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HomeMy WebLinkAboutPermit Electrical 2014-5-6 SPRINGFIELD 225 Fifth St t1 CITY OF SPRINGFIELD Springfeld,OR 97477 c Phone: 541-726-3753 '"' OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2014-00998 www.springfield-orgov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05106/2014 EXPIRES: 11/02/2014 STATUS DATE: 05/06/2014 APPLIED: 05/06/2014 SITE ADDRESS: 155 W A ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703353203600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Branch circuit OWNER: ISLAND PARK DEVELOPMENT LLC Phone Number: ADDRESS: 101 E BROADWAY STE 103 EUGENE OR 97401 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor FIRST LIGHT ELECTRIC INC CCB 179416 11/27/2015 541-726-2961 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 NOTICE: f i I EN'TION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK h'!„w rifles 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 5/6/2014 6:41:55AM Page 1 of 1 • . - SPRINGFIELD CITY OF SPRINGFIELD =10 n.. .�y 225 Fifth 51 ,,. . TRANSACTION RECEIPT Springfleld.OR 97477 OREGON 541-726-3753 811-S PR2014-00998 www.springfield-or.gov 155 W A ST permitcenter @springfield--orgov RECEIPT NO: 2014000993 RECORD NO: 811-SPR2014-00998 DATE:05/06/2014 LQES,CRIPTION` ., ACCOUNT C_ODEITRANS CODE ., AMOUNT_DUE_J Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 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.AYMENT TYPE,-� PAYOR_ cnsHIER:ccanPen7ER � COMMENTS AMOUNT PAID.-_ � -� - _ _ - � Credit Card Wayne Sylliaasen R5510z TOTAL PAID: 93.60 • Electrical Permit Application DEPRTMNT;USE ONLY ':i SPRINGFIELD i tE',fall `' V ' � 2 is CITY,OF,,#SPRINGFIELD;OREG-6N „ � s - i 514— 5.5 +„1.0 c.`' a.t,:ii .w -,.....,...msr .-;z�,,-I arr,,,, v-`'h",, ,::: ,;-:..L. .&t 0 Permit no.. 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 / • Date: 52/0//‘/ 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;xlr}ILOCAL?:GOVERNMENT=APPROVAL. f s";; „:t -ytx,t, +-'ri`w,, EEE SCFIOULE.,e., ,a' i =a^` i Zoning approval verified? ❑ Yes ❑No ' p`t ei -Number.of nsecl ns per item O y Qty - nis•y cost't '..',~.CATEGORY^OF,.„CONSTRUCT;ION ,,,t., '. . ;. Residential,per unit,service included: ❑Residential ❑Government JaliCommercial 1,000 s fr.or less(4) $147.50 $ JOBSITEaINFORMATION„ AND=LOCATION'.;, q ( ) Each additional 500 sq.ft.or portion Job site address: 3'j Lt/. if 5-6 - thereof - $ 27.50 $ City: Sbrc( State: O,( ZIP: ?2977 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular , :> ,E � .�,-• dwelling service or feeder(2) $ 69.00 $ '.ri`r , .` 't' ngIDESCRIPTION ;OE;:WORK:: . > ,, W,;ny, M Cra i c:; �C` ' //( / /�/Y Services or feeders: installation, alteration, relocation d2 200 amps or less(2) i $ 89.00 $ i ''; "^'0 g$, ” 3, "i1PROPERTVOWNER ` 5 "`n�'fi'x ;G r,'yt", 201 to 400 amps(2) $ 104.50 $ Name: &z,.9--/✓,r pit-71.-/z_ ;Fitz 401 to 600 amps(2) $174.00 $ Address: M 7 c E OD Z-L/Y 601 to 1,000 amps(2) $225.50 $ City: ��7-44-67"'t< State:(/s' ---ZIP: 11670/ Over 1,000 amps or volts(2) $516.00 $ Phone: - - I 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 479.540(1)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ?, LV.I. };?,; CONTRi4CTOR ,IWSTALBATION O 1i16 L'*I2 Branch circuits:new alteration, extension per panel Business name: //AstJ I; i r//� �.0 a.Fee for branch circuits with purchase of a service or feeder fee: Address: 2re Q9'7 �tv67f .4/— Each branch circuit $ 6.50 $ City: c4 < I State: p' I ZIP: 2�5 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:-.fl�1/4,37.6— 4:6,-._.,/ Fax: - - First branch circuit(2) / $ 60.50 $ E-mail: ?? Each additional branch circuit $ 6.50 $ CCB license no.: / 7 'v/,6 I BCD license no.: C—v.C/ Miscellaneous fees:service or feeder not included Signing supervisor's license no.: '45/4/c -,. Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: se cS��7jlL Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: i /�jiG�%� alteration,l al or x a hmn(2)energy panel, $ 80.00 $ !„i/ �J__ w-_a— Signl circuit or extension(2) Each additional inspection:(1) $80.00 $ Fi# °_ ' APPLICANTtgUSE <> tala (A) Enter subtotal of above fees $?Oj (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ 9j (C)Technology Fee(5%of[A]) $ -y TOTAL fees and surcharges(A through C): $/.r ( 440-2584-J(4/012013/COM) %J