HomeMy WebLinkAboutPermit Electrical 2014-09-12 (2)SPRINGFIELD
t.
OREGON
www.sprmgfieWocgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01973
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 641-726-3676
pe mince me r@springfield-orgov
PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015
STATUS DATE: 09/12/2014 APPLIED: 0911212014
SITE ADDRESS: 1454 HAYDEN BRIDGE RD, Springfield, OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1703243300204 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Connect furnace, new AC circuit, hot tub circuit and GFCL
OWNER: OWNER UNKNOWN
ADDRESS: 1863 PIONEER PKWY E STE 424
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2016 541-687-5770
INSPECTIONS REQUIRED
Inspections
4999 Final Electrical Final Electric: When all electrical work is complete.
4500 Rough Electrical
Rough Electric: Prior to Cover
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.
���1 kkS, (�tox Lima,(
Owner or Contractor Signature
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
collinq t1w c:mlel. the talephone
nlilliher for the Ore(j:ni I ililily Nolikation
Gclit I is I
laIH3-
Date
FI R(161T SHALL FY.PIRE IF THE WORK
"l'D1�17F1) UNDER IIIIS PERMIT IS NOT
,LD OR IS ARANDONEO FOR
PEI:IOD.
Springfield Building Permit 9/12/2014 3:14:3BPM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fffth St
TRANSACTION RECEIPT Spdnqfie1d,0R 97477
I'LL
OREGON 811-SPR2014-01973
REGOM 541-726-3753
0 O
w .spdngfield-or.gov 1454 HAYDEN BRIDGE RD pormitcenter@spdngrield-or.gov
RECEIPT NO: 2014002029 RECORD NO; 811-SPR2014.01973
DATE: 09/12/2014
DESCRIPTION
ACCOUNT CODE[TRANSCODE,'�
AMOUNT DUE`
Branch circuits without service or feeder - 1st circuit
224-00000-426102
1004
62.00
Branch circuits without service or feeder - each additional
224-00000-426102
1004
21.00
Electrical Continuing Education fee
224-00000-425606
1032
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-216004
1099
9.96
Technology fee (6% of permit total)
100-00000-425605
2099
4.15
TOTAL DUE: 99.61
Credit Card John Brundack 99.61
978137
TOTAL PAID: 99.61
09/12/2014 06:20 5413028296 JBELECTRIC
225 Firth Street o Sprtnefleld, 012 97477. p
This permit is issued under oAR 918-309.0000. Permits
are
days of issuance or if work Is suspended for 180 days.
Zoning
.tob site address:
Reference;
Name:
Address:
Yes
ZIP:
Taxlor,:
Phone; Fax
M -Mali:
This installation is being mado on resideutiol 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).
Businoss name:
P11oneSYy a Pax:
LE -mail; rJ
CCB license no,: ,BCD license
$ening Supervisor's license no a�
Da e of sig*
t
' F
PACE 01/01
A+"N.,..... �.. wer'HKI MCNT,*USE ONLY. -
Permit no';S
NLY.-Permitno.:S H DI 3
Y Date:
ferable. Permits expire if wont is not started within 180
.r, monaw, pot unit, service included:
1,000 sq. it.
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 servim or feeder (2) S 69,00 $
j Services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 89.00 $
201 to 400 amps (2)
$ 1o4.5p $
401 to 600 amps (2) S174,00 $
601 to 1,000 amps (2) $228.50 $
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)
$ 09,00 $
201 to 400 amps (2)
401 to 600 amps (2) $ 06.00 $
$136,60 $
Over 600 amps or 1,000 volts, sea services or feeders section above
Branch circuits: new, alteration, extsnslon pm•panel
a. Fce for branch circuits with purchase of a servlce or feeder foo:
Each branch circuit S $.So $
b. Fee for branch oircuits without purchase ora service 0r eedcr Tec:
First btanch circuit (2) q ,6 S q ��
Bach additional branch circuit $ , $ '
Miaeellane0us feast service ot•feeder not included
Each pump of Irrigation elroic (2) $ oa,00 $
Each signor outline lighting (2) $ 09.00 s
Sigpslcircuit ora limited -enagvltaas. $ 80.00 fi
allc afivn, or extension
ono Q'I)
Each additional Inspecti*,
Subtotal of abova ti
hog
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�y .�
Sees