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Home My WebLink AboutPermit Electrical 2014-08-18SPRINGFIELD 225 Fifth Sl ` CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 --'"'-^ OREGONBudding /Commercial Permit Inspection Phone: 541-726-3769 Fax: 641-726-3676 PERMIT NO: 811-SPR2014-01788 vnnv.springfield-orgov permilcenter@spdngfield-or.gov . PROJECT STATUS: Issued ISSUED: 08/18/2014 EXPIRES: 02/13/2015 STATUS DATE: 08/18/2014 APPLIED: 08/18/2014 SITE ADDRESS: 369 42ND ST, Springfield, OR 97478 SCOPE: Sign ASSESOR'S PARCEL NO: 1702322400300 TYPE OF STRUCTURE: Commercial —PROJECT E-SCR{RTION*.ign--freestanding-sig"ri-H Vw n e d-tre pert OWNER: RICHARD L CROOK REVOCABLE LIVING TRUST Phone Number: ADDRESS: 481 42ND ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Llc No Lic Exp Phone Electrical Contractor DAVID STUCK ELECTRIC LLC CCB 158177 01/01/20% 541-485-8855 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 4999 Final Electrical Final Electric: When all electrical work is complete. By signature, I stale 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. �vo/idly 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 In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone numbeCtl ificatio Center is 1e-800-332-2344). I ".i'( ICE: 1l!IS PERMIT SHALL EXPIRE IF THE WORK ,UTFIORIZED UNDER THIS PERMIT IS NOT ;W,Mv1ENCED OR IS ABANDONED FOR \NY 180 DAY PERIOD. Springfield Building Permit 8/1812014 9:14:36AM Page 1 of 1 FiLi—A CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield.OR97477 tlNEGON 811-SPR2014-01788 541-726-3753 mm.springfield-ocgov 359 42ND ST permitoenter@springfield-or.gov RECEIPT NO: 2014001795 RECORD NO: 811-SPR2014.01788 DATE: 08/18/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Branch circuits with service or feeder each circuit 224-00000-426102 1004 7.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 11.76 Technology fee (5% of permit total) 100-00000-425605 2099 4.90 TOTAL DUE: 117.16 PAYMENT TYPE i PAYOR CASHIER: CCARPENTER .'COMMENTS ARWUN I rHw Credit Card DAVID STUCK ELECTRIC LLC 117.16 015557 TOTAL PAID: 117.16 Electrical Permit Application SPRINGFIELD , 225 Fifth Street* Springfield, OR 97477*PH(541)726-3753*FAX(541)726-3689 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 El Government fWCommercial JOB 'SITE INFORMATION AND LOCATION Job site address: .5F- N<r z tate I Reference: I Taxlot.: ,700 -.322V' 'DESGRIFITION OF WORK stz^evrc� .se Pct4 �ILL�/tll/J <LLvs/<r�/j—/GN PROPERTYOWNER' Name: o✓rocr,4? Address: pG YOv 3,7 City: D State: ew ZIP: 177e jlt Phone: Su/ 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(l) and 479.560(1). Signature: CONTRACTOR INSTALLATION , Business name: "C Address: PC, �G10 City: �$/GC-9/ State: C%l ZIP.q yUZ Phone'.ry/ `r ' 06/f/ Fax: E-mail: srr e eZ Z S z ®G✓ co C. Gcvn CCB license no.: /�( 7Z BCD license no.: 2- c, -,573 G Signing supervisor's license no.: y y Z S Print name of signing supervisor: d44 -M �q ry v Signature of signing supervisor: 440-2584-J (5/2112014/COM) FEE SCHEDULE Number of inspections per itemO': Qty. Cost ea. • Total cost Residential, per unit, service included: 1,000 sq. R. or less (4) $151.00 $ Each additional 500 sq. ft. or portion thereof $ 28,00 $ 'mited-energy-R) 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 t 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 orfeeder 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) $62.00 $ APPLICANT; USE (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) (B) Enter 12% surcharge (.12 x [A]) $//76 (C) Technology Fee (5% of [A]) $ (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D): $ 1l 1