HomeMy WebLinkAboutPermit Electrical 2014-6-19 , SPRINGFIELD-- Springfield,OR 97477
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,�o OREGON Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01217
www.springfield-or.gov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/19/2014 EXPIRES: 12/15/2014
STATUS DATE: 06/19/2014 APPLIED: 06/04/2014
SITE ADDRESS: 950 66TH PL,SPRINGFIELD,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702341110300 TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION: E-New SFD-Lot/Tract C,Levi Landing
OWNER: INNOVATIVE LAND HOLDINGS LLC • Phone Number:
• ADDRESS: PO BOX 40626 .
EUGENE OR 97404
L CONTRACTOR INFORMATION 1
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
Mechanical Contractor HOME COMFORT INC CCB 113253 04/23/2016 503-623-2341
Electrical Contractor HARDING ELECTRIC INC CCB 132089 02/01/2016 541-688-5006
' SUMMIT PLUMBING I (PB)Plumbing Col PB137 07/01/2014 541-968-5270
INSPECTIONS REQUIRED
Inspections.
4000 Temporary Power Service
4225 Service or Feeder
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.
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4/79/. Y
-�1�7rSr or Contractor Signature Date
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001 0010 through OAR 952 001-
1UTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by-
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
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number for the Oregon Utility Notification
;;NY 1,80 DAY PERIOD. Center is 1 800-332-2344).
Springfield Building Permit 6/19/2014 9:13:16AM - Page 1'of 1
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SPRINGFIELD CITY OF SPRINGFIELD
1 TRANSACTION RECEIPT Spdngfeld.OR 97477
541-726-3753
OREGON 811-SPR2014-01217
www.springfleldocgov 950 66TH PL permitcenter @springfleld-or.gov
RECEIPT NO: 2014001306 RECORD NO:811SPR2014-01217 DATE:06/16/2014
DESCRIPTION t-T',:<'T`- , ._ .t `i_.,.sit .is s
.__ACCOUNT.CODERRANS CODES;° f'>•AMOUNT'DUE;i
Each added 500 sq. ft. or portion - 224-00000-426102 • 1004 112.00
Electrical Continuing Education fee 224-00000-425606 1032 2.50
Residence wiring 1,000 sq.ft. or less 224-00000-426102 1004 151.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 40.08
Technology fee(5%of permit total) 100-00000425605 2099 16.70
• Temp services 200 amps or less 224-00000-426102 1003 71.00
TOTAL DUE: 393.28
�r� '°'m" rbta""" mle3�.r`;�e '#AM_OUNT PAID'mu�nt =.=-
PAYMEN7uTCPE� -PAYOR'11�r.ASH�ER::ccARP,ENTER _. . COMMENTS _._�._,___ �; :I
Check INNOVATIVE LAND HOLDINGS LLC . 393.28
1128
TOTAL PAID: 393.28
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Electrical Permit Application DEPARTMENT USE ONLY•
SPRINGFIELD �' l -
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aws iI F, D 2$S F r�raY � w< Permit no.: s��Zcn 4 —Olin
225 Fifth Street•Springfield,OR 97477*PH(541)726-3753*FAX(541)726-3689
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Date: .,r//_ A e(
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 fi_ _,"' °
Zoning approval verified? ❑ Yes ❑No 4Number.of inspections per rtem () Qty Cost Thal'
_ t ea r .::cost.
-J:XATEGORY.,OF`CONSTRUCTION ( -- - ' ' ' ' - '
Residential,per unit,service included:
❑ Residential i ❑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: -/ cv a 62"N7 thereof $ 28.00 $
City: State: ZIP: Limited energy(2) $ 36.00 $
Reference: Taxlot.: Each manufactured home or modular $ 71.00 $
•.„' ;' LDESCRIPTION`'OF'•WORIC' , • _ dwelling service or feeder(2)
, fly L- /ec ✓lcc,,` Services or feeders: installation, alteration, relocation
200 amps or less(2) $ 91.00 $
: ` 5 PROPERTY;OWNER _ 201 to 400 amps(2) $106.00 $
Name: T,�noc.Tlve /�,-.c/ /4/21-:f”r 401 to 600 amps(2) $178.00 $
L/0 J 601 to 1,000 amps(2) $230.00 $
Address: k., g O /O 6 26
City: L c_yr.,_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
479.540(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
e_ ,;;CONTRACTOR INSTALLL"ATION < n - _s =L Branch circuits:new, alteration, extension per panel
Business name: mart n4E�u",1 t l c ?A J , a.Fee for branch circuits with purchase of a service or feeder fee:
Address: -2 0. :For--12(1123�•, Each branch circuit $ 7.00 $
City: ,(,4 a State:Or ZIP: 97404 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 $
Z.L/37C Miscellaneous tees:service or feeder not included
CCB license no.: �,3/,u�¢ BCD license no.: f
Signing supervisor's license no.: 579545 Each pump or irrigation circle(2) $ 71.00 $
Printname of signing supervisor: -Tame., )46/l. in _ Each sign or outline lighting(2) $ 71.00 $
Signal circuit or a limited
-energy panel,
Signature of signing supervisor: $ 82.00 $
extension
Each additional inspection:
(I) $82.00 $
V V ,,. �.. .. :-AP,PLICANTaSE m"_`.=MWIAtZ,
(A) Enter subtotal of above fees $ .
(Minimum Permit Fee$82.00)
(B)Enter 12%surcharge(.12 x [A]) $
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(C)Technology Fee(5%of[A]) $
(D)Continuing Education Fee$2.50 $2.50
• TOTAL fees and surcharges(A through D): $Zfj3 24 •
440-2584-1(5/21/2014/COM)