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HomeMy WebLinkAboutPermit Electrical 2014-5-16 SPRINGFIELD-W+ 225 Fifth St '' CITY OF SPRINGFIELD Springfield,OR97477 °( et Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01039 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014 STATUS DATE: 05/16/2014 APPLIED: 05/12/2014 SITE ADDRESS: 224 64TH ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343102100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Relocate Sub Panel • OWNER: LANCASTER GAIL FRANCIS Phone Number: ADDRESS: 43637 CEDAR GROVE CRT COARSEGOLD CA 93614 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2016 541-687-5770 INSPECTIONS REQUIRED Inspections 4220 Electrical Service Electric Service: Approval required prior to utility company energizing service. • 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 • Springfield Building Permit 5/16/2014 1:37:45PM Page 1 of 1 SPRINGFIELD ' CITY OF SPRINCiFILLO 225 Fifth 5t `ti, TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01039 www.springfeld-or.gov 224 64TH ST permitcenter @springfield.or.gov RECEIPT NO: 2014001082 RECORD NO: 811-SPR2014-01039 DATE: 05/16/2014 DESCRIPTION _- ; . ,'. ACCOUNT CODE/TRANS_CODE . AMOUNT DUE Branch circuits with service or feeder each circuit 224-00000-426102 1004 91.00 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.60 Technology fee (5%of permit total) 100-00000-425605 2099 9.00 TOTAL DUE: 210.60 ti PAYMENT TYPE _PAYOR• 'CASHIER:JLARSON __ -"COMMENTS ' ' • AMOUNT PAID Credit Card JB Electric 210.60 807676 TOTAL PAID: 210.60 • 05/09/2014 10:38 54130282% JBELECTRIC PAGE 01/01 Liectrical Permit Application USE o rlL�r ' 5P91NgFlCLC1 V 1 n (L1TY, OF 5 PR1NzGF1ELD OREG-UN'` " it,'�`', t t:.x �"t"4`i`'" t31 s�rt?4 ry olo3q . ca: , ,,, ,,, k,,, la v,, r.- , w„vc,.,E: �.di r tv,, l t lid Permit no.: ( - 225FirthStrect4$pringfeld,OR 97477•PH(541)726-3753•FAX(541)72r36.9 s, Date: S//Z//t' This permit is issued under OAR 918-309-0000. Permits are nlntransferable. Permits expire if work is not started within 180 days of issuance� tl�Y + porr if work is suspended for 180 days. ' 6A'A' ill rJ rrl ' . Y�'� N R 1 `'', j'� ! ,t gi ��� P-� �— �' SI N IbB�C��61�F31� .3a�9A7.d."���'� .alAeR�,1rt'u'P31, Zoning approval verified? Iii Yesp ❑No 1.,, 7(q` ,:hoc 1” "c7,1' "gT1 t e i 4 77 gYn1■''-':i14� r .. , m ,152• 'l 1... A SITU G'�_[^ �^'�`t 4. ' 1 1. :a till C, 1+ '11.:1.'"' Y , ..'A. ■Lin 3SnNltlr� kot. ❑Residential f , Residential,per unit,service included: ❑Government 2 Commercial 1 t( ., - o ' o , o o ¢ p'' 1,000 sq,ft.or less(4) $147.50 $ -afialA' IM ,3' Each additional 500 sq.ft.or portion Job site address: J• thereof - $ 27.50 $ City: /'M y�l.�fe I State: ZIP: Limited energy(2) $ 35.00 $ - Reference: 1(J Taxlot.: $aeh manufactured home or modular $ 69,00 $ tog Efil fl',s D.'1 :0 ,: i 62,1 n'. r,7 r 4 q dwelling service or feeder(2) La • • uG!so-e) ,/131F� @ Services or feeders: installation;alteration,relocation J 200 amps or loss(2) p $ 89.00 $ 1 kiu e, .i �' �;, aiG. is fn ?a t 'l , 3 201 to 400 amps(2) $ 104.50 $ Name: ,F1',-„=..:5.,_-. (np.. c. Lay\ , +sfev%., 401 to 600 amps(2) $174.00 $ Address: L13637 Ge�,.r Gib 601 to 1,000 amps(2) .. $226.50 $ City: „La, _ - State: ZIP: •• ./y Over 1,000 amps or volts(2) $516.00 $ Phone:-- - Fax: - - Reconnect only(2) $ 89.00 $ 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 S 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 479.560(1). 401 to 600 amps(2) $138.60 $ Signature: Vii, y_ 9' I Over 600 amps or 1,000 volts,sco services or feeders section above '"4 I t,R1O_�T-g:E g�° `y,'EME/41.116 { ' Branch circuits:new alteration, extension per panel Business name: C� ` ;Cc_ a.Fee for branch circuits with purchase of a service or feeder fee: Address: %per ..../z-oo e( - '/. Sr. Each branch circuit /9 $ 6,60 $ City; . State: / • ZIP: ii,,,y — b.Fee for branch circuits without purchase of a service or feeder fee: Phone: h 17 5710 Fax:SL,7 goo—Sep9a' First branch circuit(2) 9 60.50 $ E-mail: .c (2) iv.M.cI-eclv1,c.-/,.Ce^a Conn Each additional branch circuit $ 6.so $ CCB license no.: /09€,,,a7 BCD license no.: 3?—slry Miscellaneous fees:service or feeder not included Signing supervisor's license no.: - s Each pump or irrigation circle(2) $ 89.00 $ Print name of signing suhrvisor.f;.e ' Each sign or outline lighting(2) $ 59.00 $ Signature of signing supe a•':. Si•_al circuit or alimited-energy panel, $ 80.00 $ a tcration,or extension(2) Each additional inspection:(1) $ o0 $ - F r : p� spudm � N (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[Al) $ (C)Technology Fee(5%of[A)) $ 6c' TOTAL fees and surcharges(A through C): $Z 1.0'- 440-25844(4/01/2013/COM)