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HomeMy WebLinkAboutPermit Electrical 2014-5-28 SPRINGFIELD-" 225 Fifth St 4 CITY OF SPRINGFIELD Springfield,OR 97477 Y....{ try Phone: 541-726-3753 \OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01150 • ww.v.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/28/2014 EXPIRES: 11/23/2014 STATUS DATE: 05/28/2014 APPLIED: 05/28/2014 SITE ADDRESS: 1980 MARCOLA RD,Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703251301500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tennant Improvement OWNER: TRI-W GROUP LTD PARTNERSHIP Phone Number: ADDRESS: 100 SE CRYSTAL LAKE DR CORVALLIS OR 97333 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 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: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copip of the rules by ANY 180 DAY PERIOD. calling the centerf it%oth: the telephone number for the Oregon :101 trtificatiofl Center is 1-800-3 4. Springfield Building Permit 5/28/2014 12:42:23PM Page 1 of 1 SPEtiNGFIELD CITY OF SPRINGFIELD te OREGON TRANSACTION RECEIPT 225 Fifth St 5pr-11109151,0R 97477 541-726-3753 811-SPR2014-01150 www springfield-or gov 1980 MARCOLA RD permitcenter@springfield-or gov RECEIPT NO: 2014001150 RECORD NO: 811-SPR2014-01150 DATE:05/28/2014 [DESCRIPTION, - ACCOUNT CODE/TRANS CODE AMOUNT DUE Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 62.00 Branch circuits without service or feeder-each additional 224-00000-426102 1004 77.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.68 Technology fee (5%of permit total) 100-00000-425605 2099 6.95 TOTAL DUE: 162.63 PAYMENT TYPE - PAYOR CASHIER:JLARSON COMMENTS. • .1 ' - AMOUNT PAID. • Credit Card JB Electric 162.63 825145 TOTAL PAID: 162.63 • • 05/28/2014 04:17 5413028296 JBELECTRIC PAGE 01/01 Tiles:Armin rermuu Application oal��e� DEPARTMENT USE QNL`Y: C' ' A. OC ShR1NC-41ELD A REG- N L'', , " ^,, 4'910 ,1 .i. .I,s.l; L `-F ..........: . . ?.. ] .•'. 0,,// , b �.iM Permltno.: LP(?ee/y- Q()' O 225 Fifth StreeteSprinpteid,OR 97477•FE(541)726.37534FA}c(541)726.36:• Y crurr Date: c/ E3//'/ This permit is issued under OAR 918-309-0000.Permits are n ntrans£erable.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. yt}eit,rid'.tit'v'ieatG'•`3Lir�k'�:YZIk Oiii,I�+,of ,01.. o gism,Ns f. aZamiw efk" a kM i£.l 7 t» 1., °;il ls, Zoning �aapproval verified? Yes t❑ c� "r''F` ar�`i� �s'-(1`e+yp� 8' t NN{.j a.$F 76�a L v�. I9$�"'41 :.k _.-. i9ti • i Sett" I • A � 'i� °n•' 1r3. Residential,per unit,service included: ❑Residential ❑Government PI' otnmercial ? ifdrr{, 0'• s!C` o - e r I,t d,�r�g,,'�y q, 1,000 sq.ft.or less(4) $147.50 $ �. � � Xnn20Rh i � � Each additional 500 sq.R or portion lob site address: /9We reo-4 tut/ thereof - $ 27.50 S City: t LCJ State: 0/i? I ZIP: Limited energy(2) $ 36.00 $ Reference: Taxlot.: Each manufactured home or modular . $ 69.00 $l +11110 dea MiS IR Ia dwellng service ofeeer(2) :rill Services or f eiders: installation,alteration,relocation Iesaf4�a� leZ,-Ct 200 amps or less(2) ♦qty�� i7 �7;q $ 89.00 $ '{' iitk B17�?It y t°�1��i:Z`�t'"&:4 .n ['IL',' tMINgliI ,,p�q¢tI"n ,l 201 to 400 amps(2) $ 104.80 $ Name: i r i_( j G move ern Qgc1 ner$14:tO I .401 to 600 amps(2) $174.00 S Address: /00 Se' Cry /a-Xe err, 601 to I,000 amps(2) $226.60 $ City: Cnnai/�s State: O R ZIP:9 7 333 Over 3,000 amps or volts(2) $618,00 $ Phone: - - Pax: - - 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 itizmediate 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 $ Signattiro: Over 600 amps or 1,000 volts,see services or feeders section above :Lk,' ]NIL ? `'haRIes�. r� pAtL�4 , m:h;a l% .t3P o Eu ;'e7 Branch circuits:new,alteration extension per p anal Business name:'Q Elm , , y, _ • a.Pee for branch circuits-with purchase of a service or feeder fee: Address: 1' --t . ir . Each branch circuit I 1 $ 6.60 I $ City: ` 6,p2...m_e_ State:d— ZIP: q?y b,Fee for branch circuits without purchase of a service or feeder fee: Phone: —ye'7S/70 Fax: . /! $a Z9 First breach circuit(2) / $ so.S0 $.� E-mail: ,jd4,,,`t J ,� � enc,.Ga-i'^ Each additional branch circuit f// $ 6.60 $ CCB license no.: `o'•v-.q I BCD license no.:37 g '7 . Miscellaneous fees:service or feeder not included Signing supervisor's license no.: sg'ZS Each pump or irrigation circle(2) . $ 69.00 $ Print name of signing sups:Ivia r: ,JD , Btv„...2.74, ,, Each sign or outline lighting(2) $ CLOD $ Signature of signing supervisot�l Signal circuit or extension panel. 1 $ 00.00 $ 'y+t+�� alteration,of extension(2) Each Additional Inspection:(1) Sao.00 $ '� lic 'b"ti ; i Y n I Y u • " +1 ` li (A) Enter subtotal of above fees $ (Minimum Permit Fee$80,00) (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(6%of[A]) $ TOTAL fees and surcharges(A through C): $/&Z. 440-25341(4/01/2013/C0M) •