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HomeMy WebLinkAboutPermit Electrical 2014-4-25 • SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • ft Phone: 541-726-3753 • OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00906 www.springfield-or.gav permitcenter @springfieId-or.gov PROJECT STATUS: Issued ISSUED: 04/25/2014 EXPIRES: 10/22/2014 STATUS DATE: 04/25/2014 APPLIED: 04/25/2014 SITE ADDRESS: 1936 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703364202200 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Low voltage for security system OWNER: LYNCH JAMES D&ROBERTS M Phone Number: ADDRESS: PO BOX 757 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor NEW REYNOLDS ELECTRIC INC CCB 184921 01/01/2015 541-343-7297 INSPECTIONS REQUIRED Inspections 4550 Limited Energy 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 Notification Center. Those r h OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK obtain copies of the rules by in OAR 952 001-0010 throng AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit • 4/25/2014 8:55:09AM Page 1 of 1 SPRINGFIELD-- 'CITY OF SPRINGFIELD .v=.o-.. 225 Fifth St ; TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2014-00906 viww.springfieltl-ar.gov 1936 MAIN ST permitcenter©spnngtield-or.gov RECEIPT NO: 2014000918 RECORD NO: 811-SPR2014-00906 DATE:04/25/2014 a .:; r_ ' am ;�:`�, t_`..� :.- "__;`ACCOUNT CODE/TRANS-CODE : :'`� le1uJt3 Security Alarm 224-00000-426102 - 1004 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 - P-KYMENTnT^YPEWOR eASNieRnc c�gRaeNreR. ,.COMMENTS ._- AMOUNT¢PAID Cash Jason Thomas 93.60 TOTAL PAID: 93.60 '-Electrical Permit Apt lication �,,,� ` JDEPARTME/N/T'USE ONLY, •1 CITY OF SPRINGFIELD, OREGON Permitno.: 57 — we 225 Fifth Street 4 Springfield,OR 974774 PH(54l)726.37534 FAX(541)726-3689 Date: y/LS ,/77 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. (4 r tr '%& LOCAL:',GOVERNMEN1YAPPROVALr n y.?• '"t.e Pk =,r. :; ,.f`r' T.•FEE .SCHEDULE 'i"ajE ?-4!,••�`t "' Zoning approval verified? ❑Yes ❑No .Number ofin P�t tions"P er Item O�; 16;4: ,,;Ceot ' '•Tootsst l [ a : .>CATEGORY„OF,'CONSTRUCTION ,„.,° ?n . , . a Residential,per unit,service included: ❑Residential ❑Government laeo mercial 1,000 sq.ft.or less(4) $134.00 $ *7.•'•• JOB2:SITE)NFORMATION„AND;.LOCATION; .27 • ' q /9,7/+ PT' ,/ Each additional 500 sq.ft.or portion $ 25.00 $ Job site address: ( // /v thereof City: 519fit,() I State: Z I ZIP: 979 J) Limited energy(2) $ 32.00 $ Reference: /•20. .5(0 t” Z-- Taxlot.:6 22cc Each manufactured home or modular $ 63.00 $ dwelling service or feeder(2) z '.`DESCRIPwTION::-OF..WORK r .•;;,_` . , / V F... c— 1 C�� Services or feeders:installation,alteration, relocation li Tl�ti-- '” VC-4.�L J 200 amps or less(2) $ 81.00 $ ;ts} ..4.i„Fi•; /, rx3P„ROFER17,COWNER ;-' ,,. ..iii;ti al. 201 to 400 amps(2) $ 95.00 $ Name: (_y tJC..1-1- 401 to 600 amps(2) $158.00 $ Address: et%-�$-� l 601 to 1,000 amps(2) $205.00 $ City: FLIG 1 State: (ix_ _ ZIP: 174(7) Over 1,000 amps or volts(2) $469.00 $ Phone: - - Fax - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders:installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent. OAR 479.5400)and 479.560(1). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above . ?'`CONTRACTOR`INSTALL"ATION t ' ;.Aid;'-';' Branch circuits:new alteration,extension per panel Business name: Q E-pJp/,l3 s ELELTie,C a. Fee for branch circuits with purchase of a service or feeder fee: Address: Z17 S V_ 'L Nt, Ac�/F Each branch circuit $ 6.00 $ City: e 111,��F State: 3C I ZIP: °)7`-02_ b. Fee for branch circuits without purchase of a service or feeder fee: Phone: 541 -34-; .7 297 Fax: 91 I -745.Aye I First branch circuit(2) $ 55.00 $ E-mail: Abjel (1 £e7nvotb$G.Lc-cc tG.co At Each additional branch circuit $ 6.00 $ CCB license no.: 'C1-9 i BCD license no.: I Zt19Z' Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 54-01- s Each pump or irrigation circle(2) $ 63.00 $ • Print name of signing supervisor: c J OAF 7 e cL-&oLD5 Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: ^ Signal circuit or a limited-energy panel, ( $ 8'3.00 ,S I�r . alteration,or extension(2) Each additional inspection:(I) $58.00 $ it # r� ,.? APRLICANTr,'USE r. .w`.ts', �L) (A) Enter subtotal of above fees $�O O/ (Minimum Permit Fee$58.00) (B)Enter 12%surcharge(.12 x[A]) $ 09 (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $ 3a0 440-2584-1(9/08/COM)