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HomeMy WebLinkAboutPermit Electrical 2013-10-2 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 {�iiy = Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-0221 0 www.springfield-or.gov permitcenter©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: 303 S 5TH ST,STE#175,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703350000307 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Three branch circuits OWNER: CITY OF SPRINGFIELD Phone Number: ADDRESS: 225 N 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone . Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-686-1628 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 • • • ;OTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility COMMENCED OR IS ABANDONED FOR Notification Center. Those rules are set forth ANY 180 DAY PERIOD.in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/2/2013 11:13:39AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD f4 —0,....(` 225 Fifth 51 16 EGON TRANSACTION RECEIPT 225 Fifield,OR 97477 541-726-3753 ct 811-S P R2013-02210 www.springfield-or.gov 303 S 5TH ST. STE 175 permitcenter @springfield-or.gov RECEIPT NO: 2013002192 RECORD NO:811-SPR2013-02210 DATE: 10/02/2013•LDESCRIPTION `- __ACCOUNT CODE/TRANS CODE__.__ ,AMOUNT_DUE' 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 ._PAYMENTTYPE4... PAYOR, CAthER:-CCARPENTER COMMENTS • • - - 'AMOUNT PAID -i Credit Card THORNTON ELECTRIC INC 93.60 312012 TOTAL PAID: 93.60 Electrical Permit Application DEPARTMENT USE ONLY *fx = .6.7.:..1.,.:1.,,..-3 "' C' 2 ,`. - SYRIr4GFIELO CITTTTTTT�OF SPRINGFIELD,}OREGON r a t Permit no S/3 —22/6 225 lath Strcet•Spiingfteld,OR 97477“10541)726-3753•FAX(541)726-3689 � OREGON Date: 64'27 ( 3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 (lays 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.t Cost Total I I 111 ea. cost _CATEGORY OF CONSTRUCTION - y. Residential, per unit,service included: � ❑ Residential ❑Government ,�Comnterc ial _. JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) $147.50 S Each additional 500 sq. lt.or portion S 27.50 $ • Job site address: �3 p 3 S , c-- -n S a /7s thereof City: 5pr ,D State: ZIP: Limited energy(2) S 35.00 $ Reference: ?o Texlol , Q Each manufactured home or modular -(''-''r✓ � dwelling service or feeder(2) S 69.00 $ DESCRIPTION OF WORK Services or feeders: installation.alteration. relocation 200 amps or less(2) S 89.00 $ 1jli(1/21/446 — /44:774°M 3- acv C tr-C x=4. PROPERTY OWNER 201 to 400 amps(2) $ 104.50 S Name: C /-/ m/= .0.2 _b 401 to 600 amps(2) $174.00 $ Address:lNS 3�-j s� 601 10 1.000 amps(2) $225.50 $ City: Sam State:(�_ ZIP:5 7 ce// Over 1,000 amps or eons(2) $516.00 $ J Reconnect only(2) $ 69.00 $ Phone: - - Fax: - - E-mail: 'Temporary services or feeders: installation.a/e onion, relocation This installation is being made on residential or far property, 200 amps or less(2) S 69.00 $ farm 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 600 amps(2) $138.50 $ -, Signature: Over 601)amps or 1.001)volts,see services or feeders section above CONTRACTOR INSTALLATION �-�p Branch circuits: nee. allerafion. e.srension per panel Business name: 77 iiTd /3 G L '7W/C- a. Fee for branch eircuits with purchase of a service or feeder fee: Address: PO °7 C9)( 5-6 V tI Each branch circuit l $ 6.50 $ City: at 6 State ZIP:9 750 5 h.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - First branch circuit(2) $ 60.50 S 4oist E-mail: Each additional branch circuit ( $ 6.50 $ (e S:_ CCB license no.:/// 3,„)9 . I BCD license no.: P7iscellaneous fees:service or'feedermuincluded Signing supervisor's license no.: 30) 7 S Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: %?prK or i Each sign or outline lighting(2) $ 69.00 $ 7 /N Signal circuit or a limited-energy panel. Signature of signing supervisor: j idi _S% ,20„,- alit:anon.or extension(2) $ 80.00 $ Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees • S (Minimum Permit Fee$80.00) . (B) Enter 12%surcharge(.12 x[A]) $-% (C)Technology Fee(5%011A]) $ erg 440-255+1(4/0112013/COMMI TOTAL fees and surcharges(A through C): $ G/30'%