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Home My WebLink AboutPermit Building 2016-05-27ffi CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2016-01173 225 Fifth st Springfield,OR 97477 Phone: 541-726-3753 IVR Phone: 1 -888-299-2821 tVlessage Phone: 541 -726-3769 permitcenter@spri ngfi eld-or' gov www. sPringfield-or' gov PROJECT STATUS STATUS DATE: Th is Perm or reof lssued 0512712016 shall n at the bs finalu n ISSUED: APPLIED: 0512712016 02t1712016 EXPIRES: IVR REF #: 1112212016 811082746328 SITE ADDRESS:2138 37th PL, SPringfield' OR 97477 ASSESOR'SPARCELNO: 1702301202700 PROJECT DESCRIPTION:New SFD - River Heights : Lot 32 OWNER: BREEDEN BROS INC ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 SGOPE: Single FamilY Residence TYPE OF STRUCTURE: Residential Phone Number: Contractor Name Lic Type Lic No Lic ExP Phone 1 1 6329 0a/2112016 541€86-',l628 CCB 25790 12t2312017 541-747-7445 lznuzo$ 541-686-9431 Contractor 67664 07 11112017 541-345-3055 NG IVR Gode i lnsPection TYPe 4000 TemPorary Power Service 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover 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 Iny structure without permission of the current Development Department, Building Safety l further certify that only contractors and employees who are in compliance with oRS chapter 701 will be used on this proiect' 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. This permit, or copy thereof, shall remain at the iobsite until final inspection. r> \/lA Ti-s Owner or Contractor Signature Date Arri:NrroN, I' J$T.'itsl[:J'r'i,L?,follow rtlles adoptec Nctiiic;tion Center' I nole rubs aie s-el forth il'd lhffi 6di -0 o 1 o t:3;,3: 3,t[.',',i;1'J;0090. You may obtal"Ifl[g,i*iilrl*x"!1,U,:i11fi H,H" "'"'-- C;;r;r is 1500€32'2344)' INSPECTIO NS REQUIRED NOTICE: t'nii perinrr sHALL ExPIRE !!-T1E.y9RK idiHfiEiD uNDERiHts PrnutT ls NoT ioiniiii'i-Ciobn ts ABANDoNED FoR .,ffiY. ilq$.PSY iPERloD'512712016 9:08:2oAM Page 1 of 1 INC I i.{GFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 22s Fifth st Springrfield,OR 97477 541-726-3753 www.springfield-or. gov 811-SPR2016-01173 2't38 37th PL permitcenter@spri ngf ield-or. gov DATE: 0512312016RECEIPT NO: 2016001303 RECORD NO: 81 1 -SPR2016-01 173 Continuing Education Fee Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less State of Oregon Surcharge (12ok of applicable fees) Technology fee (5% of permit total) Temp services 200 amps or less 224-00000425606 224-00000426102 224-00000-426102 821 -00000-21 5004 1 00-00000-425605 224-00000-426102 1 004 1 004 1 099 2099 1 003 2.50 124.00 163.00 43.68 18.20 77.00 TOTAL DUE:428.38 Check 4073 John Thompson TOTAL PAID:428.38 428.38 .& Electrical Permit lication tp$$a.3rtil& .,::: 225 Fifth SEeet. Springfield, OR 97477. PH(541\726-3753. FA-X(541)726-3689 .. Qfi 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 ifwork is suspended for 180 days. Permit no.:S\4.- Date:&,/La /tb Zorurgapproval verified? f] Yes E uo Residential, per unit, service included: E CommercialResidentialE Govemment s1 63.00 s1,000 sq. ft. or less (4) rbb*""dd,"* S t.qg 372 p (-s 31.00 sEach additional 500 sq. ft. or porrion thereof State:ZIP:s 39.00 sCrU: CO Fr>Limited energy (2) Taxlot.Reference s 77.00 sEach manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, re location ule-ru- r-rrrr-- t:ars€,s 98.00 s200 amps or less (2) $1 14.00 $201to 400 amps (2) sl 93.00 $401 to 600 amps (2) S601 to 1,000 amps (2)s249.00 ZIP Name: Address: City:State: 1q s570.00 SOver 1,000 amps or volts (2) $ 77.00 SReconnect only (2) FaxPhone Temporary serrdces or feeders: installation, alteration, re location E-mail: s 77.00 s200 amps or less (2) $ 106.00 s201 to 400 amps (2) S401to 600 amps (2)s154.00 Over 600 amps or 1,000 volts, see services or feeden section above This installation is being made on residential or farm properry owned by me or a member of my immediate family. This properry is not intended for sale, exchange, lease, or rent. OAR 479.540(r) and 479.560(1 ). Signature: s I \Jlt Branch circuits: new, alteration, extension per panel Business name;aL/o pJfnD tt(271,a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 7.oo SAddressa b. Fee for branch circuits without purchase of a service or feeder fee:City: € u-6 State:Q/Z ztPgTWu $ 77.00 sFirst branch circuit (2)Phone:gQ{ ?fl "@)7 Fax: Each additional branch circuit s 7.00 SE-mail: Miscellaneous fees: service orfeeder not includedCCB license no.: lIb39 BCD license no. Each pump or irrigation circle (2)$ 77.00 $Signrng supervisor's license no.: J@/ 7 S s 89.00 $-!ach sign or outline lighting (2)(LPrint name of Signature of sigrring s 89.00 SJignal circuit or a limited-energy panel. alteration, or extension (21 Each additional inspection: (l)s89.00 S $ (B) Enter 12% surcharge (.12 x [A])$ (C) Technology Fee (5% of[A])$ (D) Conthuing Education Fee $2.50 $2.s0 TOTAL fees and surcharges (A through D):$42?,.i 440-2sU- J (4 I 1 n0 | 6/ COM) CITY OF SPRINGFIELD, OREGON DEPARTMENT USE ONLY FEE SCHEDULELOCAL GOVERNMENT APPROVAL Total costQty.Cost ea-Number of inspections per item ( ) CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND WORK PROPERTY OWNER DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $89.00)