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Permit Electrical 2014-4-28 (2)
PRINGFIELO - - • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • {�t� Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00932 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/28/2014 EXPIRES: 10/25/2014 STATUS DATE: 04/28/2014 APPLIED: 04/28/2014 SITE ADDRESS: 1747 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703363106600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New services and circuits for fire damage repairs etc Units 6&7 OWNER: YU EDWARD&SU • Phone Number: ADDRESS: 3121 KEVINGTON AVE EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor WILLIAM A GRAY JR CCB 21351 04/28/2016 541-485-3954 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 EPRA/ P IF THE WK Notification Center. Those rules are set forth I'OIZED IT UNDER SHALL THIS EX IRE PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- ENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone IY -!SO DAY PERIOD. . number for the Oregon Utility Notification Center is 1-800-332-2344). . • • Springfield Building Permit 4/28/2014 2:16:41PM Page 1 of 1 • 'PRINGFIELD •- CITY OF SPRINGFIELD - = 225 Fifth St Wrk OREGON EGOM TRANSACTION RECEIPT Spdngfeld,OR 97477 541-726-3753 811-SPR2014-00931 • • wvnv.springrield-ar.gov 1747 MAIN ST permitcenter©springfeld-or.gov RECEIPT NO: 2014000942 RECORD NO:811SPR2014-00931 DATE:04/28/2014 fe] :Ytl[oV 7 1_s'J�C _.- 1„`g —teat .ACCOUNT CODETRANSrCODE a SC A MOUNT-DUE '_; •Branch circuits with service or feeder each circuit 224-00000-426102 1004 19.50 Services 200 amps or less 224-00000-426102 1004 89"00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 1102 Technology fee(5%of permit total) 100-00000-425605 2099 5.43 TOTAL DUE: 126.95 PAYMENTnTYP�--..E PAYOR caswER:,ccaneENrER COMMENTS. AMOUNT PAID Credit Card YU EDWARD&SU 126.95 028113 Credit Card YU EDWARD&SU 126.95 026113 Credit Card YU EDWARD&SU 231.08 • 028113 Credit Card YU EDWARD&SU 231.08 028113 TOTAL PAID: 716.06 • • • • • • Ele'Ctrical Permit Application DEPARTMENT USE ONLY tr �PRIN FI L Cllr 0 F SP,R a, �'FW1 E ©N . Y. k � Permit no.: .�/�— a9�� 225 Fifth Steet*Springfield.OR 97477.PI1(5411726-3753••1 \X($41)726-3689 .. t•�ouecoN Date: 5`/p A•y This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 clays of issuance or if work is suspended for 180 clays. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE "Zoning,approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost Tos11 CATEGORY OF CONSTRUCTION Residential, per unit,service included: ❑ Residential ❑ Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1,000 sq. It, or less(4) $147.50 Each additional 500 sq. It. or portion $ 27.50 $ Job site address: Iw/ 11h 'U S r thereof City:` z ,,,5 rh,(41 State: 4 • ZIP: 97V,/ Limited energy(2) ----__---- $ 35.00 $ Refet'e AJ 1 (p 4 7 Taxlot.: Each manufactured hoot:or modular $ 69.00 $ dwelling service or fetter(2) DESCRIPTION OF WORK r.Q et Services or feeders: inclallnliun. ufwntiian. relocation �Q N lJ! t r-A 9' 200 amps or less(2) $ 89.00' $ipegm C� r PROPERTY OWNER 201 to`100 amps(2) 5 104.50 $ Nance: 401 to 600 amps(2) $174.00 $ Address: 7 446;e4n,„At 601 to 1.000 amps(2) $225.50 $ (J , Over 1,(1(1(1 amps or volts(2) 5516.00 5 Ci ): Slate: Of ZIP: 7y �Oz Reconnect only(2) 5 69.00 $ PhoneSy/-73/6 'ye<Ty Fax: ---c_____:_.. Gntflil: Temporary services or feeders: ins/a/Iaoo I, niterntion, relocation This installation is being made on residential or farm property 2110 amps or less(2) 5 69.00 $ owned by me or a member of my immediate family. This 20 I to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease. or rent. OAR - 479.540(1) and 479560(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: neu: alteration. esrensiat per pone/ t Business name: cli3 7/19 CS c r,L+ .Tr r c_ a. Fee for branch circuits with purchase of a service or Feeder lee: Address: $ 77 so ak a.r- kt 1 ,0 ✓ Each branch circuit • #J S 6.50 .$ City: £.i (i. State: d! r ZIP: 97j 0 L b. Fee for branch circuits without purchase of a service or feeder lee: Phone:c?-� S0( 95 Fax: - - First branch circuit(2) $ 60.50 S Email: . ('fir Each additional hranch circuit $ 6.50 S CCB license no.: = BCD license no.: Miscellaneous fees:service o:feeder not included Signing supervisor's license no.: 9 ro S Fad, pump or irrigation circle(2) __. 5 69.00 $ Prim r rb- r Each sign or outline lighting(2) $ 69.00 $ Prue nameofsigmngsupcntso �� C ,� - _ —..._ Signal eircmt or a lends cnerg) Panel. $ 80.00 $ Signature of-going supervisor: - - 1- �. alteration.or extension(2) Each additional inspection: (1) $80.00 $ t APPLICANT USE • (A) Fitter subtotal of above lees $ (Minimum Permit Fee 580.00) / _ni (B)Enter 12%surcharge(.12 x IA]) S IC)Technology Fee(5%of iAD $ 5 410-2584-1(4/01/2013/COM) TOTAL fees and surcharges (A through C): $