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Home My WebLink AboutPermit Electrical 2014-4-21 j?RINGFIELD _. _t r ,a.. 225 Fifth St ; , - CITY OF SPRINGFIELD Springfield,OR 97477 I1 .a \L AP Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00865 wvnv,springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 04/21/2014 EXPIRES: 10/18/2014 STATUS DATE: 04/21/2014 APPLIED: 04/21/2014 - SITE ADDRESS: 1810 M ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703253401900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Office partitions OWNER: LINCOLN CAPITAL LLC Phone Number: ADDRESS: 1580 VALLEY RIVER DR STE 270 EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BURRELL BROS ENTERPRISES INC CCB 136446 08/20/2015 541-747-2724 INSPECTIONS REQUIRED II 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 NOTICE: - ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/21/2014 11:53:24AM Page 1 of 1 ,SPRINGFIELD CITY OF SPRINGFIELD a 4 .a. 225 Fifth St ` `` EGON TRANSACTION RECEIPT Springfield.OR 97477 541-726-3753 811-SPR2014-00865 www.springfield-or.gov 1810 M ST permitcenter @springfield-or.gov RECEIPT NO: 2014000873 RECORD NO:811-SPR2014-00865 DATE:04/21/2014 • DESCRIPTION __ ___--ACCOUNT CODE/TRANS CODE ,__„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 32.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.16 Technology fee(5%of permit total) 100-00000-425605 2099 4.65 ---.____.__�--_ ------------ -- -- ---- —_--- TOTAL DUE: 108.81 - ..--. -; AMOUNT PAID .. ' ,_ .PAYMENTTYPE_„ _PAYOR__CASHIER;CCARPENTER___- .,_COMMENTS __ ,_ __, -__.._ _. ,. „ .__. .D ... _--Card BURRELL EROS ENTERPRISES INC fc8.81 055178 TOTAL PAID: 108.81 • • Electrical Permit Application DEPARTMENT USE ONLY S81B el G it EU) C 4®Fu RIN ' ®R " # :- 1 a .-7 a, Permit no.:SIY'$ � x c-- X. ♦tA ') /� 225 Fifth Si eel•Springfield.OR 97477•11054t)72G3753•I \N(541)726-3689 a -�.oaeooN — 2 1 — / 9 Date: / V1 l • 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 ISO (lays. 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 Commercial JOB SITE INFORMATION A L AVON 000 sq. ti. or less h0 $147.50 $ Each additional 500 sq. 0. or portion Job site address: 310 M f 1 1 thereof $ 27.50 $ City:J te pi' I State: 0 (1 I ZIP: "/71)7 / Limited energy(2) $ 35.00 $ Referene .203 25797 Taxlot.: j%6/ 1 Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) 4_4;: Services or feeders: iuslal/aliou, alteration. relocation 200 amps or less(2) S 69.00 $ PROPERTY 0 ia ER 201 to 400 amps(2) $ 104.50 $ Name: L i 0 (6 h i0 }7 ) g 401 to 600 amps(2) $174.00 $ Address: /5-rd /� , 4, _ ,V.t _jr27cc 601 to 1,000 amps(2) $225.50 $ �' / f! e: Over I Dot) naps or volts(2) $516.00 $ City: C { /fir l Stale: !_I P:Qj� / Phone: - - Fax: - - - Reconnect only(2) $ 69.00 E-mail: Temporary services or feeders: in.slallalion, aleration. relocaion 'this installation is being made on residential or faro, 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 . 479.540(1)and 479560(I). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1.000 volts, see services or feeders section above CONT ACTOR INSTALLA _ N Branch circuits: ne,, alteration e.ven.sion per panel Business name: r_o_i a Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit S 6.50 $ City: State: I ZIP: h. Fee for branch circuits without purchase of a service or feeder fed: Phone: First branch circuit(2 I $ 60.50 $ 6 e I hone: �y� Z�Z� Fax: - - ) „I— E-mail: / / Each additional branch circuit 5 $ 6.50 Sri CCB license no : Intl t (3CD license no.:n.Q. gi1 , 1 Miscellaneous fees:service or feeder no inch!led Signing supervisors license no.: Each pomp or irrigation circle(2) $ 69.00 $ Print name ofsigning super ��, Fitch sign or outline lighting(2) S 69.00 Signal circuit or a limited-energy panel. Signature of signing supervts Cr r: > 80 00 $ alteration m extension(2) 713 • teach additional inspection: (I) $8000 $ APPLICANT USE . (A) Enter subtotal of above fees $ 9<7% (Minimum Permit Fee$80.00) S (B) Enter 12%surcharge(.l2 x Al)I $ OS, . (C)Technology Fee(5%of lAD) $ i", 6 440-2584-1(4/0l/2013/CONI) TOTAL fees and surcharges(A through C): $ / a'' •