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Home My WebLink AboutPermit Electrical 2014-08-13SPRIN�OR 225 Fifth St CITY OF SPRINGFIELD li— Springfleld,OR 97477 Phone: 541-726-3753 EGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01756 wwi.springfield-or.gov permitcenter@spnngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/13/2014 EXPIRES: 0210812015 STATUS DATE: 08/13/2014 APPLIED: 08/13/2014 SITE ADDRESS: 1133 5TH ST, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703263402600 TYPE OF STRUCTURE: Residential -P-ROJECT-DESCRIPTION,€-Addition-to-existin"ingle-familyresidenc OWNER: WATTS BECKY JOY Phone Number: ADDRESS: 1133 STH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Electrical Contractor RS ELECTRIC LLC CCB 149509 11/02/2015 641-359-1192 .__ General Contractor STEVEN JOEY GAYLES CCB v—--------s----i-i-- 27215 01/2512010 541-345-9W8 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 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 Safely. 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 to 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 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 telephone number for the Oregon Utility Notification Center is 1-800.332.2344), fd(l f ICE: TI IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/13/2014 11:45:24AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD <,._- 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01756 % v .spdngfield-ocgov 1133 5TH ST permits nter@spdngfield-ocgov RECEIPT NO: 2014001756 RECORD NO: 811-SPR2014.01756 DATE: 08/13/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Branch circuits with service or feeder each circuit 224-00000-426102 1004 42.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 15.96 Technology fee (5% of permit total) 100-00000-425605 2099 6.65 Check RS ELECTRIC LLC 5615 TOTAL DUE: 158.11 158.11 TOTAL PAID: 158.11 CITY QF SPRINGFIELD �ORE�ON�� DEPARTMENT USE ONLY Permit no.: 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 21 esidential ❑ Government ❑Commercial JOB SITE INFORMATION AND LOCATION . Job site address: ( ,f% Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) tate IP Reference: Taxlot.: ,,��j0 DESCRIPTION 'OF WORK 201 to 400 amps (2) PROPERTY OWNER 1 Name: G S , Address: /3 City: State: ZIP: 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: CONTRACTOR INSTALLATION Business name: Address: -2 3 City: c State: ZIP: % 01 Phonesy/-uy- 0goO Fax6-H/- y (- 057)7 E-mail: &102C CCB license no.: BCD license jio..,2&C Signing supervisor's license no.: 49 A S Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (5/21/2014/COM) FEE SCHEDULE . Number of inspections` per itemO 11 Qty. .Cost ea. Total " I cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. ft. or portion $ yg,00 $ thereof imited-en;;95-(2j 6:0 Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 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 1 $ 201 to 400 amps (2) $ 98.00 $ 401 to 600 amps (2) $142.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extensionperpanel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 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 $ APPLICANT: USE (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $� (B) Enter 12% surcharge (.12 x [A]) $ 1? (C) Technology Fee (5% of [A]) $ lOS (D) Continuing Education Fee $2.50 $2.60 TOTAL fees and surcharges (A through D): $/57