HomeMy WebLinkAboutBuilding Electrical 2013-07-01SPRINGFIELD --I 61--A OREGON www. spdng6eld-or.gov PROJECT STATUS: Issued CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2013-01427 STATUS DATE: 07/01/2013 SITE ADDRESS: 1033 F ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351402100 PROJECT OWNER: LANE COUNTY ADDRESS: PROPERTY MANAGEMENT 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 permil<enter(�springfield-or.gov ISSUED: 07/0112013 EXPIRES: 1 2/2 712 01 3 APPLIED: 06/2712013 SCOPE: Electrical Only TYPE OF STRUCTURE: Residential Phone Number: EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Typo Contractor Name Lic Typo Lic No Lic Exp Phone Eleolrical Gonlrealor BRYAN LmVRLEY CCD 149937 12R6f2013 541.606-2797 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 or 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 aro 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 silo at all times during construction. Owner or Contractor Signature followiruleOregon s adoptd by he requires rregonou 10 Utility Notification Center. Those rules are set forth In OAR 952.001.0010 through OAR 952.001- 0090. You may obtain copies of the rules by calling the center, (Note: the telephuno number for the Oregon Utility Notification Center is 1.800.332.2344). 7-1-13 Date NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 71V2013 12:35:26PM Page I of 1 (SPRINGFIELD - CITY OF SPRINGFIF;LD 225 Fifth Sl TRANSACTION RECEIPT Spdngheld.OR 97477 541-726-3753 `' OkEGON 811-SPR2013-01427 .,sprbgfield-orgov 1033 F ST permitwnler@spdn9ge:d-acgov RECEIPT NO: 2013001399 RECORD NO:811-SPR2013-01427 DATE: 07701,2013 ,DESCRIPTION., -_ _.- ACCOUNT_CODEITRANS CODE_--_, _ , -: AMdUNT,DUE Branch circuits ith_outservice or feeder - 1st circuit w 224-00000-426102 1004 60.50 Branch circuits without service or feeder - each additional 224-00000-426102 1004 26.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 10.38 Technology fee (5% of permit total) 900-00000.425605 2099 4.33 TOTAL DUE: 101.21 Credit'C 411073 TOTAL PAID: 101.21 • 1 1 1 ignm e DEPARTMENT USE ONLY Permit no.: 513 l/Z7 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 ❑ Government❑ Commercial JOB tSITE INFORMATION AND LOCATION' ' Job site address: ,Q -1�z 'F, �5—f, City: sklp—„) c, Red I State: OF, ZIP:G'(7L Reference: Q :13 -5itf Tax4(S c� ":iDESCRIPTION OF WORK= "'', +RD.D 0�ew C W—e,VTJ $ PROPERTY'.QVIINER Name: CD, �/G6/� Al V— Address: S- t- - City: State: ZIP: 97L/,) / Phone: Fax: E-mail: This installation is being made on residential 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(1) and 479.560(1). Signature: __,� ,.:=CONTTnRACTOR' INSTALLATION Business name: Address:' S,Q,,< City: y lc e_ State: ©Q_ ZIPI'7qQLK Phone!Se}(- 2% Fax: - E-mail: C%b-LS 0V C C vc CCB license no.:/J9q 3 4 1 BCD license no.:7.0-7770( Signing supervisor's license no.: "bb S Print name of signing supervisor: (L 4fj `,A"V, n Signature of signing supervisor: 440-2584-1(4/01/2013/COIvq FEE SCHEDULE .r -�: -Number of inspections per item O Qty cowl, Residential, per unit, service included: 1,000 sq. ft. or less (4) $147.50 $ Each additional 500 sq. ft. or portion thereof - $ 27.60 $ Limited energy (2)35.00 $ Each manufactured home or modular dwelling service or feeder (2) $69.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) $ 104.50 $ 401 to 600 amps (2) $174.00 $ 601 to 1,000 amps (2) $225.50 $ Over 1,000 amps or volts (2) $516.00 $ Reconnect only (2) $ 69.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) $ 96.00 $ 401 to 600 amps (2) $138.60 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: neo; alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.60 1 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 60.60 $ S Each additional branch circuit 1 $ 6.60 1 $ Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2) $ 69.00 $ Each sign or outline lighting (2) $ 69.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ moo $ Each additional inspection: (1) $80.00 $ APP ' CANT'iUSE,` (A) Enter subtotal of above fees (Minimum Permit Fee $80.00) $ (B) Enter 12% surcharge (.12 x [A)) (C) Technology Fee (6% of [A]) $ TOTAL fees and surcharges (A through C): $ 2