HomeMy WebLinkAboutPermit Electrical 2014-3-25 •
. SPRINGFIELD-- • 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
)' 4oRCOOr4 Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676.
PERMIT NO: 811-SPR2014-00619
vrwi.springfield-or.gov permitcenter @springfeld-or.gav
PROJECT STATUS: Issued ISSUED: 03/25/2014 EXPIRES: 09/21/2014
STATUS DATE: 03/25/2014 APPLIED: 03/25/2014
SITE ADDRESS: 244 6TH ST,Springfield,OR 97477 SCOPE: Electrical Only
• ASSESOR'S PARCEL NO: 1703353190003 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: r Low Voltage Cableing
OWNER: SCHILT PROPERTIES LLC Phone Number:
ADDRESS: 244 6TH ST
SPRINGFIELD OR 97477
• • L CONTRACTOR INFORMATION —1 -
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor TTC COMMUNICATIONS INC • CC8 164114 04/11/2015 541-689-2650
INSPECTIONS REQUIRED •
-
Inspections .
4500 Rough Electrical Rough Electric: Prior to Cover •
4550 Limited Energy
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.
•
riLL (L94 .
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Owner o ntractor Signature • Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE:
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER 'fHIS PERMIT IS NOT
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility-Notification ANY 180 DAY PERIOD. •
.Center is 1-800-332-2344).
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• Springfield Building Permit 3/25/2014 7:56:16AM . Page 1 of 1
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. SPRINGFIELD- CITY OF SPRINGFIELD
A - 225 Fifth St
' OREGON TRANSACTION RECEIPT S666966141.09 97477
541-726-3753
811-SPR2014-00619
www.spnngfieldror.gov 244 6TH ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000632 RECORD NO: 811SPR2014-00619 DATE:03/25/2014
DESCRIPTION ' ' - = -LiCsW•ClYACC.OU NTEODEITRANS CODE gym'-_::14-4 b AMOUNT DUEaa
Data/Telecommunications 224-00000-426102 1004 80.00
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
KAPAYMENTeT/BE P.AVOR casRlER:JL'A-M _ COMMENTS - AMPAIEPAIDM.,,.
Credit Card SCHILT PROPERTIES.LLC 93.60
639127
TOTAL PAID: 93.60
•
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Electrical Permit Application DEPARTMENT USE ONLY ' ;
#C ITY,,OF,SPRINGFIELD FOREG=61� T ` , e permit no.: j,//[ 2.01 -t — Oc t `(
•9 .$ay -�::^sa!M-x.f `k. ............'APe 3k-.9 a�ti5�.�t'r. r:x._6l•a�,Kr?'tt�c(�,�-.,k. i ��.tk�t
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
Date: 3 iZS//t-/
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.
` .er,,;LOCAL;vGQVERNMENT:APPROVAL xV •,
s ,S` ,. r",;4TEE SCHEDULE ,. to cl `,.;,.. ;i
� ,v
Zoning approval verified? 0 Yes ❑No `Number of mspectwns-pervrtem O' Qty ost Total
_ `? „„ .;; CATEGORY;OF, ,CONSTRUCTION 5 ,s
Residential,per unit,service included:
❑Residential ❑ Government ,Commercial
JOB'SITE,.:INFORMATION' AND,=LOCATIONS' 1,000 sq.ft.or less(4) $147.50 $
~b .zyci & IA- C �. Each additional 500 s4.ft.or portion
Job site/address:� Yrl O thereof $ 27.50 $
City: State:( ZIP: 7) Limited energy(2) / $ 35.00 $
Reference: �J Taxlot Each manufactured home or modular $ 69.00 $
s. Lrd+.p-'�'w z. dwelling service or feeder(2)
+a egg: DESCRIPTION OF WORK„ .,,.:,sx , F:
INv 1,� �(
00 ` O I [a' . GaAs Services or feeders: installation, alteration,relocation
200 amps or less(2) $ 89.00 $
d t kit, 1,70,',2+PROPERTtIr�,.','°owNER ,f A f i y 201 to 400 amps(2) $ 104.50 $
Name: t c 4 /A frofr..."- c 5 401 to 600 amps(2) $174.00 $
Address: Z K v lj's-c 11-, 601 to 1,000 amps(2) $225.50 $
City: f,,/J I State:O/C I ZIP: Over 1,000 amps or volts(2) $516.00 $
Phone: - - I 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
479.5400)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
?"„'.4.'j° CONTRACT,ORAINSTALLATION ;-+i:411tk ,i :' Branch circuits:new alteration, extension per panel
Business name:-1 C_ M 1a�� n -The— a.Fee for branch circuits with purchase of a service or feeder fee:
Address: T,Q ())� Each branch circuit $ 6.50 $
City: ^y1('Y�[��1, State(L I•
ZIP:glyi j b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: may, t- 6226/a,(62) Fax: -I tog/ [ am-)') First branch circuit(2) $ 60.50 $
T1J ,-, @ trio C Each additional branch circuit
E-mail: Jtit�-1 $ 6.50 $
CCB license no.: 1164 I IL.,{ I BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: Orl 1La�� Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor�Q _ 1.� i Each sign or outline lighting(2) $ 69.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor:9rCklai $ 80.00 $
alteration,or extension(2)
Each additional inspection:(1) $80.00 $ .
c W&]'`>?t4�.yAPRLICANTTUSE )—a .fir.,;' "`;:
(A) Enter subtotal of above fees
$
' (Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) - S
(C)Technology Fee(5%of[A]) S
TOTAL fees and surcharges(A through C): S 95 6
440-2584-1(4/Ol/2013/C0M)