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HomeMy WebLinkAboutPermit Electrical 2014-6-24 • SPRINGFIELD_.,- - A 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-SPR2014-01350 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/24/2014 EXPIRES: 12/20/2014 STATUS DATE: 06/24/2014 APPLIED: 06/24/2014 SITE ADDRESS: 1980 MARCOLA RD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703251301500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Low Voltage network cables 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 NATIONAL NETWORK SERVICES OF OREGON INC CCB 154300 02/10/2015 541-726-9209 INSPECTIONS REQUIRED Inspections • 4500 Rough Electrical Rough Electric: Prior to Cover • 4550 Limited Energy • 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. • �� - �o � Owner or Contractor Signature Dat • • • 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 copies of the rules by ANY 180 DAY PERIOD. • calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit . 6/24/2014 8:40:33AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ��� TRANSACTION RECEIPT Spnngfield.oR97477 541-726-3753 811-SPR2014-01350 • www.springfeld-or.gov 1980 MARCOLA RD permitcenter @spdngfield-ar.gov RECEIPT NO: 2014001361 RECORD NO: 811-SPR2014-01350 DATE:06/24/2014 I(o]d.3o1;ila6toPl.K-y-,, Ai' , ti`s .'! a; ."„____ ;_z_ ;',ACCOUNT-CODElPRANS CODE. _ . ..:_`. AMOUNT'DUE21 Data/Telecommunications 224-00000-426102 1004 82.00 Electrical Continuing Education fee . 224-00000-425606 1032 2.50 State of Oregon Surcharge(12%of applicable fees) k 821-00000-215004 1099 9.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENTETit E ° P-AtbareAsHER:uLARSON COMMENTS- AMOUNT(?AID Credit Card NATIONAL NETWORK SERVICES OF 98.44 01165G OREGON INC TOTAL PAID: 98.44 • • • • • • • • • • • EIeCtI'1Cal Permit Application DEPARTMENT USE ONLY SPRINGFIELD "J$, a .,,,. YnriwTg2a* of r.fril :".F_c:u, .3 rimozi 'w'.'>.-"d e,,,5 #7 Y9 Y GI'I�YOFS PRINGFIELDP„ REDO ,i$ rAs ; x? Permit 80.: �j/�Rzc ly U 225 Fifth Street•Springfeld,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 `-a...'._'"h' ;�� / Date: 6,72.H ( [c{ 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 , ,. ,';:' , ::FEE• 'SCHEDULE ) `S Zoning approval verified? ❑ Yes ❑No sNumber of inspections per item (.).'. Qty Cost .-Total ' _ _ ea _ ,-cost :CATEGORY OF CONSTRUCTION i Residential,per unit,service included: ❑Residential ❑Government Commercial ..'- .JOBSITE INFORMATION:?AND, C TION 1,000 sq. ft. or less(4) $151.00 $ ▪ Each additional 500 sq ft.or portion $ 28.00 $ Job site address: /9tO wtQ,rG��� 2/� _ thereof City: $ t„L O ,(g , Stater ZIP: 9-7403 Limited energy(2) I $ 36.00 $ Referen6: Taxlot.: Each manufactured home or modular $ 71,00 $ DESCRIPTION:.OF WORK;='; i _.y� ,,, dwelling service or feeder(2) I ( Services or feeders:installation, alteration, relocation . :` AJcA-WOrv� cc..O'Q (loco vo` w„) u 200 amps or less(2) $ 91.00 $ PROPERTY;OWNER =a r ▪ 201 to 400 amps(2) $106.00 $ Name: �br,-p 401 to 600 amps(2) $178.00 $ i _ W V r Address: (00 SaJ„(L a_cc4- ct:��`F.tu.(a-r2 61\p 601 to 1,000 amps(2) $230.00 $ City: (o j bt._t '' State: U- 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) $ 98.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.560(1). 401 to 600 amps(2) $142.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above =CONTRACTOR,INSTALLATION per P ._;. Branch circuits:new,alteration, extension er anel Business name: NA)5 Cr_ II a.Fee for branch circuits with purchase of a service or feeder fee: Address: 3O2 S�4 Q 5t-y��G1 Each branch circuit $ 7.00 $ City: lj�/��}_,�,R.k- Stag 6/Z ZIP: / 7�-7 b.Fee for branch circuits without purchase of a service or feeder fee: Phone: $U(- 7Z6-17/0/ Fax: - - First branch circuit(2) $ 62.00 $ E-mail: Each additional branch circuit $ 7.00 $ CCB license no; /5I7 360 BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 1t C Each pump or irrigation circle(2) $ 71.00 $ Print name of signing supervisor: j,,1 � / C p Each sign or outline lighting(2) $ 71.00 $ Si ature of signing su ervisor. r Signal circuit or a limited-energy panel, $ 82.00 $ g c p alteration,or extension(2) Each additional inspection:(1) $82.00 $ . ° +."Z-., ;k Y APPLICANT.'',USE, 't' ,,__ r,i~ (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): $CM9 y 440-2584-1(521/2014/C0M)