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HomeMy WebLinkAboutPermit Electrical 2014-3-25 • SPRINGFIELD - - • 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 }t4 _ :.{ tail 41- Phone: 541-726-3753 p' -- \ OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00621 www.springfield-or.gov pe rmitcenter©springfield-or.gav PROJECT STATUS: Issued ISSUED: 03/25/2014 EXPIRES: 09/21/2014 STATUS DATE: 03/25/2014 APPLIED: 03/25/2014 SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 SCOPE: Electrical Only • SSESOR'S PARCEL NO: 1702312202300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Services and circuits for new storage bldgs OWNER: PROSPER PARK LLC Phone Number: ADDRESS: 34801 MATTHEWS RD • EUGENE OR 97405 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIOE ELECTRIC INC CCB 117770 10/04/2015 541-741-1499 I, 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 Notification Center. Those rules are set forth 2OTICE: in OAR 952-001-0010 through OAR 952-001- ;HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 3/25/2014 9:40:20AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD ��a a. 225 Fifth St � ; TRANSACTION RECEIPT • 5pringfield,OR97477 OREGON 541-726-3753 811-S PR2014-00621 wwwspringfield-or.gov 945 28TH ST permitcenter @springfield-ocgov RECEIPT NO: 2014000634 RECORD NO:811-SPR2014-00621 DATE:03/25/2014 i DESQRIPTION . _ ___ • . —_____ACCOUNT CODE/TRANS CODE___ _,AMOUNT DUE__ Branch circuits with service or feeder each circuit 224-00000-426102 1004 487.50 Services 201 to 400 amps 224-00000-426102 1004 522.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 121.20 Technology fee(5%of permit total) 100-00000-425605 2099 . 50.50 TOTAL DUE: 1,181.70 PAYMENT TYPE iPYOR_"CASHIER:CCARPENTER. COMMENTS -;._ ;— : AMOUNT PAID -1 Credit Card EASTSIDE ELECTRIC INC _ - �—v 1.181.70-T 06300g TOTAL PAID: 1,181.70 .. .. : .• . ., . Electrical Permit Application . bEPARTMENT USE ONLY- ''''. , IT" 'IN- 2,3tiacrcz., Th.s.Miziaasi";:iFiftri*I4A•cli;":Mteispa il, s . .,4.,,,..,Q,,1 kfvtrrwoFaspRwGfpp.r..y,,rrgo-nprcrnm, ,g, ..;;_,,,,---, 19'1 •: ' • . : 4- are S"La:SE'''- ''.4.7""1""a"."1*;a4a./41 ttit:<''''' ' '-ThZ41 Permit no 917— 2/ ,,,,,.-ssara--Tzsz5.7, :tay-ziseiszaw-sasigifracwseifr.:,,,ii,;iwa,k Aii7;,zr?,,,,,,„.„ 0 ,N.J 225 Fifth Street•Springtield,OR 97477•PR(541)726-3753•FAX(541)726-3689 Date: 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. If.:'.II.,:''IL:,IC:::ftLOCALI:;:G OVE RN M ENT;TAP P ROVALt:5'aZ."'IIIIIc.IT" I?:'i•II:!1:ISII:i.i":".:' ,.4.1-IFEE:::SPHEDUEE:.:;IY":"&l,AW*I:T.:::ti':':"; Zoning approval verified? Ej Yes CI No 18u.:,M..:,bnr of icn:.zipe&io--ins-7e.='r E,L--item () r17-.1 QYY--1:;t-e_---rikvz7:.,i:11':1-1 ry 61.‘1.- -. ..'l CATEGORY I'0 ELCCO NSTRU CM N,III4 , ;f:'7II:f,II I.II -- Residential,per unit,service included: El Residential 0 Government 0 Commercial , . 1'000 sq.ft. or less(4) $147.50 $ :::"I I,::',I:JOB.;iSITE:',INFORMATION‘rANO::LOCATION:''..HI:JI:l.". Each additional 500 sq. ft.or portion Job site address: ./I 4.- 2...ilii- thereof - $ 27.50 $ City: „Cert- 0 State(1)-,_ ZIP: 7 y 77 Limited energy(2) $ 35.00 $ Reference: ('702,7/2-2- Taxlot.:61 2 70 L2 Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) DESCRIPTION,I.10FIiWORK.:.:I.A.:; ;,,II,I 'I':::,II";TIII i 4C 5 fl Services or feeders: installation, alteration, relocation - 6-r-sztevr-*c.:- i... 200 amps or less(2) $ 89.00 $ /77-01 .7.4.4Thk, I;r.a2K;1:::;;;;;(r;!.(PROPERTY.,5-OWNER:Icl.IiIiIII., III.I:.'-lII.-:IITTIIIIV 201 to 400 amps(2) S" $ 104.50 $Sr221---9 Name: 7211-4/7-A4-Dt 74- jP/26.5.77C71- PC- 401 to 600 amps(2) $174.00 $ Address: ?c/To 7 14f 72/th-Acs- 601 to 1,000 amps(2) $225.50 $ City: (74.4 State:orli__- ZIP: 57705-- 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) $ 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 above 111/41.1: " (:)NiTIRAcTOR11NSTALLATIONX14' ; .E1:7,---'. ./i:::: Branch circuits: new alteration, extension per panel Business name: C ' TS'D accrg I C a.Fee for branch circuits with purchase of a service or feeder fee: Address: - S1s3 gosciccE LANE Each branch circuit I-7C $ 6.50 $ yi25-2 City: S Pc.u.0' State: 0 R ZIP:C\) 9 73 b.Fee for branch circuits without purchase of a service or feeder fee: Phone: -1(S' 5 3„1"8 Fax: -)3(c Yg6 0 First branch circuit(2) $ 60.50 $ E-mail: Roc 061 @ y 4t1oo.com Each additional branch circuit $ 6.50 $ CCB license no.: ( ( 77 70 BCD license no.: )0 -yOS`C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 4 73.7 S. Each pump or irrigation circle(2) $ 69.00 $ .. __ Print name of signing supervisor: 1.?0 G EA k) N G Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: 11.0114:_141-7. . alteration,Or extension(2) -- - - - -S- -- -- ---- Each additional inspection:(1) $80.00 $ ti,Malt:Aartialf0.0 ONtifi-it fk71,1.41F,L5WM: (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $/6//a (B)Enter 12%surcharge(.12 x[A]) $ /21 (C)Technology Fee(5%of[A]) $ TO TOTAL fees and surcharges (A through C): $ 440-2584-1(4/01/2013/COM)