The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2014-09-12PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015 STATUS DATE: 09/12/2014 APPLIED: 0911212014 SITE ADDRESS: 745 DORRIS ST, Springfield, OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1803021300800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Adding another line of power 200 amp service. OWNER: PALMER AMBERLY N Phone Number: ADDRESS: 745 DORRIS ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone Electrical Contractor OWNER CCB 000000 08/0172025 541-221-565 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 Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required insp��co\ons are requested at the proper time, that each address is readable from the street, that the permit card is 199at lhe,ffont if the property, and the approved set of plans will remain on the site at all times during Owner or AITf_N) ION: I gut reoulies you to follow rtd adoptr a i,y the OI egon Utility ofllh NotiiicationCenter, ThoSOII OAR 95aleset 0O1 in OAR 952-001-0010 through 0090. You may obtain copies of the rules los by calling tho center. (ontUtility Notification nwnber for tone he Orog Center is 1-600-332-2344). Date !S Pl I'tNil rr SHALL EXPIRE IF THE WORK i3ORI/ED UNDER THIS PERMIT IS NOT P!(J-D OR IS ABANDONED FOR 1) !)AY F1 Mot). Springfield Building Permit 9/12/2014 W:43:59AM Page 1 of 1 225 Fifth Sl LINGELD CITY OF SPRINGFIELD Springfield,OR97477 29,ry` Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01975 vnvw.springfield-or.9ov permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015 STATUS DATE: 09/12/2014 APPLIED: 0911212014 SITE ADDRESS: 745 DORRIS ST, Springfield, OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1803021300800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Adding another line of power 200 amp service. OWNER: PALMER AMBERLY N Phone Number: ADDRESS: 745 DORRIS ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone Electrical Contractor OWNER CCB 000000 08/0172025 541-221-565 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 Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required insp��co\ons are requested at the proper time, that each address is readable from the street, that the permit card is 199at lhe,ffont if the property, and the approved set of plans will remain on the site at all times during Owner or AITf_N) ION: I gut reoulies you to follow rtd adoptr a i,y the OI egon Utility ofllh NotiiicationCenter, ThoSOII OAR 95aleset 0O1 in OAR 952-001-0010 through 0090. You may obtain copies of the rules los by calling tho center. (ontUtility Notification nwnber for tone he Orog Center is 1-600-332-2344). Date !S Pl I'tNil rr SHALL EXPIRE IF THE WORK i3ORI/ED UNDER THIS PERMIT IS NOT P!(J-D OR IS ABANDONED FOR 1) !)AY F1 Mot). Springfield Building Permit 9/12/2014 W:43:59AM Page 1 of 1 L�WRMGFIEILD CITY OF SPRINGFIELD 225 Fifth St �„ TRANSACTION RECEIPT Springfield,OR97477 '''^ OREGON 541-7283753 811-SPR2014-01975 vmov.springfield-or.gov 745 DORRIS ST permitcenter@springfield-or.gov RECEIPT NO: 2014002017 RECORD NO: 811-SPR2014-01975 DATE: 09/12/2014 DESCRIPTION ACCOUNT CODE/TRANS CODS AMOUNT DUE Branch circuits with service or feeder each circuit 224-00000-426102 1004 28.00 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 14.28 Technology fee (5% of permit total) 100-00000-425605 2099 5.95 TOTAL DUE: 141.73 084213 Amberly Palmer 141.73 TOTAL PAID: 141.73 KIM 1 I - ��x DEPARTMENT USE ONLY IPermit no.: c,N V I / 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 SITE INFORMATION AND LOCATION ' Job site address: 4 01^1--1 City:5 r State: ZIP: c % Reference: .'?j Taxlot.QD DESCRIPTION OF WORK' Lt , Limited energy (2) PROPERTY OWNER Name:. 0,t M e Address: -74,5 [ Y 1-� City: X( State: ZIP: Phone I -O ( Fax: E-mail: n j h This installation is being m de on residential or farm property owned by me or a member of )'mmediate family. This property is t intended for s e, xc ange, lease, or rent. OAR 479.540(1 at d 479 60(1 Signatur . �toVRMTO INSTALLATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (5121120141COW FEE SCHEDULE Number of inspections per item O Qty. Cosl ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. ft. or portion thereof $ 28,00 $ Limited energy (2) $ 36.00 $ 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 1 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 71.00 $ 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 purchl—NIc of a service or feeder fee: Each branch circuit 1 $ 7.00 1 $ 1 b. Fee for branch circuits without p6chase of a service or feeder fee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service or feeder 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]) $ i (C) Technology Fee (5% of [A]) $ PIS (D) Continuing Education Fee $2.50 TOTAL fees and surcharges (A through D): $ i