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HomeMy WebLinkAboutPermit Electrical 2014-3-4 SPRINGFIELD °, 225 Fifth St CITY OF SPRINGFIELD • Springfield,oR 97477•c.u - Phone: 541-726-3753 OREGON • Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00455 wvrx.springfield-or.gov ' permitcentergspnngfeld-or.gov PROJECT STATUS: Issued ISSUED: 03/04/2014 EXPIRES: 08/31/2014 • STATUS DATE: 03/04/2014 APPLIED: 02/28/2014 • SITE ADDRESS: 2509 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703360000100 TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Additional services and circuits for Mill A ELI line By Contractor OWNER: ROSBORO LLC Phone Number ADDRESS: 2509 MAIN ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION • • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor HAMER ELECTRIC INC CCB 33818 01/25/2015 ' 360-636-2227 • 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 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 NOTICE: n OAR 952-001 0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. • Center is 1-800-332-2344). Springfield Building Permit 3/4/2014 10:30:10AM -Page 1 of 1 . =orM-r„raZ Electrical Permit Application DEPARTMENT USE ONLY OF SPP IYGFIE 1D ✓OREG©N „5/11 — cj ST 225 Fifth Snret•Springfnld.OR 77477,P11(541)7263753t1 xx(L41)726-3689 •'' .OREGON Date: Zit, /pie 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 ❑ No Number of inspections per item () Qty. Ceost Total CATEGORY OF CONSTRUCTION Residential, per unit,service included: ❑ Residential ❑Government 2-Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq. ft. or less(4) $147.50 $ Bach additional 500 sq. 0.or portion $ 27.50 Job site address: 247:), /rH'iN thereof City: StFZM State: 67_ ZIP: 971,77 Limited energy(2) $ 35.00 $ Reference: /w3 3600 Taxlot.:Q0,42Q Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) ---c Services or feeders: installation. alteration. relocation S/aS g Gi2G� �}7�- vy LL , 200 amps or less(2) $ 89.00 $ at L / t,PROPERTY OWNER 201 to 400 amps(2) 2 5 104.50 $dal•-•---- Name: D 401 to 600 amps(2) $174.00 S Address: 2 code mon/ 601 to 1,000 amps(2) $225.50 $ City: State: ZIP: Over I.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 479,540(1)and 479.560(1). 401 to 600 amps(2) . $138.50 $ Signature: Over 600 amps or 1,000 volts. see services or feeders section ahovc CONTRACTOR INSTALLATION--- Branch circuits: nem alteration, extension per panel Business name:Kjha1.a t er a. pee for branch circuits with purchase of a service or feeder fee: Address: / J meprtfr f$t. fry Each branch circuit 3 g S 6.50 $2 1/7_ City: 6o-74 V/elm state:Art— ZI P9 t, J b. Fee for branch circuits without purchase of a service or feeder l'ee: Phone: I-34j1 Le‘ 2 ze7 Pax: - - First branch circuit(2) $ 60.50 $ E-mail: 744tt Cale g 4 snot G1C-LA E ern. Each additional branch circuit $ 6.50 $ CCB license no.:2777f n' BCE) license no.:)7 -I WC Miscellaneous fees:.service of_feeder not included Signing supervisor's license tto.' J—l /___/,S Each pump or irrigation circle(2) _ $ 69.00 $ Print name of signing supervisor: re f/t b ewe_ Each sign or outline lighting(2) $ 69.00 $ D edit Signal circuit or a limited-energy panel, $ 80.00 $ Signature of signing supervisor` _ --_-D ( dit alteration.or extension(2) Each additional inspection: (I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ ii“(Minimum Permit Fee$80.00) • (B)Enter 12%surcharge(.12 x)A1) $ SI re: (C)Technology Fee(5%of IA ) $ 7 7,E. 440-2584-1(4/0IC013ICOM) • , TOTAL fees and surcharges (A through C): $ '/� SPRINGFIELD'-- CITY OF SPRINGFIELD 11 225 Fifth St TRANSACTION RECEIPT Sphngfield,OR97477 -O° .•y OREGON 811-SPR2014-00455 541-726-3763 www.springfieldor.goy 2509 MAIN ST permitcenterespnngfield-or.gov RECEIPT NO: 2014000462 RECORD NO:811-SPR2014-00455 DATE:02/28/2014 101 30 7lyda[o]'N + , y,:,.: . It at 5142 +;`-i ' ACCOUNTTCODEIT:RANS'CODE :x, PAMOUNTDUE;Al Branch circuits with service or feeder each circuit 224-00000-426102 1004 247.00 Services 201 to 400 amps 224-00000-426102 1004 209.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 54.72 Technology fee(5%of permit total) 100-00000-425605 2099 22.80 p TOTAL DUE: 533.52 g+sP.AYMENTdYPE PAY,OR CASHIER uLARSOR' - COMMENTS.= i gNAMOUNT PAID ` . Credit Card ROSBORO LLC 533.52 087224 TOTAL PAID: 533.52 • •