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HomeMy WebLinkAboutPermit Electrical 2014-4-14 SPRINGFIELD 225 Fifth St _ -- CITY OF SPRINGFIELD Springfield,OR97477 REDO Phone: 541.726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00794 www.springfield-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: . 04/14/2014 • EXPIRES: 10/11/2014 STATUS DATE: 04/14/2014 APPLIED: 04/14/2014 SITE ADDRESS: 705 FLAMINGO AVE,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703223109200 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Branch Circuit for storage shed OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 66 CONTRACTOR INFORMATION A Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • KENNETH 0 RANDALL (S)Electrician,Ge 4023S 10/01/2016 541-736-4102 INSPECTIONS REQUIRED 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 Date 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 in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR 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 4/14/2014 1:38:51PM Page 1 of 1 • • SPRINGFIELD"" CITY OF SPRINGFIELD k A ` ,,y a_{ 225 Fifth St ` EGoN TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2014-00794 www.springfield-or.gov 705 FLAMINGO AVE permitcenter©springfield-or.gov RECEIPT NO: 2014000796 RECORD NO:811-SPR2014-00794 DATE:04/14/2014 DESCRIPTION=3 ' 'rater `4 � 1 ACCOUNT'CODE%TRANS.CODEr f' AMOUNT DUE?' 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 26.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.38 Technology fee(5%of permit total) • 100-00000-425605 2099 4.33 • TOTAL DUE: 101.21 �r�; .-_....a s;. : t-a'XRi �'�::s- r r >.rmi i.,. -.5„� ^`•Nc' M }1 t4- AMDUNP.PAID '"k- t�' r�..':PAY,MENT,iTYPE �?2PAYOR�:�cgStiiEa,^.iugasoNh,:�,�.:,;.,�C+:COMMENTS,, .�'^•.r -.S� -,Lr- ,.,a,... � :. �4', "F,,�,�+�, Check Willamalane 101.21 98524 TOTAL PAID: 101.21 • • • • • • • • • • • Electrical Permit Application DEPARTMENT USE ONLY t - - - -- ' - ^.- °'•n SPRINGFIELD. ,CITY OF SPRINCFIELD OIkECON Permit no.:�y%eza Y -a27PV_ 225 Fifth Street•Springfeld,OR 97477•PH(541)726-3753•FAX(54t)726 3689 OREGON Date: t"/1/`//y 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item() Qty. east Total CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑Residential ❑Government ❑Commercial 1,000 sq.ft.or less(4) $147.50 $ JOB SITE INFORMATION AND LOCATION Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: 7o5 F Alrl n'4t thereof Crty:SPRtt04 Fte32A CI - ZIP:q'1c..(-r1 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ dwelling service or feeder(2) DESCRIPTION OF WORK • Services or feeders: installation,alteration,relocation (ru vALL- QRa r.ek4 C(Ref,,rt4 Co e Sj°? l.L 200 amps or less(2) $ 89.00 $ S(ISt PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: 401 to 600 amps(2) $174.00 $ \AciUAMold4 ry PAa-k-g Zee-,DrsT• Address:ZGy' S, 3Z rob 5-1- . 601 to 1,000 amps(2) $225.50 $ CitY:SirRtr Frau) State: 6 2 ZIP: q7 O, Over 1,000 amps or votes(2) $516.00 $ .Y Phone: Fax: - - Reconnect only(2) . $ 69.00 $ Srr`fns- 'rsv% E-mail: Temporary services or feeders: installation,alteration, relocation This installation is being made on residential or farm property $00 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 479.5600). 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:newt alteration,extension per panel Business name: (`(A a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit • $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) 1 $ 60.50 $4,0.50 E-mail Each additional branch circuit at $ 6.50 $z‘ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: /V-(073 S Each pump or irrigation circle(2) $ 69.00 .5 Print name of signing supervisor: Kr:. N *TA b ALA Each sign or outline lighting(2) $ 69.00 $ . Signature of signing supervisor: C '�� Signal circuit or a extension panel, $ 80.00 $ g S � P alteration,or extension 2 Each additional inspection:(I) $80.00 $ APP,LICANT._USE. (A) Enter subtotal of above fees $ . (Minimum Permit Fee$80.00) & sd (B)Enter 12%surcharge(.12 x[A]) $ (0,30 (C)Technology Fee(5%of[A]) $ 4.33 440-2584-1(4/01/20I3/COM) TOTAL fees and surcharges(A through C): $(o(,21