HomeMy WebLinkAboutPermit Electrical 2014-6-11 •
�1. SPRINGFIELD 225 Fifth St
- CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON
Building / Commercial Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01211
www.spnngfield-ar.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/11/2014 EXPIRES: 12/07/2014
STATUS DATE: 06/11/2014 APPLIED: 06/11/2014
SITE ADDRESS: 590 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703353108600 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: installing one two pole 50 amp circuit for spyder box
OWNER: CITY OF SPRINGFIELD Phone Number:
ADDRESS: 150 N 4TH ST •
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-686-1628
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 orb , and the approved set of plans will remain on the site at all times during
construction.
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),4° ,%iii/ � �/' 6 /i / v
•w er or Contractor Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth • �H�IS(PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001- •
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY 180 DAY PERIOD. •
Center is 1-800-332-2344).
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Springfield Building Permit 6/11/2014 10:38:12AM
SPRINGFIELD saga CITY OF SPRINGFIELD.
225 Fifth St
`o
OREGON
TRANSACTION RECEIPT 225Fifeld.oR97477
541-7263753
811-SPR2014-01271
w.. .springfieldor-gov - 590 MAIN ST . permitcenter @spnngfield-or.gov
RECEIPT NO: 2014001274 RECORD NO:811-SPR2014.01271 DATE:06/11/2014
DESCRIPTION ! 'r wi_' 4n - �-ACCOUNT 3 o i ] l jpll:7_'1:1.9CODEx ,"'L` r �\ i
o : ..1012114.- 1�'.�7
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 20.00
Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 62.00
Electrical Continuing Education fee 224-00000-425606 1032 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 - 9.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENTaT;YPE P,AY,OR- cASHIER:rALA ET .COMMENTS.. ._ AMOUNTOMP.,
Credit Card THORNTON ELECTRIC INC 98.44
211173
TOTAL PAID: 98.44
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Electrical Permit Application SPRINGFIELD n, .PPARTMENT USE ONLY
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225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
Date: /
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.
,.•.-.;,.;,:, Ai LOCAL'•.GOVERNMENT-APPROVAL:. :,.' :2 :1 ..,,,:' :i" . r:!Y:.•••-„L. • :I:,
Zoning approval verified? 0 Yes 0 No --:- -'• --:,‘"'-' .' ,Ica', c-',1 CO§tm',:g=TOtal,-
:ENUmlaWrof inSpaetions per itent:er- r QtY, :., - .- '-',. - - •.;-,
l';..;-.' r:CATEGORYi: OF 'CONSTRUCTION.,!: 4 ;:e:':!':j'
Residential,per unit,service included:
El Residential El Government )3-Commercial
.; 1,000 sq.ft or less(4) $151.00 $
1:.:',f1;',;/..10B:SITE. INFORMATIOWAND1LOCATIOW. L
.. . . _
Each
Job site address: 5 ditional 500 sq ft or portion
-2e2 ni ad
p) c 7— thereof $ 28.00 $
City:S pErD State: &( - ZIP:9790c Limited energy(2) $ 36.00 $
Reference: Taxlot.: Each manufactured home or modular
.0F7rWORKNV.7., :l.:!;;L'al:li dwelling service or feeder(2) $ 71.00 $
/ )cr- so
(fiCri
Services or feeders: installation, alteration, relocation
+ll • ,o a /stip
e i /0
200 amps or less(2) $ 91.00 $
rt tt t r /a 9 /2:=.g Aex-
:.;:::k:Aity,,,,..;•-, -..);=:.,
PROPERTY OWNER '."-la-I'El" :7':.:Y:.!41)-71:': 201 to 400 amps(2) $106.00 $
Name: . 401 to 600 amps(2) $178.00 $
Address:
601 to 1,000 amps(2) $230.00 $
City: State: ZIP: Over 1,000 amps or volts(2) _ $527.00 $
Phone: - - Fax: - - Reconnect only(2) $ 71.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less(2) $ 71.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) 5 98.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.5600). 401 to 600 amps(2) $142.00 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
II;61.-I.O;IX;liCONTRACTOR:INSTALLATION.:I4Ic. .:3;Ilk,I-g: Branch circuits:new alteration, extension per panel
Business name: "Triegl....)70A) E(t-r Ve/C a.Fee for branch circuits with purchase of a service or feeder fee:
Address: PO 12,69c Co 9 y Each branch circuit $ 7.00 $
City: Et( ‘ . Stateee ZIP: ,7q0k b. FS for branch circuits without purchase of a service or feeder fee:
Phone:cq/ - 9 n -(00_,71 Fax: - - First branch circuit(2) i $ 62.00 $ (02—
E-mail: Each additional branch circuit $ 7.00 $
CCB license no.:ila,"329 BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 30/7 S Each pump or irrigation circle(2) $ 71.00 $
Print name of signing supervisor: --Roc j A or-h4L,.../ Each sign or outline lighting(2) $ 71.00 $
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Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 82.00 $
te Signal
alteration,or extension(2)
Each additional inspection:(I) $82.00 $
g2.13.32 ::.5,55:MfAPPLIOANt.CLISET4=-PAZaMit
(A) Enter subtotal of above fees $
(Minimum Permit Fee$82.00)
(B)Enter 12%surcharge(.12 x [A]) $
(C)Technology Fee(5%of[A]) $
(D)Continuing Education Fee$2.50 $2.50
TOTAL fees and surcharges(A through D): $ 7t, _14
440-2584-1(5/2112014/COM)