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HomeMy WebLinkAboutPermit Electrical 2014-3-12 SPRINGFIELD • 225 Fifth St ,AR CITY OF SPRINGFIELD Springfield,OR97477 11< Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00536 'www.springfeld-or.gov permitcenter@springfleld-or.gov PROJECT STATUS: Issued ISSUED: 03/12/2014 EXPIRES: 09/08/2014 STATUS DATE: 03/12/2014 APPLIED: 03/12/2014 SITE ADDRESS: 3415 MAIN ST,Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702313106700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Wiring to new store room OWNER: V 8 L ENTERPRISES INC Phone Number: • ADDRESS: 5510 WINDSOR ISLAND RD N UNIT 014 KEIZER OR 97303 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB • 104929 03/14/2014 541-687-5770 INSPECTIONS REQUIRED i Inspections ' 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 � .-�� 0 Date Csr.M-`� a I`` n 1 .. ATTENTION: Oregon law requires you to NOTICE: .' ""'`' follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332.2344), • • Springfield Building Permit 3/12/2014 2:51:11PM Page 1 of 1 St SPRINGFIELD � 225 Fifth CITY OF SPRINGFIELD 1 � ..i+ia.... �b TRANSACTION RECEIPT Springfield,OR97477 .OREGON 541-726-3753 •811-SP R2014-00536 www.springeeld-or.gov 3415 MAIN ST - permitcenter @spdngfeId-or.gov RECEIPT NO: 2014000548 RECORD NO: 811-SPR2014-00536 DATE: 03/12/2014 DESCRIPTION '- ' __ ACCOUNTCODEITRANS_CODE, '____J__AMOUNTDUE. Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 • 6.50 • Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00 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 _ PAYOR CASHIER:JLARSON_ _•_ - COMMENTS_,__ -_ _-: - AMOUNT PAID - _ -! - Credit Card JB ELECTRIC INC — A ^93.60 708899 TOTAL PAID: 93.60 • 03/12/2014 11:03 54130282% JBELECTRIC PAGE 01/01 Electrical Permit Application DEPARTMENT USE ONLY: " raz 7 Y, Fry 7^rn a ry t r e, t f N n vanyev,seu ... . . :.... . .: ... ...... "1.4.ui; iin,a.41:tfiv ... ...:t'ro cocci,, ,.y ,n. `._ 4 j r4 i..P /. ,t4 Permit no it ZOl 0 225 Fifth Street•Springfield,OR 97477•PFr(541)726-37534 FAX(541)72r,36:• 1 af'" "" • Date: -3/// Z/Y This permit is issued under OAR 918-309-0000.Permits arc n,ntransferable: Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. :i1 .aA^Uf3EA"G`lr�WF I..fV( 9?40elPitd546LY`74W.i' S ,.6.1."r<t,?,a' ,s'ort'u'!rt��EE5gdPcptlreta WAy-i ,r i ffe Zoning approval verified? ©Yes ❑No n 10 i xh { i L'7'� ,,,wi+'^h u�.i�,t{y , �g k y a-.os{� :: a �y ,..-”, k Y-i'7' rr.tr'fi'o`a. rL.,e,,,`llti,'r. fir p r .':41:11 rri,fA+t OK.12 .010,R:li.zAriey r%�ON�TSItRU[+.T[ 11,3jurin,,,s5.;1C,ii s,C '1,5-i ; ''':. .t, - .,:5 t 4J :1-:1t4"Ts, {fC'• -n�'1 : ..'r� Residential,per unit,service in eluded: ❑Residential ❑ Government ommercial 'r.°t JOB SI,FIE-ONEO.”Ac to},�,'.;'ANb}.11.0WAtIOTI'!..:'i ;;i5 .1,000 sq-ft. or less(4) $147.50 $ / Each additional 500 sq.ft or portion Job site address- 'SV #27J 3/A/ _/ thereof $ 27.50 $ City: Slue: 6` ZIP: I Limited energy(2) $ 35.00 $ Referent Taxlo[ Each manufactured home or modular dry :41'Yt�^fit1'OV SOWT:l�N 4�,O,Fa 1il110/ i..t ti a , ` `�A. dwelling service or feeder(2) $ 69.00 $ W( fl An •'�i� VI o.. J Services or feeders: installation; alteration, relocation /�-� 6T/r�, J "^'�� 200 amps or Icss(2) $ 89.00 $ ;;;;;;�.iIANZa'.5;:Ofe �a y. ��;i..�i�,^t C1� `vu('�i'. y'l6tSt, 201 to 400 amps(2) $ 104.50 $ 6 ti fipE1,2T�'Y�.©iry7N�R Name: V i L e. 70`,5e l 401 to 600 amps(2) $174.00 $ Address: 4-570' (j, ,o)-/G✓ -IcL.i.) I y 601 to 1,000 amps(2) $225.50 $ ` City: (<el2 er- State: � ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: Fax: Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders:installation, alteration, relocation 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) property is not intended for sale,exchange, lease,or rent. OAR , 8 96.00 $ 479.5400)and 479.5600). 401 to 600 amps(2) 5138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ru villniaMeghl OliT NSI$1:Sir`/(,,,'Lli'A'I`IO14 ig rp �P:nv t r:.;. y ,, � ,,. ,t,,,, ftranth circuits:new, alteration,extension per panel Business name: c�Zj a.Pee for branch circuits with purchase of a service or feeder fee: Address: Giber .i:& ., S'` Each branch circuit $ 6.50 $ City:. I State: O/2 1 ZR:Mtc:94., b.Fee for branch circuits without purchase of a service or feeder fee: Phone: ii--d$ — 42 Fax: , — jZgG First branch circuit(2) / $ 60.50 $ E-mail: .Joky. aP.f.6eLetinc—ZA�.._ any Each additional branch circuit a $ CCB license no.: �d BCD license no.37 7G Miscellaneous fees:service or feeder not included Signing supervisor's license no.: g7cL 5 Each pump or irrigation circle(2) $. 59.00 $ Print name of signing superv-`: h# e rtj. Each sign or outline lighting(2) $ 69.00 $ Signature of signing supexvi9or.� Si:n circuit or alimited-energy panel, $ 80.00 $ oration,or extension(2) Each,,,additional inspection:(I) $80,00 $ j[j,`' ryiifi"�'a.v'il7T i'iFts7Aill `lilai'3 ulktro.".A!, 7?£ le.I l.7µ}; (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ (B)Enter 12%surcharge(.12 x[A)) $ (C)Technology Fcc(5%of[A)) $ TOTAL fees and surcharges(A through C): $ 7? L 4402584-1(4/012013/COM)