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HomeMy WebLinkAboutPermit Electrical 2014-7-10 • SPRINGFIELD 225 Fifth St c CITY OF SPRINGFIELD Springfield,OR 97477 \ ¢co, Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01496 wv w.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/10/2014 EXPIRES: 01/05/2015 STATUS DATE: 07/10/2014 APPLIED: 07/10/2014 SITE ADDRESS: 4255 MT VERNON RD,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802052108504 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rewire House OWNER: CATALEJO PROPERTIES LLC Phone Number: ADDRESS: 80396 LOST CREEK RD DEXTER OR 97431 • CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone Electncal Contractor EVERYDAY ELECTRICAL SERVICE INC CCB 136371 08/12/2015 541-912-2957 INSPECTIONS REQUIRED • • Inspections 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. // ,������� 74 �7 Owner or Contractor Signature Date follow ATTENTION:dopted by the requires regon you to Notification Center. Those rules are set NOTICE: forth THIS PERMIT SHAH EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344), • Springfield Building Permit 7/10/2014 1:38:20PM Page 1 of 1 • • Electrical Permit Application DEPARTMENT USE ONLY i.�'a�-. SPRINGFIELD '_... g° j= 7,Os .V:y,P G 'WiTIR G“�� �'/t'Zo/y — of L14� um �,?�,a'', - a°£s "".a�el .Fn Permit no.: 225 Fifth Street*Springfield,OR 97477•P11(541)726-3753*FAX(541)726 3689 Date: 7/0//y 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 ._• ": CATEGORY OF CONSTRUCTION ' Residential, per unit,service included: l`Residential ❑ Government ❑Commercial JOB:SITE. INFORMATION 'AND :'LOCATION : 1,000 sq. fr. or less(4) $15t.00 S ` r Each additional 500 sq, ft.or portion Job site address: �`` ''�`J pit, V('/{'�DV1 thereof $ 28.00 $ City: 5?p ;e,1 ) State:Qk ZIP: Limited energy(2) $ 36.00 $ Reference: • Taxlot Each manufactured home or modular $ 71.00 $ DESCRIPTION OF WORK •: dwelling service or feeder(2) hh111n _/ '1` Services or feeders:installation, alteration, relocation V N-� Ivf r'L 200 amps or less(2) I $ 91.00 $ `PROPERTY:.OWNER 201 to 400 amps(2) $106.00 $ Name:C4�4'1r.�D `?r'o c� cS �L c 401 to 600 amps(2) $178.00 $ Address//::� 396 Ci q Cr 601 to 1,000 amps(2) $230.00 $ City: Oe,s'4te— State: ZIP: Over 1,000 amps or volts(2) $527.00 $ 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) $ 71.00 $ 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 I $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ?CONTRACTOR .INSTALLATION'` r r ,- Branch circuits: new, alteration, extension per panel Business name: GV'P f(/I ITII E 7 LJv I ., a.Fee for branch circuits with purchase of a service or feeder fee: Address: Z'7 q'Z'.1' "' -e.,0'r'J pi CL 9 /� Each branch circuit $ 7.00 $ City- 7,y�416(1' C\-74 I State: ZIP: 9 7IPIX b.Fee for branch circuits without purchase of a service or feeder fee: ,// Fax: - - First branch circuit(2) $ 62.00 $ Phone:s�)-�JZZ9S E-mail: Each additional branch circuit $ 7.00 $ CCB license no.: 136 37) I �BC/D license no.:2O-.214214116,c�� Miscellaneous fees:service or feeder not included Signing supervisor's license no.: '7 b Q 5 Each pump or irrigation circle(2) I I $ 71.00 $ Print name of signing supervisor: WQ ,Tiont Each sign or outline lighting(2) I I $ 71.00 $ n Signal circuit or a limited-energy panel,r $ 82.00 $ Signature of signing supervisor: l� alteration,or extension(2) LLL Each additional inspection: (1) $82.00 $ 5- -_ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$82.00) • (B)Enter 12%surcharge(.12 x[A]) $ • (C)Technology Fee(5%of[A]) 1 $ (D)Continuing Education Fee$2.50 I $2.50 TOTAL fees and surcharges(A through D): I $/n /7 440-2584-i(5/212014/C0M) • • SPRINGFIELD`--- CITY OF SPRINGFIELD t1 "' TRANSACTION RECEIPT 225 Fifth St Spnngfield.OR97477 ;"g 541-726-3753 OREGON 811-SPR2014-01496 www.spnngfield-or.gov 4255 MT VERNON RD permitcenter©springfield-or gov RECEIPT NO: 2014001494 RECORD NO:811-SPR2014-01496 DATE:07/10/2014 AGCOUNTICODEITRANSICOD Electrical Continuing Education fee 224-00000-425606 1032 2.50 Residence wiring 1,000 sq.ft or less 224-00000-426102 1004 151.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.12 Technology fee(5%of permit total) . 100-00000-425605 2099 - 7.55 . TOTAL DUE: 179.17 `it AY,MENT6TYPE PAYOR-. caswEFt:.JLpRSON - COMMENTS' AMOUNT AID -- Credit Card EVERYDAY ELECTRICAL SERVICE II 179.17 890474 TOTAL PAID: 179.17