HomeMy WebLinkAboutPermit Electrical 2014-7-1 SPRINGFIELD 225 Fifth St
t, - CITY OF SPRINGFIELD Springfield,OR 97477
hrt',`. � Phone: 541-726-3753
OREGON
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01419
www.springfield-or.gov pe rmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/01/2014 EXPIRES: 12/27/2014
STATUS DATE: 07/01/2014 APPLIED: 07/01/2014
SITE ADDRESS: 1747 MAIN ST, Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703363106600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New services for fire damage repairs etc Unit 1
OWNER: YU EDWARD&SU Phone Number:
ADDRESS: 3121 KEVINGTON AVE
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor WILLIAM A GRAY JR CCB 21351 04/28/2016 541-485-3954
• L INSPECTIONS REQUIRED
Inspections
4225 Service or Feeder
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
ADEN rioth Oregon law the Oreg n Ut1 IW
follow rules adopted by
enter. Those rules are set fort •
Ino01\11952- 01
0010 through OAR 952 p01-
obtain copies of the rules one y
NOTICE:
0090. You may Note:the Noti1 ati0n
calling the cente0(•e9on Utildy
THIS PERMIT SHALL EXPIRE IF THE WORK numbeC�ente�is 1-g00.3324344'-
COMMENCED OOR IS ABANDONED FOR
NOT
THIS PERMIT IS
ANY 180 DAY PERIOD.
•
Springfield Building Permit 7/1/2014 11:46:24AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
• TRANSACTION RECEIPT Springfield,OR97477
" OREGON 541-726-3753
811-SPR2014-01419
www.springfield-or.gov 1747 MAIN ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001427 RECORD NO:811-SPR2014-01419 DATE:07/01/2014
DESCRIPTION_ ___,_ACCOUNT CODE/TRANS CODE __ AMOUNT CUE,
Electrical Continuing Education fee 224-00000-425606 1032 2.50
Services 200 amps or less 224-00000-426102 1004 182.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.84
Technology fee(5% of permit total) 100-00000-425605 2099 9.10
TOTAL DUE: 215.44
•
PAYMENYPE _ PAYOR�_CASHIER:CCARPENTER COMMENTS. _ _'. AMOUNT PAID
T T
Credit Card Patel 215.44
001125
TOTAL PAID: 215.44
•
•
Electrical Permit Application DEPARTMENT USE ONLY
t.. it =^ C,SdS:`crAf= L-=, '-Wi";F e i :6F:i'52»W,L - Se R I N G FI E L D
SCI e }SPRY G1r�IELD `OREG:®N 7
225 Fifth Sucet•Splmgfield OR 97477•PH(541) 26-3753.1 A\(+41)7263689 L'i4 : J
i.oUN
Dare: ? ( /
' This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within ISO
days of issuance or if work is suspended for I80 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoning approval verified? 0 Yes 0 No I Cost Total
Number of inspections per item O Qty,
CATEGORY OF CONSTRUCTION ea. cost
•
Residential, per unit,service included:
❑ Residential I ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION 000 sq. Ii,or less(4) 5147.50 S
�
Each additional .i(10 sq. ft. or portion
Job site address: L( thereof .S 27.50 S
_
City': a - I State: OR ZIP: Q7y77 Limited energy(2)--_
.5.35.00 I $
Reference: Taxlol.: Each manufactured home or modular
DESCRIPTION OF WORK
dwelling service or rccder(-) $ 69.00
r Services or feeders: installation, alteration. relocn/ l
S.e_ f- is • c .e .
�,`/ [��/n ,,,- D 20Pamps or less(2) --PROPERTY OWNER 201 to 400 amps(2) S 104.50 5
Name: Nit , t - . . . _ . 401 to 600 amps(2) -- 5174.00 $
Address: (7 y7 .fly 601 to 1.000 amps(2) $225.50 S
City: State: 67g ZIP: C 7t f 77 Over L0110 amps or volts(2) 5516.00 C
Phone:$(- t.-iFj�� Fax: —r--‘---- Reconnect only(2l S 69.00
E-mail: Temporary services or feeders: insta//t lon. al/eration.relocciioa
This installation is being made on residential or farm property' 2200`nTs or less(2) $ 69.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2)
property is not intended for sale, exchange, lease, or rent. OAR $ 96.00
479.540(1) and 479560(1). 40110 600 amps(2)
5138.50 5
Signature: • Over 600 amps or 1.000 volts. see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: rev. a/Iararion. extension per panel
Business naine ,`/rs
/F.c,/n ,'c I a. Pee Ibr branch circa ih with purchase ofa service or feeder Ice:
Address: /qqq��
17 7 5 a `4e,7- P e Each branch circuit S 6.50 S
City: w I State: O✓ TZIP: 9 7 yea Z h Pee for branch circuits without purchase of a service or feeder fee:
Phone:57/ 5a /FL y3 13
S � Fax�Y/ ,� 53 First branch circuit(2) I 5 80.50 I S
E-mail: Each additional branch circuit -- --
$ 6.50 I S
CCB license no.: Z/3 $( BCD license no.: Miscellaneous fees:sere-e or l eder not loth(led
Signing supervisor's license no.: 980 S Each pump or irrigation circle(2) S 69.00 5
Print name of signing supervisor: ;11 Va C•-•I Each sign or outline lighting(2) $ 69.00 5
Signature of signing Supefvi50r. �° Signal circuit nr a limited-energy panel,=s- _ i alteration. or extension(2) S 80.00 S
I Each additional inspection:(1) 580.00 I 5
_- APPLICANT USE ri C_ 2-ca
(A) Enter subtotal ofabove fees
(Minimum Permit Fee$80.00) e 1% sn�
(B)Enter 12%surcharge(.12 x IA I) S 2/ v -
(C)Technology Fee(5%ofI,1I)
-1,10-258-1-)(4nlli_013;CONI) TOTAL fees and surcharges (A through C): Sas /Jt cell'
-- L