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Home My WebLink AboutPermit Electrical 2014-09-12SPRINGFI ELD i � ONEGON v .slmngfeld-oreov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01972 PROJECT STATUS: Issued STATUS DATE: 09/12/2014 ISSUED: 09/1212014 APPLIED: 09/12/2014 SITE ADDRESS: 1657 DELROSE AVE, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243400123 PROJECT DESCRIPTION: Wire furnace, ac and tankloss water heater OWNER: LOVEALL DAVID B & NITA J ADDRESS: 1657 DELROSE AVE 225 Fifth Sl Springrield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenterQspdngfield-or.gov EXPIRES: 03/11/2015 SCOPE: Electrical Only TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2016 541-OB7-5770 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 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. Owner or Contractor Signature AT Oregon lair/ 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 1-500-332-2344). Dale t.'r II IIS PERMIT SHALL EXPIRE IF THE WORK AI11IIOl SIZED UNDER THIS PERMIT IS NOT CCI F:1(.4LNCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 9/12/2014 3:04:23PM Page 1 of 1 W-2 FIELD CITY OF SPRINGFIELD s- 225 Fifth Sl �„ TRANSACTION RECEIPT Springfield,OR97477 ,., ONEGON 541-726-3753 811 -SP R2014-01972 %ww.springfield-or.gov 1657 DELROSE AVE permitcenler@spdngfield-or.gov RECEIPT NO: 2014002028 RECORD NO: 811-SPR2014.01972 DATE: 09/12/2014 DESCRIPTION ACCOUNT CODEITRANS.CODE AMOUNT DUE' Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.00 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 14.00 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 PAYMENT TYPE :'":PAYOR :.cgstllEx:ieRo,LMAe' COMMENTS AMOUNTPAIp Credit Card John Brundack 98.44 978137 TOTAL PAID: 98.44 09/11/2014 00:19 Permit 5413026296 AmAication 215 rlRh Strcct • 5pr:nGudd, OR 97477 • pti(Sal)7263753 FAX(5d1)716.3689 This permit is issued under OAR 918-309-0000, Permits arc days of issuance or if work is suspended for 180 days. Zoning approval verified? es ❑ No esidendal El Government ❑ Commercial 1,000 sq. ft, or less (4) Tob site address, City; I I State: fl.0 ZIP: 71177 Reference; o ?iL( 3 C( Taxlot.: 012, Each. additional 500 sq. ft. or portion t c� $ thereof Name: ( p Address:�- city: State: ZIP: Phone: Fax: $ 35.00 E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. n properiy isnot intended for sale, exchange, lease, yret. OAR 479.540(1) and 479.560(1). Signature: y}r Business name: Address: 6 QGe+G6 City: �(.s e States .ZIP: rjo Phone: /0 9% i'l90 Fax: - - &m dLi�(�.,1�9b a -e ' 6e7v-- CC)3 license no.: p q BCD license no,: 37%S Sipping supervisor's license no.: g l� Print name of Sigrtiag SUPPIMSOI, O a Signature of signing supe ' 440.25844 (410111 M) .7BELECTRIC apr+iNnclSLe 2STia6ra' E . ; . -.•. • • -. _ ^7 •• .,. !Z 11lI I sferable, Permits expire if work is not started within 180 GGT Z S. 1• .i .yrv(`'}}��; f !yyp it ( } t { bti i t � �a "4 Frosidential, per unit, service Included: 1,000 sq. ft, or less (4) $147.50 $ Each. additional 500 sq. ft. or portion $ 27,60 $ thereof Limited energy (2) $ 35.00 $ Each manufactured home or modular $ 69.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, siccation 200 amps or less (AE 00 $ 201 to 400 amps .60 $441 to 600 amps 00 $601 to 1,000 amp60 $Over 1,000 amps00 $Reconnect only (00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or Icss (2) $ 201 to 400 amps (2) 401 to 600 amps (2) $136.60 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: nex, alteration, extensionperpdnel a. Fee for branch circuits with purchase of a service or feeder fec: Each brach circuit $ 6.60 $ b, Fee for branch circuits without purchase of a service or fader fee: First branch circuit (2) 60.60 $ JI� Each additional branch circuit 6,60 $ Miscellapooes fees: service or feeder not included Each pump or irrigation circle (2) $ Moo $ Each sign or outline lighting (2) $ 69,00 $ Si nal circuit or a l(mited-energy ponel, $ 80,00 $ a teration, or extension 2) Each additional inspection: (1) 1 y r (A) Enter subtotal of above fe"e"s�r$2\ $ ) (Minimum rermitBo U (B) Enter )2%surcharge (,12 x iA]) $ (C) Technology Fee (5% of (A)) $ f TOTAL fees and surcharges (A through C): S GGT Z S.