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HomeMy WebLinkAboutPermit Electrical 2014-3-5 SPRINGFIELD . 225 Fifth St • ' ' CITY OF SPRINGFIELD Springfield,OR 97477 l� Phone: 541-726-3753 OREGON Building I Commercial Permit •Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00481 www.springfield-or.gov perm itcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 03105/2014 EXPIRES: 09/01/2014 STATUS DATE: 03/05/2014 APPLIED: 03105/2014 • SITE ADDRESS: 3033 GATEWAY ST,APT#1,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703222003600 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Adding Service Apt.69 OWNER: KKMH PROPERTIES LLC Phone Number: ADDRESS: PO BOX 8099 PORTLAND OR 97207 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor HARDING ELECTRIC INC GCB 132089 02/01/2016 541-688-5006 INSPECTIONS REQUIRED Inspections 4220 Electrical Service Electric Service: Approval required prior to utility company energizing service. • 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. t OOP A.. 4 / 3 - 3 - h ] Ow er or Contractor Signature • Date o ATTENTION: Oregon law requires Utility • NOTICE:follow rules adopted by the Oreg Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 t copies OAR 2-0 by AUTHORIZED UNDER :PHIS PERMIT IS NOT 0090. You may COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oreg on Utility Notification ANY 180 DAY PERIOD. Center is 1.600.3322344). Springfield Building Permit . 3/5/2014 12:00:25PM Page 1 of 1 SPRINGFIELD- CITY OF SPRINGFIELD kc : 225 Fifth St :{ TRANSACTION RECEIPT Springfield,0R97477 OREGON 541-726-3753 811-SPR2014-00481 wwwspringfield-or.goy 3033 GATEWAY ST. APT 1 permitcenter @springfield-or.gov RECEIPT NO: 2014000490 RECORD NO: 811-SPR2014-00481 DATE:03/05/2014 ?DESCRIPTION _ ,:.ACCOUNT CODE/TRANS CODE, _ -AMOUNT DUE _? Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.68 Technology fee(5%of permit total) 100-00000-425605 2099 4.45 TOTAL DUE: 104.13 .__PAYMENT TYPE ;PAYOR CASHIER:JLARSON:__.�_ _ COMMENTS_, AMOUNT PAID Credit Card HARDING ELECTRIC INC T 104.13 01751D TOTAL PAID: 104.13 • • Electrical Permit Application • DEPARTMENT USE ONLY _5'..E3-4 et,,.s xciif.A :s -?i-r SPRINGFIELD • Cur OE=S1' NGEI�EBE OREG,O 'i Permit no•Sl‘ Z°(y o°ke• 225 Fifth 3htet•Spi egfield.OR 97477e YH(541)726-3753+1 xA(541)726-3689 ��� OREGON Date: 3/5 /6{ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within ISO days of issuance Or if work is suspended for ISO (lays. LOCAL GOVERNMENT APPROVAL • FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government aetitunereial $ JOB SITE INFORMATION AND LOCATION r� 000 sq. ri. or less Id) $147.50 Apt 7 Each additional 500 sq. ft or portion $ 27.50 $ Job site address: 3033 Gaje,rfay Sf P thereof City: rltl�j- t L(cL State: Or ZIP:971/ 7 Limited energy(2) $ 35.00 $ Reference: UI Taxlot.: Each manufactured home or modular DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $ AILS_ jot) ozp 7 . e_roK e- for /IOCt the. Services o,feeders: installation.alteration. relocation Pant I 200 amps or less(2) I $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: 401 to 600 amps(2) $174.00 $ Address: 601 to 1;000 amps(2) $225.50 $ City: State: ZIP: Over 1.000 amps or'volts(2) $516.00 $ Phone: - - Fax: - - Reconnect only(2) 5 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation 200 amps or less(2) $ 69.00 $ This installation is being made on residential or farm property owned by me or a member of my immediate h imily. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease. or rent. OAR 479540(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 above CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel )-JBusiness name: (cLi I g"Ic7Gtt I c .,XnC. a. Fee for branch circuits with purchase of a service or feeder fee: Address: ?,O. aOx cif /p.'J Each branch circuit H $ 6.50 $ City: at e State: Or ZIP: 971oz h. Fee for branch circuits without purchase of a service or feeder fee: Phone: -� - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: ?mot Each additional branch circuit $ 6.50 $ CCB license 110,2 13)O$9 BCD license no.:020'143 Miscellaneous fees:.service on.feeder not included Signing supervisor's license no.: 579 9D '/ Each pump or irrigation circle(2) _ $ 69.00 $ Print name of signing supervisor:_JQP'1 /-1 are n Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, $ 80.00 $ Signature of signing supervisor: alteration, t1 extension(2) - Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ . (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.l2 NOD $ (C)Technology Fee(5%of iAi) $ 440-2384-J(4101(2013/COM) TOTAL Ices and surcharges (A through C): $ (oc7 73