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HomeMy WebLinkAboutPermit Electrical 2013-9-26 , SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 '.'OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02166 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 09/26/2013 EXPIRES: 03/25/2014 STATUS DATE: 09/26/2013 APPLIED: 09/25/2013 SITE ADDRESS: 6100 THURSTON RD,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702342100400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add DDC control for wave pool OWNER: WILLAMALANE PARK 8 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 CLIMA TECH CORP A CORP OF IDAHO CCB 106370 07/22/2015 208-377-9755 L INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4550 Limited Energy • 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 • • e(v . NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 9/26/2013 11:04:09AM Page 1 of 1 • , SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St O TRANSACTION RECEIPT 225Fified,oR97477 OREGON 541-726-3753 811-SPR2013-02166 www.springfield-ar.gov 6100 THURSTON RD permitcenter©springfield-or.gov RECEIPT NO: 2013002151 RECORD NO:811-SPR2013-02166 DATE:09/26/2013 ,DESCRIPTION ACCOUNT CODE/TRANS CODE _ _ " _;AMOUNT_DUE__ Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 19.50 Stand-alone limited energy, multi-family 224-00000-426102 1004 320.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 48.00 Technology fee (5%of permit total) - 100-00000-425605 2099 20.00 TOTAL DUE: 468.00 'PAYMENT TYPE, PAYOR CASHIER:JLARSON COMMENTS�_� . • AMOUNT PAID " • 1 Check ` Clima-Tech Corp. 380.25 61170 Credit Card Clima-Tech Corp. 87.75 61170 TOTAL PAID: 468.00 • • • • • Electrical Permit Application DEPARTMENT USE ONLY $PNINGFI6L0 CITY OF SPRINGFIELD• OREGON . , permit no.: go Zdl3 OZI 6C� 225 Fifth SlrectilSpringfeld,OR 974774 P11(541)726-3753•FAX(541)726-3689 oa EGON - • Date: .7Z S7/3 • 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. Zoning approval verified? ❑Yes ❑No Number of Inspections per item() Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service Included: . ❑ Residential I ❑Government I [-tfCommercial JOB SITE INFORMATION AND LOCATION 1,000 sq. ft.or less(4) $14750 •$, • • 6 I OD ( � \ �7J Each additional 500 sq.ft.or portion _ ' Job site address: /� v-t-S YOV� Ic_4 thereof $ 27.60 $ City: �q.F■ ..j i tX I State: OIIL I ZIP: 9 '-y 7/ Limited energy(2) S 35.00 $ Reference: ,J I Taxlot.: Each manufactured home or modular dwelling service or feeder(2) I $ 69.00 I $ DESCRIPTION OF WORK A n 9 0 DC... `o v, 4- -Co ervices or feeders:installation,alteration.relocation f-! ci[i co k- e� 200 amps or less(2) S 00,00 $ W c‘-‘1-.4- 000 I .. PROPERTY OWNER 201 to 400 amps(2). $ 104.60 $ Name: 4/ � wl i-.�. Peer K_ `7 Kee._ ç3 -\- 401 to 600 amps(2) ' . $174.00 $ • Address: zSV c z,.•J 601 to 1,000 amps(2) $225.60 $ •City: S'j//G. I State: I ZIP: Over 1,000 amps or volts(2) $616.00 $ 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 properly 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) S 96.00 property is not intended for sale,exchange, lease,or rent. OAR 479.5400)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 CONTRACTOR INSTALLATION Branch circuits:new alteration,extension per panel Business name: L( c - a. — c Gimp. CC r.r a.Fee for branch circuits with purchase ofa service or feeder fee: Address: 9 to?- fir 4-c r v.0.\1 cVd-1 JY' Each branch circuit $ 6.60 $ City:)0.,1...n...,(;;€._ I State:CI-z._ I ZtP: ei 7.Z,Z Z Fee for branch circuits without purchase ofa service or feeder fee: • Phone:S03-6so €'-I 8 Z Q • Fax:4-o3 -Z-Z C( g S • Fist branch circuit(2) _ I . $ 60.60 $/00, -:E-mail: I Each additional branch circuit 3 $ 6.60 $10,2V CCB license no.:(06 3?-O BCD license no.: C 6 9 9 Miscellaneous fees:service or feeder not 6rchireed Signing supervisor's license no.: C 6 L{ 8�5 Each pump or irrigation circle(2) $ 69.00 $ Print name of signing superviso,A,._� v4 j fee r L Each sign or outline lighting(2) $ 69.00 $ // Signal circuit nr alimited-energy panel, 4- $ 00.00 $'1+y1 Signature of signing supervisor ��-- alteration,or extension(2) --1 `J W Each additional inspection:(I) $80.00 $ • . APPLICANT USE . • (A) Enter subtotal of above fees .-•(Minimum Permit Fee$80.00) • - $ ' (B)Enter 12%surcharge(.12 x(A)) $', "'T O (C)Technology Fee(Woof[A]) $ '2.D.CP 440-25 4-1(4t0i/20t3/COM) TOTAL fees and sin-charges(A through C): $ O9 // HV7 if�dr • �6 7s . 7