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Home My WebLink AboutPermit Electrical 2014-09-26SP12INGh1ELU r ,may OREGON w v.springfield-or.gov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-02006 PROJECT STATUS: Issued ISSUED STATUS DATE: 09/26/2014 APPLIED: SITE ADDRESS: 1108 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263403000 PROJECT DESCRIPTION: Grounding Rod OWNER: HARTSOCK FAMILY TRUST ADDRESS: 1207 OLYMPIC ST 09/26/2014 09/17/2014 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-ocgov EXPIRES: 03/25/2015 SCOPE: Electrical Only TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone LYNNS ELECTRIC COMPANY (C)Electrical Cont 20-131C 07/01/2017 541-726-7895 INSPECTIONS REQUIRED Inspections 4120 UFER Ground 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 Slate 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. Owner or Contractor Signature NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMfl1 LNGLD OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date 1:1,,11 ION: ro(Twres you to �.he Oregon Utility ;r. rc!es are set forth ihl'ough OAR 952 0O1- ,; `� 1'ou m ,;r c�riain copies of the rules Eby c in(Nloiie: thetelephone nutnhm for lho Oi,'Ton Utility Notification Center is 1-800-332 2344). Springfield Building Permit 9126/2014 3:47:05PM Page 1 of 1 Electrical Permit Application gp INCFIEL6 225 Fifth Street+ Spring0eld, OR 97477+PH(541)726-3753+FAX(541)726-3689 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 p Residential 10 Government 10 Commercial JOB SITE INFORMATION AND 'LOCATION Job site address: 9 �4� City: � State oz— I ZIP: wm Reference: / ®32 V TaxlotziO60 DESCRIPTION -OF WORK-` Limited energy (2) PROPERTY OWNER.,t o ; `' �' Name: vlftrsrAi �,r� �. (C- "*�. j— 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: sS '£(i i (__ Address: City: G 1G I State:Ii2, I ZIP: 7y35 Phone:51/j-M_e) FaxSV/746.7LS'?-- E-mail: ,bgg/14a 24 & Nrcowt CCB license no.: (02,g 1 BCD license no.: ZU-1 I Signing supervisor's license no.: )?6_7-5 Print name of signing supervisor: L Signature of signing supervisor:P Mel A'0 IJ 440-2584-J (9/08/COM) FEE SCHEDULE Number of inspections per'6cro O Qty _ Costea;� TOtal cost :- Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion thereof $ 26.00 $ Limited energy (2) S 32.00 $ Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $206.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I—Ts 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit S 6.00 $ Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2) $ 63.00 $ ach sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ 63.00 $ Each additional inspection: (1) $68.00 $ .USE_'•'-' _- (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ r TOTAL fees and surcharges (A through C): $