HomeMy WebLinkAboutPermit Electrical 2014-6-30 SPRINGFIELD 225 Fifth St
`1 CITY OF SPRINGFIELD Springfeld,OR 97477
I x c,.ti Phone: 541-726-3753
OREGON
Building / Commercial Permit Inspection Phone: 541-726-3769
' Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01401
www.springfield-or,gov pe rmitcenter @springfield-Or.gov
PROJECT STATUS: Issued ISSUED: 06/30/2014 EXPIRES: 12/26/2014
STATUS DATE: 06/30/2014 APPLIED: 06/30/2014
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SITE ADDRESS: 346 MAIN ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703353107200 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Circuit for sign lighting
OWNER: SPFLD LODGE#70 IOOF Phone Number:
ADDRESS: 342 MAIN ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor MARKHAM ELECTRIC INC CCB 128394 04/01/2016 541-942-8789
L INSPECTIONS REQUIRED
Inspections
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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
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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 . 'JO I I C E: &- . '
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 COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification
Center is 1-800-332-2344). ANY 180 DAY PERIOD. . :.
Springfield Building Permit 6/30/2014 8:54:59AM Page 1 of 1
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SPRINGFIELD- CITY OF SPRINGFIELD 22 Fifth TRANSACTION RECEIPT Springfield OR 97477
OREGON 541-726-3753
811-SPR2014-01401
wwwspringfield-ar.gov 346 MAIN ST • permitcenter @springfield-or.gov
RECEIPT NO: 2014001406 RECORD NO:811-SPR2014-01401 DATE:06/30/2014
!DESCRIPTION ACCOUNT CODE/TRANS CODE __ __ _ AMOUNT_DUE*-
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
PAYMENT TYPE � LLPAYOR;. CASHIER.CCARPENfER, 7 :' COMMENTS__„, - . AMOUNT PAID •
Credit Card MARKHAM ELECTRIC INC 98.44
05677g
TOTAL PAID: 98.44
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Electrical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD St •'
ou'lta,z;c .I F.4,% $ta t.- nit-is¢ . nal,t-.+i,Ytt3.�`ttc " at 5 �, �.
ACIrI Y�OF P NGFIELD, ®>REGON Per rot •no.: 5/�( —/‘/D 7
w.3�,
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FA.X(541)726-3689 aV�0// /
Date: L
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.
;;r, LOCAL;GOVERNMENT- APPROVAL `` +- . :' :,FEESCHEDULE 1-4
Zoning approval verified? ❑ Yes IS1 No Number of ins ectwns?per item ;Cost Total
._ P �,. P O,I'c Qty �� ea. 1 :x'ost, °%
"CATEGORY OF=CONSTRUCTION 3
Residential,per unit,service included
❑Residential ❑Government g Commercial 1,000 sq. ft. or less(4) $151.00 $
;:l JO&:SITE INFORMATIONiiAND,LOCATION.';`.,: „''i
�/�/� I Each additional 500 sq.ft. or portion
(7 V - I
Job site address: j 1 a„ (
S ' thereof $ 28,00 $
City: S O C ld State: DC ZIP: Limited energy(2) $ 36.00 $
Reference: /703 75-?/ Taxlot.:(072D-D Each manufactured home or modular $ 71,00 $
- - ,;. dwelling service or feeder(2)
r ." =DESCRIPTION OF WORK' .:.
II L- Services or feeders: installation, alteration, relocation
1 15� r`� GI �cJ, ` h' r CIS '\ 200 amps or less(2)P ( ) $ 91.00 $
PROP.ERTY_OWNER r, 201 to 400 amps(2) $106.00 $
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I 401 to 600 amps(2) $178.00 $
Name: '�G.rfi-- C_arsd,c,
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) $ 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•!INISTALLATION Branch circuits:new alteration, extension per panel
Business name: \i " \ a,- lc_VS c.,,., 6 i c� "r,c ..c a.Fee for branch circuits with purchase of a service or feeder fee:
Address: P O (7 u). 101„ ( t8' Each branch circuit $ 7.00 $
City: (ott'o,e Gru-'c. State: 0 C. ZIP: 9. -)y.1 LA b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:StO-771- " I'g 5 Fax: - - First branch circuit(2) i $ 62.00 $
E-mail: Inn c.r LLc 1, -6( ‘4.--k-',- t--,c 0 `Y.-- 4,(. c4,, Each additional branch circuit gee $ 7.00 $
CCB license no.: a 0-'110 C BCD license no.: 12 S?3 y s/ Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: (-1 4)(Y. 'n/I Each pump or irrigation circle(2) $ 71.00 $
Print name of signing supervisor: 13 rvd/I ee (n,v•t arL.L_— Each sign or outline lighting(2) $ 71.00 $
Signature of signing supervisor: /1-
/ (t _ Signal circuit or alimited-energy panel, $ 82.00 $
"`" " 7777 alteration,or extension(2)
Each additional inspection:(I) $82.00 $
r .
egsal .r. .APPLICANT,;IUSETi C_ ):.SY
(A) Enter subtotal of above fees $ pr�
(Minimum Permit Fee$82.00) 7
(B)Enter 12%surcharge(.12 x[A]) $ SY
(C)Technology Fee(5%of[A]) $ tri
(D)Continuing Education Fee$2.50 $2.50
TOTAL fees and surcharges(A through D): • $ 2fY
440-2584-1(5/21/2014/COM) -