration, relocation �f e,rho 0J / This installation is being made on residential or arm property 200 amps 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 479.540(1)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 „+, I: ,-iCONTRACTOR INSTALLATION: `x , . .. , Branch circuits:new alteration, extension per panel Business name: a' /tom ce-F-f DS't -'/1biz. a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 7.00 $ City: State: ZIP: b. Fee for branch circuits without purchase of a service or feeder fee: Zit Phone: - - Fax: - - First branch circuit(2) / $ 62.00 $ V E-mail: Each additional branch circuit $ 7.00 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: - Each pump or irrigation circle(2) $ 71.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 71.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: alteration,or extension(2) $ 82.00 $ Each additional inspection:(1) $62.00 $ &L.III __?` .AP,PLICANT;°USE . '"in.h.:x.. x ., (A) Enter subtotal of above fees $ D� (Minimum Permit Fee$82.00) i (B)Enter 12%surcharge(.12 x[A]) $ e-y (C)Technology Fee(5%of[Al) $ fad (D)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through D): $ efi-Uli 440-2584-1(5212014/C0M)