HomeMy WebLinkAboutPermit Electrical 2014-3-21 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
(�j'`r Phone: 541-726-3753 •
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00599
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/21/2014 EXPIRES: 09/17/2014
STATUS DATE: 03/21/2014 APPLIED: 03/20/2014
SITE ADDRESS: 138 S 32ND ST,Springfield, OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702310000501 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: E-Tenant infill (first to shell space)Martial arts studio
OWNER: MCGLADE&ALBERTS LLC Phone Number:
ADDRESS: 4055 SPRING BLVD •
EUGENE OR 97405
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor • WHISKEY HILL ELECTRIC INC CCB 162985 02/01/2015 503-981-4640
General Contractor BURT WALTER CONSTRUCTION INC CCB 190704 05/17/2014 503-516-8786
INSPECTIONS REQUIRED j
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.
Owner or Contractor Signature Date
NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
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
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
1 [^/�5 e
pervrre Q �e number for the Oregon Utility Notification
Center is 1-800-332.2344).
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Springfield Building Permit 3/21/2014 8:05:59AM Page 1 of 1
SPRINGFIELD-' CITY OF SPRINGFIELD
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k SAO„
225 Fiflh St
` ' TRANSACTION RECEIPT Springfield.OR97477
OREGON 541-726-3753
811-SPR2014-00599 , •
v -w.spnngfield-or gov 138 S 32ND ST permitcenter @spnngfieId-or.gov
RECEIPT NO: 2014000603 RECORD NO: 811-SPR2014-00599 DATE: 03/21/2014
[DESCRIPTION-- . ' — ACCOUNT-CODE/TRANS_CODE a_ , __.AMOUNT DUE
Branch circuits with service or feeder each circuit 224-00000-426102 1004 65.00
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.48
Technology fee (5% of permit total) 100-00000-425605 2099 7.70
TOTAL DUE: 180.18
PAYMENT TYPE . PAYOR CASHIER:JLARSON i COMMENTS AMOUNT PAID
Credit Card WHISKEY HILL ELECTRIC INC 180.18
011868
TOTAL PAID: 180.18
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03/18/2014 14: 30 5039814643 WHISKEY HILL ELECTRI PAGE 01/01
, Electrical Permit Application DEPARTMENT USE ONLY
I SPRINGFIELD
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CITY OF SPRIN Gf'IELU,'ORGGON Sly-OO S?
Permit no.:
225 Flub Street eSpringoeld OR 97477r.PN(5J1)726-3753•FMgs41)726-3619 ODUCON /
Date; 3-/Z a//y
This permit Is issued tinder 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? 0 Yes ❑No Number of Inspections per Item() Qty. roost cost?
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
❑Residential r0 Government C COtfinercial
JOB SITE INFORMA ON AND LOCAT 1,000 sq.ft.or less(4) $147.50 $
i f / Each additional 500 sq. 0,or portion
Job sit redress: �e �e .4. c3 i-.ee ' thereof $ 27.60 $
C • ,gal dr...ACM . ZIP:95 # 2 1 Limited energy(2) $ 36.00 $
Refert ee: j LZOZ 3/60 1 Taxlot.: e)05O( Each manufactured home or modular •
/•ESCRIPTION OF WORK dwelling service or feeder(2) $ 69,00 $
1-e ray^\-� 1 w QSovr...nc•�"f Services or feeders:installation, alra,'aunn.relocation
/1.�-s 5 k.`� 200 amps or loss(2) $ 89.00 $ fir .
PROPERTY OWNER 201 to 400 amps(2) $ 104.60 $
Name. ktet c6-i.Aber $A L, -T-S Li-C 401 to 600 amps(2) $174;00
•Address: t-(G �S .SP24t,� 4171/.L 601 to 1,000 amps(2) $226.60 $
City: �(�'71 6 State: Oa_ ZIP: No sr Over 1,000 amps or volts(2) $516,00 $
• Phone; Fax: Reconnect only(2) $ 09.00 $ •
E-mail; Temporary services or feeders:InsmHTtiorr,alteration, relocation
This installation is being made on residential or farm property 200 amps or loss(2) $ 69.00
amps owned by me or a member of my immediate family. This 201 to 400 am 2) -
property is not intended for sale,exchange, lease,or rent. OAR p ( $ 96.00 $
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 above
CONTRACTOR INSTALLATIO Branch circuits;noit a eraHort,extens/orr per panel
Business name: �� -� e/eta a. Fee for branch circuits with purchase of n service or feeder fee: l
Address; -� /A
CO Each branch circuit / $ 0.60 $(a4GC
—C--r� ,. `Stat.4 ZIP• 7age, b.Fee for branch circuits without purchase of a service or feeder fee:
Pho4a5 9e,_ (4,5 Fax 9,/.ct 0/3 First branch circuit(2) $ 60,60 $
E-mail: Ccroi>,, la �lw�t„A/- !w Each additional branch circuit $ 6.60 $
CCB license no.;/epacfrs BCD license no.: d / - Miscellaneous fees:service or feeder not(nc/tided
Signing supervisor's license no.: - s' Each pump or irrigation circle(2) $ 69.00 $
�_ /
Print name of signing supervisor - J 2,4:OS Each sign or outline lighting(2) $ 69.00 $
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Signal circuit or a limited-energy panel. $ 80.00 $
Signature of signing supervisna, o ��
_ alteration,or extension(2)
Each additional inspection:(I) $90.00 $
APPLICANT USE
(A) Enter subtotal of above fees
(Minimum Permit Poe$80.00) $ 453/60
(B)Enter 12%surcharge(.12 x[A]) —/.� iig •
(C)Technology Fee(3%of[A]) $ 2 I o
440-2514-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): S/fe /8
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