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
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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
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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
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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 . .
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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).
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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
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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
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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--.--
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$ 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 •