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HomeMy WebLinkAboutPermit Electrical 2013-4- SPRINGFIELD .225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 .rmtwP Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00784 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/18/2013 EXPIRES: 10/15/2013 STATUS DATE: 04/18/2013 APPLIED: 0 4/1 812 01 3 SITE ADDRESS: 2122 MARCOLA RD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703251301500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Relocate outlet Minor Label-ELS 330393 OWNER: TRI-W GROUP LTD PARTNERSHIP Phone Number: ADDRESS: 100 SE CRYSTAL LAKE DR CORVALLIS OR 97333 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor GARYS ELECTRIC SERVICE LLC CCB 195416 11/15/2013 541-729-4403 L INSPECTIONS REQUIRED 11 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 requir inspections are requested at the proper time,that each address is readable from the street, that the permit card is locat the front of the property,and the approved set of plans will remain on the site at all times during construction. Q • O r or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK ' Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/18/2013 1:18:47PM Page 1 of 1 SPRINGFIELD -"" CITY OF SPRINGFIELD hc',.:, ." 225 Fifth St kr ' TRANSACTION RECEIPT SpnrigfieldiOR 97477 .OREGON 541-726-3753 811-SPR2013-00784 vmw.springfieldor.gov 2122 MARCOLA RD permitcenter©springfield-or gov RECEIPT NO: 2013000777 RECORD NO: 811-SPR2013-00784 DATE:04/18/2013 II S 'R o ' ..2;4.,';,�1= . `.;-,. ..._: ____ACCOUNTCODEITRANS CODE .: :. ._'•_AMOUNT,DUE': 3 Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 19.50 • Branch circuits without service or feeder-1st circuit 224-00000-426102 1004 60.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 IPAYMENTi�TYP--E m^><S'"= P.AYOR "cash insOR -COMMENTS AMOUNTII%li Credit Card GARYS ELECTRIC SERVICE LLC 93.60 08371Z TOTAL PAID: 93.60 'Electrical Permit Application • 76 iitatiiiiegailit leirSittertiN:$3 -21-41daa / -7 Os Cr 7 c, Permit no.:cgr 7 c_ -7 '---'•----0 225 Fifth Street•Springlield,OR 97477•PH(541)726-3753•FAX(541)726-3689 r i. 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. ..; ;-,rEig-4110CAL-2.-IGOVERNM ENT}:APPROVA125;?;7::::;V::: •:[::/peir,•••-1;.?k ,k2,c1FEE',SC H ED U IL'E:.-,i,;.1.41::,,,;:M:::/.::;:ci±H. Zoning approval verified? 0 Yes 0 No fl-•-•.1.:.':.L:!'" .:-.-q'' 1';"' si*:,'-'Total:' i•Ntinher.of inspections per itein'kpi;' QtV.4 4 -, -,','; :':- ,'- 41, ".' .aCATEGORY:1-OFJCONSTRUPTION::;:4-134 .Ys,'(j-t . ' ' Residential,per unit,service included: Eli Residential 11 Government El Commercial . 1,000 sq. ft.or less(4) $147.50 $ ;kr' -:;JOBT:ISITEUNFORMATIOWANIrLOCATIO .J1.; Each additional 500 sq. ft.or portion Job site address: cai ;; Mit Ce;14 tie( thereof $ 27.50 $ City: SPFC1 State: 0,-- ZIP:q7Y7e7 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ •;;:il-:;=:41:32''4, 14;:s.DES C RI PTION 20P;WORK:4 :-:::. :-fj,V.i't":", dwelling service or feeder(2) ileMart eu '.e_{ • Services or feeders: installation, alteration,relocation 200 amps or less(2) $ 89.00 $ gI1:411Z'I:A4-.. .77:;P ROPERTYr":OWNERIIKJ::::', :,,,tirecisiz 201 to 400 amps(2) $ 104.50 $ Name: Jo Ay.i6.1-06 •-• rat) - 2., f) 401 to 600 amps(2) $174.00 $ Address: /00 <C- (:.vy cf-b-1 Z. Me . 601 to 1,000 amps(2) $225.50 $ City: CCNotA t-s State: (A2 ZIP: c(7 3 .,3 Over 1,000 amps or volts(2) , $516.00 $ Phone: - - Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) . $ 69.00 $ owned by me or a member of tnY immediate family. This 201 to 400 amps(2) $ $6.00 $ property is not intended for sale,exchange, lease, or rent. OAR 479.5400)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above i::.KCONTRACTOR,INSTALLATION.2. :Aci$4442„;44: Branch circuits:new alteraiion, extension per panel Business name:CM'Atj get9117e C a.Fee for branch circuits with purchase of a service or feeder fee: Address: P•O 'jai— 7(151e7L Each branch circuit $ 6.50 $ City: SePO State: OA- ZIP: 97y75- b. Fee for branch circuits without purchase of a service or feeder fee: Phone:511/- 901- eetie Fax: - - First branch circuit(2) . I $ 60.50 $ E-mail:pets, tie atz.,c e 06,4„,,,,,L .,,,_., ,,44 Each additional branch circuit $ 6.50 $ CCB license no.:j9 51/ç. 1 BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 50(9 Cr" ,S. . Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: d'Alfi? inf44k,14r).s Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: . $ 80.00 $ alteration,or extension(2) Each additional inspection:(I) $80.00 $ 'c'11:.:1:27.OP Lit Ai■tIitig E;110r,;,..Tatil-,-.1-;) (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ . (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $ ) 440-2584-I(4/01/2013/COM) •