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HomeMy WebLinkAboutPermit Building 2014-4-22 SPRINGFIELD 225 Fifth St -�- GO CITY OF SPRINGFIELD Springfeld,OR97477 Lv Phone: 541-726-3753 • OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00862 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/22/2014 EXPIRES: 10/19/2014 STATUS DATE: 04/22/2014 APPLIED: 04/21/2014 SITE ADDRESS: 2509 MAIN ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703360000100 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Board Edger and MCC OWNER: ROSBORO LLC Phone Number: ADDRESS: 2509 MAIN ST SPRINGFIELD•OR 97477 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections - 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. J c�}- /X>X //rte v-zL-/</ 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 in OAR 952 Center. Those rules are set 001- AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 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 4/22/2014 1:37:28PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD - - - 225 Pdth St `��' {O OREGON TRANSACTION RECEIPT Springfeld,OR 97477 541-726-3753 811-SPR2014-00862 • www.springfield-or.gov 2509 MAIN ST permltcenter©spnngfield-or.gov RECEIPT NO: 2014000889 RECORD NO: 811-SPR2014-00862 DATE:04/22/2014 DESGRIBTION 2 f- 'w x''T c .. er ,- x ..__ ��r,„___'s,_-F ��:._ < ....�.�. i.ACCOUNT 60D (2. r r • • -r;, ;;fs='%AMOUNTtDUE'91� Branch circuits with service or feeder each circuit 224-00000-426102 1004 110.50 Electrical Plan Review(25%of electrical fee) 224-00000-426102 1085 149.63 Services 200 amps or less . 224-00000-426102 1004 89.00 Services 401 to 600 amps 224-00000-426102 1004 174.00 Services 601 amps to 999 amps 224-00000-426102 1004 225.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 71.82 Technology fee(5%of permit total) 100-00000-425605 2099 29.93 TOTAL DUE: 849.88 PAYMENT.TYPE 'X' PAYOR t CASHIER.I'JL'ARSON ' ru. :1:5t:COMMENTS,Sa` }k1.tia .' r` i8MOUNTPRAID' y^` S' ',: . Credit Card ROSBORO LLC 849.88 083136 TOTAL PAID: 849.88 • • • Electrical Permit Application DEPARTMENT USE ONLY r , i q ( � SPRINGFIELD C ® SPRIELD ®RE �®NSA ,' 7 I Permit no S1N-©a � 6� ^ - tY 1 223 Fifth Street♦Spimgfield.OR97477*N 45407263753♦ AA(541)726-3689 > OREGON Date: (-{—ZI— i Li This permit is issued under OAR 918-309-0000. Permits arc 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. Cost Total ea, cost CATEGORY OF CONSTRUCTION Residential, per unit,service included: ❑ Residential ❑ Government 'ontmereial - JOB SITE INFORMATION AND LOCATION I^000 sq. IL or less(4) $147.50 2S � there additional 500 ul or portion $ 27.50 $ Job site address: © 'hereof City 5Pa�.4„;_1-�,D State:4/t LI P92t/ 7 Limited energy(2) $ 35.00 $ Reference: Taxiot: Each manufactured home or modular $ 69.00 S DESCRIPTION OF WORK dwelling service or(ceder(2) f9eL(.Y (WAD RP O / - Services or feeders: installation, alteration.relocation 200 amps or less(2) / S 89.00 $ PROPERTY OWNER • 201 to 400 amps(2) $ 104.50 $ Name: fiCSISORCLE -PAILY 401 to 600 amps(2) ) $174.00 $ Address: �� _ 71_ 601 to 1.000 amps(2) L $225.50 S • City' A jr Slate: ZIP _ .1. 2 Over 4000 amps or volts(2) 5516.00 S Phone: 511/-26- 2-z3 Fax: - - Reconnect only(2) $ 69.00 F.-nteil: Temporary services or feeders: installation alterotio,I. relocation .. c_ .. r'! ^ �7#SbQ-RC-zCO 200 amps or less(2) S 69.00 $ This installation is being made on residential or farm properly owned by me or a member of my immediate family. This 201 to-100 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 CONTRACTOR INSTALLATION Branch circuits: new. oberanon. extension per panel _..__---- Rosiness name: ' a. Fee for branch circuits with purchase of a service or'Ceder lee .�o r6..-. LCD Address: ay.7 q ,'- '„ f77`; _ Each branch circuit /7 $ 6.50 S City: 5,1,r;, it State:O/7 I ZIP: 774/77 b. Pee for branch circuits without purchase of a service or feeder feet Y. PhoneS"y/-).J!-ziG� Fax: - - First branch circuit(2) $ 60.50 S F.-mail: C/..r..,,//._to /'arm 4-., c�... Each additional branch circuit S 6.50 S CCB license no.: BCD license no.: Miscellaneous fees:.tendce or feeder not included Signing supervisor's license Imo.: ///y/'r Each pump or irrigation circle(2) $ 69.00 1 Print name of signing supervisor: C/„-;r/;e%, L. n;"Cr Each sign or outline lighting(2) $ 69.00 S Signature of signing supervisor: . jy,,T dhfl'at1011 OI'CSICiI>IOnIet11e11C rg}'panel. $ 80.00 S Signal circuit or a limited-energy Each additional inspection: (I) $80.00 $ APPLICANT USE ' (A) Enter subtotal of above fees $ 579-S0 . (Minimum Permit Fee$80.00) !/ . (B)Enter 12%surcharge(.12 x IAl) $ 7/115Z (C)Technologt Fee(5%oil AI) $ Z,9.q 440-2584-1(4101/2013/COM) . TOTAL fees aid surcharges(A through C): $ l00' . ,j • piAni, I �rE uJ 1 Il 9 r 63 j oT�A-C- q Y7 Ss