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HomeMy WebLinkAboutPermit Electrical 2013-12-30 SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 ' �io OREGON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 . Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02747 www.springfleld-ar.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 12/30/2013 EXPIRES: 06/28/2014 STATUS DATE: 12/30/2013 APPLIED: 12/30/2013 SITE ADDRESS: 5120 MAIN ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702333203002 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New office building-electrical OWNER: DUNLAP T R ENTERPRISES INC Phone Number: ADDRESS: 5120 MAIN ST - • SPRINGFIELD OR 97478 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor GARYS ELECTRIC SERVICE LLC CCB 195416 11/15/2015 541-729-4403 L 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: 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 P\S-ttkS�5 c)V\\O FOB requires you to •\Ar3��C'�Rpfr\� .% NiNO�N� ATTENTION. Oregon la t regon Utility Z� P ,\1_ \c P foilovv rules adopted by o rules are set torth Center Thos h 0AR 952-001- \��\Au O�0�R \p0 Notiiica ton Ce1-0010 throng of the rules by CpMp� N\)PN PEF in OAR may obtain cop1. the telephone - j8e 0090. le the center. (I\lote. Notitication number 101 the Oregon Utility Center is 1 Boo-332"2344). Springfield Building Permit 12/30/201 2:06:00PM Page 1 of 1 • SPRINGFIELD--- CITY OF SPRINGFIELD 't 225 Fifth St S,` E�oN TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-SPR2013-02747 www.spnngfieldor.gov 5120 MAIN ST permitcenter @spdngfield-or.gov RECEIPT NO: 2013002757 RECORD NO:811-SPR2013-02747 DATE: 12/30/2013 D _ � „ CODE/TRANS CODE _- 9e i'FkAMOUNT.DUE*^, Branch circuits with service or feeder each circuit 224-00000-426102_ 1004 117.00 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.72 Technology fee(5%of permit total) - 100-00000-425605 2099 10.30 TOTAL DUE: 241.02 BAYNIENThT;YPE PAYOR cnY sw lE ssr _ COMMENTS LINTRAIDSAMINVffii - Credit Card .. GARYS ELECTRIC SERVICE LLC 241.02 03307c - TOTAL PAID: 241.02 1 Electrical Permit Application - SPRINGFIELD -LS DEPARTMENT USE ONLY „iv,'x rxm I 5 k;,t*;Ati t§' S'-° C ,}4'fi' 1:4;3"'s * s ..4Rn.*'i-m4.,, p,.+ .e 1 I —Zm i3—0Z-7`G L CITY OEISPRINGFIELD OREGONc. }v Ste, Permit no.:e. 225 Fifth Street♦Springfield,OR 97477•P11(541)726-3753♦FAX(541)726-3689 Date: -/2/3 /7 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 '. ., ;,?iikif ' `SFEE:SCHEDULEV k' a' 1 w'z Zoning approval verified? ❑ Yes ❑ No Number of inspections per item O Qty, Cost , Total '.:CATEGORY.=.OF .CONSTRUCTION V' ea cost Residential,per unit,service included: ❑ Residential ❑ Government Commercial 1,000 s ft. or less(4) $134.00 $ € s .,IZIPB ;SITE INFORMATION "ANDFSLOCATION`k„= q Each Jolrsite address: S/I1 . �f(-f, d'T• thereof additional 500 sq. ft.or portion $ 25.00 $ City:SegjN�Tf Pi(ens State: ©x ZI P:g7Y76 Limited energy(2) $ 32.00 $ Reference: Taxlot.: Each manufactured home or modular dwelling service or feeder(2) $ 63.00 $ DESCRIPTION OF WORK' A & _ nQ_tJ tJ I Q Jj� Services or feeders: installation, alteration, relocation �[ GC • 200 amps or less(2) I $ 81.00 $ 'PROPERTY OWNER ' • 201 to 400 amps(2) $ 95.00 $ Name: got Dav I�J .y►-S 401 to 600 amps(2) $158.00 $ 3 7 Address: JO M R►v N(-' 601 to 1,000 amps(2) $205.00 $ City: SORD State: Oft— ZIP: 1'706' Over 1,000 amps or volts(2) $469.00 $ Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400) and 479.5600). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATTIIO N .F Branch circuits: new, alteration, extension per panel Business name: G�,ey j ghee/get (/fu a. Fee for branch circuits with purchase of a service or feeder fee: Address: re • Bo )L '2/00 1— Each branch circuit I g $ 6.00 $ City: CSp o State:Q/Z ZIP:979 ' am' b. Fee for branch circuits without purchase of a service or feeder fee: Phone:n-7a—qqo Fax:5-w—453' 9.7 v j O First branch circuit(2) $ 55.00 $ ' Each additional branch circuit $ 6.00 $ E-mail: •a e/QLfR.4c 'M '- �-• fi� CCB license no.: /9SC/(io BCD license no.:cZ t9a1 Miscellaneous fees:service or feeder not included Signing supervisor's license no.: SO&S 9& ear . Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: g ,4 /n'derIe. — Each sig outline lighting(2) ^•t 10 $ 63.00 $ vealSignal ct or a IimitGd,-energytpan I �Jt[1Yt Signature of signing supervisor: R\( e alteratio tern;10 ti of �eJPr \h$ • $ 1\1 t?' px. [Ape otlo cMU tPU lo5 alp ' c 1-$6538.000\F �\\ SNO� p(Each add isnialnnslchon•YFYn�R 452 $ t`cC' SHPV�IC?\Y�PrM\ Y. ft,r :�toVv 6-i4ARPLICANTIVISE';D », I d\S pE�IN, �E.1 t Ou N r”Vt._r sa t tLd°. e feeso, wk:Iv p\3 P P'' Yr, 6^� mP m�t>Gee s ,ou)ity N 4 rticatron $ \� R\1E \S ocolIn' me e eo, , �oM�nE DO QEf` (§jEnterl-2°Je r°i:harg�,�t'3 ''(lf1�v $ 4 \Gk O 0 -\$e (�)Technslgoy Fee(5/0 of[AD $ PN e TOTAL fees and surcharges(A through C): $Z91 440-2584-J(9/08/COM)