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HomeMy WebLinkAboutPermit Electrical 2014-6-23 • • SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 \l Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01346 www.springfieid-or.gov - permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/23/2014 EXPIRES: 12/19/2014 • STATUS DATE: 06/23/2014 APPLIED: 06/23/2014 SITE ADDRESS: 3188 GATEWAY LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703222003300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Billboard and support structure. Billboard relocation from Candlewood site in Glenwood. ODOT permit 008044 owner code N902. OWNER: C 8 0 DEV INC Phone Number • ADDRESS: % SKATE WORLD INC SACRAMENTO CA 95819-4509 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor DAVID STUCK ELECTRIC LLC CCB 158177 01/01/2015 541-485-8855 L INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4610 Electrical Sign 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by HIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR • Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 6/23/2014 9:05:43AM Page 1 of 1 SPRINGFIELD — CITY 01,SPRINGFIELD {, +Aw , ^ 225 Fifth St - �� �G TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-01346 www.springfield-or.gov 3188 GATEWAY LOOP pennitcenter©springfield-or gov RECEIPT NO: 2014001358 RECORD NO: 811-SPR2014-01346 DATE:06/23/2014 :DESCRIPTIONS , _, ,. , - _ ,` . . „ : . ... .A000UNTCODE/TRANS CODE -..`?.AMOUNT DUE: Branch circuits with service or feeder each circuit 224-00000-426102 1004 7.00 Electrical Continuing Education fee 224-00000-425606 •1032 2.50 Services 200 amps or less 224-00000-426102 1004 182.00 Sign or outline lighting 224-00000-426102 1037 71.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.20 Technology fee(5%of permit total) 100-00000-425605 2099 13.00 e-,TOTAL DUE: 306.70 i s PAYMENT TYPE ._,„,w.,.PAYORCASHIER:COARPENTER t. ° COMMENTS,.. _.� > ' AMOUNT PAD -- - ' Credit Card DAVID STUCK ELECTRIC LLC 306.70 005656 TOTAL PAID: 306.70 • Electrical. . E Permit Application SPRINQFIELD .DEPARTMENT USE ONLY wo.v.:xxiat4;1420.t,p..tz.s .pazgaV=VX1.+ZZ9flr 1 i...., et.. 44trAt,,,,41 tETWORSPICIA,UltiltrilnIKE b.t9 , ,tv„t,; ,,,c,,:?..zy5.11ae.):,. 'Th,‘,1 Permit no . 5( (7 c.i. etraiStAigiirixtoskagikattiskanniaxifte 4144-5 Mi..W.:,,,, 6.-q r .. 225 Fifth Street•Springfield,OR 97177•PH(511)726-3753•FAX(511)726-3659 . 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. • - LOCAL,'.;GOVERNMENT:APPROVAL-.. .. ::'.: Th ":r; H..-Th.„= :,,,-;:-.!:.- :l.FEE SCHEDULE:Th`Th... ,,Th4....::: : Zoning approval verified? 0 Yes El No :-N a 6113e it-of ilipeitiOni'Per ilein;(.)`:;,;OfY :-:...C7 &. Total '....; 1..f11-711.1CATEGORY OF 'CONSTRUCTIONit4;?; Residential, per unit,service included: Ill Residential 111 Government 5'Commercial 1'000 sq.ft. or less(4) $151.00 $ 4-t.-4';.,JOESITE INFORMATION,:;AND',LOCATI 0 N");:d'....j.t. --— Each ditional 500 sq ft.or portion Job site address: ..3/?S' Otctie-kle47 h.P thereof ad $ 28.00 $ City: -.Sprilylel aid State: Cie ZIP: qi..?7 7 Limited energy(2) $ 36.00 $ Reference: /7o 1? -2,26() Tax43,To 0 Each manufactured home or modular $ 71M0 $ 7'2,:f:',..1DESCRIPTION '0 F WO RIC&a,27::;,:,7=‘:,..,- 71"-: dwelling service or feeder(2) Services or feeders: installation, alteration, relocation Reenc.1-e .S'a rillca, .0.-e-ester n i 7,1 , our rny 200 amps or less(2) Z-. $ 91.00 /a a el a rploi syn ea I ilk& on svistic Ceice, PROPERTY:OWNER'ThVIA:ThzThr."-fY''21±..ia. 201 to 400 amps(2) $106.00 $ Name: ( To 22„7, pix.. 401 to 600 amps(2) $178.00 $ Address: 601 to 1,000 amps(2) $230.00 $ . . City,C.„.#02-vkir.-t1.1__'/ tat e: 7_.4.41- ZIP: 9.577,9 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) $ 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 .>6'.-:,`,.•:':; :.'.',''.:- CONTRACTOR:INSTALLATION S:CH.:;n:-:2:i‘:'Th. Branch circuits:new alteration, extension per panel Business name: .04.."a ,5--nnir &-z....e „fa,c Lac a.Fee for branch circuits with purchase of a service or feeder fee: Address: Po ecx., -2Ths---e z Each branch circuit ( $ 7.00 $11.,a, City: aid&-riar State: of ZIP: 9 74-o z_ b. Fee for branch circuits without purchase of a service or feeder fee: Phone:5-'1/-5-W41 - 6 0 Fax: - - First branch circuit(2) $ 62.00 $ E-mail:58-r,c.* 7-S--32 0 Cupric°se. con, Each additional branch circuit $ 7.00 $ CCB license no.:/6-51/77 BCD license no.:2C-,57,,,C. Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 41.72 —S— Each pump or irrigation circle(2) I $ 71.00 $ Print Each sign or outline lighting(2) 1 $ 71.00 $ int name of signing supervisor:„0.3.„,,a /2 g' zvwcyc Signal circuit or a limited-energy panel, $ 82.00 $ Signature of signing supervisor: circa,. ://112.-d._- _, alteration,or extension(2) Each additional inspection:(1) $82.00 $ i5W;11, 1,111k,12,..'it APPLICANT aitt:fIgzitt -,V;:r2.!,' (A) Enter subtotal of above fees - (Minimum Permit Fee$82.00) $2416/4. (B)Enter 12%surcharge(.12 x[A]) $57 2A— (C)Technology Fee(5%of[A]) $ I I (D)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through D): 440-2584-1(5/21/2014/C0M) •