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HomeMy WebLinkAboutPermit Electrical 2014-6-18 SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 , PERMIT NO: 811-SPR2014-01325 www.springfield-or.gov permitcenterEpsprin gfield-or.gov PROJECT STATUS: Issued ISSUED: 06/18/2014 EXPIRES: 12/14/2014 STATUS DATE: 06/18/2014 APPLIED: 06/18/2014 • SITE ADDRESS: 1031 56TH PL,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702331108400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Change OWNER: WOODLOVETO LLC Phone Number: ADDRESS: 743 N 61ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JEM ELECTRIC INC GCB 161235 09/07/2014 541-729-1074 INSPECTIONS REQUIRED Inspections 4210 Service Change 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 ensur- that all required inspections are requested at the proper time, that each address is readable from the street,that the permit .=rd is located at the front of the property, and the approved set of plans will remain on the site at all times during constr tion. a & aild 61 — Ifs- i •-r or • ractor `gnature Date • ATTENTION: Oregon law requires you to NOTICE• follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK 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 calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 8/18/2014 12:36:03PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St M ' • OREGON TRANSACTION RECEIPT Spring6 97477 541-723753 6-3753 811-S P R2014-01325 www.springfield-ar,gov 1031 56TH PL permitcenter©springfield-or.gov RECEIPT NO: 2014001339 RECORD NO:811-SPR2014-01325 DATE:06/18/2014 ;DESCRIPTION __ _ _. _ ACCOUNT CODE/TRANS CODE_ . .AMOUNT DUE" Branch circuits with service or feeder each circuit 224-00000-426102 1004 14.00 Electrical Continuing Education fee 224-00000-425606 1032 - 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.60 Technology fee(5%of permit total) 100-00000-425605 2099 5.25 TOTAL DUE: 125.35 PAYMENT TYPE PAYOR CASHIER:JLARSON A 1 _. r COMMENTS, ' ,- AMOUNT PAID • ' - - Credit Card JEM ELECTRIC INC 125.35 729399 TOTAL PAID: 125.35 • Electrical Permit Application . ,DEPARTMENT USE ONLY SPRINGFIELD C ..$� ' CTTY OI+ SPR SIGEIELD; OREGON °' "a s 57/c / / s pacr s ,ii, '.v3x°' weseT'Cri 'r' radeiw 'c�""'Str.t te,; f k, "<4i» Permit no.: Zo/2 �O �2 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 r ' Date: 6//QJ/ 9 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. v. - APPROVAL , ' - '%' FEE SCHEDULE r s p Cost Tiital ,z Zoning approval verified? ❑ Yes ❑No 'Number of inspecbonsper item O `�„ Qty, s".CATEGORY'OF CONSTRUCTION, , 4'. tea. Gist � r Residential, per unit,service included: ❑Residential ❑Government ❑ Commercial 1,000 sq.ft. or less(4) $151.00 $ " JOB _SITE INFORMATION: AND `LOCATION':;, , Each additional 500 sq ft or portion Job site address: 1031 �(o Retce. � thereof $ 28.00 $ City: cSpca State: )F ZIP: q/7/p Limited energy(2) $ 36.00 $ Reference: Taxlot.: Each manufactured home or modular $ 71.00 $ r , i:iDESCRIPTION-;OF WORK t ,. dwelling service or feeder(2) C n Services or feeders: installation, alteration, relocation VprUJC'P l�Lt7Q, 200 amps orless(2) t ill ll�I0 I $ 9,.00 $ `-`- V PROPERTY;OWNER :`:Tdr _.r?tf ?:... 201 to 400 amps(2) - $106.00 $ Name: tOCC _ GJ) CLC 401 to 600 amps(2) $178.00 $ • N Address: '7"/3 6/f 601 to 1,000 amps(2) $230.00 $ City: S/,C/, State: ZIP: 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 This installation is being made on residential or farm 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 479.5400)and 479.5600). 401 to 600 amps(2) $142.00 $ 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: ..TE ri-4 h c-c a.Fee for branch circuits with purchase of a service or feeder fee: Address: 385 -( c(, Each branch circuit a $ 7.00 $ City: 3pc A. tate: Or ZIP: 97 /78' 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.: ///6935 BCD license no.:190-.5 a 7C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each Each pump or irrigation circle(2) $ 71.00 $ Print name of signing supervisor: weft)-.) Each sign or outline lighting(2) $ 71.00 $ Signature of signing supervisor Signal ratiog circor uit or a limited- extension(2)energy panel, $ 82.00 $ �.----- al[e Each additional inspection:(I) $82.00 $ x-- it). ..„ I , '.ApPLICANt'USE'..emu/ - ii +. (A) Enter subtotal of above fees $ (Minimum Permit Fee$82.00) • (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ (D)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through D): $/LS II- 440 3 5 8 4-1(5/212014/CON