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HomeMy WebLinkAboutPermit Electrical 2014-7-1 (2) SPRINGFIELD--' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 - (\\ Phone: 541-726-3753 `9� ` OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01420 www.springfield-or.gov permitcenterespringfield-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 Units 2&3 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 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 follow rules adorpted by he Oregon Util ty NOTICE: Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- THIS ORI PERMIT UNDER THIS PERMIT IS NOT 0090. You may obtain Copies of the rules by AUTHORIZED calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number f orthe is Or1-800-332-2344).otification ANY 180 DAY PERIOD. . Springfield Building Permit 7/1/2014 11:48:41AM Page 1 of 1 SPRINGFIELD -'b i CITY OF SPRINGFIELD .ae� -q 225 Fifth St `�,�; C'! TRANSACTION RECEIPT SpringfieId,OR97477 OREGON 541-726-3753 811-SPR2014-01420 www.springfield-or.gov 1747 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2014001428 RECORD NO: 811-SPR2014-01420 DATE:07/01/2014 DESCRIPTION_: ' '' ACCOUNT CODE/TRANS,CODE, m_ :AMOUNT.DUE_...: 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 LPAYMENT TYPE -_ AMOUNT PAID -' .�PAYOR_ CASHIER:CCARPENTER COMMENTS;' �: :... .-.._ I Credit Card Patel 215.44 001125 TOTAL PAID: 215.44 • Electrical Permit Application 1 DEPARTMENT USE ONLY l -:me r ' .},°rrz,§$+<*4a!§sSW t+-?f'3-i�}3+r}4'b!}i �!'t'� 5rt'NC7aLU Q , SPNG�ELI??, OREGON Permit no.: Sly — /C{Ze) rIlirtrOlgra , -Y. +t5 xR3.-4. �,. 225 Fifth SnccltSpringfeld.OR 974771PI1(541) 26-3753♦F X(541)726-3689 ' ' = OREGON /A Date: 7/ ( / j / 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 clays. • LOCAL GOVERNMENT APPROVAL FEE SCHEDULE • Zoning approval verified? ❑ Yes ❑ No Number of inspections per item ( ) Qty. Bost cost ottal CATEGORY OF CONSTRUCTION Residential, per unit,service included: ❑ Residential ❑Government I ❑ Commercial • 1.000 sq.li. or less Id) , 1 $147.50 S JOB SITE INFORMATION AND LOCATION Each additional 500 sq. ft. or portion $ 27.50 S Job site address: I747 1 /-7 __ . thereof City: rc, 7 ./ -�,fi State: '` ZIP: 17477 Limited energy(2) S 35.00 $ Reference: - Taxlot.: Each manufactured home or modular DESCRIPTION OF WORK dl'elling service or feeder(2) $ s9.0o $ G 1 I • — Services or feeders: installation. alteratim relocation C�V V__lf_ / a , .7 Z 200 amps or less(2) % $ c.. �6 PROPERTY OWNER 201 to 400 amps(2) ��i $ 104.50 �S��1f- Name: Zr4-- ___Ot �-- / .1..0 , 401 to 600 amps(2) $174.00 S Address: 601 to 1.00(1 amps(2) $225.50 S City: State: Vg ZIP: 471..177 Over 1.000 amps or volts(2) $516.00 1 ��-7� Reconnect only(2) S 69.00 $ I hone: . Fax: .----- -- E-mail: Temporary services or feeders: installation, alteration. relocation -1-his installation is being made on residential or farm property' 200 1°°ps or less(2) S 69.00 S owned by ale or a member of my immediate family. This 201 to 100 amps(2) I 5 95.00 S property is not intended for sale, exchange, lease, or rent. OAR 479.540(I) and 479.560(1). 401 to 600 amps(2) 5138.50 $_ •Signature: - Over 600 amps or 1.01)0 colts. see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: ❑eu: alteration. extension per panel Business naine:'3 i it S• Fite/ sit. � a. Pee Ibr branch circuits with purchase Ufa service or Feeder fee: Address: p 775"b a- ,--r _D ,--Each hunch circuit S 6.50 S City: ' ,U i State: ©i— I ZIP: 97rb Z b. Fee for branch circuits without purchase of a service or feeder fee: • Phone:,SV/ Sot Sw5o J Fax:Ty/ -3 Y3 13 First branch circuit(2) 5 60.50 S E-mail: (( J Each additional branch circuit S 6.50 S CCB license no.: I BC/ ic D license no.: NI'Neel la ne /' s s fees:service Or not includes/ Signing supervisor's y's license no.: p Q (9 Each pump or irrigation circle(2) $ 69.00 S Print name of signing supervisor: ; G . q, ,'` I Each sign or outline lighting(2) S 69.00 5 o g r � Signal circuit or a limited-energy panel, Signature of signtn�supervis alteration.or extension(2) S 80.00 S I Fault additional inspection:(I) 580.00 I- $ 1 APPLICANT USE C` t2 0 (A) Enter subtotal of above fees C (Minimum Permit Fee 580.00) 5 1 J�e /� r - AI (B) Enter 12%surcharge(.12 x IA1) S 7 t 3,/_ IA (C) fechnologc Fee((5%ofd All — $ o• g lj 440.2554,1 t4(01/2013/COM) TOTAL fees and surcharges (A through C): S ?926 7 r