HomeMy WebLinkAboutPermit Electrical 2014-2-24 SPRINGFIELD - 225 Fifth St
L CITY OF SPRINGFIELD Springfeld,OR 97477
I1;','j ;C C..41 Phone: 541-726-3753
OREGON Building 7 Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00396
www.springlield-or.gov pe rmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/24/2014 EXPIRES: 08/23/2014
STATUS DATE: 02/24/2014 - APPLIED: 02/24/2014
SITE ADDRESS: 1045 GATEWAY LOOP,STE#E,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703222002601 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Low Voltage/data
OWNER: RAYMAR PROPERTIES LLC Phone Number:
ADDRESS: PO BOX 70556
SPRINGFIELD OR 97475
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor TTC COMMUNICATIONS INC GCB 164114 04/11/2015 541-689-2650
INSPECTIONS REQUIRED 11
Inspections
4550 Limited Energy
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 .
follow rules adopted by the Oregon Utility ;;:,,
Notification Center. Those rules are set forth ' OTICE: •
in OAR 952-001-0010 through OAR 952-001- HIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by UTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone
number for the Oregon Utility Notification ,)OMMENCDED OR IS ABANDONED FOR
•
center is 1 800-332-2344). 1NY 180 DAY PERIOD.
Springfield Building Permit • 2/24/2014 7:57:42AM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
�o EG„ TRANSACTION RECEIPT Springfield.OR97477
541-726-3753
811-SPR2014-00396
www.springfield-or.gov 1045 GATEWAY LOOP. STE E permitcenterQspringfield-or.gov
RECEIPT NO: 2014000388 RECORD NO:811-SPR2014-00396 DATE:02/24/2014
(DESCRIPTION '- ACCOUNT CODE/TRANS CODE AMOUNT DUE
Data/Telecommunications 224-00000-426102 1004 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 �if A
YOR -cnsHIER:ccaRreNTER- COMMENTS�_ _' AMOUNT PAID
-z j
Credit Card JODI WOOD - - - --- --- ------ - ------ —� _-- - 93.60
73987a ,
TOTAL PAID: 93.60
A
Feb 20 14 02:49a Greg L 541-463-1229 p.1
Electrical Permit A • plication DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, OREGON 6,.. <
Permit no.: 5l`7// 3?
225 Fifth Street•Spring Geld,OR 97477•PH(541)7263753•FAX(541)7263689
Date: 2/Z V/ y
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 0 No Number of inspections per item() cost Cost Total
CATEGORY OF CONSTRUCTION 111 e% cost
Residential,per unit,service included:
❑Residential I 0 Government tgrCommercial
JOB SITE INFORMATION AND LOCATION 1,000 sq.R or less(4) b134.00 S
Each additional 500 sq.R or portion S MOD S
Job site address: /0 9T K.wr ay /ea/o 5"1-8. L thereof
City: .S�r.%i,Ate/ I state= m2 ZI P:,7 y 7 9 Limited energy(2) S 32.00 $
Reference: Taxlot: Each manufactured home or modular T 61.00 $
DESCRIPTION OF WORK dwelling service or ke ier(2)
2 ,� ,fed �sr etj Da{a Cab/ Ind /l� Services or feeders:installation,alteration,relocation
7a 200 amps or less(2) $ roe S
PROPERTY OWNER 201 to 400 amps(2) S 96.00 S
Name: A'airr.at Red/et71cS 401 to 600 amps(2) $191.00 $
Address: /O YS !gait wa3 Loc 601 to 1,000 amps(2) $205.00 $
City: 5 ere-,'„.57C1 e/d I state: (of ZIP: 97 v77 over l,000ampsor volts(2) $469.00 $
Phone: SY/ - 7Y6-reY10 IF= S4// - 7 -7,1-7,2
Reconnect only(2) S 83.00 $
E-mail: "'A•/� cask O J/1 L , GCrly1 Temporary service or feeders:installation.alteration,relocation
This installation is being made on residential or farm property 200 amps a less(2) _ 5 63.00 T
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 67.00 $
property is not intended for sale,exchange,lease,or rent.OAR
479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $
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:IL C,o(j(104 IX/I(t(J1 p{ 5 a.Fee for branch circuits with purchase of a service or feeder fee:
Address: g, 0 , by n 7 Each branch circuit I j S 6.00 S
City:,,f , (i Ja State:OIL. ZIP: C ) b.Fee for branch circuits without purchase of service or feeder fee:
Phone�T" J l.la 0 1 r ,vl Fax: '-I'l-( Sig i / First branch circuit(2) $ 55.00 $
E-mail: ct)CLU. (1SD - i ,1, 0,001 Each additional branch circuit $ 6.00 $
CCB license no.: 1(4 Li 11 N BCD license no.: Miscellaneous fees:service or feeder not included
r, Signing supervisor's license no.: 33 39( $ Each pump or irrigation circle(2) S 63.00 $
Print name of signing supervisor a l,�t LO 00 4 / Each sign or outline lighting(2) S 63.00 $
Signature of signing supervisor: Cj/+VI}�'vJ R.) pA Signal circuit ore extension panel, s 63.00 $
,(,l. /'a"-r'' alteration,circuit or a (2) /
_-> C20-.Z--) �� Each additional inspection:(I) 568.00 S
APPLICANT USE
(A) Enter subtotal of above fees �(J�)
(Minimum Permit Fee$58.00) S U-�
(B)Enter 12%surcharge(.12 x JA)) $ cj.0a-
(C)Technology Fee(5%of[AJ) S /if55'
TOTAL fees and surcharge(A through C): S G5
440-2384-I(9/0&/CAM)