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HomeMy WebLinkAboutPermit Electrical 2013-7-9 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 nn Phone: 541-726-3753 OBgooN Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01564 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/09/2013 EXPIRES: 01/04/2014 STATUS DATE: 07/09/2013 APPLIED: 07/09/2013 SITE ADDRESS: 5310 FRANKLIN BLVD,Eugene,OR 97403 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1803034000300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Service and branch circuit for billboard lighting • OWNER: MACAULEY EDWARD L Phone Number: ADDRESS: 76563 MARTIN CREEK RD COTTAGE GROVE OR 97424 CONTRACTOR INFORMATION Contractor Type Contractor Name. Lic Type Lic No Lic Exp Phone Electrical Contractor DAVID STUCK ELECTRIC LLC CCB 158177 01/01/2014 541-485-8855 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 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 constructio Owner or Contractor Signature Date • • • ATTENTION: Oregon law requires you to f • ollow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS.ABANDONED FOR number for the Oregon Utility Notification n ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 7/9/2013 1:04:12PM • Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 .OREGON 811-SPR2013-01564 .. www.springfield-ar.gate 5310 FRANKLIN BLVD permitcenter©springfield-or.gov RECEIPT NO: 2013001463 RECORD NO:811-SPR2013-01564 DATE:07/09/2013 DESCRIPTION s °"u 'a T'Iw iWireafi^. T. ,luui`ACCOUNTCoDEJTRANSMi'S .. ,AJfic_`i3AMOUNT:DUEA..J Branch circuits with service or feeder each circuit 224-00000-426102 1004 6.50 Services 200 amps or less 224-00000-426102 1004 178.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 22.14 Technology fee(5%of permit total) 100-00000-425605 2099 9.23 TOTAL DUE: 215.87 WAYMEN7wTYPE PAV,OR AS na.cC.ARPENTER COMMENTS AMOUNTP,AID ,. ! .1 Credit Card DAVID STUCK ELECTRIC LLC 215.87 005705 TOTAL PAID: 215.87 • • • • • Electrical Permit Application .*Caeip‘ftetrteliVekanii,t.71;2,-rit;:1-f4i..q4titW4SteCJAPW4i1SUS; SPR'INCFIELD .. - /7 ketTiYa0,ESPigThlG14,11E L-DILOREG-ONT4*, Permit no.: 5 /3 ts-6 97 225 Fifth Street•Springfield,OR 0477•PH(541)726-3753•FAX(541)726-3689 Date: 7/97/s 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. :;:q:g@iitgidiacOcrAt.:;:::GOVERNMENVAPPROYAVA ,:°,t ',:.:r:V:',2,!ei:Oalitgi.W.EE,S C H E DU EERelialeti,4gOnli Zoning approval verified? 0 Yes D No . ; , . . ny ly,'ii'i iC,, iS l Ii: Th• i taiii V5W.CAIEGOV(SOE ;CONSTRUctIQW:tIgi4n - ieivvoicrtt,, Residential,per unit,service included: 0 Residential 0 Government S4-Commercial 1,000 sq.ft.or less(4) $147.50 $ 21;;;IIII1I:t1 0 MIS ITEfli N FO RMATIO WAN li,IALOCATION It,itI:,.:en Each ddition 500 sq. ft.or portion lob site address: 5t?10 FrastAt .9 Woe- thereo af al ft $ 27.50 $ City: soira-7.4 cid State:Col ZIP:974/77 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular • dwelling service or feeder(2) $ 69.00 $ ,M.11,14rdMio ESCRI RTION fa F::.;WO RKii:;:Wiai:N;,; St 4Vice, RAZ"Viei? , Arn a44201-6 Services or feeders: installation, alteration,relocation pe,4 e i taektea slaw 200 amps or less(2) a $ 89.00 va- milagaimv4PRORERTY4WNER,R?,P;$:.;'?,:lnei*:V:CiR 201 to 400 amps(2) $ 104.50 $ Name:/77/A4leigi 401 to 600 amps(2) $174.00 $ Address:74„ nozov (72 zp 601 to 1,000 amps(2) $225.50 $ Ci . -e L r—State:400 ZIP: Over 1,000 amps or volts(2) $516.00 $ adydris.,, _ .... frAre, 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 my immediate family. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: ' Over 600 amps or 1,000 volts,see services or feeders section above agtaggyticoNTRAcT9oNsTALLATIoNTAvtait Branch circuits:new, alteration, extension per panel Business name:4„tvin 57-vac trtc---facc, ac. a.Fee for branch circuits with purchase of a service or feeder fee: Address: Pa. tic 75-8 2- Each branch circuit / $ 6.50 City: kr/era-Yet State: Off ZIP: 974-0-2_ b.Fee for branch circuits without purchase of a service or feeder fee: Phone:514--neri- C3/457 9 Fax: - - First branch circuit(2) $ 60.50 $ E-mail: _5-y1/4,4,kes-re 0 it...04?s 4 et Each additional branch circuit $ 6.50 $ CCB license no.: /n/77 BCD license no.: eo-nj C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: iciej 2-5 • Each pump or irrigation circle(2) $ 69.00 $ Each sign or outline lighting(2) $ 69.00 $ Print name of signing supervisor: 0,1-1/4,7 en ,TTL4st" Signature of signing supervisor: aSiitgenraa circuit ,pd-)energy panel 00,,e1V* $ 80.00 $ Each additional inspection:(I) $80.00 $ :„SlialISAIR-S*01TONTIOWikalaillilal (A) Enter subtotal of above fees /?1(..5t) (Minimum Permit Fee$80.00) $ fa (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ 4. ...S- TOTAL fees and surcharges(A through C): $2/5 rl 440-25844(4/01/2013/COM)