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Home My WebLink AboutPermit Electrical 2014-10-03NGFIELD -- 225 Fifth St Li, CITY OF SPRINGFIELD Springfield,OR97477 {"vii Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-02160 ww apdngfield-or.gov permilcenter@springfield-ocgov PROJECT STATUS: Issued ISSUED: 10/03/2014 EXPIRES: 04/01/2015 STATUS DATE: 10/03/2014 APPLIED: 10/03/2014 SITE ADDRESS: 4448 CAMELLIA ST, Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702323404409 PROJECT DESCRIPTION: Add transfer panel for generator OWNER: PRATT BART D ADDRESS: 4448 CAMELLIA ST TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone Electrical Contractor PACIFIC ELECTRIC LLC CCB 199661 04/22/2015 541-206-7700 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature U1Is V0010 BION' 0te(30 by rho 0V a esEktotth �� ISN 01es ea tet. JilX0.e��h Op` e Yu ��b 1 to11oW ai\on G A- 00j0lh°onl°s O to\erli tion Nt°�Ateg520aY0%-A �ple.theplotidic OOCg Vo <h O lftte °n 332 --?_3I1)' 11'tn9 tot -t300 nOmgetGen1e11s I Date wOR1C DW 11E 01 U` DSR IRIS pp�DD FOR o"i) \ZED OR 15 A6P1�D ,SI��NO PY PERIOD. Springfield Building Permit 10/3/2014 2:47:06PM Page 1 of 1 LLNCITY OF SPRINGFIELD �`- 225 FHIh Sl TRANSACTION RECEIPT Springfield,ORW477 541-726-3753 811-S P R2014-02160 mm.spdngfield-or.gov 4448 CAMELLIA ST pe"Hi nler@spdngfield-ocgov RECEIPT NO: 2014002192 RECORD NO: 811•SPR2014-02160 DATE: 10/03/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE 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 Electrical Continuing Education fee 224-00000-425606 1032 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 28.00 2.50 10.80 Technology fee (5% of permit total) 100-00000-425605 2099 4.50 TOTAL DUE: 107.80 PAYMENT TYPE PAYOR CASHIER:DeowLSBY COMMENTS AMOUNTPAID Credit Card PACIFIC ELECTRIC LLC 107.80 360600 TOTAL PAID: 107.80 'I= X �ITY��QF��P�ZI�TG,FICLD OR�G(}�i , a DEPARTMENT USE ONLY Permit no.: S -141 -oz -16 Date: /® r 3 P17 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 J�LResidential I ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: OW, coY \ u _ Sl-. City: yR ( State: 2 ZIP:cj •] , Reference: 28 00 $ $ DESCRIPTION ; F WORK at\S c une� or enefa�ar' $ 36.00 PROPERTY OWNER '- Name: r+- T t Alt - Address: qq 4 11' eameli to Si; city:SP644 ple ld StateOR ZIP: 9N2 Phone:,l7q(,-657,1 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; QCt tC rkC t Address: `M35- t( Bufte, City: ne State: jq/L ZIP: 97t10Z- Phone:Sy Zo&7700 Fax: E-mail: CCB license no.: ] R & G l BCD license no.: C�95Z Signing supervisor's license no.: 4 �D S Print name of signing supervisor: Signature of signing supervisor: t $527.00 440-2584-J (5/21R014/COM) FEE SCHEDULE `Number of inspections per item O Qty, Cosk nea. 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 $ 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 purchase of a service or feeder fee: Each branch circuit $ 7.00 1 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) 1 ' $ 62.00 $ Each additional branch circuit 1 14 1 $ 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 $ APPLICANT,,USE (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): $ lrI