HomeMy WebLinkAboutPermit Electrical 2014-07-16SPRINGFIELD
°' CITY OF SPRINGFIELD
-' OREGON Building / Residential Permit
PERMIT NO: 811-SPR2014-01529
w .sprngfield-ocgov
PROJECT STATUS: Issued ISSUED: 07/16/2014
STATUS DATE: 07/16/2014 APPLIED: 07/16/2014
SITE ADDRESS: 1351 LAWNRIDGE AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703252205000
-PROJECT -DESCRIP-TION: E—Air-condition
OWNER: BRUHN-SMITH ANGELA D
ADDRESS: 1351 LAWNRIDGE AVE
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenteF@spdngfield-or.gov
EXPIRES: 01/11/2015
SCOPE: Electrical Only
TYPE OF STRUCTURE: Residential
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor JEM ELECTRIC INC CCB 161235 09/07/2014 541-729-1074
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 1 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 properly, and the approved set of plans will remain on the site at all times during
construction.- I n
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Owner or Contractor Signature Date
CEI
rHII
SPERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER CHIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
AT VENTION: Oregon lawOregouiresn u to ty
follow rules adopted by the
lE)S are Set lorth
Notification Center. Those ruh OAR 952 -001 -
in OAR 952-001 out in Copies of the rules by
0090,ll You may
calling the center. (Note: the telephone
number for the is 800-332 2344).
Notification
Center
Springfield Building Permit 7/16/2014 10:36:61AM Page 1 of 1
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CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spdngfield,OR 97477
OREGON 541-726-3753
811-SPR2014-01529 .spdngeeld-or.gov 1351 LAWNRIDGE AVE permilcenter@spdngfield-or.gov
RECEIPT NO: 2014001528
RECORD NO: 811-SPR2014.01529
DATE: 07/16/2014
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
1 COMMENTS
Check KENT WITHAM AIR
2638
98.44
TOTAL PAID: 98.44
Electrical Permit Application
225 Fifth Street+ Springfield, OR 97477 ♦PH(541)726-37531FAX(541)726-3689
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Permit no.:
1,000 sq. ft, or less (4)
Date:
$134.00
$
Each additional 500 sq, ft. or portion
Ahercof
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.
440-2584-J (9/08/CON!)
Residential, per unit, service included:
1,000 sq. ft, or less (4)
$134.00
$
Each additional 500 sq, ft. or portion
Ahercof
$ 25.00
$
Limited energy (2)
$ 32.00
$
Each manufactured home or modular
dwelling service or feeder (2)
$ 63.00
$
Services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 81.00
$
201 to 400 amps (2)
$ 95.00
$
401 to 600 amps (2)
$158.00
$
601 to 1,000 amps (2)
$205.00
$
Over 1,000 amps or volts (2)
$469.00
$
Reconnect only (2)
$ 63.00
$
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 63.00
$
201 to 400 amps (2)
$ 87.00
$
401 to 600 amps (2)
$126.00
$
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 circuit
I
$ 6.00
1 $
b. Fee for branch circuits without purchaseof a service or feeder fee:
First branch circuit (2)
§ 3 0
Each additional branch circuit
$ 6.00
$
Miscellaneous fees: service orfeeder not included
Each pump or irrigation circle (2)
$ 63.00 $
Each sign or outline lighting (2)
§ 63.00 $
Signal circuit or a limited -energy panel,
alteration, or extension (2)
$ 63.00 $
Each additional inspection: (1)
$58.00 $
$
(A) Enter subtotal of above fees
(Minimum Permit Fee $53.00)
(B) Enter 12% surcharge (.12 x CA])
$
(C) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ Yc