Loading...
HomeMy WebLinkAboutPermit Electrical 2013-8-12 SPRINGFIELD 225 Fifth St hit' 1 -i CITY OF SPRINGFIELD Springfield,OR 97477 C� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01790 www.springfield-orgov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 08/12/2013 EXPIRES: 02/07/2014 STATUS DATE: 08/12/2013 APPLIED: 08/12/2013 SITE ADDRESS: 205 DORRIS ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1803020000802 , TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Service and 2 circuits for bathrooms OWNER: WILLAMALANE PARK&REC DIST Phone Number: ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BELLMAN GROUP INC GCB 194437 07/05/2015 541-357-6950 INSPECTIONS REQUIRED Inspections 4220 Electrical Service Electric Service: Approval required prior to utility company energizing service. 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: Wien 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 he front of the property, and the approved set of plans will remain on the site at all times during construe ,3, ' Owner or acto `tI ure Date / ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by NOTICE: " ' calling the center. (Note: the teleph::lo number for the Oregon Utility Notification THIS PERMIT SHALL EXPIRE IF THE WORK Center is 1-800-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/12/2013 1:59:27PM Page 1 of 1 I SPRINGFIELD CITY OF SPRINGFIELD ti d ..A!... 225 Fifth St ■ CAS',- TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S P R2013-01790 www.springfield-or.gov 205 DORRIS ST permitcenter@springfield-or.gov RECEIPT NO: 2013001744 RECORD NO:811-9PR2013-01790 DATE:08/12/2013 DESCRIPTION ,- " ACCOUNT CODEITRANS'CODE ______1_,:_AMOUNT DUE_ J Branch circuits with service or feeder each circuit 224-00000-426102 1004 13.00 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.24 Technology fee(5% of permit total) 100-00000-425605 2099 5.10 TOTAL DUE: 119.34 PAYMENT TYPE_,. _PAYOR, -.cAswER:JLARSON _ , 1:,. COMMENTS , ..i,_21.:_- -,_ . _ Check BELLMAN GROUP INC 119.34 5613 TOTAL PAID: 119.34 • • I DEPARTMENT USE ONLY Electrical Permit Application nt ";C;`*'°.“- ^+ ;r..+ . ;vs ", SPRINGFIELD 'C '. SPRIN ilE!IEL t Q ' CiON.. 4 .� ..,,L"i Permit no.: i�t(Ze i 3 &(790 225 Fifth Street•Springteld.OR 97477♦PH(541) 26-37534F X(541)726-3689 rf oxEGON Date: 8 /2A F s This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 t days of issuance or if work is suspended for 180 days. 1 LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item () Qty. Cost Total 1 ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: El Residential- ❑Government ['Commercial( I JOB SITE INFORMATION AND LOCATION 1,000 sq.H.or less(p $147.50 $ Job site address: Each additional 500 sq. H.or portion 1 20 S Da✓,'s Ci f . thereof $ 27.50 $ t City: J —. . I_ State: , I ZIP: - "1 ' Limited energy(2) I $ 35.00 I $ € Referent : ,, Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(?) Services or feeders:installation,alteration,relocation ooM -� 1- _. Loi- s i 200 amps or less(2) ( $ 89.00 $ 6, i ` PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: ll-D,- \614..an...` (?auk,$ �..-. 401 to 600 amps(2) $174.00 S Address: 2..5 0 z�2.., -1,4 . 601 to 1.000 amps(2) $225.50 S r City: S i1� State: pc ZIP: `�7-1� Over 1,000 amps or volts(2) $516.00 S I Phone: ` (j 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 fain ily.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 CONTRACTOR INSTALLATION Branch circuits: new,alteration,extension per panel I I Business name: Se-((M^„v 6,01 .vlG • a.Fee for branch circuits with purchase of a service or feeder fee: • Address: Po .-`(0vq-- t1 Each branch circuit I a $ 6.50 $ L3 City: . 'ice b.Fee for branch circuits without purchase ofa service or feeder fee: , ,6,,„}„,,,...A._ State: O� ZIP: 1 0l- Phone:S ' ?- 69S`O Fax: - - First branch circuit(2) $ 60.50 $ E-mail: (i 95 ( e._coo y „t,..Q, -F, v.-^ Each additional branch circuit $ 6.50 $ CCB license no.: (9..( 3"- BCD license no: r_-7 Miscellaneous fees:service or feeder not inchnded !' Signing supervisor's license no.: b - 3 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: c2-04.., -, t L .J Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, $ 80.00 S ! Signature of signing supervisor: _•� alteration,or extension(2) 1 ar Each additional inspection:(1) $80.00 $ I APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) /02--- . (B)Enter 12%surcharge(.12 x[A]) $ /2 24 I (C)Technology Fee(5%of[A]) $ S t°— 440-25844(4/01/2013iCOM) TOTAL fees and surcharges(A through C): $ l(q 3-4 1 4