HomeMy WebLinkAboutPermit Electrical 2014-7-2 ' SPRINGFIELD - 225 Fifth St
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CITY OF SPRINGFIELD Springfield,OR 97477
L.& Phone: 541-726-3753
-.--\OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01396
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/02/2014 EXPIRES: 12/28/2014
STATUS DATE: 07/02/2014 APPLIED: 06/27/2014
SITE ADDRESS: 229 S 70TH ST,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702353305609 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-New SFD
OWNER: OPM ENTERPRISES LLC Phone Number:
ADDRESS: 112 E 13TH AVE
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Mechanical Contractor OWNER CCB 000000 08/01/2025
Electrical Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS REQUIRED
Inspections
4000 Temporary Power Service
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 ATTENTION: Oregon law Oregon Util ty
follow rules adopted by
Notification Center. Those rules are set forth .
fn OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
1F THE WORK calling the center. (Note: the telephone
NOTICE: PIKE MIT lS NOT number for the Oregon Utility Notification
THIS PERMIT SHAML THIS PER Center is 1-800-332-2344)'
AUTHORIZED UNDER
COMM$EONCED ORR ABANDONED FOR
ANY OA
Springfield Building Permit 7/2/2014 1:35:53PM l Page 1 of 1
Electrical Permit Application DEPARTMENT USE ONLY
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225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726 3689 -
Date: 27.2--// Lit
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 O ' ` Qty. -_Cost -Total' ,
ea. ' .'cost' '
CATEGORY OF CONSTRUCTION '
Residential,per unit,service included:
Residential ❑ Government ❑ Commercial
],000 sq. ft. or less(4) I $151.00 I $/ /
JOB SITE. INFORMATION 'AND.::LOCATION
9 '4 thereof additional 500 sq.ft.or portion Z $ 28.00 $ a®/'
Job site address: 0 �,p
CityS9(Lt nr C Ft L'lf State: d(t'_ ZIP: Limited energy(2) $ 36.00 $
Reference: Taxlot.: Each manufactured home or modular $ 71,00 $
DESCRIPTION OF WORK'` - dwelling service or feeder(2)
. 17�� / $t el _ to At Services or feeders: installation, alteration, relocation
tit/ / L„` 200 amps or less(2) I $ 91.00 $
PROPERTTY'OWNER " 201 to 400 amps(2) I $106.00 $
Name: (9/e9j 1 6�j . Gi_z_____ 401 to 600 amps(2) $178.00 $
Address: /7� L /314 igt/&:— 601 to 1,000 amps(2) $230.00 $
City: State: ZIP: 76710/ Over 1,000 amps or volts(2) $527.00 $
tyre d
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) I $ 71.00 $ 7/
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 INSTALLATION - Branch circuits:new alteration, extension per panel
Business name:S"—A( �_ E ccc t(Zi(_ a.Fee for branch circuits with purchase of a service or feeder fee:
Address��% �?G to, Each branch circuit I $ 7.00 $
City:Cg-CS VICL(,._ 1 State: ()g ZIP: 1750b b.Fee for branch circuits without purchase of a service or feeder fee:
Phon -7y' (a7;;;.2 Fax: - - First branch circuit(2) $ 62.00 $
E-mail: ��� -��,h.'��L �, ,
(-45/1-L Each additional branch circuit $ 7.00 $
CCB license no: 17y(1j t7 BCD license no.: cars, Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: Cy",-7 S Each pump or irrigation circle(2) I $ 71.00 $
Print name of signing supervisor- . fr. ' y Each sign or outline lighting(2) $ 71.00 $
Si afore of signing supervisor: Signal circuit or a limited-energy panel, $ 82.00 $
gn 5 P \/ alteration, or extension(2)
(//J Each additional inspection: (1) $82.00 $
1i11; . 'APPLICANT 1USE
(A) Enter subtotal of above fees $�C
(Minimum Permit Fee$82.00) D
(B)Enter 12%surcharge(.12 x[Al) $ <1
(C)Technology Fee(5%of[Al) $ f [0
(D)Continuing Education Fee$2.50 S .50
TOTAL fees and surcharges(A through D): $' 723!
440-2584-1(5212014/C0M)