HomeMy WebLinkAboutPermit Electrical 2014-6-20 •
S'RINGFIELD ... 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
„ (�4!;v` Phone: 541-726-3753
° OREGON Building / Residential Permit Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01342
www.springfield-or.gov permitcenter @springfeld-or.gov
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PROJECT STATUS: Issued ISSUED: 06/20/2014 EXPIRES: 12/16/2014
STATUS DATE: 06/20/2014 APPLIED: 06/20/2014 •
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SITE ADDRESS: 1325 7TH ST,Springfield, OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703264308700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New 200 amp panel .
OWNER: GOTTLIEB LAWRENCE A &CHERYL C • Phone Number:
ADDRESS: 32586 HOWARD LP
COTTAGE GROVE OR 97424
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor HARDING ELECTRIC INC CCB 132089 02/01/2016 541-6B8-5006
INSPECTIONS REQUIRED
Inspections
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.
Owner or Contractor Signature Date.
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ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Canty. T1hoge (et forth NOTICE: ; =:,
In OAR 9,53 40tb4Firou OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
00 calling You ecyn center. ( o softhepho rules by AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon on Utility the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility NDtificatioll
Center Is 1-800-332-2344). ANY 180 DAY PERIOD.
Springfield Building Permit 6/20/2014 3:59:57PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
- , 225 Fifth St
' TRANSACTION RECEIPT Springfield,OR97477
.OREGON 541-726-3753
811-SP R2014-01342
wwwspringfie1d-or.goy 1325 7TH ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001354 RECORD NO: 811-SPR2014-01342 DATE: 06/20/2014
;DESCRIPTION „ ACCOUNT CODEITRANSCODE_ ,' -- AMOUNT DUE,
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
PAYMENT TYPE __�PAYOR,_._CASHIER:JLARSON,_•• "^-_COMMENTS ,AMOUNT PAID. .
Credit Ca rei CLEdfFiC INC 108.97
04352D
TOTAL PAID: 108.97
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Harding Electric, Inc. (541)653-1930 p.1
Electrical Permit Application DEPARTMENT USE ONLY
a >� �44 7:- 1 SNHlnmrlElo CSI/)-.
;1,1 .:.'. a :,;,W1:♦ r is ,pia r9'I ZA �gY Q, i t no.:5/7
/E7Lot:a' � ' .r _. Perm itno.. otL — O(3KZ••
225 Fifth Streer•spnngfidd OR 97477•PH(541)726-3753+FA\(541)726-3589 .0.�
.o,9i:GOt4
Date: 617.0/f/c/
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
Zoning approval verified'? ❑ Yes ❑No Number of inspections per item (1 Qty. Cea.ost Totcost
al
_ � CATEGORY OF CONSTRUCTION Residential, per unit,service included:
[J Residential ❑Government ❑Commercial
JOB SITE INFORMATION AND LOCATION
1.000 sq.R.or less(4) $147.50 I 5
Each additional 500 sq. R.or portion
Job site address: 12.25 711"1t' _Sp/7iC d Gt thereof $ 27.50 1 $
City: Jp7 ciffc-I(1, State: Or l ZIP: 9 NIP/ Limited energy(2) $ 35.00 $
Reference: ' Taxiot.: Each mmnufactured home or modular $ 69.00 5
DESCRIPTION OF WORK dwelling service at feeder(2)
O-3 tW 2d O Camp fit( Services or feeders:installation. olterniior„relocation
1J 200 amps or less(2) 1 $ 89.00 $
PROPERTY OWNER 201
_ ," / 201to 400amps(2) 5104.50 3
Name: �j ±-(1 es r L- . f A.,f-, 3 (Ae_s� / 401 l0 60(1 amps(2) 5174.00 S
Address:—y tc& (-row I(A 601 in 1,000 amps(2) $225.50 $
City: co p epc$>•e j Slate: or_ ZIP: Over 1 000 amps or volts(2) $516.00 $
Reconnect only(2) $ 69.00 $
Phone: - - Fax: - -
Temporary services or feeders: installation.alteration. relncutitm
L--mail:
200 amps or less(2) $ 69.00 5
This installation is being made on residential or fatm property
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $
property is not intended for sale,exchange, lease,or rent. OAR
479.5400)and 479.560(1.). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: nett.alteration. a tension per panel
Business name: Hardin t-(C.C.7rr L. silt ' a.Fee for branch circuits with purchase of a service or feeder fee
Address: 701 'U$ (J./2:5 Each branch circuit $ 6.50 S
r' b.Fee for branch circuits without purchase of a service or feeder fee:
City: �(��� I Slate: Of ZIP: 97�ay
Phones -' [,3��—l8r('3La I Fax:.54/ '19J3.�9/50 First branch circuit(2) 5 60.50 $
E-mail: —info O.r/YGrcJtdy Electric- , C.on Each additional branch circuit $ 6.50 $
CCB license no.: /32DA2 I BCD license no.::2U-2/3 71,' Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: J 792.. Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor:C/aP"lC" i-lardin Each sign or outline lighting(2) $ 69.00 $
///�����/ jrr Signal circuit or a limited-energy panel, $ 80.00 $
Signature Of signing supervisor: (�(,(,i�� , 'Jl aheralinn,or extension(2)
oEach additional inspection: (I) $80.00 $
APPLICANT USE
(A) Enter subtotal ui ahuve fees
(Minimum Permit Fee 580,00)
(B)Enter 12%surcharge(.12 x(A)) $
(C)Technology Fee(Mal—AD $
440-2584-1(4/01R0131COM) TOTAL fees and surcharges(A through C); $/061.1—