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HomeMy WebLinkAboutPermit Electrical 2014-2-24 SPRINGFIELD - 225 Fifth St ` CITY OF SPRINGFIELD SpringfielOR97477 NPhone: 541-726-3753 " 1 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00373 www.springfield-or.gov permitcenter @springfield-ar.gov • PROJECT STATUS: Issued ISSUED: 02/24/2014 . EXPIRES: 08/23/2014 STATUS DATE: 02/24/2014 APPLIED: 02/20/2014 SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial • • PROJECT DESCRIPTION: E-Tenant Improvement OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number: ADDRESS: 7831 SE STARK ST STE 103 PORTLAND OR 97215 CONTRACTOR INFORMATION Y • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone LMJ ELECTRIC LLC CCB 185086 01/09/2015 541-729-8727 INSPECTIONS REQUIRED ` . Inspections 4225 Service or Feeder 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 req ired inspections are requested at the proper time,that each address is readable from the street,that the permit card iALt-t the front of- - . . erty, and the approved set of plans will remain on the site at all times during• . construction. Owner or Contractor Signature . . . • ATTENTION: Oregon law requires you to folio✓ rules adopted by the Oregon Utility Notilicatlon Center. Those rules are set forth NOTICE: n OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone• number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Center is 1-800-332-2344). • • . Springfield Building Permit 2/24/2014 1 43:01 PM Pagel of 1 SPRINGFIELD CITY OF SPRINGFIELD n1 225 Fifth St e - TRANSACTION RECEIPT Spnngield,OR 97477 541-726-3753 OREGON. 811-SPR2014-00373 www.springieldar.gov 631 W CENTENNIAL BLVD permitcenter @spdngield-or.gov RECEIPT NO: 2014000395 RECORD NO:811•SPR2014-00373 DATE:02/24/2014 D C z: > ACCOUNTCODEITRANS:CODE !LtAMOUNTDUE'si Branch circuits with service or feeder each circuit 224-00000-426102 1004 • 162.50 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 30.18 Technology fee(5%of permit total) 100-00000-425605 2099 12.58 TOTAL DUE: 294.26 PAYMENT PAYOR caSHIERARSON d f� , ANIONT ' Credit Card Marcus Thompson Co. 294.26 514294 TOTAL PAID: 294.26 • Electrical Permit. Application DEPARTMENT USE ONLY O SPRINGFIELD CiTYOE PRINGFIEIV TtEt c v u Permit S/y-373 ; 225 Fifth Street,Springfield,OR 97477,rf1(541)126.375)9FAX(541)726.3639 ORa+scw Date: � 1zy o/� SII-5PRZ0/3 — 02.595 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 wort is suspended for 180 days. LOCAL GOVERNMENT APPROVAL„,...-__, FEE SCHEDULE Zoning approval verified? 0 Yes ad No _ Nnmber of inspections per item() Qty. Cwt Total N ea. cost CATEGORY OF CONSTRUCTIO Residential,per unit,service included: 0 Residential D Government totornmercial JOB SITE INFORM TION AND LOCATION 1,000 sq.ft.or less(4) $147.60 $ / //'f'[- Each additional 500 sq..ft.or potion S 27,50 $ Lob site address: t9 3 13br/)9 thcrcof City: ' ?Fl) State:OF... ZIP: 77977 Limited energy(2) • $ 36.00 $ Reference: /vS Z 744 ' Taxloi:..rabr Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) N£ Services or feeders:installation,alteration,relocation 200 amps or less(2) /3 P F NCst C k1N F--.-- I i $ 69.00 $119 Re-)r. 201 to 400 amps(2) $ 7o4.60 $ PROPERTY OWNER Name:awr. syf,r//t s� town tt.c. 401 CO 600 amps(2) $174.00 $ Address:70/ cc, , tnieC „( I 601 to 1,000 000 amps(2) 522530 $: City_L� tivis. [ State: �/y`_ZIP_ l over 1,000 amps or volts(2) $516.00 $ Phone: - ` FaX: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or frets:installation,alteration m10(41 10,7 This installation is being made on residential or faint property 200 amps or less(21 $ 65.00 s owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96no S property is nor intended for sale,exchange, lease,or rent.OAR 479,540(1)and 479.560(1). 401 to600amps(2) t $138.50 S. Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Eranch circuits:new alteration.extension per panel Business name: r`' d E L LT R i c u.L-(, _ a.Fee for branch circuits with purchase of a service or feeder fee: Address: 1 R51 GI ft&N t r Each branch circuit rig S s,a0 I 516Z:50 City: .() ("16/Ora I State:C ZIP:975105 b.Fee for brooch circuits without purchase of a service or feeder fee: Phone%/-72R ',1Z 7 Fax%% 453-43 2.3 First branch circuit(2) $ 6050 $ E-mail:1_5w sate it Asl..272 ®1Npremm,,.Lbw t Each additional.branch circuit S $S0 S. CCR license net::15O$ . [BCD license no.: c...--1.f55 Miscellaneous ices:service or feedee not Included Signing supervisor's license no.:5-(,535 Each pump or irrigation circle(2) $ 69.00 5 Print name of signing supervisor (,.-GtJt SoNNSph.J Each signeroutlinclighring(2) $ 69.00 $ Signal circuit ora limited-energy panel, Signature of signing supervisor: 7��.� operation;or extension(2) S n6.0o 3 Each additional lnapetAUn:(I) $80.00 $ APPLICANT..USE. . . (A) Enter subtotal o$above fees, $ij6/,50 (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(-12 s IA}} $ 30,rg (C)Technology Fee(5%of[A)) S 1L.56 440-2584-1(4/01/2013/C0M) TOTAL fees and surcharges(A through C): Si' ,26 •