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HomeMy WebLinkAboutPermit Electrical 2014-1-7 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 eat Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00027 www.springfield-or.gov permitcenter@springfield-or.gay PROJECT STATUS: Issued ISSUED: 01/07/2014 EXPIRES: 07/06/2014 STATUS DATE: 01/07/2014 APPLIED: 01/07/2014 SITE ADDRESS: 3539 COMMERCIAL AVE,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702312103100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: INSTALL NEW TUBE HEATER&FLUE VENT,CONNECT TO EXISTING GAS LINE OWNER: GIELISH KEVIN&LISA Phone Number: ADDRESS: PO BOX 1792 SPRINGFIELD OR 97477 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 • L INSPECTIONS REQUIRED II 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 's located at the front of the pro•-rty, and the approved set of plans will remain on the site at all times during con.tr coon f i h ►.�_ • L►I .. 7- 7 -I Own:r or Contractor Sign-ture Date ATTENTION: Oregon taw requires you to NOTICE: follow rules adop ted by the Or Utility Notification Center. Those rules OAR 952f001- THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-o0t o throue9 of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain cop hone calling the center. (Note: the telep COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344)• Springfield Building Permit 1/7/2014 11:53:16AM Page 1 of 1 SPRINGFIELD CI'T'Y OF SPRINGFIELD • TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 541-726-3753 OREGON 811-S P R2014-00027 www.springfield-or.gov 3539 COMMERCIAL AVE permitcenter @springfield-ocgov RECEIPT NO: 2014000023 RECORD NO: 811-SPR2014-00027 DATE:01/07/2014 [DESCRIPTION • - ACCOUNT'CODE/T.-RA-NS 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 L PAYMENT TYPEPAYOR. .CASHIER:CCARPENTER _ " COMMENTS - °, AMOUNT Credit Card BURRELL BROS ENTERPRISES INC 93.60 005267 TOTAL PAID: 93.60 • Electrical Permit Application DEPARTMENT:IUSE ONLY V. SPfi1NGF1ELO ' '. . :., +tt:,- 4 s'V�'—zsi f_r'4..' -4kt 7`t]XiM°G°Se 2+T.` Y`2cf; e.rh3. +tt E TY OF SPR I NGI LSD OREG9N a Permit no.: $/'y-- ? b ` - 225 Fifth Stree •Spnngfield,OR 97477♦PH(o41)726-3753•FAX(541)726-3689 Date: // 7/f ty. 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. t;LOCALi;GOVERNMENT.:APPROVAL, i w"4:. 7 ,., ,p, E.Wa35I,'," 'FEE'SCHEDULE „t, 9 `ai_„ _ r`,;'A:' Zoning approval verified? ❑ Yes ❑No u _tp`.t { Coast Total s"Nmher ofinsecions perntem Q Qty . : t= Ym.e J , ,...', . ... :-` .. .:xue .=„s.- cos ..; =j 'una CATEGORYROPrCONSTRUCTaO * y_ s, Residential,per unit,service included: ❑Residential I ❑Government . Commercial 1,000 sq. ft.or less(4) $147.50 $ JOB;SITE;;I FO.M' TON'” D>LOCATION` ; , ,� ` ff�11[[ / ///� (,/ Each additional 500 sq.ft.or portion $ 27.50 $ Job site address'' `� � Q Y n/ thereof City: State: ZIP: if;7 l/� Limited energy(2) $ 35.00 $ . Reference / 2 t / 2 / Taxlo[ d ?fc)o Each manufactured home or modular ^' /'� u„,h,,;in DESCRIPTIO ',OF WORK'f'��va,'�?.�;,�uP;x, y dwelling service or feeder(2) $ 69.00 $ /t .n 5 /7_ ,a -ii 2- L/N'/ 7 / '1 Services or feeders: installation, alteration, relocation /l-/-1 �' I n // Y✓ '-'t 200 amps or less(2) $ 89.00 $ s r% i pi srAz "" ° ' ROP t�O,WN E �' 4/C/6571..xRy�,!i . 201 to 400 amps(2) $ 104.50 $ t Name: N�)J/ t'O( y/ 401 to 600 amps(2) $174.00 $ '---- Address: M,70><- / ej 2j 601 to 1,000 amps(2) $225.50 $ \ City: 5/O ]) State: t7L I ZIP: 9707 Over 1,000 amps or volts(2) $516.00 $ 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 property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 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 •RiNall4kR.4epNit , CTORAINSTALLAT N j r,' '"^. ' 'pt;i, Branch circuits:new alteration, extension per panel Business name: V r J V-1// /� Q a. Fee for branch circuits with purchase of a service or feeder fee: — Address: �// •J Each branch circuit $ 6.50 I $ City: State: I ZIP: . b. Fee for branch circuits without purchase of a service or feeder fee: Phone: x/17 7 77,71 Fax: - - First branch circuit(2) I $ 60.50 $ E-mail: . ` ' / Each additional branch circuit .6 $ 6.50 $ CCB license no.:13 Q 91(p BCD license no.g° t L/ C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: [f 7? f / I ach pump or irrigation circle(2) $ 69.00 $ o / / i h sign or outline lighting(2) $ 69.00 $ Print name of signing supervisor: i nal circuit or a limited-energy panel, Signature of signing supervisor $ a0.00 $ / pj , l4jy Ea h additional inspection:(I) $80.00 $ �'. .. , 4Ati-1 +; #A;PPLIelata SE ` s pa w. • (A) Enter subtotal of above fees S (Minimum Permit Fee$80.00) Oy� (B)Enter 12%surcharge(.12 x [.4]) - $ c9 . ' (C)Technology Fee(5%of[A]) $ (du TOTAL fees and surcharges(A through C): $ °3,-© 440-2584-1(4/01/2013/C0M) •