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HomeMy WebLinkAboutPermit Electrical 2014-09-08SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 ;9-1v Phone: 541-726-3753 oaecON Building / Residential Permit Inspection Phone: 641-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01579 v .epdngfieldor.gov permitcenter@spdngfield-acgov PROJECT STATUS: Issued ISSUED: 09/08/2014 EXPIRES: 03/06/2015 STATUS DATE: 09/08/2014 APPLIED: 07123/2014 SITE ADDRESS: 4865 A ST, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702324101500 TYPE OF STRUCTURE: Residential –PR03EC-T-D ESCRI PT10N—FN ew$F OWNER: SPRINGFIELD/EUGENE HABITAT FOR HUMANITY Phone Number: ADDRESS: 1210 OAK PATCH RD EUGENE OR 97402 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor SPECIALTY PLUMBING CO CCB 102974 11/21/2015 541-6864191 Electrical Contractor BEAM ELECTRIC LLC CCB 192844 01/20/2015 541-968-1962 Mechanical Contractor ALPINE HEATING LLC CCB 193586 04/01/2015 541-954-9959 General Contractor HABITAT FOR HUMANITY SPRINGFIELn EUGENE CC8 196367 03/22/2016 541-741-1707 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 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 PI:I ALM SHALL EXPIRE If THE WORK hOIil1(7) UNDER THIS PERMIT IS NOT NCLD OR IS ABANDONED FOR 0 DAY PERIOD. Springfield Building Permit Date to fr n✓ :`1I Irl {rCh ,ontiiility Pluuut 'tion (-,(.I I I c� I. l l o!:., et forth in OAR 952-001-0010 uta ouc ih ,i if °�2-001- 0090. You may obtain Copies of the rulos by Calling the Center. (Note: the telephone number for the Oto47)n Utili'l.y Potification 9/8/2014 12:05:11PM Center IS 1-800-332-23,14). Page 1 of 1 CITY QF SFRl GFIELDt ORF'G�'N' DEPARTMENT USE ONLY f, Permit no.: S/'-(- / V / / Date: This permit is issued tinder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance m- if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION, ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: i tate- ZI Reference: Taxlot.: DESCRIPTION :OF WORK'- 201 to 400 amps (2) PROPERTY OWNER Name: Address: 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: ILI AZT' City: I State: &,Z I ZIP: 5'7 74� Phone: S f 16f,- 1 c?aj Fax:,;V- 51/1 o G2 E-mail: OD ]n/l-aO - 5 6 i%fivt4it, Ce") CCB license no.:192Y64 1 BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: 201 to 400 amps (2) Signature of signing supervisor: S`Ee -' Q t, -j I 14 440-2584-J (5/21/2014/COM) 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) $161.00 $ Each additional 500 sq. ft. or portion thereof l $ Y8,00 $ 'mited-e-ne-rg 36-0 Each manufactured home or modular dwelling service or feeder (2) $ 71.00 $ 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, exiensionperpanel 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 1 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service orjeeder 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 $ APPLICANTUSE',; ,7 (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): $