HomeMy WebLinkAboutPermit Electrical 2013-7-22 SPRINGFIELD 225 Fifth St
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CITY OF SPRINGFIELD Spnngfeld,OR97477
.. ice- Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01632
www.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/22/2013 EXPIRES: 01/17/2014
STATUS DATE: 07/22/2013 APPLIED: 07/18/2013 .,
SITE ADDRESS: 2600 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO:. 1703364100701 TYPE OF STRUCTURE: Commercial
'PROJECT DESCRIPTION: 200A Service
OWNER: KRYLS INVESTMENTS INC Phone Number:
ADDRESS: 3474 SPRING BLVD
EUGENE OR 97405
CONTRACTOR INFORMATION •
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor SUPERIOR ELECTRIC S CONSTRUCTION LLC CCB 173114 12/01/2014 541-868-9692
INSPECTIONS REQUIRED
Inspections
4925 Consultation Electrical
•
4220 Electrical Service Electric Service: Approval required prior to utility company energizing service.
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. •
Owner or Contractor Signature- • Date
ATTENTION: Oregon law requires you to
follow 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
calling the center. (Note: the teleoI-,.,m
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 7/22/2013 8:33:12AM Page 1 of 1 •
SPRINGFIELD CITY OF SPRINGFIELD
MA: -�3II�,w-. 225 Fifth St
`� TRANSACTION RECEIPT Springfeld,OR97477
OREGON 541-726-3753
811-SPR2013-01632
www.springfeld-or.gov 2600 MAIN ST permitcenter@springfield-or.gov
RECEIPT NO: 2013001572 RECORD NO:811SPR2013-01632 DATE:07/18/2013
ier*.301111', I oltw w , 41. _-,,.1::i r:.?w,, �, `'._T.` „s -°ACCOUNT CODE/TRANS•CODE t 1 AMOUNT-DUE ..;:
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68
Technology fee(5%of permit total) 100-00000-425605 2099 4.45
TOTAL DUE: 104.13
PEP,AYMENTEMYP.E - PAY,OR casxiER::ccaRFENTER COMMENTS _ AMOUN74PAID i':' r 3 ,;. :„,fir,
Check KRYLS INVESTMENTS INC 104.13
8649
TOTAL PAID: 104.13
•
•
Electrical Permit Application sPa;�a�E�o DEPARTMENT USE ONLY
;CITY OF SPRINGFIELD, OREGON:- '*0 permitno.. / s /P2
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 .y
Date: 7/j/ 9tr
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.
, iOlDAL GOV.ERNMENT APPROVAL A;; t. FEE SCHEOIJ. k r r
'1Zonmg approval verified? 0 Yes ❑No .t § 'Number of nspec2 6ns'per`itemr(1)*`'r Qty' QCs }t'r TUStl .±
-fi. r,ter,„CATtGORYTOF,:tCONSTRUCTION s .x,.; '
Residential,per unit,service included:
❑Residential ❑Government ❑Commercial
;zr " JOE E1TE:.INFORMAT;fON AND 0-0 T10N ' ,_,,;_--i 1,000sq.ft.orless(4) 5147.50 $
n/9 00 �Qt, p Each additional 500 sq.ft.or portion
Job site address: Gtr 't f— LL thereof - $ 27.50 $
City ,p yin,,14°pfQel State DRC I ZIP G1?-t 7-1-- Limitedenergy(2) $ 35.00 $
Reference: ✓(7a J / Taxlot( 9)O/ Each manufactured home or modular
c'r' , ” I PESCCRIPTIt7N`.OFrWORK 1 , ,^'L;? 'r dwelling service or feeder(2) $ 69.00 $
o /Fir r° c /L Services or feeders:installation,alteration,relocation
X�' 200 amps or less(2) 7 $ 89.00 $��f
'v',r ,.,(>i{,:—.1. r. �^FAROPERTYuOWNER:i,' , +',.,.€t i�° ,Fx 201 to 400 amps(2) --t $ 104.50 $ /
Name: Azle__ 401 to 600 amps(2) $174.00 $
Address:1(7 7 S rate"-( eel_v.„,0 601 to 1,000 amps(2) • $225.50 $
City:e 5 Stater ZIP92aC Over 1,000 amps or volts(2) $516.00 $
Reconnect only(2) $ 69.00 $
Phone: - - Fax: - - -
E-mail: Temporary services or feeders:installation, alteration,relocation
This installation is being made on residential or farm property 200 amps or less(2) su nod, r
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $r
property is not intended for sale,exchange,lease,or rent.OAR
479.540(1)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
r,, 'li `„$ §-0,01T,RACTOR-1DJSTA-LkATION°`P ,z�)'3' .^..r f=. Branch circuits:new alteration,extension per panel
Business name: S Li,✓Jp n 0 y- er-e C-47 G a.Fee for branch circuits with purchase of a service or feeder fee:
Address: Pt0, are( /OS"T Each branch circuit $ 6.50 $
City: V GvLG -el I State: 0g ZIP:97V ff 7 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:Sy/ - 5,5---‘-`/7/3 Fax: - - First branch circuit(2) $ 60.50 $
E-mail: s'µ -070-,,,4�(•r d,-.e._ _ co�+ i I . ccA__ Each additional branch circuit $ 6.50 $
CCB license no.:/ 731/ L/ BCD license no.:CoQ 3 a. Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 3 a 075 - Each pump or irrigation circle(2) $ 69.00 I $
Print name of signing supervisor: /a!r k T^r/o'^/ Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: / .ieiC /�.�eC Signal circuit or a limited-energy panel, $ 80.00 $
y alteration,or extension(2)
Each additional inspection:(I) $80.00 $
3 IP-5;t/ RRPLICANTr'USE ' 4 F
(A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) - $ 0
(C)Technology Fee(5%of[A]) $ Yr(r
TOTAL fees and surcharges(A through C): $ I�C/a
�
440-2584-3(4/012013/COM) N