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HomeMy WebLinkAboutPermit Electrical 2013-10-2 SPRINGFIELD 225 Fifth St 61"-!=-C•‘C) CITY OF SPRINGFIELD Springfield OR 97477 Phone 541-726-3753 REGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676. PERMIT NO: 811-SPR2013-02209 www.springfield-ar.gov peneitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/02/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 10/02/2013 SITE ADDRESS: 150 4TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703353105700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Three brach circuits OWNER: NESSCO INVESTMENT CO Phone Number: ADDRESS: 91362 STALLINGS LN EUGENE OR 97408 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor MARKHAM ELECTRIC INC CCB 128394 04/01/2014 541-942-8789 L 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 ted by the Oregon Utility follow rules ado!) hOAR952001 NOTICE: • ;:;,.-• • Notification Center. th oug les Are set fort in OAR 952-`'01"obtain cop!eS of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT pumper for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR ,;..':2 Center is—1_800-332-2344)• ANY 180 DAY PERIOD. • Springfield Building Permit 10/2/2013 11:05:50AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD �C TRANSACTION RECEIPT SpringfieltlpR97477 ` OREGON 541-726-3753 811-S P R2013-02209 www.springfield-or.gov 150 4TH ST permitcenter©springfield-or.gov RECEIPT NO: 2013002191 RECORD NO:811-SPR2013-02209 DATE: 10/02/2013 )DESCRIPTION ,,-_' _ , ' ,,:;:-`7 ACCOUNT,CODE/TRANS CODE µ -___AMOUNT,DUE._.1 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 PAYMENT TYPE_____PAYOR`_cnsHIER:SCARPENTEi„___ COMMENTS . _ _ -"AMOUNT PAID _ I Credit Card MARKHAM ELECTRIC INC 93.60 09841g TOTAL PAID: 93.60 Electrical Permit Application DEPARTMENT USE ONLY ° c S t, .1',7,:-¢ Y SenlNG FIE LO "CIS E S G IELD f OREC O , ?T. - -1-1-: 'i Permit no.: Sr? —2Z �Yt i 225 Filth Sncct•Sprinifield.OR 97477•1111(541)726-3/53•FAX(541)726-3689 41 OREGON Date: /6/z/, 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 I 80 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No /� Cost Total Number of inspections per item O .Cty ea. cost CATEGORY OF CONSTRUCTION - Residential,per unit,service included: ❑ Residential ❑Government X Commercial JOB SITE INFORMATION AND LOCATION 1.000 sy. ft.or less(4) $147.50 $ •ach additional 5(11)sq. Ii.or ponies .,Iob site address: W ecA 1OU r 0-� 1 5 ('� . -thereof $ 27.50 $ City: S e k , State: Q IC ZIP: Limited energy(2) $ 35.00 5 Reference: 77Q3 '3 S3 e Taxlot.: 170D Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder('?) I / Services or feeders: insadlmion.alreration,relocation �("Llry C-t r'cJ\k, l`C-t- eslerprc�S.^ ( ! 200 amps or less(2) S 89.00 C ‘,,.,.Aenr.er G a dr e� PROPERTY OWNER 201 to 400 amps(2) S 104.50 S 401 to 600 amps(2) S174.00 Nam e: SIS�-r�D Address: 9 " 4/ ,/7p 2_( i. tJ zit 601 to 1.000 amps(2) $225.50 S �(� City: • � St ite:��T�- ZIP: 7 � Over 1,(10(I amps or vnhs(2) $616.00 $ Reconnect only(2) S 69.00 $ Phone: - - Fax. - - E-mail: —_— Temporary services or feeders: indtollolion. IlIeralimt relocation l-hiss 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. his 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease, or rent. OAR 479.540(1)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 alionniorr.extension per panel Business name: (V\G_t _11 L h C\e,1/4-he_ C.^G a. Fee for branch circuits with purchase of a service or feeder fee: Address: 1y(°j 6 9x 03Y( t1 Each branch circuit I $ 6.50 $ City: CC ate G rj vt State: O K ZIP: / 14 z`( h. Fee for branch circuits without purchase of a service or feeder fee: Phone:SW/-72¢ Y15(7 Fax: - - First branch circuit(2) t I S 60.50 $ E-mail: Inn.p. Lkcen CI cc-A-sic I'ec I°3".`4'l-edw Each additional branch circuit A $ 6.50 $ CCB license no.: 12 Y 921 BCD license no.: ,2(5.9.2 0e Miscellaneous fees:service of/1eder not included es Signing supervisor's license no.: LI t-( Z I e9q . Each pump or irrigation circle(2) S 69.00 $ Print name of signing supervisor: %r-c— fT vi Gr Llic ... Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: ,nq Signal circuit or a limited-energy panel $ 80.00 $ signing P �IAR -� V,10�____ alteration.or extension l2) . J Each additional inspection:(I) I $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $�C (Minimum Permit pee$80.00) (B)Enter 12%surcharge(.12 x IAI I $ 17 (C)Technology Fee(5%of IA]) $ y j 440.2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): $