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Home My WebLink AboutPermit Electrical 2014-10-06-= 225 Fifth St LP11NGFIELD " CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ` OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-02176 mm.springfield-or.gov permitcenter@springrield-or.gov PROJECT STATUS: Issued ISSUED: 10/06/2014 EXPIRES: 04/04/2015 STATUS DATE: 10/06/2014 APPLIED: 10/06/2014 SITE ADDRESS: 460 S 4TH ST, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703353401802 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add circuits for heat pumps OWNER: BUCK TERRY A Phone Number: ADDRESS: 460 S 4TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 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 slate 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 Co ractor Signature Date ultes you to on iaW tec egos Utylity TION ®teg b the Of o settotth P�OA110 adopted ose wi, OARe �u 00A- Not� catlonOentop1oihtoug oith hone 0� oR`loumenbe(- ka �onUilk\j`V1 toahon tali bet tot the O gp0.332 23 1 nun' Oevot is iRE W iNEwDRK I�f�`�IGE: ��'SXP M1T 1S NO'S CMS P�RMpep S PN "D FOR t`(Wf �R�D A P RIDD. f'z 1 bo D Springfield Building Permit 10/6/2014 331:38PM - Page 1 of 1 -� CITY OP SPRINGFIELD RTRANSACTION LINELD RECEIPT 225 Ftlth St Spdngfield,OR97477 OREGON 811-SPR2014-02176 541-726-3753 w .spnngfield-or.gov 460 S 4TH ST permits nler@sp6ngfield-or.gov RECEIPT NO: 2014002207 RECORD NO: 811-SPR2014.02176 DATE: 10/06/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 13.00 Branch circuits without service or feeder - 1st circuit Branch circuits without service or feeder - each additional Electrical Continuing Education fee State of Oregon Surcharge (12% of applicable fees) 224-00000-426102 1004 62.00 224-00000-426102 1004 7.00 224-00000-425606 1032 2.50 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT TYPE PAYOR CASHIER: DBOWLSBY COMMENTS AMOUNT PAID Credit Card BUCK TERRY A 98.44 053117 TOTAL PAID: 98.44 Electrical Permit Application SPHIN6FIELD I 225 Fifth Street* Springfield, OR 974774P11(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY Permit no.:S/—o'? 1 / Date: /O —, � 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 10 Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: ® S, City: 5 ?tr t, I State. ZIP:?%e( % Reference: 03�3 r-3 1 Taxlot.:® Ia S'07— DESCRIPTION ` F WORK' Limited energy (2) $ 36.00 PROPERTY OWNER 4 " Name: Te - -,mil Address: 40 f, City: spfel State: ZIP: 7 Phone: Fax: E-mail: This installation is be' g 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 79.560(1). Signature:— G( ' ONTR TOR INSTALLATION - Business name: A% L — 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: 440-2584-3 (5/21/2014/COM) FEE SCHEDULE Number of inspections per item O Qty. Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. It. 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) $ 96.00 $ 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 I I $ 7.00 1 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 7.00 $ 7 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) $ $2.00 $ Each additional inspection: (1) $82.00 $ APPLICANT USE (A) Enter subtotal of abov (Minimum Permi ee $82.00) $ (B) Enter 12% surchar . 2 x [A]) $ (C) Technology Fee (6% of [A]) $ y (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D): $