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HomeMy WebLinkAboutBuilding Electrical 2014-5-6 • SPRINGFIELD ... 225 Fifth St lw4.t CITY OF SPRINGFIELD Springfield,OR 97477 r t. Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00995 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/06/2014 EXPIRES: 11/02/2014 STATUS DATE: 05/06/2014 APPLIED: 05/05/2014 SITE ADDRESS: 521 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703353110600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: E-Tenant infill -Growler Underground OWNER: BREILA LLC Phone Number: ADDRESS: 3289 WINTERCREEK DR EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor SUNSET HEATING 8 AIR INC CCB 171706 08/18/2014 541-554-2604 General Contractor BILL MARTIN CONSTRUCTION INC CCB 186781 05/19/2015 541-954-9144 A-1 ELECTRIC (C)Electrical Cont 20-479C 07/01/2014 541-688-1608 Plumbing Contractor SUSAN JANE ARNOLD CCB 49561 12/16/2014 541-484-3787 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 • AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by 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 5/6/2014 2:05:19PM Page 1 of 1 7 SPRINGFIELD CITY OF SPRINGFIELD 6,,.#.. zzs Finn st `co EGO„ TRANSACTION RECEIPT Springfieltl,OR97477 541-726-3753 811-S PR2014-00995 www.springtield-or.gov 521 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2014001000 RECORD NO:811-SPR2014.00995 DATE:05/06/2014 [DESCRIPTION - .< _ ;ACCOUNTCODE/TRANS CODE_,_ : _AMOUNTDUE__,_j 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 104.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.74 Technology fee(5%of permit total) 100-00000-425605 2099 8.23 TOTAL DUE: 192.47 L. PAYMENT TYPE,..„ __PAYOR CASHIER CCARPENTER ' 'COMMENTS AMOUNT PAID r , Credit Card - --�� David Platt ---- _—��-- --- --�— 192.47 -_ H79644 TOTAL PAID: 192.47 Electrical Permit Application gp 1 GR1ELD DEPARTMENT:USE ONLY CITY OKSPRINGFIEL>IWI:OREGON I �c�_ 9 ,e..s•Sx,rt 2 . t`*,;: ,. ,.; zwh.K,a, . .,a,:..�..� �-' v�:"k".:, try, 0, Permit no.: 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Date: T7 S// 1/ 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. i;NifoCAtZGQVERNMENVAPPROVAli , ;'- -y' 4- t+. "',y,`EEE'SCHEDULE::,,fa' v ,', ,t:V1. Zoning approval verified? ❑ Yes ❑No N mbesilotmspe`ci ons peg rte,(;1:$5 Qty $ tyr ,Total ? a.n',f•_'-.CATEGORY,:OF,'-CONSTRUCTION ,?sZ '' " e-ea , ti _cost- .-,. Residential,per unit,service included: ❑Residential ❑Government ] Commercial 1,000 sq.ft.or less(4) $147.50 $ __` JOBiSITE?INFORMATION-AND'>L'OCATION';_l '*„. Job site address: AAA Each additional 500 sq.ft.or portion • 'S Z/ {c jj g1- _ _ thereof $ 27.50 $ City:55\-h�ap/e State:OR-'. -ZIP: 97 417- Limited energy 2 Reference: Taxlot Each manufactured home or modular 1 tli2 ., x t' ;k x� dwelling service or feeder(2) $ 69.00 $ .-�1 =,..u.&DESCRIPTION`�OF,�WORfE` ;�, f v; ;; /(��/ / , �' t_� /9” Services or feeders: installation,alteration, relocation W �j C/, 200 amps or less(2) $ 89.00 $ > <'Z.0.as4k: eiPRQP,ERTY„OWNER ,';( ,"n' `, ;.', 201 to 400 amps(2) $ 104.50 $ • Name: Pei•-� kl y.,r I 401 to 600 amps(2) $174.00 $ Address:JJ �6 ul�]�' 601 to 1,000 amps(2) $225.50 $ City ; t ecityc- State: ��� ZI19 746 A Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 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 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above -i u eltON,,T/��RACTORwINSTALL'ATION Five t•'E, ,#,i Branch circuits:new, alteration, extension per panel Business name: /-1 -I �c z-L cr J( a.Fee for branch circuits with purchase of a service or feeder fee: Address: P 0, Q rn-,c 41//3 ij7 /n7 � Each branch circuit $ 6.50 $ City: gay {:A., ..c State: oia ZIP:Y ty b.Fee for branch circuits without purchase of a service or feeder fee: Phone: ' /&Oo-Z7?7 Fax: - - First branch circuit(2) / $ 60.50 $iaj)� E-mail: C A 1 €s Q(� ,Ca N4 c4S,1J t Each additional branch circuit /r $ 6.50 5/641 CCB license no.: JN'(f 37 1 BCD license noZQ—grit- Miscellaneous fees:service or feeder not included Signing supervisor's license no.: K S S e / Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: S32y Lt Hatztey' Each sign or outline lighting(2) $ 69.00 $ � Signal circuit or a limited-energy panel, Signature of signing supervisoraJ� $ 80.00 $ %%%���j - alteration,or extension(2) C Each additional inspection:(I) $80.00 $ s , QPP„LICA`NTAU~SE- ea (A) Enter subtotal of above fees J (Minimum Permit Fee$80.00) $ 0S� (B)Enter 12%surcharge(.12 x[A]) - $ i 7<•-cl- (C)Technology Fee(5%of[A]) $ e2✓ TOTAL fees and surcharges(A through C): $ ' Zu„.;- . 440-2584-1(4/012013/COM)