HomeMy WebLinkAboutPermit Electrical 2014-07-15SPRINGFIELD
17 y.
OREGON
w .sprmgfield-ar.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01511
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitmnterQspringfield- r.gov
PROJECT STATUS: Closed ISSUED: EXPIRES: 01/10/2015
STATUS DATE: 07/15/2014 APPLIED: 07/14/2014
SITE ADDRESS: 6811 C ST, Springfield, OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702344106000 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: BWOP addition by prior owners- compliance by Contractor's letters.
OWNER: NELSON-THIELE JULIE
ADDRESS: 670 MALLARD AVE
SPRINGFIELD OR 97477
OWNER: THIELE MARTIN
ADDRESS: 670 MALLARD AVE
Phone Number:
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No
Lie Exp
Phone
OWNER CCB
000000
08/01/2025
ORDELL CONSTRUCTION LLC CCB
177132
07/05/2015
541-747-8734
ORDELL CONSTRUCTION LLC (PB) Plumbing Cof
PB1143
07/01/2017
541-747-8734
INSPECTIONS REQUIRED
Inspections
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
Springfield Building Permit 7/15/2014 8:19:28AM Page 1 of 1
Electrical Permit Application SPRINGFIELD -, _
225 Fifth Street# Springfield, OR 974770 PH(541)726-3753#FAX(541)726-3669 `
I DEPARTMENT USE ONLY I
Date:
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
Zoning approval verified? ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION -
Residential
I ❑ Government I
❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: (p2_H C �'} �'.p�.'E
City: 'S r( Ln l2 �
State: Q RZIPP'7
0 <%
Reference:
Taxtot.:
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DESCRIPTION OF WORK Ackattwv
f
PROPERTY'OWNER
Name: t1434k V1 Th 14 (Q
V 1 1
Address: ,
City:fd I
StateO
ZIP:9r7'tj
Phone: )- %
a Fax: - -
E-mail: yvkmIto. rc( 6G-Aahoo• cow
This installation is being made on rest ential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(l) and 479.560 (Ik .• n - -
Signature: 1(��/�-�W
CONTRACTOR . 145REe-11
Business name: 0 S O G
Address: P0 'a / 7S
City:
City:
State: K
ZIP: 97V29
Phone:S yl85$. • 0$* 7 A
1 Fax: - -
E-mail: OCtA p / r,'"
0./ be
CCB license no.: 7-61 g
BCD license no.:
Signing supervisor's license no.: 4'777 5
Print name of signing supervisor: C4' p
Signature of signing supervisor:
440-2594-J (51212014/COK
FEE SCHEDULE
Number of inspections per item O
Qty.
Cost
ea,
- Total
cost
Residential, per unit, service included:
1,000 sq. ft, or less (4)
$151.00
$
Each additional 500 sq. ft. or portion
thereof
$ 28,00
$
Limited energy (2)
$ 36.00
$
Each manufactured home or modular
dwelling service or feeder (2)
$ 71.00
$
Se ices or feeders: installation, alteration, relocation
amps or less (2)
$ 91.00
$
201 to 400 amps (2)
$106.00
$
401 to 600 amps (2)
$178.00
$
601 to 1,000 amps (2)
$230.00
$
Over 1,000 amps or volts (2)
$527.00
$
Reconnect only (2)
$ 71.00
$
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 71.00
$
201 to 400 amps (2)
$ 98.00
$
401 to 600 amps (2)
$442.00
$
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch
I
$ 7.00
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
$ 62.00
$
Each additional branch circuit
$ 7.00
$
Miscellaneous fees: service orfeeder not included
Each pump or irrigation circle (2)
$ 71.00
$
Each sign or outline lighting (2)
$ 71.00
$
Signal circuit or a limited -energy panel,
alteration, or extension (2)
$ 82,00
$
Each additional inspection: (1)
$82.00
$
'=t '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])
$
(D) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (A through D):
'j((
Oregon Electric Company
Licensed - Bonded - Insured CCB 201643
(541) 852-0570 Oregon ElectricCompanyOgmail.corn
P.O, Box 175 Creswell, OR 97426
6811 C St.- Wiring Inspection
To whom it may concern:
Oregon Electric Company has inspected the wiring at 6811 C St, in Spfld, OR on
7/14/14, and has approved it to be safe.
Inspected wiring includes:
-All wiring done on addition of house
-Forced air system wiring
-Main electrical panel wiring
Sincerely,
Bryce Honer
Supervising Electrician
VPIRIGFIELD - CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-SPR2014-01511
wvrv.springfield-or.gov 6811 C ST permitcentef@spnngfield-or.gov
RECEIPT NO: 2014001510 RECORD NO: 811-SPR2014-01511
DATE: 07/14/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Balance of Minimum Electrical Permit Fees
224-00000-426102
1004
20.00
Branch circuits without service or feeder - 1st circuit
224-00000-426102
1004
62.00
Electrical Continuing Education fee
224-00000-425606
1032
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
9.84
Technology fee (5% of permit total)
100-00000-425605
2099
4.10
TOTAL DUE: 98.44
PAYMENT TYPE PAYOR CASHIER: CCARPENTER
COMMENTS
'AMOUNT PAID
Check NELSON-THIELE JULIE
98.44
7083
TOTAL PAID: 98,44