HomeMy WebLinkAboutPermit Electrical 2013-5-3 •
SPRINGFIELD 225 Fifth St
bk. & CI TY OF SPRINGFIELD Springfield,OR 97477
OREGON Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676 -
PERMIT NO: 811-SPR2013-00852
www.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/03/2013 EXPIRES: 10/30/2013
STATUS DATE: 05/03/2013 APPLIED: 04/30/2013
SITE ADDRESS: 225 5TH ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703353103300 TYPE OF STRUCTURE: Commercial
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PROJECT DESCRIPTION: Add a 60 amp circuit for a power factor correction unit
OWNER: CITY OF SPRINGFIELD Phone Number:
ADDRESS: 344 NORTH A ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor LIVEWIRE ELECTRIC INC GCB 56697 05/16/2014 541-344-4928
• - 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.
/ 15-73
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Owner or Corttr4tof Signature Date
wires you to NOTICE:
ATTENTION: Dreg a by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK
follow rules adop h oat 952-0()b 1 AUTHORIZED UNDER THIS PERMIT IS NOT
Notification Center. Those rules are set fort
in OAR 952-13°1--010 through of the rules y COMMENCED OR IS ABANDONED FOR
0090. You may obtain cop ANY 180 DAY PERIOD.
calling the center. (Note: the
number for the Oregon Utility Notification
Center is 1-800-332-2344). •Springfield Building Permit 5/3/2013 8:40:56AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
,,yy��yy` TRANSACTION RECEIPT Spnngfield,OR 97477
°C`OREGON 541-726-3753
811-SPR2013-00852
www.spnngleld-or.gov 225 5TH ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013000842 RECORD NO:811 SPR2013-00852 DATE:04/30/2013
1.14Yo1 fli.km -� ,.,_.,,.._ ,_.� f _�:LA _G a c CODELDRANS:CODE ?'AMOUNT DUE .=..
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
FAYMENTTTT4TIPE PAY,ORR cnsH''"'"I'ER° uTOTI COMMENTS - { ANINNTJ14,1P, ? .W:4
Check Livewire 67.86
014608
Check Livewire 25.74
014614
TOTAL PAID: 93.60
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Electrical Permit Application _ DEPARTMENT USE ONLY
SPRINGFIELD
tC J s to. fi 3 air y E l ® AY ,G, * �%�` . k
—, o ,OF SirmoluFfrI tn k RE9 % "sr, m , Permit no.:
13 I 12ot3 oe2-052,x s a,ad s,'zr tt a? r, ' p. " / a
225 Fi fth Street•Springreld,OR 97477♦PH(541)726-3753*FAX(541)726-3689
Date: 17-3 0 - 20/3
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 ' FEE SCHEDULE `''t.':
Zoning approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost - Total
ea. cost
CATEGORY OF :CONSTRUCTION
Residential,per unit,service included:
❑ Residential m Government ❑ Commercial 1,000 sq. ft. or less(4) $134.00 $
-JOB,SITE INFORMATION: AND' LOCATION
_ Each additional 500 sq. ft. or portion
Job site address: 225 i thereof $ 25.00 $
City: 5( &.'O State: tie_ ZIP: (7 t/7/ Limited energy(2) $ 32.00 $
Reference: Taxlot.: Each manufactured home or modular $ 63.00 $
DESCRIPTION OF WORK dwelling service or feeder(2)
A-00 A-- i� My? OF C6al!1r A- Services or feeders: installation, alteration, relocation
_ 200 amps or less(2) $ 61.00 $
VGL/s4t YAZ/Z cata4-"-(10ed 1A) t r
PROPERTY OWNER 201 to 400 amps(2) $ 95.00 $
Name: 401 to 600 amps(2) $158.00 $
Address: 601 to 1,000 amps(2) $205.00 $
City: State: ZIP: Over 1,000 amps or volts(2) $469.00 $
Phone: - - Fax: - - Reconnect only(2) $ 63.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
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This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $
property is not intended for sale,exchange, lease, or rent. OAR
479.5400)and 479.5600). 401 to 600 amps(2) $126.00 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
CONTRACTOR INSTALLATION. Branch circuits: new, alteration, extension per panel
Business name: LIVEWIRF_FI Fr.TRIn, INet a. Fee for branch circuits with purchase of a service or feeder fee:
Address: P.O. BOX 11706 Each branch circuit $ 6.00 $
City: ESEE, OR 91140 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:5qI3f Wi Fax:j`//-3'/W 5T First branch circuit(2) f $ 55.00 $ 55
/1�-
E-mail:J aP 1_i Vi' tAii. Etta oc ONUivt.ce i4l Each additional branch circuit $ 6.00 $
CCB license no.: 546?-7 BCD license no.: 20-??c Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 3gg 9 _S Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: i 2-41< Each sign or outline lighting(2) $ 63.00 $
Signature of signing supervisor: ff Signal circuit or a limited-energy panel, $ 63.00 $
g g g P /� alteration,or extension (2)
Each additional inspection: (I) $56.00 $
Yt APPLICANT:USE
a„� ``� (A) Enter subtotal of above fees $ 5 _
�� 4I (Minimum Permit Fee$58.00) l/
■ tN ^ ' (B)Enter 12%surcharge(.12 x[A]) $ 1, tilo
- \ %�L J A (C)Technology Fee(5%of[A]) $ 2,55
c\ "b
C`
t y TOTAL fees and surcharges (A through C): 14/Ark-
-,�y"it P3. 6°.
440-2584-J(9/08/COM)