HomeMy WebLinkAboutPermit Electrical 2014-08-11SPRINGFIELD
225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR97477
t' ty�
Phone: 541-726-3753
' ORE(30N
Building / Commercial Permit
Inspection Phone: 541-726-3769
-Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01727
Y w eprmgfeld-ocgov
permitcenter@springneld-or.gov
PROJECT STATUS: Issued ISSUED: 08/11/2014 EXPIRES: 02/06/2015
STATUS DATE: 08/11/2014 APPLIED: 08/11/2014
SITE ADDRESS: 470 S 2ND ST, Springfield, OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703353300500 TYPE OF STRUCTURE: Commercial
OWNER: MOMENTIVE SPECIALTY CHEMICALS INC Phone Number:
ADDRESS: 180 E BROAD ST
COLUMBUS OH 43215
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone
Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2016 541 -746 -4656 ---
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 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 limes during
construction.
Owner or Contractor Signature Date
Springfield Building Permit 8/11/2014 10:19:01AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fdth St
� s TRANSACTION RECEIPT Spdngfie1d,0R97477
OREGON 541-726-3753
811-SPR2014-01727
wv .springfield-or.gov 470 S 2ND ST permitoenter@spdngfield-or.gov
RECEIPT NO: 2014001729
RECORD NO: 811•SPR2014.01727
DATE: 08/11/2014
DESCRIPTION
ACCOUNTCODEITRANS 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
Credit Card JK GUCKENBERGER ELECTRIC INC 98.44
045655
TOTAL PAID: 98.44
PROM JKG El aciric Ir,o <WEO)HUG 0 2014 10:23/ST. 10: 22/No. 7603003633 P l
Electrical Permit ApplicationDEPARTMENT USE ONLY
SPRIN6FIELO ;1.: /f 17Z7
Permit
125 Fifth Street+Spring field, OR 97477#PR(541)726-3753#FAX(541)726-3689 ""''""""-`•^1 t
Date:
This permit is issued under OAR 918-309.0000, Permits are nontransferable. Permits expire if work is of started within 180
days of issuance or if work is suspended for 180 days.
LOCAL, GOVERNMENT APPROVAL
Zoning approval verified? ❑ Yes o
CATEGO Y OF CONSTRUCTI N:.::f' ?
❑ Residentialvemment
Commercial
JOB' SITE IN RMATION"ANIS' O ATION'..
Job site address: V7l0 S, 2q
City: 50rin
( State: OA,
ZIP: ?V/�
Reference: 3 S. -3 �
Taxlot.�M�0
D$CRIPT.iQN .OF, WO'RK,.,... _ :(
Limited energy (2)
Ctl Gc
...,PROPER.- .OVIINER. ,_c'.;;•..t,:�:F'r: ,
Name: O ' -✓ E~
Address:
$ 71.00
Phone:
-
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:
- �CbNTRACTOR'iIN$T,ALL'A:T.ION•�="'?%ies`�t');;;,<.tr
r,
Business name:
Address: 2J'j —D
City: S 1 ( State: ® V• ZIP: C) 4-%t
Phone64k -746-46 5 Fax:54j -I fb-5965
E-mail: V 6A , (_CCR
license no.: 12 BCD license no.: 2D_Z,1-7(✓
Signing supervisor's license no.: 4$`I S
Print name of signing supervisor: t7
Signature of signing supervisor:
teq�\ egob e\t �b
tw\a`� a les DO\"
014 4b04 . \es PPesby
e�e oe
ad et qr �0\N0 s e\\b e�bo `pe
l ;vd a�� y2�o� 0� to, �No\e �� y\ A° l °a
N� 0q Ge 0\®ie eo X32.23
FEE SCHEDULE
'Numbef`of inspel.tions per Item(j-',. Qty
Cost;
''.ea..',
Total'.
`.cost•:
Residential,'per unit, service included:
1,000 sq. ft, or less (4)
$151.00
$
Each additioaal 500 sq, ft. or portion
thereof
$ 28.00
S
Limited energy (2)
_ _ _
_
$ 36,00
S
Each manufactured home or modular
dwelling service or feeder (2)
$ 71.00
$
Services or feeders: inrfollation. alteration, relocation
200 amps or less (2)
$ 91.00
S
201 to 400 amps (2)
$106.00
$
401 to 600 amps (2)
$176.00
S
601 to 1,000 amps (2)
$230.00
$
Over 1,000 amps or volts (2)
$627.00
$
Reconnect only (2)
$ 71.00
$
Temporary services or feeders; installation, alteration, relocation
200 amps or less (2)
$ 71.00
$
201 to 400 amps (2)
401 to 600 amps (2) $142.00 $
Over 600 amps or 1 r or feeders section above
ranch or ion per panel
\ r '',,jjrf�� purchase of a service or feeder fee:
"57r 1
S 7.00 S
�t"@ r fe rculLs without purchase of a service or'feeder feo:
gM Trench circuit (2)
$
Each additional branch circuli
S 7.00
$
Miscallageous fees: service orJeeder not included
Each pump or irrigation circle (2).
$ 71.00
$
Each sign or oudine lighting (2)
$ 71.00
S
Signal circuit or a limited -energy panel,
alteradon, or Wension (2)
$ 52,00
$
$ach additional inspection: (1)
$62.00
$
'_.,,�'�'ry �Y`°".'7A�?Plr`I>rA`rt�035_.lk:'•..:;I.� �.,,7c�,�.
(A) Enter subtotal of above fees
(Minimum Permit Fee 552.110) (�
(S) Enter 12% surcharge (.12 x (Al) $ /
(C) Technology Fee (5% of (A)) S
(D) Continuing Education Feo $230 $2.50
TOTAL fees and surcharges (A through D): $
/v