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Home My WebLink AboutPermit Electrical 2014-07-16SPRINGFIELD - 11 :W OREGON m w.springfield-orgov CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-01534 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2014 EXPIRES: 01/11/2015 STATUS DATE: 07/16/2014 APPLIED: 07/16/2014 SITE ADDRESS: 1360 MOHAWK BLVD, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703253310000 TYPE OF STRUCTURE: Commercial -----P ROJ ECT -DESCRIPTIO N OWNER: PRIME PROPERTY INVESTMENTS LLC ADDRESS: 1360 MOHAWK BLVD Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Electrical Contractor DEVLOGIC TECHNOLOGIES ING CCB 161458 09/16/2014 541-998-5114 INSPECTIONS REQUIRED Inspections 4550 Limited Energy 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 ultes Y ou \® Is l)e p°TCENrTIOouOeefi1h tdb e un$ad°pse ag52OoA tRvulenb Y follwe1\ht No10po YUtesot Om'al°b ih diot t lao\illic< 90. Ogoallln�J\he \heiOvevl\ 33?_ 23AA). °umgetCen\et iS 1-p00 Date �1, EXPIRE IF `tNj S �111S PERiEO 1S P'BN1A ONE 0 0 p,U"�V10R SEO OR 1 COk*AEN D PO D - PN ER fPNAbo® Springfield Building Permit 7/16/2014 1:5520PM Page 1 of 1 LRIGFIELD CITY OP SPRINGFIELD Fifth St "r TRANSACTION RECEIPT Springfield,OR 97477 ONEGON 541-726-3753 811-SPR2014-01534 mn .springfield-ocgov 1360 MOHAWK BLVD permitcenter@spnngfield-or.gov RECEIPT NO: 2014001535 RECORD NO: 811-SPR2014.01534 DATE: 07/16/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE 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) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENTTYPE PAYOR CASHIER: CCARPENTER COMMENTS "AMOUNT PAID Credit Card DEVLOGIC TECHNOLOGIES INC 037065 TOTAL PAID: 98.44 RK )OT Electrical Permit Application SPFINGFIELO 225 Fifth Street# Springfield, OR 97477#PH(541)726-3753#FAX(541)726-3689 - DEPARTMENT USE ONLY IPermit no.: S / V / J / 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 Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential I ❑ Government I W Commercial JOB SITE INFORMATION AND 'LOCATION Job site address: Ctts C n : ¢ 1 tC State: d (I_ ZIP: Reference::Pt:n21;+2 Taxlot.: DESCRIPTION OF WORK $ 36.00 $ PROPERTY OWNER Name: [D/;,n Address: 3 moves -J C City: /; f ¢ State: OL ZIP: q Al % 17 Phone:5yl - tlyh- Soy' FaxA(- 7'k,- pygS E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR .INSTALLATION.` Business name: TO1d iL �Bck .2S Address: 10 &.y qOS3 City: State: 0(Z- ZIP: 97 OL) Phone: Sy - 99k- S 11 Fax:54(-`97y SI 20 E-mail: CCB license no.:1(e [ g.S BCD license no.: ao., j3,?e_ f Signing supervisor's license no.: 39-4,3 ( EA Print name of signing supervisor: et„+;S ' e✓ey ic Signature of signing supervisor: C (1 440-2584-J (5/212014/COM) FEE SCHEDULE Number of inspections per item O _ Qty, Cost. 'Total ea. cost Residential, per unit, service included: 1,000 sq. ft, or less (4) $151.00 $ Each additional 500 sq. ft. or portion $ 28.00 $ thereof $178.00 $ Limited energy (2) - $ 36.00 $ Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) $ 71.00 $ IServices or feeders: installation, alteration, relocation I 200 amps or less (2) $ 91.00 $ 201 to 400 amps (2) $106.00 $ 401 to 600 amps (2) $178.00 $ 601 to 1,000 amps (2) $230.00 $ Over 1,000 amps or volts (2) $527.00 $ Reconnect only (2) $ 71.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 71.00 $ 201 to 400 amps (2) $ 98.00 $ 401 to 600 amps (2) $142.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extensionperpanel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 7.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service orjeeder not included Each pump or irrigation circle (2) $ 71.00 $ Each sign or outline lighting (2) $ 71.00 $ Signal circuit or a limited -energy panel, $ 82,00 $ alteration, or extension (2) Each additional inspection: (1) $82.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) �— (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ / L (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D): $ ,®