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HomeMy WebLinkAboutPermit Electrical 2014-6-9 SPRINGFIELD 225 Fifth St tI CITY OF SPRINGFIELD Springfield,OR 97477 �,;.( ea Phone: 541-726-3753 —Y1xt . OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01249 www.springfield-or.gov pe rmitcenter©springfield-or.gm, PROJECT STATUS: Issued ISSUED: 06/09/2014 EXPIRES: 12/05/2014 STATUS DATE: 06/09/2014 APPLIED: 06/09/2014 SITE ADDRESS: 2274 10TH PL,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703261204100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Compliance for unpermitted work by prior owner-contractor's letters attached OWNER: FERRY REANDA Phone Number: ADDRESS: 2274 N 10TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED ll Inspections 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. (-4911 vl Owner or Co actor Signature Date • NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth . COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone A number for the Oregon Utility Notification T Center is 1-800-332-2344). AI C( • AA Springfield Building Permit . 6/9/2014 3:08:23PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St µ Vi TRANSACTION RECEIPT SpringfielWR 97477 `co 541-726-3753 OREGON 811-SPR2014-01249 www.springfield-or.go✓ 2274 10TH PL pennitcenter @springfieid-or.gov RECEIPT NO: 2014001253 RECORD NO: 811-SPR2014-01249 DATE:06/09/2014 'DESCRIPTION __: ___ - _..�_.ACCOUNT CODE/TRANS CODE__ - :AMOUNT DUE__, Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 82.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 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 ' - ' AMOUNT PAID; _PAYMENTTYPE�.;,,� PAYOR caSNiEa_ccnRPENiER - COMMENTS _ „^ _,.,____„ ,:._.�_ __-._. . _ ._ Credit Card Stephen Ferry 98.44 024338 TOTAL PAID: 98.44 • .. • Electrical Permit Application : DEPARTMENT I.AE ONLY , ,.. ?CITY,' F'S PRINGF I E LD,:'0 RE G ON-;•-i4-'•. 14:ilir.----" E -t •-</r/i Y g .4.,,...? -.:,;••, -::;•., L.,:•.\-.;: ,:,..-,, .• Ai.:N :..:3-c,:,•:.,:,:4,,•,..)1,:,-, , •-:•,;!•• 4....irm * -..y4 Penni 99.• 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 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. ,'.LLOCAL,,;;GOVERNMENT :APPROVAL"!.■:1 Zoning approval verified? ID Yes 0 No Coq % Totir; Number ofP101:19Ps 13914111;'().“-) Qty 4'ei4:' =:>coSt11:: 107:72.;i4*CATEGORY,„OF CONSTRUCTION .1 4-,ff..n-L,° ,' - - - ' . . r---L.- - - ' '4"" -6'--- -' ' '' ' ."'- "It -. — ' - • Residential,per unit,service included: D Residential El Government El Commercial 1,000 sq. ft or less(4) $151.00 $ 1);11:1.,2'1'13JOBSITEANFORMATION:TjANDILOCATION::Sl . Each additional 500 sq.ft.or portion Job site address: 77 7'7 /07-4 /cc_ thereof $ 28.00 $ City: grEL,0 State: Orii- ZIP: Limited energy(2) $ 36.00 $ Reference: Taxlot.: Each manufactured home or modular , :11:4c0„.:,41::1f; :; AiYD ESCRIPTION.,OFAVORKKi4.[,X4n: dwelling service or feeder(2) $ 71.00 $ ii/eut/ 6r/Pof/2- er-41-e& Fri-- Services or feeders: installation,alteration,relocation 200 amps or less(2) - $ 91.00 $ PISefrfr" PROPERTYOWNEFV21/tkit''''---d i 45:t ktcfr.c--;: 201 to 400 amps(2) $106.00 $ . Name: 4---224.,V 401 to 600 amps(2) • $178.00 $ 601 to 1,000 amps(2) $230.00 $ Address:S7y n-A-- /14C71-2:2,-2., pr-- City: r7A4 r - State: /Lc ZIP: r 7 y07 Over 1,000 amps or volts(2) $527.00 $ Phone: - - Fax: - - Reconnect only(2) $ 71.00 $ E-mail: Temporary services or feeders: installation, alteration,relocation 200 amps or less(2) This installation is being made on residential or farm property $ 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 is- - .-ange, lease, or rent. OAR .-- 479.540(1)and 479.561....nulli 401 to 600 amps(2) $142.00 $ Signature: sn...-Th Over 600 amps or 1,000 volts,see services or feeders section above 597,,,,Witr-;.&;,.ct-O NTRA-cTo R-3 t-TALLATIONI,t ,"7.4,1V.!,.. Branch circuits:new, alteration,extension per panel Business name:LWAltek------ 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: Phone: - - Fax: - - First branch circuit(2) $ 62.00 $ 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 $ gmited-energy panel, $ 82.00 $ Signature of signing supervisor: Sinal icircuit or a li alteraton,or extension(2) Each additional inspection:(1) $82.00 $ :.543t11W1:117eigglARRLICANT43USE22:th,NRAIVMV, (A) Enter subtotal of above fees (Minimum Permit Fee$82.00) 512'--- (B)Enter 12%surcharge(.12 x[A]) $ 59.- (C)Technology Fee(5%of[A]) $ le) (D)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through D): $ 9t1 440-2584-1(5/21/2014/COM)