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HomeMy WebLinkAboutPermit Electrical 2013-9-16 SPRINGFIELD' 225 Fifth St 41 —` CITY OF SPRINGFIELD Springfield,OR97477 cu'ty Phone: 541-726-3753 .'"','OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02075 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/16/2013 EXPIRES: 03/15/2014 STATUS DATE: 09/16/2013 APPLIED: 09/16/2013 SITE ADDRESS: 3760 MAIN ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702314201201 TYPE OF STRUCTURE: Commercial .PROJECT DESCRIPTION: Wiring for type-I hood OWNER: WILLIAM J&SUZANNE I WELT FAMILY TRUST Phone Number: ADDRESS: PO BOX 220 COTTAGE GROVE OR 97424 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BURRELL BROS ENTERPRISES INC CCB 136446 08/20/2015 541-747-2724 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. Owner or Contractor Signature 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- NOTICE: FIRE IF fHEwORK 0090. You may obtain copies of the rules by THIS PERMI? SNALE MR iS NOT calling the center. (Note: the telephone THIS PER number for the Oregon Utility Notification AUTHORIZED UNDER . Center is 1-800-332-2344). oR is COMMENCED DAY PERIOD' ANDONED FO • A Springfield Building Permit 9/16/2013 11:39:23AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 F C TRANSACTION RECEIPT Sprinifth St 7477 OREGON Fifth St 541-726-3753 811-SPR2013-02075 www.springfieltlbr.gov 3760 MAIN ST permitcenter©sphngfield-or.gov RECEIPT NO: 2013002036 RECORD NO:811 SPR2013-02075 DATE:09/16/2013 lerz 3o hAirSol.r' at� rtr.11.grS- ovl?: 3 _la A"CCOUNTdCODERRANS,CODE ti.L.SQ114MAMOUNTrargrig Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 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 PAYMENTTYP-l .- PAY,OR CASNIEgreatRPErai COMMENTS ' AMOUNTPAIU - 1 Credit Card BURRELL BROS ENTERPRISES INC 93.60 • 45659 TOTAL PAID: 93.60 • • • • • } Electrical Permit Application DEPARTMENT USE ONLY . c - Fr ra,:;c7rv',re e3:.. •^.x* �..s y.. SPRINGFIELD CIT~�Y OF'SPRINGFIELD; REGO . ' S'( ? —Z0 #a:^J r .p, '.s s 4 41- r yet ,. I Permit no.: 225 Fifth Street t•Spt mgtield,GU97377+Pli(54l)72G 3753•I,UI5311726-!(R9 1-v . OKEGoN Date: ��,47( 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 Zoning approval verified? ❑ Yes ❑ No Number of inspections per item() Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government I Commercial • JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) 5147.50 $ ---'''111 &D mai 1 4 Each additional 5(10 sq. 0.or portion $ 27.50 5 Job site address: thereof City: R_� Sttite:�Q_ ZIP:57Y7 / Limited energy(2) S 35.00 $ Reference: /'7D2_- /g 2_ Taxlot.:/7/20/ Each manufactured homc or modular S 69.00 DE CRIPTIO�1 OF WORK dwelling service or feeder('?) •n1 ,,J nog Services or feeders: instillation.alteration. relocation 200 amps or less(2) S 89.00 $ PRO' ERT `aWNER / 201 to 400 amps(2) S 104.50 $ Name: I I A e v Y l f f 401 to 600 amps(2) $174.00 S Address: / ,n, A s 601 to 1.000 amps(2) 5225.50 S �� Over 10(1(1 amps or volts(2) $516.00 5 City: State:0 �� Z,IP_-_ ,_ -�� Phone: Reconnect oak(2] $ 69.00 $ E-mail: � Temporary services m'feeders_irt.rinllatian. nllrralinn, relocation This installation is being made no residential or farm prope > 211(1 amps or less(2) 5 69.00 $ rl owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 S property is not intended for sale,exchange, lease,or rent. OAR 479.540(I)and 479.560(I). - 401 to 6(10 amps(2) $138.50 S Signature: Over 600 amps or 1.000 volts.see services or feeders section above CO "'ACTO' I S • LA ''N Branch circuits: nen% alteration.extension per panel Business ne: Imam. $ ��� a. Fee for branch circuits with purchase of a service or feeder fee: Addr•ss: I I ' / ,r -//1 Each branch circuit I--. $ 6.50 5 - CA,� I Y lamp r•n ZIPg / h hcc for blanch circuits is about purchase of a service or feeder fee: �nEAMIU � First branch circuit(2) 7 1 $ 60.50 $6j�`i Prone: - -�_y_,?_ E-mail: /��ey���'/�77�'/1�Q /� Each additional branch circuit I $ 6.50 _.Sp°o CCB license no.i��' / BCD� �license no.r�V �95 Miscellaneous fees ranee nt/ceder not included l Signing supervisor's license no.. ` ,7 . ) i Each pump or irrigation circle(2) S 69.00 5 Print name of signing supervisor. I Each sign or outline lighting(2) $ 69.00 $ �'^ %I 1 , Signal circuit or a limited-energy panel. $ 80.00 S Signature of signing$llpel'VI 1': -u1 A. alter tion.or extension(2) ! r Buclr additional inspection:(I) $80.00 $ APPLICANT USE A) inner subtotal of above fees (Minimum Permit Fee 580.(10) $ (13) linter 12''s smrhtngc(.l2 x IAII $ CC (C) technology F (5%o('[AD $ y� 440-2583-1(4/0112013/COSD TOTAL fees and surcharges(A through C): $ Qb