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Home My WebLink AboutPermit Electrical 2014-07-17ELD 225 Fifth Sl F CITY OF SPRINGFIELD Springfield,OR 97477 4 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01537 w apdngfield-or.gov permitconter@spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/17/2014 EXPIRES: 01/12/2015 STATUS DATE: 07/17/2014 APPLIED: 07/17/2014 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703353103300 TYPE OF STRUCTURE: Public OWNER: CITY OF SPRINGFIELD Phone Number: ADDRESS: 344 NORTH A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone Electrical Contractor THORNTON ELECTRIC INC CCB 116329 08/21/2014 541 -680 -165 -- 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 Stale 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 POTICE: TRIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMIMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date ATTENTION: Oregon law requires you to fo limv rules adopted by the Oregon Utility Notiticntion Center. Those rules are set forth in OAH 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332.2344). Springfield Building Permit 7/17/2014 9:10:03AM Page 1 of 1 SPRINGFIELD- CITY OF SPRINGFIELD 1 w - J- TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR97477 Balance of Minimum Electrical Permit Fees 224-00000-426102 541-726-3753 --"-' ONEGON 811-SPR2014-01537 224-00000-426102 m w.springrield-or.gov 225 STH ST pe"itc nter@spnngfield-orgov RECEIPT NO: 2014001539 RECORD NO: 811-SPR2014-01537 DATE: 07/17/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 13.00 Branch circuits without service or feeder - 1st circuit 224-00000-426102 1004 62.00 Branch circuits without service or feeder - each additional 224-00000-426102 1004 7.00 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 (6% of permit total) 100-00000-425605 2099 4.10 PAYMENT TYPE' PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Credit Card THORNTON ELECTRIC INC 98.44 117190 TOTAL PAID: 98.44 Electrical Permit Application 225 Fifth Street#Springfield, OR 97477#PH(541)726-3753#FAX(541)726-3689 SPRINGFIELD _ DEPARTMENT USE ONLY Permit no.: 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 Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ; ❑ Residential overnment ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: S Fp State: Q P, ZIP: Reference: Taxlot.: DESCRIPTION OF WORK-: n CL PROPERTY OWNER Name: ry 47= &�(N 9'7t47 Address: 22 City: ��_ 3 State: ZIP:97 `K?,2 Phone: Fax: 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 Businessname: Address: t�O 412{ City: 15�KA & State: /rL ZIP: �/7�j70 i Phone: -q/ 3 -(qo;X Fax: E-mail: CCB license no I license no.: Signing supervisor's license no.: &9/7 S Print name of signing supervisor: I yt Oc Signature of signing supervisor: J j 440-2584-J (5/2MO14/COK FEE SCHEDULE Number of inspections per item ()Qty, Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft, or less (4) $151.00 $ Each additional 500 sq, ft, or portion thereof $ Y8.00 $ Limited energy (2) $ 36.00 $ Each manufactured home or modular dwelling service or feeder (2) $ 71,00 $ Services or feeders: installation, alteration, relocation 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, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I I $ 7.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) ' $16:2:00 $ �? Each additional branch circuit ' $ 7.00 1 $ 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, alteration, or extension (2) $ 82,00 $ Each additional inspection: (1) =s APPLICANT .USE (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) (B) Enter 12% surcharge (.12 x [A])(C) IW Technology Fee (5% of [A]) (D) Continuing Education Fee $2.50 TOTAL fees and surcharges (A through D):