HomeMy WebLinkAboutPermit Electrical 2014-6-19 -t ,
SPRINGFIELD - 225 Fifth St
' CITY OF SPRINGFIELD Springfeld,OR 97477
�_{ i Phone: 541-726-3753
\OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01331
www.springfeld-ar.gov permitcenter @springfield-or.gov
• PROJECT STATUS: Issued • ISSUED: 06/19/2014 EXPIRES: 12/15/2014
STATUS DATE: 06/19/2014 APPLIED: 06/19/2014
SITE ADDRESS: 717 71ST ST,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702352405500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New Service
OWNER: - HARRIS WILLIAM P&SUZANNE Phone Number:
ADDRESS: 717 71ST ST
SPRINGFIELD OR 97478 •
CONTRACTOR INFORMATION.
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electncal Contractor HARDING ELECTRIC INC GCB 132089 02/01/2016 541-688-5006
INSPECTIONS REQUIRED
Inspections
4220 Electrical-Service
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. 1•a , 6 / 9/ y
4 r or Contractor Signature Date
ATTENTION: Oregon law requires you to •
follow rules adopted by the Oregon Utility -''
Notification Center. Those rules are set forth NOTICE:
SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001- .
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone OM nh g0 DAY PERIOD.
COMMENCED OR lS ABANDONED FOR
number for the Oregon Utility Notification C0
Center is 1-800-332-2344). C
Springfield Building Permit 6/19/2014 9:26:02AM• Page 1 of 1
•
SPRINGFIELD — CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
OREGON 541-726-3753
811-SPR2014-01331
wv w spnngfield-or.gov 717 71ST ST permitcenter @spdngreld-ar.gov
RECEIPT NO: 2014001346 RECORD NO:811-SPR2014-01331 DATE:06/19/2014
DESCRIPI dON 4vrS:,Er r r �--- _ 3 - ;J r ,,
. ..C..rr _.��3eE.r._, _ML t, _�r _ , r..._ACGOUNTCODE/7RANS:CODE�,_��-r��-AMOUNT DUE`f
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 10.92
Technology fee(5%of permit total) 100-00000-425605 2099 4.55
TOTAL DUE: 108.97
Ilmr
µ�cPAYMENT4TY,PE P.AY,OR .cASwER J¢LARSOR , _ ,COMMENTS _ ANIOUNAFJAID
Credit Card Harding Electric 108.97
08230D
TOTAL PAID: 108.97
•
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•
•
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Electrical E Permit Application SPRINGFIELD . DEPARTMENT USE ONLY
‘7.,.,
GITYADFSPRINGFIELW4+OREGON4gj-i L,94#4.---TIZS.‘1
i-tt-c.ioticeSir-ttS+44iasikw5witiltiii4-.thii,gaiiWiAizgArklitteerat:4 rti;ttf,F.:774\ 6,4 Permit no...6/712°1 ti -
225 Fifth Street•Springfield,OR 97477•PI-1(541)726-3753*FAX(541)726-3689 ,tCa'aa---- -
Date: 6 41/4-1
-
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.
.::
Zoning approval verified? 0 Yes 0 No .Number of inspections per item(). i... i:9ty ,,,:i ea„-ii,A.:-L:cost-j:'
:;..;:. -7:-. :CAT.EGORY OF CONSTRUCTION,C'i:.:7*±'7.-i;;15 .--
Residential,per unit,service included:
fl Residential • El Government O Commercial
1,000 sq. ft. or less(4) $151.00 $
JOIEC:SITE INFORMATIOWAND ItCiCATIOWS:ikt.),":.
Each additional
Job site address: 317 7 jai- atr 500 sq.ft.or portion att- thereof $ 28.00 $
City:jip();1q cf. 'Cr'I a State: Or. ZIP: Limited energy(2) $ 36.00 $
Reference: •--J Taxlot.: Each manufactured home or modular
: :13ESCRIPTION OF::WORKNici,-;':).,:;;Lit'i° dwelling service or feeder(2) $ hi.Ou $
fliCal/ Seri CC- Services or feeders: installation, alteration, relocation
200 amps or less(2) 1 $ 91.00 $
9.9,7";:41%-.:-.• PROPERTY OWNER:-:41;k:;:::.?.:1-V'1::':: :.a. 201 to 400 amps(2) $106.00 $
401 to 600 amps(2) $178.00 $
Name: 61,/44..., I _C-J5 c., A4rr: _5
Address: 7 / 7 7 /5.7c- 601 to 1,000 amps(2) $230.00 $
ZIP:State: ev
City: (721/Z. r, 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
CONTRACTOR-,7INSTALLATIONIEV;r:4;-' Branch circuits:new alteration extension per panel
Business name: tiardIrlq El ec.:tri c flue.I a.Fee for branch circuits with purchase of a service or feeder fee:
Address: ?I 0 . Boy. g)../_12.3 Each branch circuit $ 7.00 $
City: t_et cf (Tile) State: the ZIP: Infin b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: .541)-(3953 -s L5(.. Fax:5741 _653 1/30 First branch circuit(2) $ 62.00 $
E-mail:5(1Pa 0 PlardAh9 EledilL .corn Each additional branch circuit $ 7.00 $
CCB license no.: e20-437 0.2.'j'BCD license no.: 13.2449 Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 57 775 Each pump or irrigation circle(2) $ 71.00 $
Print name of signing supervisor: ;lane& Hard, z Each sign or outline lighting(2) $ 71.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: $ 82.00 $
alteration, or extension(2)
Each additional inspection:(I) $82.00 $
}i;91.Alia.C5.-.7. AP 0 Li ciaiNitatitlynlitwaxtz .
(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): $/e3 '
440-2584-1(5/21/2014/COM)