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Permit Electrical 2014-6-19
" SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 1 oaEGoN - Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01335 www.springfield-ar.gov permitcenler @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 06/19/2014 EXPIRES: 12/15/2014 STATUS DATE: 06/19/2014 APPLIED: 06/19/2014 SITE ADDRESS: 1661 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703253105800 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Replace existing neon electrical components with LED electrical components OWNER: HAMMER BROTHERS LLC Phone Number: ADDRESS: PO BOX 2266 EUGENE OR 97402 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor E S&A SIGN CORP CCB 163470 03/16/2015 541-485-5546 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. • 1. 1 ( Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth • NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone • number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). • ANY 180 DAY PERIOD. • Springfield Building Permit 6/19/2014 1:41:11 PM Page 1 of 1 • • • • SPRINGFIELD - - CITY OF SPRINGFIELD kiiiiffSc 225 Fifth St . TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2014-01335 • www.spdngfieldor.gov 1661 MOHAWK BLVD permitcenter @spnngfield-or.gov • RECEIPT NO: 2014001348 RECORD NO: 811-SPR2014-01335 DATE:06/19/2014 DESCRIPTION 'i£& $_' t_``. -:*_.,_ _. ACCOUNTCCODEITRANS CODE 'rr_«'AMOUNT+DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Sign or outline lighting 224-00000-426102 1037 71.00 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 yyPAYMENT TYPE CASHIEft:JL-ARSON 5,,p,.r=-�v'::�COMMENTS ' Credit Card E S&A SIGN CORP 98.44 019001 TOTAL PAID: 98.44 • • • • • Electrical Permit Application DEPARTMENT USE ONLY �,. ., r" ry i.�s.,.prf i!� .,,,r, r,,,s -r t ,.-,n 1 t,„ ,1n^-- , i n, SYRr4CF1 ELb CITY eOF`SPRINGFIE4L rOREG©M: ; �,.,�,,, Permit nn.: , � C/,1za.v —old 225 Fifth St eet•Spi ingtield,OR 97477tP11(541)726-3753•FFAX(541)726-3689 . OREGON Date: 67y/ ei This permit is issued under OAR 918-309-0000. Permits are nontransferable. Penn its expire if work is not started within 180 days of issuance or if work is suspended for ISO days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item ( ) Qty. Cost Total CATEGORY OF CONSTRUCTION __ -- - Residential,per unit,service included: ❑ Residential ❑Government 0Cornmercial I,000 sq. ft, or less PU $147.50 JOB SITE INFORMATION AND LOCATION ---� 1661 Mohawk Blvd Each additional 500 sq. ft.or portion $ 27.50 S Job site address thereof City: Springfield State:Of ZIP: 97477 Limited energy(2) $ 35.00 $ - Reference: Taxlot.: Each manuiaetured home or modular ..-.-...-.__ ................. .. ....__....___..._-._ chaelling service or!ceder(2) $ 69.00 DESCRIPTION OF WORK — --- — Replace existing Neon electrical components Services or feeders: installation. alteration,relocation with LED electrical components 200 amps or less(2) 5 as.00 PROPERTY OWNER 201 to 400 amps(2) S 104.50 S Name: $4..y,.ew cJ (7jj S LLc / — 401 to 600 amps(2) $174.00 $ Address: O o� r ► G01 m 1,000 amps(2) 5225.50 $ City: err(- _I ZIP: Over 1,000 amps or volts(2) $516.00 $ Phone: - _agigglliM Reconnect only(2) $ 69.00 $ 1 Temporary services or feeders: installation. alteration, relocation ----........................----- 200 amps or less(2) ation is being made on residential or f • )party _ _ - $ 69.00 $ owned by me of , .er of my imr '•.: amily.This 201 to 400 amps(2) $ 96.00 $ property is not intended for - ,-Aitiange, lease,or rent. OAR - 479.540(1)and 4 r -._101 10600 amps(2) $138.50 $ e: Over 600 amps or 1,000 volts. see services or feeders section above ir CONTRACTOR INSTALLATION Branch circuits: now aliermion.extension per panel Business name: ES &A Sign and Awning a. Fee for branch circuits with purchase of a service or feeder lee Address: 89975 PRAIRIE ROAD Each branch circuit S 6.50 S City: Eugene State: OR J ZIP: 97402 h. Fee for branch circuits without purchase of a service or feeder fee: Phone: 541 485-5546 Fax: 541 485-5813 First branch circuit(2) $ 60.50 .$ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: 163470 BCD license no.: 20-543 CLS miscellaneous fees:service am_feeder not included Signing supervisor's license no 514 SIG Each pump or irrigation circle(2) S 69.00 $ Print name of signing supervisor: G rdy Roseborro Each sign or outline lighting(2) 1 $ 65.00 $ i Signal circuit m r limited energy panel $ 80.00 $ Signature of signing supervisor: tr - alteration,or extension(2) Each additional inspection: (1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit lee 580,00) (13)Enter 12%surcharge(.12 x IAI) $ (C)Technology Fee(5%of[All $ 440-2584-3pu01/2013lcon1) TOTAL fees and surcharges(A through C): $ 9 Ct y