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Home My WebLink AboutPermit Electrical 2014-08-13SPRINGFIELD 225 Fifth St t1 CITY OF SPRINGFIELD Springfield,OR97477 V611 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01759 www.springfield-ocgov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/1312014 EXPIRES: 02/08/2015 STATUS DATE: 08/13/2014 APPLIED: 08/13/2014 SITE ADDRESS: 925 HARLOW RD, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703223300100 TYPE OF STRUCTURE: Commercial -P-ROJEGLDESCRIPTION* onferonc"ooms-ceiling-remodekSELCO OWNER: SELCO COMMUNITY CREDIT UNION Phone Number: ADDRESS: PO BOX 7467 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone TODD A HURT (LEB) Electrician, 4389LEB 10/01/2014 541-915-3472 INSPECTIONS REQUIRED Inspections 4550 Limited Energy By signature, I state and agree, that 1 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 Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTME; In OAR 052.001-0010 through OAR 952.001• 0090. You may obtain copies of the rules by TI IIS PERMIT SHALL EXPIRE IF THE WORK one AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notificallote: the tion lat on COMMENCED OR IS ABANDONED FOR Center is 1.800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 8113MA 1:46:53PM Page i of 1 SPRINGFIELD ' - CITY OF SPRINGFIELD TRANSACTION RECEIPT Sp6ngfiald OR 97477 ONEGON 541-726-3753 811-SPR2014-01759 w .springfield-ocgov 925 HARLOW RD permitcenter@springfield-ocgov RECEIPT NO: 2014001759 RECORD NO: 811-SPR2014-01759 DATE: 08/13/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Audio/Stereo 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 PAYMENT TYPE 'PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID r`-A;f r -A T( Ml A U1 IDT T(lfl(l A 4110T 9R -4-4- h64617 TOTAL PAID: 98.44 Electrical Permit 225 Fifth Street* Springfield, OR 97477+PH(541)726-3753 ♦FAX(541)726-3689 SPRINGFIELD ii t, a �. vl DEPARTMENT/USE ONLY Permit no.: �j f 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. Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential I ❑ Government I Xj Commercial JOB SITE INFORMATION AND 'LOCATION' Job site address: q )�S kA t c\ to I ] � p Reference:/707 22X3 ITaXIot.:,V,4,,dO Name: Address: City: State: ZIP: 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). Business name: C Address: ` S. C7 C� City: State: ZIP: Phone: S�i Cj �1,�\\� Fax: E-mail: CCB license no.: BCD license no.: 1 Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (5/21/2014/COM) 6 FEE SCHEDULE . Number of inspections` per itemO Qty, Cost'. ea. Total cost Residential, per unit, service included: 1,000 sq, ft. or less (4) $161.00 $ Each additional 500 sq. ft. or portion $ yg,00 $ thereof bimited-energy-(2) 6� Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) 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 perpanel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit 1 1 $ 7.00 1 $ 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, alteration, or extension (2) $ 82,00 $ Each additional inspection: (1) $82.00 $ APPLICANT! USE` (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $ (B) Enter 12% surcharge (.12 x [A]) $ i (C) Technology Fee (5% of [A]) $ t1,1V (D) Continuing Education Fee $2.50 $2.60 TOTAL fees and surcharges (A through D): $