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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.: > 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