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HomeMy WebLinkAboutPermit Electrical 2014-7-1 (3) • SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 '• x Phone: 541-726-3753 • OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01421 www.springfield-or,gov permacenter@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 4 OWNER: YU EDWARD&SU Phone Number: ADDRESS: 3121 KEVINGTON AVE EUGENE OR 97405 L 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 II 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 IOTICE: A ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth UTHORIZED UNDER THIS PERMIT IS NOT 0 OAR You may obtain through OAR 952-001- 0090. You may obtain copies of the rules by )MMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone JY 180 DAY PERIOD number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/1/2014 11:50:55AM Page 1 of 1 SPRINGFIELD CI'T'Y OF SPRINGFIELD t f ..AO. 225 Fifth St III :it- :o OREGON TRANSACTION RECEIPT SpringfielgOR 97477 I! : � `l./li 541-726-3753 811-SPR2014-01421 www.springfield-or.gov 1747 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2014001429 RECORD NO:811-SPR2014-01421 DATE:07/01/2014 [DESCRIPTION__ - • .. _ACCOUNT CODE/TRANS CODE' _-__- _,> ,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 i.._PAYMENT TYPE- FAVOR_ CASHIER CCARPENTER _ COMMENTS _ , _;AMOUNT PAID _ ' :� Credit Card Patel ----'—.__ _-_ _ -- _ -- = --- ---- — 215.44- 001125 TOTAL PAID: 215.44 Electrical Permit Application. DEPARTMENT USE ONLY 144341K-41fs' 411 #r.^.44464 +?Y^'7tct 3tsGiY WTrd'Y.�', Ty 0 r'+ Srit iN C h to t.1.) IMI� SPRINGEWE i�REG- t N Y -/YZ( -:« `. 'msksiu5R=r&b` 'orra fF r to a Permit no.: 225 Fifth Street•5prurgneld.OR )7J77•F 11(1.11)7263753•1 \.\(5al)7]6 J689 C J, -+s• oaeL;OS Date: 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 () Qty. Cost Total CATEGORY OF CONSTRUCTION e%'• cost Residential,per unit,service included: ❑ Residential ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION 001)sq. li..or less( l) $147.50 S Job site address: --- Each additional 500 sq, li. or portion 7 4.�,_ I. _ tltercol $ 27.50 5 City: -f•/ _ ,, P Stare: © ZIP:g7L.f77 J Limited energy(2) .5.35.00 $ Reference: Taxlot.: Each manufactured home or modular SIC DESCRIPTION pa WORK dwelling service or feeder(2) $ 69.00 S _S`C r U f c -Q 1� c e I, ,it 1, Services (ceders: ins7ol(alro,i rrlreraliun. relucnl s",-;2:0 200amps or Ie>s(2) �y PROPERTY OWNER 201 to400 amps(2) A_ S 104.50 SSf� Narita: 401 in 600 amps(2) _ a �sww,uu.L ,4- $174.00 S Address: 7 i 601 to 1,000 amps(2) _.._ A, $225.50 5 City:. w j I State:© ZIP:q7q77 over L.000 amps or nulls(2) $516.00 S Phone:[ �-7 1-Li Y • Fax: - - - Reconnect only(2) .$ 69.00 S E-mail: Temporary services or feeders: n;.gallatinn, alterndnu. r-eloCUlion "This installation is being made on residential or farm property'ert y- 200 amps or less(2) owned by me or a member of my immediate family. This 201 $ 69.00 $ property is not intended for sale,exchange, lease, or rent. OAR 01 to 400 amps(2) 5 96.00 S 479.540(1) and 479560(I). 4 0 1 1 0 6 1)0 amps(2) $138.50 $ Signature: Over 600 amps or 1.000 oohs. see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new.. alteration. extension per pond Business mine: ` • • I P% a 4,� c I a. fee for branch circa its with purchase of a service or feeder fee: Address: r p 7`e, o u.v -CC-7- � .- Each branch circuit S 6.50 S l/i City: ✓, State: Of- I ZIP: • •t b. Fee for branch circuits vvillaout purchase ofa service or feeder fee: Phone:S Y/ - SO / 3 S0 FaxS / y 53 First branch circuit(2) $ 60.50 5 E-mail: Each additional branch circuit S 6.50 S CCB license no.: r( 3.. I BCD license no.: I Miscellaneous fees:service or_feeder not Inc/rated Signing supervisor's license no._ Cr go S Bach Pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: 73 I.if G n cl ,Y'v Each sign or outline (2)g lightin 7 — . _ ( S 69.00 Signature of signing Sllpel'l'15 Signal circuit or a limited-energy'panel, �� alteration. or extension(2) s 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USEC. e 7 (A) Enter submlal of above fees (11finimum Permit Fee 380.00) S (B) Enter 12%surcharge(.12 x IAI) $ �V (C)Technology Fee(59,a f IA l) S 9/D 440-2SS-4)t4/ih/20131C0■11 TOTAL fees and surcharges (A through C): $ 40e72.7, 2dV(41